6. Debate on a Member's Legislative Proposal: Welsh Hearts Bill

Part of the debate – in the Senedd at 3:38 pm on 21 October 2020.

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Photo of Alun Davies Alun Davies Labour 3:38, 21 October 2020

Thank you very much, Presiding Officer. I'd like to start my contribution today by thanking Dai Lloyd, Rhun ap Iorwerth and Andrew R.T. Davies for their support in bringing forward this legislative proposal. But, Presiding Officer, I would also want to start by thanking Thoma and Mike Powell, who saved my life by performing CPR on me; Tom, who cycled like mad to find a defibrillator; to all those people whose names I don't know who helped when Thoma needed a rest; to the paramedics; and, then, to Sean Gallagher and his cardiac care team in the Heath hospital. In thanking all these people, we also tell a story of a cardiac arrest and the people who need to be able to save a life.

Now, I would be first to accept that I'm not a natural athlete. But, when I decided to go for a quick run one evening in the spring, I had no reason to believe that it may well have been the last thing I would ever do. I'd experienced no pain or discomfort at any point in the days leading up to this happening. I had no sense of being unwell and had no underlying issues that led me to believe that I was at particular risk. It was a bolt out of the blue. There were cuts on my face because it was instantaneous. I wasn't even able to break my fall. When this happens the person needs immediate help: immediate CPR and the use of a defibrillator. But we know that both of those things can be frightening and intimidating for any bystander. I was unconscious before I had any understanding of what was happening to me. There's no time to call for help. 

Tom wrote me an e-mail, which explained what happened. Let me say it in his words: 'When I arrived at the scene, they were already giving you CPR. All seemed frantic but organised. To make use of myself I offered to direct the ambulance in. A frantic dog walker told me they couldn't locate the defibrillator, as directed to them by the 999 operator. I knew locating the defibrillator was critical, so I set my mind to finding one. A very nice lady on the security desk at the college handed it over with minimal questions asked. I then rushed back with it. The adrenaline was coursing and I was too squeamish to do it myself, but your friend knew what to do. She had obviously had training.' And it was that training, Presiding Officer, that saved my life and that enables me to make this speech today.

I recognise and understand that Wales has an out-of-hospital cardiac arrest strategy, which was launched back in 2017, and I understand that it sets out a collaborative programme of work to improve both survival and aftercare. In many ways, this strategy touches on the main issues that I seek to address this afternoon. I'm making this legislative proposal today because I do not believe that this plan has had the reach or the impact that we would all like to see.

In essence, there are two main elements to this proposal. First of all, to ensure that we have the opportunity to save a life when a person suffers a cardiac arrest, and, secondly, that they receive the care required to lead a normal life afterwards. I recognise that the British Heart Foundation, and many Members, have been campaigning for some years for CPR training to be delivered in schools and colleges. I agree. In this proposal, I am simply asking that the Welsh Government takes responsibility for ensuring that such training takes place. The Government has resisted formal training in a school environment. Therefore, the Government has a responsibility to outline its alternative. 

The location of community defibrillators is also essential. Unless a defibrillator can be found and used within minutes, then it will be too late. I was very lucky, but I'm aware that a young man suffered a cardiac arrest close to where I did a few years ago. At that time, a defibrillator was not found, and that young man lost his life. I'm also reminded of the campaign being led by the family of Justin Edinburgh, the former manager of Newport County, who died after suffering a cardiac arrest in a gym where there was no defibrillator. I can see no way forward unless we specify a direct duty on local government to ensure that there is access to these life savers through each one of our different communities.

The second aspect of this proposal is to ensure that health boards work together and collaborate to create pathways of survival. This means clinicians and NHS management working together across health board boundaries to develop and deliver not only the best diagnosis and care, but to deliver the best outcome for patients. I fear sometimes that our health boards do not work together as well as perhaps they should. There is no purpose in competition, and no purpose in duplication of resources. I would like to see the ambitions and the words of the existing strategy become a reality. And that's why I want to see this thing on the statute book. There is much to learn from this example, and much to learn from other places and other countries.

Again, in Tom's words: 'Your chest must have been feeling bruised and sore. A number of members of the general public worked hard on you. It was dramatic stuff. Having seen it done, if ever it happens again, I feel confident I could take charge of the situation.' It is that confidence and that belief that I want to become commonplace in Wales. In April, I became one of only 3 per cent of people who've survived an out-of-hospital cardiac arrest. I feel strongly that we all now have a profound responsibility to all those who have not survived and did not survive to ensure that, in the future, we can all have the same opportunity to survive and to live. Thank you very much.