Part of the debate – in the Senedd at 3:52 pm on 21 October 2020.
The aim of this motion for a Welsh hearts Bill is to improve outcomes for people who suffer out-of-hospital cardiac arrests, and I very much support that motion. The emphasis on the out-of-hospital is important: if somebody is to fall to the ground unconscious in the middle of the street or in a shop or when they're out jogging and you're the only one who's there, would you know what to do?
So, in the first instance, may I congratulate Alun Davies—I congratulated him yesterday; this is turning into a habit—but can I congratulate him specifically today on working so hard behind the scenes to bring forward this motion, and also congratulate him on the fact that he survived this out-of-hospital cardiac arrest because it's very uncommon to do so, as we've heard? It's miraculous, almost. We've heard his eloquent contribution, and thank you for that. It was a very important insight.
Now, we know about the expertise of our surgeons, our nurses in our major hospitals who deal with heart disease, specialist surgery with regard to cardiac surgery, and they innovate every day of the week, but the emphasis of today's motion is on out-of-hospital and out-of-surgery treatment, where there are no medical professionals available. It's important, as we've heard, to have the confidence in the first instance to intervene, and on top of that the ability to take action in this emergency situation. Now, the Denmark experience shows that if everybody learned CPR in school, we could save around 200 lives every year.
Now, in finding someone unconscious on the street, it must be ensured that they have suffered a cardiac arrest, and ensure that they are breathing, look for a pulse, and ensure that it is safe for you to intervene. You then place two hands on the chest, to the words of 'Nellie the Elephant' or 'Staying Alive'—that's the rhythm that you need—then you must find a defibrillator and phone 999 for an emergency ambulance. Because these people have died. People are concerned about causing harm, but these people to all intents and purposes have died. Alun Davies had died. You can't make the situation worse. It's 3 per cent of these people who survive; in some cases, 8 per cent. So, it's 3 per cent who had died and are now alive, and Alun is one of them. That's how much of a miracle it is, and we need to give praise for that. But, of course, more people survive in countries where there is additional training for people, and more confidence for people to intervene in the first instance. And with that confidence, more people can take action. People will know what to do, people won't panic and people will give first aid and CPR, as they'll know what to do instinctively. So, that's why it should be mandatory in schools.
And to conclude, we have to improve the availability of defibrillators in community settings. They have to be prominent; we know that they're there. People have been fundraising for them—we do know that they're there. We need more of them. There needs to be a register of them, as Mick Antoniw said. Somebody needs to take care of them because there's no point having one that doesn't work. We have to know where they are and we need that register of defibrillators, and they need constant maintenance.
Every minute counts in this kind of emergency, the emergency that Alun Davies faced. That's why we need to have people willing to intervene with the defibrillators, and we need the ambulances too. Alun Davies has crystallised this perfectly in his inspirational story. It's incumbent on all of us to play our part—support the motion.