English: Can I call for two statements, please, firstly on prostate cancer diagnosis and management in Wales? Twelve days ago, the National Institute for Health and Care Excellence, or NICE, updated their guidelines for prostate cancer diagnosis and management in England and Wales, recommending, amongst other things, that active surveillance should be offered as a primary option for men with low-risk localised prostate cancer. And the changes in the updated guidelines included the statement that men should be offered multiparametric magnetic resonance imaging, or mpMRI scans, before biopsy if they're suspected to have localised prostate cancer. Prostate Cancer UK stated this breakthrough diagnostic technique should now be made available in all parts of Wales in the future, ending the current variation in access that has resulted in some men paying privately for scans. In March last year, NHS England announced it was launching a one-stop service using MRI techniques for timely diagnosis in England. Last December, NICE issued new draft guidance recommending pre-biopsy mpMRI for suspected prostate cancer. In January, the Welsh Government Minister for Health and Social Services, sitting to your right - Mr Gething - wrote to Assembly Members stating he'd asked all health boards to work with the Welsh Urology Board to ensure they have full implementation plans. In the same letter, he said that health boards confirmed that, at present, they deliver care in line with current guidance. However, when I had a meeting with Betsi Cadwaladr last December with a patient, they formally apologised for not having delivered care in accordance with NICE guidance for post-biopsy mpMRI and confirmed that they would be recompensing the men who had paid accordingly. As Prostate Cancer states, mpMRI revolutionises prostate cancer diagnosis. The Welsh Government should therefore respond to their calls and those of others, including Tenovus Cancer Care, for the Welsh Government to ensure that mpMRI is now available across Wales. Although Mr Gething told the Assembly in March that when NICE recommends pre-biopsy mpMRI, he will expect all health boards in Wales to amend their pathways accordingly, he must therefore now go further and ensure that they do. I call for a statement accordingly on a matter that has occupied much time in this Chamber and generated a number of issues.
Welsh: A gaf i ofyn am ddau ddatganiad, os gwelwch yn dda, yn gyntaf ar ddiagnosis a rheoli canser y prostad yng Nghymru? Ddeuddeg diwrnod yn ôl, diweddarodd y Sefydliad Cenedlaethol dros Ragoriaeth mewn Iechyd a Gofal, neu NICE, eu canllawiau ar gyfer diagnosis a rheoli canser y prostad yng Nghymru a Lloegr, gan argymell, ymysg pethau eraill, y dylid cynnig gwyliadwriaeth weithredol fel dewis sylfaenol ar gyfer dynion â chanser y prostad cyfyngedig risg isel. Ac mae'r canllawiau a ddiweddarwyd yn ddiweddar yn cynnwys y datganiad y dylid cynnig delweddu atseiniol magnetig amlbarametrig i ddynion, neu sganiau mpMRI, cyn biopsi os oes amheuaeth fod ganddynt ganser y prostad cyfyngedig. Dywedodd Prostate Cancer UK y dylai'r dechneg ddiagnostig arloesol hon fod ar gael ym mhob rhan o Gymru yn y dyfodol, gan roi terfyn ar yr amrywiaeth bresennol o ran cael gafael ar wasanaethau, sydd wedi golygu bod rhai dynion wedi talu'n breifat am sganiau. Ym mis Mawrth y llynedd, cyhoeddodd y GIG yn Lloegr ei fod yn lansio gwasanaeth un stop gan ddefnyddio technegau MRI i gael diagnosis amserol yn Lloegr. Fis Rhagfyr diwethaf, cyhoeddodd NICE ganllawiau drafft newydd yn argymell rhagfiopsi mpMRI pan yr amheuir canser y prostad. Ym mis Ionawr, ysgrifennodd Gweinidog Iechyd a Gwasanaethau Cymdeithasol Llywodraeth Cymru, sy'n eistedd ar y dde i chi - Mr Gething - at Aelodau'r Cynulliad i ddweud ei fod wedi gofyn i bob bwrdd iechyd gydweithio â Bwrdd Wroleg Cymru i sicrhau bod ganddynt gynlluniau gweithredu llawn. Yn yr un llythyr, dywedodd fod byrddau iechyd wedi cadarnhau eu bod, ar hyn o bryd, yn darparu gofal yn unol â'r canllawiau cyfredol. Fodd bynnag, pan gefais i gyfarfod, ynghyd â chlaf, â Betsi Cadwaladr fis Rhagfyr diwethaf cafwyd ymddiheuriad ffurfiol ganddynt am beidio â darparu gofal a oedd yn unol â chanllawiau NICE ar gyfer y mpMRI ôl-fiopsi a chadarnhau y byddent yn ad-dalu'r dynion a oedd wedi talu yn unol â hynny. Fel y dywed Prostate Cancer, mae mpMRI yn chwyldroi diagnosis o ganser y prostad. Dylai Llywodraeth Cymru felly ymateb i'w galwadau nhw ac eraill, gan gynnwys Gofal Canser Tenovus, i Lywodraeth Cymru sicrhau bod mpMRI bellach ar gael ledled Cymru. Er i Mr Gething ddweud wrth y Cynulliad ym mis Mawrth y bydd yn disgwyl, pan fydd NICE yn argymell mpMRI rhagfiopsi, fod pob bwrdd iechyd yng Nghymru yn diwygio'u llwybrau yn unol â hynny, rhaid iddo felly fynd gam ymhellach a sicrhau eu bod yn gwneud hynny. Felly galwaf am ddatganiad ar fater sydd wedi mynd â llawer o amser y Siambr hon ac sydd wedi ysgogi nifer o faterion.