6. Statement by the Cabinet Secretary for Health and Social Services: The Public Health Wales Review of Sexual Health Services

Part of the debate – in the Senedd at 5:42 pm on 17 April 2018.

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Photo of Rhun ap Iorwerth Rhun ap Iorwerth Plaid Cymru 5:42, 17 April 2018

(Translated)

As much as in any discussion that we’ve had, I think that Angela Burns and I have thought along exactly the same lines, in terms of the questions arising from this statement, but I’m sure that there are a couple of things left that we would wish to ask. I’d like to thank the team chaired by the CMO that did this very important work, because it is an important area. We have seen, through this amazing figure relating to the reduction in the number of teen pregnancies, that genuine success can come when the policy does target the right people, and when it says the right things and takes the right steps. So, certainly, I would congratulate everyone who has been part of achieving that outcome.

 In terms of the people who are looking for advice and support with STIs, what we read, however, is that the figures have doubled within the last five years. The review does recognise barriers that there are for people attending clinics or centres where they are looking for support. So, it’s possible that there is an underestimation of the number of people who need support. What that suggests to me is that the education and the preventative agenda that aims to prevent people from having STIs in the first place is failing, and failing in a significant way. We’re not talking here about education in schools only, because it’s evident that there is educational work among the adult population as well. So, my first question, which possibly relates to a reduction in budgets, as Angela Burns suggested: why has there been a failure in terms of the preventative agenda, because that is evidently vital as we move forward?

One of the barriers that I mentioned to those people who are seeking support and treatment is that there is a lack of consistency across Wales, as the report and your statement today have confirmed. We heard Angela Burns mentioning the lack of consistency across Wales when it comes to services that are available in terms of abortion and terminating a pregnancy. A lack of consistency in regulation or rules—that’s what that is. What we have in terms of treatment of STIs generally is a lack of consistency in terms of provision, namely the postcode lottery that we always talk about. I’m pleased that you recognise that there is variation in terms of provision in different parts of Wales, and I’d like to hear more about what exactly you and your Government are intending to do to seek that consistency for people, wherever they are in Wales.

There is a reference to drop-in clinics. Those are important, but the opening times mean that, again, access—accessibility—can be difficult. Is that something that you want to see being responded to? I also noticed the services that are run in some areas of Powys, in particular, by GPs. That is a barrier, I do agree, in rural areas, and particularly if I can draw particular attention to the Stonewall review, which shows that there are still many—although a minority—NHS staff who have a prejudice against LGBT people, and because of that, possibly, are not confident in terms of meeting the requirements or needs of LGBT people. We are talking about LGBT people when we talk about people who need treatment, therefore I think that there is a strong argument for keeping services separate for GP surgeries. And one final question: given the opportunity here, and given that it is sexually transmitted, could we have an update on where we are in terms of the HPV vaccine?