3. Will the Cabinet Secretary make a statement on cancer outcomes in North Wales? OAQ52938

Yes. The Welsh Government does not routinely collect cancer survival data at health board level. However, all-Wales figures show one-year survival has improved by 3.2 percentage points between 2005-09 and the last reported five-year period of 2010-14, and five-year survival has improved by 3.3 percentage points over the same period of time. There is, of course, more to do. 

Thank you. Cabinet Secretary, cancer does not discriminate. Gender, race or sexuality, cancer is not choosy. We are seeing that, increasingly, cancer doesn't discriminate against age either, and yet currently smear tests for cervical cancer start at age 25. By reducing the age of smear tests and cervical screening, we can save lives. We can tackle cell changes earlier and prevent cervical cancer. A number of my constituents have signed an online petition calling for the age to be lowered. Cabinet Secretary, will you look at reducing the age of screening, please?

I recognise the campaign in this area and in others over the age profiles for our national screening programmes and, indeed, bids for conditions not currently covered by screening programmes to continue. We, as does every other UK Government, follow the expert advice from the Joint Committee on Vaccination and Immunisation, an independent expert body that gives us advice on the very best evidence for how to make the biggest difference.FootnoteLink And, at present, their advice is that we should not have a national screening programme for people under the age of 25.

Now, that does not mean that nobody under the age of 25 will potentially have cervical cancer. The challenge is whether there's real benefit to be gained for the population by having a population-wide screening programme, because some screening programmes have potential harm for people as well. So, the challenge is that balance in risk and the advice that we have, and I think it's one of those instances where politicians really should be guided by the evidence. As I say, that does come from independent expertise that advises every single Government in the UK. But, of course, as you heard earlier, we'll always review the evidence as to what we could and should do.

Information further to Plenary

Endoscopy services are key to ensuring the early diagnosis and detection of cancers such as bowel cancer, and 104 patients in north Wales needing an endoscopy are waiting over 24 weeks or 168 days. Betsi Cadwaladr University Local Health Board's latest board meeting said that endoscopy have maximised this with backfill and additional weekend capacity, and a third endoscopy run in the west, saying that some of the additional capacity is being used to address the backlog of urgent suspected cancer patients and patients referred by Bowel Screening Wales. But, it also states that although it's expected that the board will continue to meet its 31-day target, the 62-day target for patients newly diagnosed with cancer via the urgent suspected cancer route to start definitive treatment is at significant risk, particularly due to the pressure on endoscopy across Betsi Cadwaladr. What work, therefore, is the Welsh Government doing to ensure that sustainable capacity is built in this area, so that no patient needing an endoscopy is exposed to waiting for longer than the Welsh Government's target waiting times? 

Mark, it is absolutely something that takes up time and attention within the Government and within the health service. The national health service Wales executive board has considered further action on endoscopy services. We're having an action plan to try to understand how we have better capacity in kit and also people, and how we do so properly. It's not just about the new faecal immunochemical test—it's more than one part of cancer and more than one part of healthcare.

You'll be pleased to know that the health committee is actually—I should give its full title of health, social care and sport, I think; I see the Chair behind me—is looking to have an inquiry on endoscopy services. We've submitted evidence to it, and I know there'll be much more scrutiny. So, I'll be more than happy, in this role or a different one, to come back to answer further questions either at that committee or, indeed, in this place on what we are doing and the effectiveness of the programme of work that we have.