Leavasa Anae NeruDr ANAE NERU LEAVASA (Labour—Takanini): Thank you Madam Speaker. It is great to have this opportunity to speak on the third reading of the Health (National Cervical Screening Programme) Amendment Bill and also to be the last call for this particular bill.Before I speak to this bill I just want to take this opportunity—this is my first time during this sitting block—just to acknowledge as a former sports doctor for the Blues rugby franchise just to say congratulations to the Blues rugby team who won against the Highlanders over the weekend in the Super Rugby Trans-Tasman final.ASSISTANT SPEAKER (Hon Jacqui Dean): Order! Order! The almighty" Highlanders.Dr ANAE NERU LEAVASA: Also just as a former sports doctor for the Manu Samoa team who will be playing the Māori All Blacks this Saturday I wish both teams all the best as it's going to be a close session. So I'm looking forward to that match as well.Hon Member: Cricket!Dr ANAE NERU LEAVASA: Cricket? Oh smears—let's talk about the smears now. When we look at this bill it is about strengthening and improving the National Cervical Screening Programme. Look as a GP I am glad that this bill has come through the different stages and will be passed tonight. It is about not only having the access to I guess we would say "new" technology; it's pretty much old technology to get rid of this whole faxing of results because we need to futureproof our system and it's about time that we did the same with looking at these results coming through. It's about being quicker it's about being convenient and also streamlining care—removing the frustration of our administration that are trying to get these results on hand.Also looking at the Supplementary Order Paper as well and looking at the National Kaitiaki Group having good oversight in continuing this because of Māori data and data sovereignty—as many of our colleagues have mentioned tonight and it's only about using what you need read-only access and making sure the process is much more efficient. When I look at the testing for the HPV virus which is the cause of 99 percent of cervical cancers the definition of the screening test changing to include the test itself and also the Government acknowledging the $53 million in the Budget as well enabling this HPV testing to go ahead—this will remove massive massive barriers. Again I guess I mention what the member Rachel Boyack has mentioned before and as I spoke in what I think was the committee stage—as a male clinician it is really hard when I do consult with our women patients who come through; I can see the dread on their face when I call their name and they're coming in specifically for a cervical smear that they would cancel postpone or— Hon Member: Try being the patient!Dr ANAE NERU LEAVASA: Ha ha—yes! But this testing this self-test is going to be a huge game-changer for the system. Where I practise in South Auckland Māori Pacific a lot of our religious and faith-based population—culturally as well—it will bypass those two barriers and provide better access for our women to get that test for HPV.We've heard about the stats—about 50 women dying from cervical cancer in the last year about 160 women developing cervical cancer. That's 50 families 50 whānaus that have had their family member taken from them. It could be for various reasons but one of them high on the list is getting a late diagnosis and late treatment and having this self-test for HPV will definitely improve on ready access to intervention at the right time.I also want to mention the preventative measure of the vaccine itself the HPV vaccine. It's also known as Gardasil 9 and I acknowledge what many other colleagues have said across the House of the nurses the healthcare workers that try to recall our young children to make sure that they get the HPV vaccine in order to prevent cervical cancer as well. This is on the immunisation schedule for 11- to 12-year-olds but it is recommended for between nine- and 14-year-olds and the vaccine is given as two doses at least six months apart. I just want to mention this because I know that many may not even know about the immunisation schedule for our young folk and making sure that they get access to this HPV vaccine as well. Those who are older in the older bracket above 15 years old will need to get three doses of the vaccine spaced out within 6 months but it is that key area between 11 and 12 years old that we try to target. Again I mention the GP clinics and nurses. We usually have this dashboard that comes up on our computer screen that tells us where we sit on our targets to make sure that we are recalling these women and also our young folk to get the HPV vaccine. It's tremendous work and again going back to the results getting faxed results getting that upgraded to a new system would definitely help improve our recalling system improve our intervention at the right time. We've heard about the different populations in Aotearoa—Māori Pacific and Asian women—that have lower rates of participation and this will definitely help target those different populations in order to get that earlier testing earlier results and earlier intervention therefore reducing the risk of cancers. These are all the things that I did want to mention but I also want to acknowledge my own GP college—Dr Samantha Murton Dr Bryan Betty the Māori and Pacific chapters of the GP college that do tremendous work and not only them but also the nursing college as well that does great work in this space. Those are the people I want to mention and acknowledge. That's why I support this bill passing through. This is going to make a huge change for our wāhine in Aotearoa. Thank you.Motion agreed to.Bill read a third time.ASSISTANT SPEAKER (Hon Jacqui Dean): I declare the House in committee for consideration of the Gas (Information Disclosure and Penalties) Amendment Bill."