Part of the debate – in the Senedd at 5:32 pm on 5 July 2022.
Can I thank the Minister for her statement today, and also take the opportunity to pay tribute to the NHS as it marks its seventy-fourth birthday today, and 74 years of remarkable service? Can I thank you, Minister, for the statement today and say I'm very pleased to hear that you, of course, recognise the inequalities that exist, inequalities that perhaps 18 months ago, before I took the health brief on, and before my role on the Health and Social Care Committee, I would have had little understanding of myself. But certainly, I appreciate the need for the plan. I'm not overly impressed with the quality statement itself, but the women's health plan that will flow from that I certainly look forward to in the autumn.
When it comes to the Health and Social Care Committee, we carried out our own consultation last summer asking our stakeholders about their priorities, and women's health and girls' health was very, very high on the agenda. As a result of that, we made a point of making sure that women and girls' health is a priority for the Health and Social Care Committee for this Senedd term, over the next five years.
I should also say we also undertook some research when we invited the women's health Wales coalition to come in back in March, and present to us, which was useful in informing certainly my views. What the coalition did say to us—and you touched on this in your statement today—is that when we study hearts and heart attacks, we're studying male hearts and male heart attacks. And actually, women need to be involved in that, and we need to think about these diseases as being something that impacts both. Of course, as you've pointed out yourself, Minister, there's perhaps an under-representation of women in clinical trials. We also know, or certainly the coalition told us, that women are 50 per cent more likely to receive an initial misdiagnosis of a heart attack, and we don't know why that is. So, Minister, can you confirm that the health plan will include a commitment to increasing the representation of women in clinical trials in Wales?
You also pointed out that the plan will be developed with women groups, and that's very much welcome, of course, but, certainly, when we hear about the experiences of women in developing that implementation plan, can I also ask whether you're going to build into that those women's voices, and into governance and leadership structures within the NHS as well?
We've heard a lot of issues around miscommunication. Changes to the cervical screening programme have highlighted the importance of clear and accurate communication. On that point, I wonder, in terms of improving communication, whether you can clarify how the plan is going to improve communication with women? There was some evidence presented to us as well that, sometimes, as women are recovering, many patients would have their surgery and then the consultant would come around to talk to them whilst they were in recovery, and whilst they were semi-conscious and couldn't remember what had been said. So, on the importance of communication, I'd be interested in your further thoughts about how the plan is going to improve communication in that element as well.
Then, of course, there's the issue about prevention as well. I know that you will probably agree with that assessment, but I'd be interested to know, Minister, how your plan is going to incorporate prevention and how that will fit, also, with 'Healthy Weight: Healthy Wales’.
You also, Minister, mention in your quality statement that
'Health boards will ensure appropriate levels of diagnostic, therapeutic and surgical capacity to enable women who require interventions for health needs specific to women and girls including menstrual...and menopause, to receive care as close as possible to home without significant waits.'
I'm just interested in how that will be developed, bearing rural areas in mind as well. Of course, those might be very easy to roll out in Cardiff, but when we think of rural areas, I'm just interested in how your plan will develop in terms of ensuring that we have enough capacity in rural areas as well. And—