Part of 2. 2. Questions to the Cabinet Secretary for Health, Well-being and Sport – in the Senedd at 2:51 pm on 4 October 2017.
Thank you for the follow-up questions. Again, I acknowledge that this issue was first brought front and centre for me by the Member for Cardiff Central. I think we need to start off with the point that I am genuinely very proud to have this job, to stand up and to work with the national health service, but I do have to balance that with the recognition that the service doesn’t always get it right. This is an area where I don’t think there has been the focus that there perhaps should have been in the past.
The challenge now is how we get to where we should be. That’s why the task and finish group being led by Julie Cornish is important, and I expect that to come up with a way forward for our service. You’re right: there has been a significant increase in the tears that are being detected but also the number of women coming forward with faecal incontinence in particular. The challenge there is how we then properly meet the understandable need that exists. It’s also about understanding that, I suspect, in the past we’ve had unmet needs.
So, that’s why I’ve outlined that there’ll be a task an finish group, and that’s why I’ve recognised that it’s not acceptable that, in the past, we have not been able to commission and provide enough sacral nerve stimulation services here in Wales. That does need to improve, because I recognise that, where the more conservative treatment of medication and physiotherapy in particular has failed, sacral nerve stimulation is effective in about 75 per cent to 80 per cent of cases, so it is a highly effective alternative treatment.
On your point about physiotherapy, there’s just a point here about what is and isn’t prudent. I think wholesale provision, without the prudent need being available, is not one that I’d necessarily accept first off, but if the evidence changed and it was the right thing to do, I’d be interested in how we then plan a workforce to meet that identified and evidence-led care need.
It’s also worth pointing out that there will be a national survey starting next week, where we’re asking women to talk about their experience of maternity and childbirth. We want to have a genuine understanding of the good, the bad and the indifferent, because this is actually being led by consultant midwives across Wales to try to ensure that we have the richest source of information with which to assess the effectiveness of our services and to improve them, moving forward.