Part of the debate – in the Senedd at 4:07 pm on 28 September 2022.
Thank you, Deputy Presiding Officer. I move the motion in the name of my colleague, Darren Millar. In this motion today, we, as Welsh Conservatives, are urging the Welsh Government to ensure that its cancer action plan is published urgently, alongside focusing its cancer workforce plan on gynaecological health, with clear and measurable aims that can be achieved within the next five to 10 years.
Now more than ever, gynaecological cancer services must be given the priority that they deserve. There is little doubt that the pandemic, of course, has accelerated inequalities in healthcare, no more so than in female cancers. Latest cancer survival rates between 2015 and 2019 show that the five-year survival rates had dropped for cancer of the uterus by 4 per cent over the last decade, the only cancer to dip in survival rates over a 10-year period.
The pausing of vital screening services for four months in 2020, alongside restrictions over the past two years, has caused a drop in attendance for cervical screening to its lowest in over a decade. Furthermore, many women who were invited for appointments are finding it difficult to arrange suitable time with their employers, some often taking annual leave in order to attend medical procedures.
Sadly, long waits for cancer treatments are not new. Cancer waiting times have not been met since 2008. Fifty-six per cent received treatment within 62 days in February 2020; that was, of course, prior to the pandemic. Although gynaecological cancers typically have a high survival rate at both one and five years, performance of treatment for gynaecological tumour sites against the single cancer pathway has dropped significantly, leading to concerns about whether survival rates will drop further because of the pandemic. So, I think it is time, and it is imperative, that patients are seen quickly, to receive the treatment that they need, and I believe that, by having a robust plan in place, we can start to make progress on this.
As part of this, a specialist cancer workforce that is able to cope with demand and increasing backlogs I really think should be a priority for the Government, in order to prevent gynaecological cancer survival rates from slipping further. Wales already has the highest shortfall of cancer specialists in the UK. Ninety per cent of clinical directors in Wales told the Royal College of Radiologists in 2021 that they were concerned about patient safety. And none of this, of course, that I’ve mentioned is a party political issue. These are not party political points that are being made. Many organisations have expressed deep concern surrounding workforce. For example, Macmillan Cancer Support also found that one in five of those diagnosed with cancer in Wales over the past five years said that they lacked specialist cancer nursing during diagnosis or treatment, and Cancer Research UK has also outlined that gaps in the NHS workforce are a fundamental barrier to transforming cancer services and improving cancer survival rates in Wales. And shockingly, despite these grave concerns, the last 10-year NHS workforce plan fails to include a specific workforce plan for cancer specialists. In fact, the joint Health Education and Improvement Wales and Social Care Wales strategy from October 2020 fails to mention cancer at all. And while there are laudable aims, of course—I accept that—in the Welsh Government’s cancer quality statement, the lack of detail within the 10-year NHS workforce plan for cancer specialists is sadly reflected in this document.
In response to Mabon ap Gwynfor’s debate on cancer treatment and diagnosis in December, while of course the Minister mentioned the cancer quality statement, again, little detail was provided to ensure how increases in cancer workforce could be carried out. Welsh Conservatives have been concerned over the past two years about the lack of progress the Welsh Government has made over both supporting cancer services to recover from the pandemic and the lack of forward planning to ensure that cancer services are fit for the future.
Thank you, Minister, for listening attentively to my contribution today. For me, I think it’s all very well me repeating the same arguments that we’ve been experiencing for years, but this is a specific area that I really think we should be leading on by example. Jo’s Cervical Cancer Trust has expressly outlined the barriers for women to obtain a simple test that would prevent them from often going through complicated procedures or even risking death, so I don’t think we can delay any further. We must ensure that women are tested, diagnosed earlier, and tested within target times, for gynaecological cancer especially.
I very much hope that this motion today will gain cross-party support. It’s not a party political issue; it’s something that I think we can all get behind. I look forward to Members’ contributions to the debate today.