Part of the debate – in the Senedd at 5:48 pm on 27 June 2018.
Thank you, Deputy Presiding Officer. I'd like to thank Members of Plaid Cymru for bringing forward this debate, which we will be supporting more than wholeheartedly, because in today's NHS we are constantly talking about the need to prevent rather than cure and isn't prevention so much easier, and, if we can go out and capture people who might have the misfortune to develop a cancer of this type, then let's try and stop it, and let's try and stop it now.
It doesn't cost, as Rhun ap Iorwerth said, too much money when you start looking at what the effects of this would be further on down the line. Let's not just think about the individual and what they may go through, but actually the cost in terms of employment, the cost in terms of all the state support, and the cost in terms of the impact on their lives and the lives of their families. So, I think that we must adhere to this prevention agenda, and it does tie in so very clearly with the way the Government says they wish the direction of travel to go. We're asking people to take responsibility, to step up to the plate, and we're saying, 'Get thinner, stop smoking, do more exercise', and here's something that we could quite easily do that would help eradicate just some of those opportunities that are out there for somebody to develop what is the most unpleasant of conditions.
We're not asking the Welsh Government to do something that's never been done before. Let's be really clear: teenage males get this in a number of countries around the world, New Zealand since 2008—they really were trailblazers—Austria, Croatia, large swathes of Canada—about four of the big provinces of Canada—and the lessons that they've learnt is that the prices of this injection will drop with the economies of scale. So, again, it's very hard to look at that and refute the whole desire to do it.
But, above all, we keep saying how much we rely on our clinicians, how much, we say, that we need our clinicians to make the best decisions for us, and our clinicians have been very, very clear, and I'd like to reference one of them, in fact, Dr Evans. She is a consultant clinical oncologist at Velindre hospital in Cardiff, and she has said—I'm not even going to say what the mass name is for all of these cancers, I'm not sure that I could pronounce it, but, essentially, head, neck, tonsils, tongue and throat cancers have trebled in Wales over the past 15 years, and she says there is a direct link between these cancers and HPV. So, here's a clinician, very well respected, world renowned, and she led a campaign—quite a strong campaign, because we supported her, the Welsh Conservatives—in August of last year when she was really coming to the table and saying, 'We ought to look at this'. So, again, Cabinet Secretary, the parliamentary review, the vision for health, clinician led, clinician decisions—clinicians are saying we really ought to look at this, and I think that you should.
I'm not entirely clear how Rhun ap Iorwerth got the funding numbers, because I have to tell you in all honesty that my numbers are significantly higher than yours, but I'm quite prepared to say that my numbers could well be out—but I did also find a solution. It'll be wildly unpopular, I know, so try not to hiss too much, but analysis of NHS Wales data estimates that, if paracetamol, aspirin, ibuprofen and co-codamol were removed from the Welsh NHS list of free medicines to those who are not destitute or vulnerable or have chronic conditions, there would be a saving of some £16 million annually. When I can go into very large supermarkets—I'd better not name them—and buy a packet of ibuprofen for 32p, and then other people can have a life-saving treatment—. Because there isn't money growing on trees, so I do have some sympathy, because I think it's going to cost more than £0.5 million. If we looked at subsidising the vaccination of Wales's 36,000 12 to 13-year-old boys, then that would cost—at a high street cost of some £300, which is what a very famous, large chemist is currently charging, that would, at the most, cost the NHS an estimated £11 million.
So, I would say to you, Cabinet Secretary, prevention is better than cure. We're trying to have a public health message, we're trying to prevent people from getting sick, so that the long-term cost to both the NHS itself, to the state in general, to employment, and the awful, awful pressure it brings about on the individual and on families—if we can start eradicating all of that, then there's every reason in the world why we should just go ahead, listen to the clinicians, and do this. And you can afford it by actually asking someone like me, who earns the money I do, to pay 32p for my ibuprofen, whilst you're still protecting the vulnerable and the poor.