English: Diolch yn fawr, Dirprwy Lywydd. Thank you to the Petitions Committee for bringing forward this debate during Breast Cancer Awareness Month. I'd like to welcome the petitioners to the Chamber, Tassia in particular, and others who have campaigned so vigorously on this matter. I'd like to thank the Chair of petitions, Jack Sargeant, and also the chair of the cross-party group on cancer, David Rees, who I know has raised this matter with me on several occasions. And I just want to give notice that I will give some of my speech in Welsh. This is a really important issue, and I want to reassure all those people in Wales facing a diagnosis of metastatic breast cancer that we most definitely will not leave you behind. Many of those who've already spoken have explained the difficulties people with a diagnosis of metastatic breast cancer will face, so I'm not going to repeat that other than to say that I do understand to a certain extent how difficult a time it is for families in that situation, as my brother's family was one of those affected. I have seen up close the impact it has, not just on the person suffering but also on the wider family. I wrote to the Petitions Committee quite recently to explain my commitment to improving cancer services and recovering from the impact of the pandemic. In it, I explained that I expect people presenting to the health service with metastatic breast cancer to be supported not only by a multiprofessional team, but also with specialist nursing input as necessary. I also expect everyone presenting with cancer to receive a holistic needs assessment to ensure they have the support that they need. Although it must be up to health boards to deploy their available workforce in line with professional standards and in a way that's equitable for other types of cancer, I'm pleased to report that the south-west Wales cancer centre has introduced specialist nursing for secondary breast cancer, and the north Wales cancer treatment centre is in the process of doing so. Further discussions are under way between the NHS and the third sector about the possibility of posts in the south-east of Wales. The Wales Cancer Network has done quite a bit of work with the third sector, breast clinicians and health boards to review secondary breast cancer services and patient experience. It has developed a series of recommendations that are being taken now to the network board in November for consideration.
Welsh: Diolch yn fawr, Ddirprwy Lywydd. Diolch i'r Pwyllgor Deisebau am gyflwyno'r ddadl hon yn ystod Mis Ymwybyddiaeth Canser y Fron. Hoffwn groesawu'r deisebwyr i'r Siambr, yn enwedig Tassia, ac eraill sydd wedi ymgyrchu mor frwd ar y mater hwn. Hoffwn ddiolch i Gadeirydd y pwyllgor, Jack Sargeant, a hefyd i gadeirydd y grŵp trawsbleidiol ar ganser, David Rees, y gwn ei fod wedi codi'r mater hwn gyda mi ar sawl achlysur. A hoffwn roi gwybod y byddaf yn rhoi rhywfaint o fy araith yn Gymraeg. Mae hwn yn fater pwysig iawn, a hoffwn roi sicrwydd i'r holl bobl yng Nghymru sy'n wynebu diagnosis o ganser metastatig y fron na fyddwn yn eich gadael ar ôl ar unrhyw gyfrif. Mae llawer o'r rheini sydd eisoes wedi siarad wedi egluro'r anawsterau y bydd pobl sydd wedi cael diagnosis o ganser metastatig y fron yn eu hwynebu, felly nid wyf am ailadrodd hynny, heblaw dweud fy mod yn deall, i raddau, pa mor anodd yw hi i deuluoedd yn y sefyllfa honno, gan fod teulu fy mrawd yn un o'r rhai yr effeithiwyd arnynt. Rwyf wedi gweld â fy llygaid fy hun yr effaith y mae'n ei chael, nid yn unig ar yr unigolyn sy'n dioddef, ond hefyd ar y teulu ehangach. Ysgrifennais at y Pwyllgor Deisebau yn eithaf diweddar i egluro fy ymrwymiad i wella gwasanaethau canser ac adfer ar ôl effaith y pandemig. Ynddo, esboniais fy mod yn disgwyl i'r gwasanaeth iechyd gefnogi pobl â chanser metastatig y fron nid yn unig gyda thîm amlbroffesiynol, ond hefyd gyda mewnbwn nyrsio arbenigol yn ôl yr angen. Rwyf hefyd yn disgwyl i bawb â chanser gael asesiad cyfannol o anghenion i sicrhau eu bod yn cael y cymorth sydd ei angen arnynt. Er mai cyfrifoldeb y byrddau iechyd yw defnyddio'r gweithlu sydd ar gael iddynt yn unol â safonau proffesiynol ac mewn ffordd sy'n deg ar gyfer mathau eraill o ganser, rwy'n falch o ddweud bod canolfan ganser de-orllewin Cymru wedi cyflwyno nyrsio arbenigol ar gyfer canser eilaidd y fron, ac mae canolfan driniaeth canser gogledd Cymru yn y broses o wneud hynny. Mae trafodaethau pellach ar y gweill rhwng y GIG a'r trydydd sector ynghylch y posibilrwydd o swyddi yn ne-ddwyrain Cymru. Mae Rhwydwaith Canser Cymru wedi gwneud cryn dipyn o waith gyda'r trydydd sector, clinigwyr y fron a byrddau iechyd i adolygu gwasanaethau canser eilaidd y fron a phrofiad cleifion. Mae wedi datblygu cyfres o argymhellion a fydd yn cael eu cyflwyno i fwrdd y rhwydwaith eu hystyried ym mis Tachwedd.