Part of the debate – in the Senedd at 3:35 pm on 6 November 2019.
In many ways, the hepatitis C story in Wales is incredibly optimistic. We have a disease before us, or a condition before us, that is almost entirely curable, and we are within striking distance—if we apply ourselves—to being able to wipe this out. And I think that any illness or condition that we can wipe out—polio being one of them—is something that we should all celebrate, and we can do this with hep C if we all bend our minds to the task. And, Minister, I absolutely recognise that there have been some amazing strides forward in trying to eradicate hep C, or reverse hep C, in individuals. I think there have been some good strides forward in tackling certain members of our population, certain target groups, certain ethnic groups, where there's a prevalence. There have been strides forward in reducing people who use drugs and in their contamination with hepatitis C. But, of course, it's one of those things where, as you bash down one dragon's head, up comes another.
And I found one of the very interesting things that came forward from this report is how we are beginning to see more instances of people developing hepatitis C from some of the more modern things today, like having Botox fillers, about going to sports clubs and having steroid injections. And so, Minister, what I'd like to do is ask you a couple of questions first of all around what else you're going to put in place in terms of things like syringe programmes, steroid clinics. There are 270 needle and syringe programmes throughout Wales—do we need more, how will we fund it? What about the idea of having steroid clinics, so that people can understand that there's no stigma to being able to go forward and to get that treatment? Because, of course, like all these things, it's about taking away the stigma. So, very, very positive news, but we had to do this report because it is only a job half done. And I was very concerned to see that, in this report, some of our recommendations were just to be accepted in principle. And I've kind of come to the conclusion, after my years here as an Assembly Member, that, when a Government says 'accept in principle', it is always a euphemism for kicking something out to the long grass. So, I'd just like to go through some of these 'accept in principle' comments that you have.
Now, Helen Mary has already talked about recommendation 3, which you've accepted totally, which was the one about accepting the World Health Organization 2030 target. I would like to understand why you haven't followed the Scottish one of 2024, or the UK one of 2025. I just find it very interesting—we're a small country, we can get to people quickly, and I'd like to understand your reasons here. I would like to understand how the health boards will actually deliver the hep C treatment targets that are due to be introduced in April. Can we add these targets to the NHS activity and performance summary dashboard, as a way of formally monitoring progress towards elimination? You spoke in a previous set of questions about the need to have robust data, and how you felt that data was good, and I agree with you—I think that data helps us to drive our public health policy. Are we able to add that to the dashboard? Will you commit to the production of a new Welsh health circular?
I'd also like to talk about recommendation 2, and the targeted awareness-raising campaign. Now, I know from slightly bitter experience that the Government is actually quite reluctant to undertake targeted awareness raising campaigns—I've talked to you in the past about sepsis—because you feel that national campaigns sometimes do not achieve their aims. But we've hit this barrier before, and I'd like to really understand why you will not go forward with a targeted awareness-raising campaign. It's been recommended by all the players in this area—the people who go out there and actually have to deliver these services on the ground, they believe that this is a good way forward, the committee believe it's a good way forward, professionals believe it's a good way forward, but the Welsh Government doesn't. I need to really understand and would appreciate an explanation on that.
Additional investment into prisons—now, Helen Mary has already touched upon it, but we've done quite a number of reports recently about care for prisoners, about reintegrating people into the community, about ensuring that we have minimal reoffending rates. Letting someone come out of prison feeling in good health, with a good future, a roof over their head, and a pathway forward is one of the key ways of stopping reoffending. And I simply would like to ask you to revisit your investment in prisons, because we need to get prisoner health up so that when they leave those prisons they have a better chance of staying out and a lesser chance of recidivism. Thank you.