2. Questions to the Minister for Health and Social Services – in the Senedd on 25 September 2019.
1. Will the Minister make a statement on waiting times from NHS identification of suspected cancer to diagnosis? OAQ54385
Thank you for the question. I made the decision to improve cancer diagnosis, with Wales being the first country to introduce the single cancer pathway. This reports on the time a patient waits from initial suspicion of cancer to the start of treatment. Our latest data shows that 75.1 per cent of patients started treatment within 62 days of the initial point of suspicion.
Minister, for the eight most common types of cancer, survival is three times greater when diagnosis is early and it is detected at the earliest stages rather than the latest stages. Of course, patients and their families go through absolute agony from cancer being suspected to eventual diagnosis one way or the other. I very much welcome what you mentioned in your initial response, because that’s real progress that’s very significant and important, but I know that capacity constraints continue, such as workforce shortages, and that is limiting the NHS’s ability to diagnose. Amongst the asks of some of the organisations representing people with cancer and their families are that the Welsh Government conducts an audit of diagnostic staff within the Welsh NHS and then addresses the gaps that exist. Is that something that Welsh Government will commit to?
The point that the Member makes about earlier diagnosis is exactly right—it’s a key section of our cancer strategy here in Wales. And, of course, the single cancer pathway will give us a better idea of the points at which we need to improve across the service. There is always going to be a workforce challenge that is simply not going to be resolved by new treatments or new technology. So, the workforce strategy that Health Education and Improvement Wales are working on will of course take into account the steps that we are already taking, for example the imaging academy and the work that we discussed here in this Chamber last week on improving endoscopy services, all of which will have an impact, not just on improving what we're able to do, but on our need to plan for and then acquire the numbers of staff. So, I think I can give the Member the assurance that we are looking at our current numbers of staff. The information we'll get from the operation of the single cancer pathway will give us further information and, of course, you'll see that when we publish the draft workforce strategy that HEIW are working on together with Social Care Wales.
Minister, Wales has now a single waiting-time target for cancer diagnosis and treatment, which I welcome. However, it is well known that we lack capacity in diagnosis services, and your Government has failed to meet its own targets for cancer waiting times via the urgent route since 2008. Minister, what action are you taking to deliver this significant investment in cancer facilities across Wales to build up the capacity required to meet this new single target for cancer diagnosis?
Well, I think much of what the Member asked was covered in my response to John Griffiths. It is a fact that when you look at cancer waiting times we've comparatively done better than England. If you look at our single cancer pathway new figure, it’s actually only a couple of percentage points lower than the old target on offer in England, and for only some of the pathway. And the reason that we introduced the new single cancer pathway was because we recognised that there were hidden waits within the system within the 31-day figure. So, we've got a much more honest reflection on where we are, and we have invested in the past and we continue to invest now. It’s a matter of fact that we've invested 6.5 per cent in the budget to train healthcare professionals in the last year. It goes back to the points I made to John Griffiths about having a proper workforce strategy, understanding what we're already doing and the investments we've already made.