English: I just wanted to pick up on that idea of innovation in all this and mention the rapid diagnosis centre at Neath Port Talbot Hospital, which I visited a couple of weeks ago - I know that David has as well - and to thank Helen Gray and Dr Heather Wilkes for the time they've given us there. They're pretty inspirational women, I've got to say. This facility just shows what you can do if you have the resolve to do something rather than just being presented with an expectation. I think it's worth mentioning as well that, certainly when I was there, we met a Macmillan doctor as well, and it was this getting all the medics in one room together, right at the beginning of a patient's journey, that seems to be the key factor in what turned out to be a completely surprising service. I call it a surprise because it is a primary care service through which it takes just five to six days to diagnose and instigate the first steps to appropriate treatment. And that's to compare with what was there before, which was a process that took over 80 days to diagnose and instigate. Just think of the uncertainty and the worry for those individuals waiting for those 80 days, let alone considering the disease progression, which is to do with early diagnosis, of course. All that is swept away if you can get all this sorted within one week. Even if the diagnosis is one that you fear, you get that assurance very early on in the process that it might even be possible to survive this and to believe that early on. The centre was opened just two and a half years ago to take action to reduce Wales's rather unhappy record on Wales's outcomes. Even within the developed world, the UK as a whole really, but Wales particularly, was quite some distance behind some much poorer eastern European countries. The Wales cancer network bid for a pilot after spotting a really good idea in Denmark, which was to do with vague symptoms, which we were mentioning earlier, and how those were treated there, which had resulted in early diagnosis and an impressive result on lowering mortality as well. The key to Denmark's success lay in their different attitude to vague symptoms. So, to compare, in Wales where GPs refer a patient on with very common cancer signs, they will start on the familiar cancer pathway that we already know about. However, where those symptoms aren't so obvious - David Rees has mentioned a fair few of those - where they're not conclusive, those cases get downgraded in the system so that even when a GP has a gut instinct that an individual has cancer but no definite symptoms, they get lost in the system much more quickly. In Denmark, through setting up - I'll just call it a vague symptoms clinic, if you like. Thirty per cent of the people who came through those doors were there because of a GP's gut instinct, and I think that's something worth considering as we move more closely towards technology in healthcare. Because artificial intelligence may be able to do an awful lot of work with the discovery of those 50 per cent of cancers that present without prominent symptoms, but patients need to get into the system in the first place. They need to get that referral in the first place from a GP, even to get -
Welsh: Hoffwn sôn am y syniad o arloesedd yn hyn oll a chrybwyll y ganolfan ddiagnosteg gyflym yn Ysbyty Castell-nedd Port Talbot, y bûm yn ymweld â hi ychydig wythnosau yn ôl - gwn fod David wedi bod yno hefyd - a diolch i Helen Gray a Dr Heather Wilkes am yr amser a roesant i ni yno. Maent yn fenywod ysbrydoledig iawn, mae'n rhaid imi ddweud. Mae'r cyfleuster hwn yn dangos beth y gallwch ei wneud os oes gennych benderfyniad i wneud rhywbeth yn hytrach na bod disgwyl i chi wneud rhywbeth yn unig. Credaf ei bod yn werth sôn hefyd ein bod wedi cyfarfod â meddyg Macmillan, pan oeddwn i yno'n sicr, ac ymddengys mai cael yr holl feddygon gyda'i gilydd mewn un ystafell ar ddechrau taith y claf oedd y ffactor allweddol mewn gwasanaeth a oedd yn syndod mawr i mi. Rwy'n ei alw'n syndod oherwydd ei fod yn wasanaeth gofal sylfaenol lle mae'n cymryd pump i chwe diwrnod yn unig i wneud diagnosis a chychwyn y camau cyntaf tuag at driniaeth briodol. Ac mae hynny o gymharu â'r hyn a oedd i'w gael cyn hynny, sef proses a oedd yn cymryd dros 80 diwrnod i wneud diagnosis a'i chychwyn. Meddyliwch am yr ansicrwydd a'r pryder i'r unigolion hynny wrth iddynt aros am 80 diwrnod, heb sôn am ddatblygiad y clefyd, sy'n ymwneud â diagnosis cynnar, wrth gwrs. Mae hynny oll yn diflannu os gallwch ddatrys hyn o fewn wythnos. Hyd yn oed os yw'r diagnosis yn un rydych yn ei ofni, rydych yn cael sicrwydd yn gynnar iawn yn y broses y gallai fod yn bosibl goroesi hyn hyd yn oed, a chredu hynny'n gynnar. Agorwyd y ganolfan ddwy flynedd a hanner yn ôl i gymryd camau i leihau'r hanes eithaf gwael sydd gan Gymru o ran canlyniadau. Hyd yn oed yn y byd datblygedig, mae'r DU gyfan mewn gwirionedd, ond Cymru yn enwedig, yn bell ar ei hôl hi o gymharu â rhai o wledydd llawer tlotach dwyrain Ewrop. Gwnaeth rhwydwaith canser Cymru gais am gynllun peilot ar ôl gweld syniad da iawn ar waith yn Nenmarc, a oedd yn ymwneud â symptomau amhendant, y buom yn sôn amdanynt yn gynharach, a sut y caent eu trin yno, ac roedd hynny wedi arwain at ddiagnosis cynnar a chanlyniadau da iawn o ran gostwng nifer y marwolaethau hefyd. Yr hyn a fu'n allweddol i lwyddiant Denmarc oedd eu hymagwedd wahanol tuag at symptomau amhendant. Felly, i gymharu, yng Nghymru, pan fo meddygon teulu yn atgyfeirio claf ag arwyddion cyffredin iawn o ganser, byddant yn dechrau ar y llwybr canser cyfarwydd y gwyddom amdano. Fodd bynnag, pan nad yw'r symptomau hynny mor amlwg - mae David Rees wedi crybwyll cryn dipyn ohonynt - pan nad ydynt yn bendant, mae'r achosion hynny'n cael eu hisraddio yn y system sy'n golygu, hyd yn oed pan fydd meddyg teulu yn credu'n reddfol fod gan unigolyn ganser ond heb symptomau pendant, maent yn mynd ar goll yn y system yn gynt o lawer. Yn Nenmarc, drwy sefydlu - fe'i galwaf yn glinig symptomau amhendant, os mynnwch. Roedd 30 y cant o'r bobl a ddeuai drwy'r drysau hynny yno oherwydd greddf meddyg teulu, a chredaf fod hynny'n rhywbeth sy'n werth ei ystyried wrth inni symud yn agosach tuag at dechnoleg ym maes gofal iechyd. Oherwydd efallai y gall deallusrwydd artiffisial wneud llawer iawn o waith i ddarganfod y 50 y cant o ganserau nad oes ganddynt symptomau amlwg, ond mae angen i gleifion fynd i mewn i'r system yn y lle cyntaf. Mae angen iddynt gael eu hatgyfeirio yn y lle cyntaf gan feddyg teulu, hyd yn oed i gael -