Part of the debate – in the Senedd at 4:36 pm on 11 March 2020.
I just wanted to pick up on that idea of innovation in all this and mention the rapid diagnosis centre at Neath Port Talbot Hospital, which I visited a couple of weeks ago—I know that David has as well—and to thank Helen Gray and Dr Heather Wilkes for the time they've given us there. They're pretty inspirational women, I've got to say. This facility just shows what you can do if you have the resolve to do something rather than just being presented with an expectation. I think it's worth mentioning as well that, certainly when I was there, we met a Macmillan doctor as well, and it was this getting all the medics in one room together, right at the beginning of a patient's journey, that seems to be the key factor in what turned out to be a completely surprising service.
I call it a surprise because it is a primary care service through which it takes just five to six days to diagnose and instigate the first steps to appropriate treatment. And that's to compare with what was there before, which was a process that took over 80 days to diagnose and instigate. Just think of the uncertainty and the worry for those individuals waiting for those 80 days, let alone considering the disease progression, which is to do with early diagnosis, of course. All that is swept away if you can get all this sorted within one week. Even if the diagnosis is one that you fear, you get that assurance very early on in the process that it might even be possible to survive this and to believe that early on.
The centre was opened just two and a half years ago to take action to reduce Wales's rather unhappy record on Wales's outcomes. Even within the developed world, the UK as a whole really, but Wales particularly, was quite some distance behind some much poorer eastern European countries. The Wales cancer network bid for a pilot after spotting a really good idea in Denmark, which was to do with vague symptoms, which we were mentioning earlier, and how those were treated there, which had resulted in early diagnosis and an impressive result on lowering mortality as well.
The key to Denmark's success lay in their different attitude to vague symptoms. So, to compare, in Wales where GPs refer a patient on with very common cancer signs, they will start on the familiar cancer pathway that we already know about. However, where those symptoms aren't so obvious—David Rees has mentioned a fair few of those—where they're not conclusive, those cases get downgraded in the system so that even when a GP has a gut instinct that an individual has cancer but no definite symptoms, they get lost in the system much more quickly. In Denmark, through setting up—I'll just call it a vague symptoms clinic, if you like. Thirty per cent of the people who came through those doors were there because of a GP's gut instinct, and I think that's something worth considering as we move more closely towards technology in healthcare. Because artificial intelligence may be able to do an awful lot of work with the discovery of those 50 per cent of cancers that present without prominent symptoms, but patients need to get into the system in the first place. They need to get that referral in the first place from a GP, even to get—