Thank you for your statement, Cabinet Secretary. I welcome the review undertaken by Public Health Wales on sexual health services in Wales. The report rightly praises the sexual health workforce in Wales. The take-up of services has doubled in the last five years. This increase, undoubtedly, will require adjustments and reform to existing services to best meet demand. The key issue is getting these reforms right.

I welcome the dramatic reduction in teenage pregnancies between 2010 and 2016. Furthermore, I'm sure that all in this Chamber welcome the continued decline of HIV diagnoses and applaud the Welsh Government's proactive steps to combat the virus. There is still much work to be done to remove the stigma surrounding HIV, however the high number of people coming forward for testing and campaigns to educate the public on the importance of regular sexual health tests should be celebrated. By increasing accessibility to PrEP, we are moving closer to beating HIV. It is indeed good news that there have been no new cases of the virus in those receiving PrEP.

By reducing high-risk sexual behaviour, we take another proactive step to tackling the diagnosis of sexually transmitted diseases. However, Cabinet Secretary, as you highlighted in your statement, diagnoses of other STIs remain high. While we must encourage people to use the preventative measures such as PrEP, they should not be seen as a gateway to high-risk sexual behaviour. Such behaviour, in turn, may expose people to other infections that consequently may add to the strain on sexual health services. Dr Giri Shankar or Public Health Wales has stated that much work needs to be done on reducing high-risk behaviour. Cabinet Secretary, what specific measures and initiatives do you have planned to respond to Dr Shankar's recommendations for more work in this area?

The statement mentions that prisoners are disadvantaged through lack of prison service provision. I find myself having to pause for thought here. There are already health services in prisons that all prisoners can access. Moreover, prisoners are educated on sexual health during their induction and they have their own healthcare department and everyone sees a healthcare specialist professional on a one-to-one basis upon arriving at the prison, and that is mandatory.

The statement rightly says that rural communities are disadvantaged through lack of service provision. Cabinet Secretary, could you state what specific and practical measures are being taken to improve access to sexual health services in rural communities? The statement states an aim to implement the Public Health Wales recommendation over a two-year period. It also states that demand for sexual health services has doubled over a five-year period and is putting pressure on existing service models. Therefore, what measures will be taken during the transitionary two-year period to ensure that demand for services is met? Online triage is mentioned, but could a full range of online services be implemented more rapidly to cover this two-year transitionary period? Thank you.