English: P-06-1294, 'Don't leave metastatic breast cancer patients in Wales behind' which received 14,106 signatures. Deputy Presiding Officer, Members will be aware that it was Secondary Breast Cancer Awareness Day last Thursday. The day highlights that the way we diagnose, the way we treat, the way we support and the way we care for secondary breast cancer has been too slow for too long. I believe this debate today can make an important contribution to highlighting some of the challenges we face here in Wales. According to an evaluation of support and care for patients diagnosed with metastatic breast cancer in 2019, there are 2,786 new breast cancers diagnosed each year, with 612 related deaths in Wales each year - 612, Deputy Presiding Officer. Figures from Public Health England are stating that breast cancer is now the leading cause of death for women between 35 and 64 in the UK. This petition calls for change. The petition reads as follows: 'People living with metastatic breast cancer (MBC) in Wales are being badly let down by the system. Currently, Wales has just one dedicated secondary breast cancer clinical nurse specialist (CNS), a situation that leaves potentially hundreds of people without adequate support. We need to know how many people are living with MBC to improve services. And we want improve quality of life outcomes by raising awareness of MBC red flag symptoms.' Deputy Presiding Officer, this petition was submitted by Tassia Haines, who is one of a number of patients, campaigners and supporters here this afternoon, watching in the public gallery, and I would like to extend my welcome to this Senedd Chamber. I had the privilege of meeting Tassia on Monday, and I want to pay tribute to the dedication and bravery that she has shown in raising awareness of this devastating condition, and to devoting so much of her time to campaign for improvements that will only benefit others. Now, I know that the Deputy Presiding Officer, Dai Rees, shares my comments about Tassia, as he has worked closely with her in his own role as Member of the Senedd for Aberavon. As Tassia says, in her open letter to the Minister for Health and Social Services, and I quote, Deputy Presiding Officer: 'Unfortunately, I have been living with metastatic breast cancer (MBC) for over two years even though I am just thirty years old. I am receiving treatment from two health boards and have met people undergoing treatment from all over Wales, and regretfully I must inform you, Wales is failing when it comes to meeting the needs of MBC patients, according to us - The people dying from the disease and the close people supporting those with MBC.' Tassia's petition, and the wider campaign, calls for three things. First, better data collection of people living in Wales with incurable secondary breast cancer. Currently, the Cancer Network Information System Cymru does not report the number of patients diagnosed with the metastatic disease. This campaign is asking for a central Welsh system that will collect the details of all secondary breast cancer patients in the country. Secondly, better awareness of the red flag symptoms of metastatic breast cancer. There is a lack of understanding in primary breast cancer patients in how to tell that a cancer has spread beyond the breast, and this campaign wants primary patients and GPs to be given more details on how to spot these red flag symptoms to improve earlier diagnosis. And thirdly and importantly, Deputy Presiding Officer, better patient care. The campaign wants all Welsh patients to have access to a specially trained metastatic breast cancer nurse, whose workload is focused only on MBC patients, which campaigners feel can be cost effective for the NHS by preventing hospital admissions, for example. On Monday, I didn't just meet Tassia, I had the privilege of meeting other patients and nurses, who emphasised that we must understand, Members - we must understand that primary and secondary breast cancer are different, and therefore, they require different healthcare provision. They emphasised that individuals need support at the most difficult time of their lives when diagnosed with a terminal illness, and they require individually tailored support throughout ongoing treatment through to palliative care. Now, I know that the Minister is committed to driving improvements in cancer care in Wales. The Welsh Government's new quality standard, published in May this year, sets out what good care will look like in the future. Later this year, we expect to see the publication of an NHS-led cancer action plan, giving further detail to that vision of patient-led care for cancer sufferers. But with all that in mind, Deputy Presiding Officer, I do look forward to hearing from fellow colleagues of the Petitions Committee, fellow Members, and, of course, from the health Minister, to hear the latest developments in cancer care, particularly responding to the three main calls of the petition, and how we can help the people who need that support most. Diolch yn fawr.
Welsh: P-06-1294, 'Peidiwch â gadael cleifion canser metastatig y fron yng Nghymru ar ôl' a gafodd 14,106 llofnod. Ddirprwy Lywydd, bydd yr Aelodau'n ymwybodol ei bod hi'n Ddiwrnod Ymwybyddiaeth Canser Eilaidd y Fron ddydd Iau diwethaf. Mae'r diwrnod yn nodi bod y ffordd y gwnawn ddiagnosis, y ffordd yr ydym yn trin, y ffordd yr ydym yn cefnogi a'r ffordd yr ydym yn gofalu am ganser eilaidd y fron wedi bod yn rhy araf yn rhy hir. Rwy'n credu y gall y ddadl hon heddiw wneud cyfraniad pwysig tuag at dynnu sylw at rai o'r heriau a wynebwn yma yng Nghymru. Yn ôl gwerthusiad o gymorth a gofal i gleifion a gafodd ddiagnosis o ganser metastatig y fron yn 2019, gwneir diagnosis o 2,786 achos newydd o ganser y fron bob blwyddyn, gyda 612 o farwolaethau cysylltiedig yng Nghymru bob blwyddyn - 612, Ddirprwy Lywydd. Mae ffigyrau gan Iechyd Cyhoeddus Lloegr yn dweud mai canser y fron yw prif achos marwolaeth mewn menywod rhwng 35 a 64 yn y DU erbyn hyn. Mae'r ddeiseb hon yn galw am newid. Mae'r ddeiseb yn nodi fel a ganlyn: 'Mae pobl sy'n byw â chanser y fron metastatig yng Nghymru yn cael eu hesgeuluso'n ddybryd gan y system. Ar hyn o bryd dim ond un nyrs glinigol arbenigol canser y fron neilltuedig sydd gan Gymru, sefyllfa a allai adael cannoedd o bobl heb ddigon o gymorth. Mae angen i ni wybod faint o bobl sy'n byw gyda chanser y fron metastatig er mwyn gwella gwasanaethau. Ac rydym am wella canlyniadau o ran ansawdd bywyd drwy godi ymwybyddiaeth o symptomau baner goch ar gyfer canser y fron metastatig.' Ddirprwy Lywydd, cyflwynwyd y ddeiseb hon gan Tassia Haines, sy'n un o nifer o gleifion, ymgyrchwyr a chefnogwyr yma y prynhawn yma, yn gwylio yn yr oriel gyhoeddus, a hoffwn eu croesawu i Siambr y Senedd. Cefais y fraint o gyfarfod Tassia ddydd Llun, ac rwyf am dalu teyrnged i'r ymroddiad a'r dewrder y mae hi wedi'i ddangos drwy godi ymwybyddiaeth o'r cyflwr dinistriol hwn, a thrwy neilltuo cymaint o'i hamser i ymgyrchu dros welliannau a fydd ond o fudd i eraill. Nawr, rwy'n gwybod bod y Dirprwy Lywydd, Dai Rees, yn rhannu fy sylwadau am Tassia, gan ei fod wedi gweithio'n agos gyda hi yn ei rôl ei hun fel Aelod o'r Senedd dros Aberafan. Fel y dywed Tassia, yn ei llythyr agored at y Gweinidog Iechyd a Gwasanaethau Cymdeithasol, ac rwy'n dyfynnu, Ddirprwy Lywydd: 'Yn anffodus, bûm yn byw gyda chanser metastatig y fron ers dros ddwy flynedd er mai dim ond deg ar hugain oed ydw i. Rwy'n cael triniaeth gan ddau fwrdd iechyd ac wedi cyfarfod â phobl sy'n cael triniaeth o bob cwr o Gymru, ac yn anffodus mae'n rhaid imi eich hysbysu fod Cymru'n methu pan ddaw'n fater o ddiwallu anghenion cleifion canser metastatig y fron, yn ôl yr hyn a welwn ni - y bobl sy'n marw o'r clefyd a'r bobl agos sy'n cefnogi'r rhai sydd â chanser metastatig y fron.' Mae deiseb Tassia, a'r ymgyrch ehangach, yn galw am dri pheth. Yn gyntaf, casglu data gwell am bobl sy'n byw yng Nghymru gyda chanser eilaidd y fron nad oes modd ei wella. Ar hyn o bryd, nid yw System Gwybodaeth Rhwydwaith Canser Cymru yn adrodd ar nifer y cleifion sydd wedi cael diagnosis o'r clefyd metastatig. Mae'r ymgyrch hon yn gofyn am system ganolog i Gymru a fydd yn casglu manylion holl gleifion canser eilaidd y fron yn y wlad. Yn ail, gwell ymwybyddiaeth o symptomau baner goch canser metastatig y fron. Ceir diffyg dealltwriaeth ymhlith cleifion canser cynradd y fron ynglŷn â sut i ddweud bod canser wedi lledaenu y tu hwnt i'r fron, ac mae'r ymgyrch hon am i gleifion cynradd a meddygon teulu gael mwy o fanylion ynglŷn â sut i adnabod y symptomau baner goch hyn er mwyn gwella diagnosis cynharach. Ac yn drydydd ac yn bwysig, Ddirprwy Lywydd, gwell gofal i gleifion. Mae'r ymgyrch eisiau i bob claf yng Nghymru gael mynediad at nyrs canser metastatig y fron wedi'i hyfforddi'n arbennig, sydd â llwyth gwaith yn canolbwyntio ar gleifion canser metastatig y fron yn unig, ac mae'r ymgyrchwyr yn teimlo y gall hynny fod yn gosteffeithiol i'r GIG trwy atal derbyniadau i'r ysbyty, er enghraifft. Ddydd Llun, nid Tassia'n unig a gyfarfûm, cefais y fraint o gyfarfod â chleifion a nyrsys eraill, a bwysleisiodd fod rhaid inni ddeall, Aelodau - rhaid inni ddeall bod canser cynradd y fron a chanser eilaidd y fron yn wahanol, ac felly, mae angen darpariaeth gofal iechyd wahanol arnynt. Fe wnaethant bwysleisio bod angen cefnogaeth ar unigolion ar yr adeg anoddaf yn eu bywydau pan gânt ddiagnosis o salwch terfynol, ac mae angen cefnogaeth wedi'i deilwra i unigolion trwy gydol triniaeth barhaus hyd at ofal lliniarol. Nawr, rwy'n gwybod bod y Gweinidog wedi ymrwymo i hybu gwelliannau mewn gofal canser yng Nghymru. Mae safon ansawdd newydd Llywodraeth Cymru, a gyhoeddwyd ym mis Mai eleni, yn amlinellu sut olwg fydd ar ofal da yn y dyfodol. Yn ddiweddarach eleni, rydym yn disgwyl gweld cynllun gweithredu ar gyfer canser dan arweiniad y GIG yn cael ei gyhoeddi, i roi rhagor o fanylion i'r weledigaeth o ofal sy'n cael ei arwain gan gleifion i ddioddefwyr canser. Ond gyda hynny i gyd mewn cof, Ddirprwy Lywydd, rwy'n edrych ymlaen at glywed gan gyd-aelodau o'r Pwyllgor Deisebau, cyd-Aelodau, ac wrth gwrs, gan y Gweinidog iechyd, i glywed am y datblygiadau diweddaraf ym maes gofal canser, ac i ymateb y benodol i dair prif alwad y ddeiseb, a sut y gallwn helpu'r bobl sydd angen y gefnogaeth honno fwyaf. Diolch yn fawr.