Part of the debate – in the Senedd at 4:01 pm on 15 September 2021.
I'm grateful for the opportunity to contribute to this debate. The statistics are clearly worrying, and the survival rates of out-of-hospital cardiac arrest should be enough, on their own, to get us to act. There are a few challenges, however. Firstly, I do not believe that our nation is working quickly enough to build more capacity into our network of defibrillators. During the summer recess, I visited a community pharmacy and was shocked at the slow progress in rolling out a sufficient supply of defibrillators throughout the brilliant local pharmacies. In supporting the call for funding to be made available to venues throughout Wales to provide a network of defibrillators, I want the Government to commit to ensuring that every community pharmacy has access to support, as a key and essential part of our health service. Community pharmacies contain a number of staff with the skills to respond to the needs of the local population. Why not make better use of community pharmacies, which are a key part of our towns and villages, and professionals who come into contact with many people on a daily basis? Could the Minister today confirm how many community pharmacies have defibrillators today, compared to two or three years ago?
Secondly, according to the British Heart Foundation, less than 5 per cent of out-of-hospital cardiac arrests receive bystander defibrillation, and tens of thousands of defibrillators are currently not known by the ambulance services because they are not registered. Clearly, knowing a defibrillator's location can be the difference between life and death. Whilst we need to address the overall number of defibrillators, we also need to ensure that every unit is registered to allow the emergency services to locate them, and perhaps one way to find a defibrillator once it is activated by a member of the public would be similar to the AA phones on motorways, which give the exact location. Thirdly, the Resuscitation Council UK makes a strong case for an improvement in information and advice to people to build confidence amongst the population to use a defibrillator in an emergency. This is true in the delivery of CPR in the absence of a defibrillator too, and more challenging because of the direct action required on the part of the individual to administer the routine. I would also ask the Government to review its own out-of-hospital cardiac arrest plan, published in 2017. It clearly states that one of the plan's key outcomes is that defibrillators are,
'readily available and accessible to the public.'
It also sets out the goal that the public,
'are aware defibrillators are easy to use and can do no harm'.
That's written in this. I would ask the Minister, if we had any benchmarking that applied to the 2017 plan being written, and where we are now in securing the improvement to have the ability and accessibility. The plan is sensible and the intentions are clear, but the chapter on the implementation is weak on explaining what success would look like. It says,
'Whilst considerable work on some elements of the pathway have been taken forward, focus and pace is now required to develop the detail across the whole plan and embed its implementation across Wales.'
A report published by the Welsh Government in 2018 looked at public knowledge, attitude and behaviour towards CPR and defibrillators. The survey concluded that the proportion trained to use a defibrillator was much lower than in CPR, with only 23 per cent of all respondents reporting that they had undergone training. Although over 50 per cent of people said that they would like to receive some training. In the use of defibrillators, the level of confidence was lower than for those administering CPR, with only 38 per cent of respondents saying that they would be confident. Confidence levels were higher among those trained in CPR or in how to use defibrillators at 55 per cent and 88 per cent respectively.
Worryingly, however, was the proportion of respondents—that's 55 per cent—who did not know the location of their nearest defibrillator. Even among those who were defibrillator trained, 35 per cent reported that they did not know the location of their nearest defibrillators—