Part of the debate – in the Senedd at 2:24 pm on 10 July 2018.
It's a very important issue, and as Jane Hutt correctly said, the Cabinet Secretary has already made some remarks on that. We are advising the NHS to restrict the use of vaginal mesh in Wales, ensuring its use is continued only in those with very specific need and who fully understand the risks. That is in line with the recent recommendations of the report from the review panel, which Jane Hutt just mentioned, and the Chief Medical Officer for Wales has written to medical directors reiterating that advice.
We expect sufficient levels of clinical governance, consent, audit and research are in place in health boards to ensure that all women can be confident that the appropriate safeguards are in place. We have evidence of a significant reduction in the number of vaginal mesh procedures in Wales. So, that largely suggests, Llywydd, that a pause is already in place, driven by a change in clinical decision making during recent years. However, it's our expectation that that will continue to be the case until the requirements for increased safeguards can be met. So, I think the announced immediate curb in England very much reflects the Wales position. So, they're basically following our lead in implementing those safeguards.
In terms of the health board boundaries, I know that the—Llywydd, obviously, my constituency is one of the ones affected, just to remind Members of that—chairs of the health boards have issued a joint statement on this change and invited all elected Members to raise any concerns directly with them. If you haven't received that, I'll make sure you have a copy and that the invitation is extended to you, if that hasn't happened. There's no intention to change front-line health services in the Bridgend local authority area. We are obviously very keen to reduce duplication and bureaucracy, and to encourage simplicity. The proposals for realigning the health board boundaries are intended to offer such opportunities, empowering local government to be strong and capable and make decisions based locally on clear accountabilities and to work effectively with a consistent set of partners, so it realigns the boundaries, as I know Jane Hutt is already aware.
Welsh Government is continuing to work with the health boards and other partners as preparations for the boundary change are developed, and the relevant legislation will be brought forward in due course. Obviously, any further health service change proposals will be the subject of separate public engagement and, where appropriate, consultation in line with usual procedures for the consideration of such boundaries. So, this isn't the harbinger of another set of changes to come.