Part of the debate – in the Senedd at 4:42 pm on 15 September 2020.
Diolch, Deputy Llywydd. Minister, thank you for your statement today and the opportunity for me to contribute. The sense of dread after everything the health service and the public have been through this year, I send my best wishes and—[Inaudible.]—all of the challenges and dangers that brings, especially to those who are vulnerable. I've heard your winter protection plan and I'm very concerned that its main focus appears to be a look back at lockdown, a response to a second winter wave of COVID. As we head into the winter and the predictable number of illnesses and, sadly, deaths—many of these of the respiratory system—question 1: how will the public and the medical professionals differentiate between the usual winter-type illnesses and COVID-19, when the symptoms are very similar to each other?
Minister, we had an exchange in July when I referred to the effects of lockdown on non-COVID-related illnesses, and you mentioned the need to balance different harms like you've done again today. One of the biggest worries has to be suspected cancer. Minister—[Inaudible.]—modelling shows that, across the UK, there could be around 35,000 extra cancer deaths as a result of COVID-19. In Wales, between March and June, there were around 1,600 fewer urgent cancer referrals. There is clearly a huge backlog of patients, as you've mentioned, who will need diagnostic testing for suspected cancers who aren't in the system at all yet. When these patients do present, this will no doubt cause capacity constraint in diagnostic services, and we're all acutely aware that delays for patients could cause a late diagnosis of cancer, fewer treatment options and less chance of survival. I do see consideration of this in your plan, so can you tell the Chamber what the Welsh Government is doing to make sure diagnostic services are completely ready and what arrangements are being made for follow-on treatment and surgeries, all of this in the context of winter pressures? While we couldn't foresee the demands of the Welsh NHS of COVID-19 in the early days, the curve was flattened and, of course, you are keeping a close eye on the numbers of cases now and using the levers available to counter any rises in numbers. Surely, though, you must agree with me that the NHS in Wales cannot remain in a state of suspended animation, as it currently appears to be, and waiting lists for elective surgery need to get started again. Can you inform the Chamber how the lockdown has impaired waiting lists—sorry, has impacted waiting lists—and what your plan is for addressing this? A hip replacement or a cataract removal becomes an emergency when the former causes a fall and the latter causes blindness.
Finally, lockdown, job losses, working from home and a different reality to get used to has the potential to affect the nation's mental health, as we've previously said—what capacity has the Welsh NHS got to deal with this?
And in closing, Minister, can I tell you that, despite what you say about the NHS being open for business, there appears to be a real disjoint between what you say and what constituents are experiencing, where simple and necessary procedures are not taking place? Appointments are impossible to get. With the winter pressures coming, I fear that nothing will change anytime soon and I hope you'll—[Inaudible.]