9. Debate on Petition P-05-849 All men in Wales should have access through the NHS to the best possible diagnostic tests for prostate cancer

Part of the debate – in the Senedd at 5:12 pm on 6 March 2019.

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Photo of Rhun ap Iorwerth Rhun ap Iorwerth Plaid Cymru 5:12, 6 March 2019

The petition itself notes the limitations on who and where in Wales and in which health boards the testing can be accessed, where the tests are being fully utilised, and it's that lack of consistency that the petitioner found to be particularly unacceptable. And I would like to take this opportunity to thank Stuart Davies and those behind this petition on the work that they've done in bringing the issue to the Senedd. I know that, as a result of their campaign, they've been inundated with correspondence from other men who failed to find access to mpMRI scans on the NHS: men whose doctors weren't yet aware, perhaps, of the real benefits of this diagnostic tool; men who have paid to have the test privately as a result; and men who have been resigned to borrowing money in order to fund the scan, as it wasn't readily available to them on the NHS. And I'm grateful to Mr Davies for updating me on some of the contact that he's had from other men in all parts of Wales.

Now, some patients in the Betsi Cadwaladr university health board area have actually now been reimbursed for the private fees they paid for scans. They were paying it because they knew it was effective. They had the evidence that it worked. The evidence was pretty clear that this was an effective tool, which leads me to ask here now: why is it that the Welsh NHS, again, here, has been slow to adopt new technologies and treatments where the evidence was pretty clear, and, then, when the go-ahead had been given by NICE? The reason the Welsh Government introduced the new treatments fund was precisely because the Welsh NHS couldn't meet its legal obligations to ensure new treatments were made available within three months of NICE approval. So, that point has been conceded already, and we're currently in a situation where NICE has approved the technology for use in diagnosis but it's still not being done right across Wales, so 'why?' is the question.

So, to conclude, we know that access to diagnostic testing as a whole has been a problem for several years here in Wales. Welsh Government, in my mind, has been complacent on not pushing on that front. That's why we in Plaid Cymru have supported introducing tougher targets for diagnostic testing, which has been voted down, time and time again. So, this petition shouldn't be needed. We need a proactive NHS that's able to adopt best practice following a NICE ruling, and identify those new techniques and treatments that really work for patients in Wales, like mpMRI.