English: I call for two statements. Firstly, to add my voice to the voice of Simon Thomas earlier regarding the provision of medicinal cannabis on prescription. We heard of the case - it was well publicised - of Billy and Charlotte Caldwell. You may recall that, in January, I led a debate in the Assembly, as chair of the cross-party group on neurological conditions, highlighting that this wasn't about one person, it was about multiple people, with multiple conditions, who were already being forced to access cannabis illegally, rather than having individually distillated prescriptions to meet their particular needs. After that debate, I hosted Billy and his mother Charlotte in this Assembly, and they told us their story. We heard that Billy used to suffer up to 100 seizures a day until he began treatment with cannabis oil, following successful treatment in Los Angeles by a children's epilepsy specialist, and he became virtually seizure free. On return from Los Angeles, Charlotte told us, he became the first person to be prescribed medicinal cannabis on the UK NHS. Charlotte has been campaigning for medicinal cannabis from the NHS, recognising the desperation felt by many families fighting to be afforded the same access that she fought so hard for. And she was adamant, and remains adamant, that this is a separate issue entirely, and must not become confused with debates over recreational use, or broader drug legalisation - a valid debate, many people may feel, but not relevant to this debate. She contacted me again in May, after her doctor was summoned to a meeting with Home Office officials, and told to desist writing his prescriptions. After that, I wrote to the Home Secretary, urging him and his officials to urgently contact her to find a resolution and a way forward. We heard that the UK Government has now set out plans for an expert clinical panel to look at individual cases, and I know, in January, I was calling on the Welsh Government to put in place preparations within the Welsh NHS for potential prescription here. Adding to Simon Thomas's comments, I would be grateful for a detailed statement acknowledging the issue and detailing how the Welsh Government proposes to address this, in alignment with the UK, but also in the devolved context, and hopefully add its voice of support, a voice that sadly wasn't fulsome when I led the debate in January. Secondly, I want to add my voice to calls by Andrew R.T. Davies earlier, in questions to the First Minister, regarding prostate cancer diagnosis in Wales, and for a statement accordingly, on this date when Prostate Cancer UK has produced figures following research they've carried out across the UK that don't put Wales in a particularly good light. More than 2,500 men are diagnosed with prostate cancer each year in Wales; about 600 will die in Wales each year. I had a letter from the Cabinet Secretary only last week, to a constituent, again saying he can't see any reason why a patient in north Wales with suspected prostate cancer should have to pay privately for an mpMRI scan if they've been found to have a negative biopsy. I've repeatedly told him - and I have numerous constituents who come to me who have gone to the community health council stating they have had to pay and still haven't had justice. The figures referred to by Prostate Cancer UK were from a freedom of information request to health bodies across the UK asking them about the use of the scans before biopsy. They found that whereas across the UK only 13 per cent of health bodies were not providing it, the figure in Wales was 50 per cent, and they said, 18 months after the promised trial first proved that the mpMRI scans before a biopsy could radically boost detection of prostate cancer, in their words, that 'Wales is lagging behind other parts of the UK in terms of making this breakthrough diagnostic available, putting Welsh men at a disadvantage.' Well, let's put some action behind the rhetoric about Wales leading the way and Wales wanting to show the rest of the UK how things should be done. This shouldn't be happening. We need action pre biopsy, we need action pro biopsy and we need these men's voices to be heard at last.
Welsh: Rwy'n galw am ddau ddatganiad. Yn gyntaf, i ychwanegu at yr hyn a ddywedodd Simon Thomas yn gynharach ynghylch darparu canabis meddyginiaethol ar bresgripsiwn. Gwnaethom ni glywed am achos - cafodd lawer o gyhoeddusrwydd - Billy a Charlotte Caldwell. Efallai y byddwch yn cofio, ym mis Ionawr, i mi arwain dadl yn y Cynulliad, fel cadeirydd y grŵp trawsbleidiol ar gyflyrau niwrolegol, gan dynnu sylw at y ffaith nad yw hyn yn ymwneud ag un unigolyn, mae'n ymwneud â nifer o bobl, â nifer o gyflyrrau, sydd eisoes yn cael eu gorfodi i gael gafael ar ganabis yn anghyfreithlon, yn hytrach na chael presgripsiynau wedi'u distyllu'n unigol i ddiwallu eu hanghenion penodol. Yn dilyn y ddadl honno, des i â Billy a'i fam Charlotte i'r Cynulliad hwn, ac fe wnaethon nhw adrodd eu stori wrthym ni. Gwnaethom ni glywed bod Billy yn arfer dioddef hyd at 100 o drawiadau y dydd nes iddo ddechrau triniaeth olew canabis, yn dilyn triniaeth lwyddiannus yn Los Angeles gan feddyg plant sy'n arbenigo mewn epilepsi, ac fe wnaeth ei drawiadau glirio i bob pwrpas. Ar ôl dychwelyd o Los Angeles, dywedodd Charlotte, fe oedd y person cyntaf i gael canabis meddyginiaethol ar bresgripsiwn gan GIG y DU. Mae Charlotte wedi bod yn ymgyrchu dros ganabis meddyginiaethol gan y GIG, gan gydnabod yr anobaith a deimlir gan lawer o deuluoedd sy'n brwydro i gael yr hyn y brwydrodd hithau mor daer drosto. Ac roedd hi'n bendant, ac mae'n parhau i fod yn bendant, bod hyn yn fater cwbl ar wahân, ac na ddylid ei ddrysu â dadleuon ynghylch defnydd hamdden, neu gyfreithloni cyffuriau yn ehangach - dadl ddilys, yn ôl llawer o bobl, ond yn amherthnasol i'r ddadl hon. Cysylltodd hi â mi eto ym mis Mai, ar ôl i'w meddyg gael gŵys i gyfarfod â swyddogion y Swyddfa Gartref, a chael cyfarwyddyd i roi'r gorau i ysgrifennu ei bresgripsiynau. Ar ôl hynny, ysgrifennais at yr Ysgrifennydd Cartref, yn pwyso arno ef a'i swyddogion i gysylltu â hi ar frys i ddod o hyd i ateb a ffordd ymlaen. Rydym ni wedi clywed bod Llywodraeth y DU bellach wedi nodi cynlluniau i banel clinigol arbenigol edrych ar achosion unigol, a gwn, ym mis Ionawr, yr oeddwn i'n galw ar Lywodraeth Cymru i roi paratoadau ar waith o fewn GIG Cymru ar gyfer presgripsiwn posibl yma. Gan ychwanegu at sylwadau Simon Thomas, byddwn i'n ddiolchgar am ddatganiad manwl yn cydnabod y mater ac yn rhoi manylion am sut y mae Llywodraeth Cymru yn cynnig mynd i'r afael â hyn, yn unol â'r DU, ond hefyd yn y cyd-destun datganoledig, gan obeithio y bydd yn ychwanegu llais o gefnogaeth, llais, yn anffodus, nad oedd i'w glywed yn uchel pan arweiniais y ddadl ym mis Ionawr. Yn ail, hoffwn ychwanegu at y galwadau gan Andrew R.T. Davies yn gynharach, yn y cwestiynau i'r Prif Weinidog, ynglŷn â diagnosio canser y brostad yng Nghymru, ac am ddatganiad yn unol â hynny, ar y dyddiad hwn wrth i Prostate Cancer UK gyhoeddi ffigurau yn dilyn ymchwil ledled y DU, nad ydynt yn adlewyrchu'n arbennig o dda ar Gymru. Mae mwy na 2,500 o ddynion yn cael diagnosis o ganser y brostad bob blwyddyn yng Nghymru; bydd tua 600 yn marw yng Nghymru bob blwyddyn. Cefais i lythyr gan Ysgrifennydd y Cabinet yr wythnos diwethaf, i etholwr, yn dweud unwaith eto nad yw'n gweld unrhyw reswm pam y dylai claf yn y gogledd sy'n amau bod ganddo ganser y brostad orfod talu'n breifat am sgan mpMRI os ydyw wedi cael canlyniad negatif i biopsi. Rwyf i wedi dweud wrtho dro ar ôl tro - ac mae gen i nifer o etholwyr sy'n dod ataf i sydd wedi mynd at y cyngor iechyd cymunedol yn dweud eu bod wedi gorfod talu ac nid ydyn nhw wedi cael cyfiawnder o hyd. Roedd y ffigurau y cyfeiriwyd atyn nhw gan Prostate Cancer UK yn deillio o gais rhyddid gwybodaeth i gyrff iechyd ledled y DU yn gofyn iddyn nhw am ddefnyddio sganiau cyn biopsi. Canfuwyd bod 13 y cant o gyrff iechyd yn methu â'u darparu ledled y DU, ond bod y ffigur yn 50 y cant yng Nghymru, a dywedodd, 18 mis ar ôl i'r treial a addawyd brofi am y tro cyntaf y gallai sganiau mpMRI cyn biopsi hybu canfyddiad canser y brostad yn sylweddol, fod Cymru ar ei hôl hi o'i chymharu â rhannau eraill o'r DU o ran sicrhau bod y diagnostig newydd hwn sy'n torri tir newydd ar gael, a bod hyn yn rhoi dynion Cymru dan anfantais. Wel, gadewch i ni weithredu ar y rhethreg ynghylch Cymru yn arwain y ffordd a Chymru'n dymuno dangos i weddill y DU sut y dylid gwneud pethau. Ni ddylai hyn fod yn digwydd. Mae angen gweithredu cyn biopsi, mae angen gweithredu yn dilyn biopsi ac mae angen i leisiau'r dynion hyn gael eu clywed o'r diwedd.