Part of 3. Topical Questions – in the Senedd at 3:20 pm on 11 July 2018.
I think that's a really important point to make. It was part of the terms of reference for the expert group and review we had here in Wales, and it's really important not to undersell the importance of informed consent, because different people faced with the same information will make different choices about the risks they're prepared to take in treatment and, indeed, on the condition they currently have and the impact that that has upon their lives. It, of course, has been incredibly not just disappointing but really upsetting to hear people describe mesh procedures that have been undertaken and they say they have not consented to them, or they've consented but they do not believe it was informed consent. And all of that matters; we shouldn't try and brush that away. But the point about all forms of medical intervention is that it is about it being a genuine conversation and decision that the patient makes, as opposed to the clinician making it for them, and understanding, 'What matters to me as the person who is potentially undergoing that treatment.'
When you look at the expert report that we have had undertaken in Wales, it is genuinely reflective on past practice, and part of their recommendations are about making sure there is genuine and informed consent for any procedures that take place, as well as making sure that in the pathway to a potential operation, all other treatment options are provided first so that it is a genuine last resort, if it is used at all. And, in fact, what should give people comfort about that is that in Wales, there's been a significant reduction in mesh procedures, as our clinical community have recognised some of the challenges that have existed. That will continue to be the case, as we work through with colleagues across the United Kingdom on what could and should happen in the future. It is, of course, possible still that the regulator will decide to take a different step and to withdraw this as a treatment option, but that is a matter for the regulator, not for an elected politician.