Part of the debate – in the Senedd at 6:39 pm on 19 October 2022.
Can I thank Altaf for giving me a minute of his time? As chair of the cross-party group on liver disease and liver cancer, I want to highlight some of the challenges facing liver cancer patients navigating treatment pathways in Wales. Liver cancer is one of the least survivable, but fastest growing forms of cancer in the UK, and outcomes are shockingly poor. Only 13 per cent of people diagnosed with liver cancer will survive for more than five years after being diagnosed. It has been found that patients with low fitness, as assessed by the cardiopulmonary exercise testing, CPET, have higher mortality and morbidity after surgery. Therefore, prehabilitation has potential as a method to improve CPET values and thus improve outcomes after liver resection for colorectal or liver metastatic. It has also been found to better prepare patients for the often toxic and disabling effects of cancer treatment.
Recent findings from the British Liver Trust's helpline, support groups and surveys show that fewer than 10 per cent of liver cancer patients feel adequately signposted to information about their condition, and many are left confused and unsure of where to go for credible advice on treatment options. There are also disparities in liver cancer care and outcomes across health boards. Therefore, improving access to rehabilitation, personalised information and ensuring equitable access to physical, psychological and nutritional support for liver cancer patients at every stage of the treatment pathway will not only improve patient experience, but, ultimately, could improve outcomes and survival rates for liver cancer patients. With this in mind, I'm keen to know if the Minister will commit to specific targets for prehabilitation and rehabilitation to help improve outcomes for less survivable cancers, such as liver cancer, in the forthcoming NHS cancer services action plan. Thank you.