English: I want to start by saying that the Welsh Conservative group and myself heartily agree with the calls found within this petition, and the fact that so many signatures have been received highlights the strength of feeling there is within Wales of the need to do much more to help those living with metastatic breast cancer. I want to thank Tassia and all those who have signed this petition. As we've already heard, MBC is the leading cause of death in women aged 35 to 64 in the UK, and much more needs to be done to prevent the postcode lottery in accessing appropriate care. The fact that Wales has just one dedicated secondary breast cancer clinical nurse specialist is contrary to the National Institute for Health and Care Excellence guidelines on key workers for metastatic breast cancer. It's an appalling situation that leaves potentially hundreds of people without adequate support. Moreover, I also think it has a knock-on effect of creating the impression that those in power in Wales do not care for those living with MBC, which I'm sure the Minister will agree is certainly not the case. From speaking with the petitioners, what struck me the most was that many of them felt that they had had to fight for their diagnosis, and they were continually being fobbed off in the build-up to that diagnosis, and that basic support and information was lacking after it. We have discussed the lack of and inconsistent distribution of nurses in the Welsh NHS departments and across health boards many times in this Chamber, and I'm fearful that this petition will fall on deaf ears and will be seen simply as another complaint to add to the list. But, I would urge the Minister to recognise that providing these specialist nurses should be more than just a tick-box exercise. Many people living with MBC are genuinely fearful for their lives every day, and having the correct support can drastically improve outcomes of living with MBC. This petition is also asking for a national register of those living with MBC, because at present, there's an insufficient understanding of the national picture, which would allow for a more joined-up approach to providing care, and a better measure of the impact of interventions, and I cannot see how, with all the technological tools we have at our disposal, this hasn't already been done. I don't think even cost is an issue - I think it is more about the limitations of our health boards to find the necessary time and expertise to come together and design and implement models of data collection that will be able to provide suitable evidence to inform long-term diagnosis and treatment plans. Minister, this is where you are asked to intervene. The community of those living with MBC needs your support. They need you to provide impetus to ensure that health boards are not missing easy opportunities to diagnose MBC and allowing those who are suffering to be left behind. Minister, if a national database was created, it would help improve the understanding of MBC amongst the population, and this certainly would help provide better treatment plans, help control and delay certain variants of the disease and relive symptoms, allowing people to live well for as long as possible. I urge everyone here to support the petition, and I urge the Government to implement its recommendations. Thank you.
Welsh: Rwyf am ddechrau drwy ddweud bod grŵp y Ceidwadwyr Cymreig a minnau'n cytuno'n llwyr â'r galwadau a geir yn y ddeiseb hon, ac mae'r ffaith bod cymaint o lofnodion wedi'u casglu yn dangos cryfder y teimlad a geir yng Nghymru ynghylch yr angen i wneud llawer mwy i helpu'r rhai sy'n byw gyda chanser metastatig y fron. Rwyf am ddiolch i Tassia a phawb sydd wedi arwyddo'r ddeiseb. Fel y clywsom eisoes, canser metastatig y fron yw prif achos marwolaeth ymhlith menywod rhwng 35 a 64 oed yn y DU, ac mae angen gwneud llawer mwy i atal y loteri cod post o ran mynediad at ofal priodol. Mae'r ffaith mai un arbenigwr nyrsio clinigol canser eilaidd y fron penodedig sydd gan Gymru yn mynd yn groes i ganllawiau'r Sefydliad Cenedlaethol dros Ragoriaeth mewn Iechyd a Gofal ar weithwyr allweddol ar gyfer canser metastatig y fron. Mae'n sefyllfa warthus a allai fod yn gadael cannoedd o bobl heb gefnogaeth ddigonol. Ar ben hynny, rwyf hefyd yn meddwl ei fod yn cael yr effaith ganlyniadol o greu'r argraff nad yw'r rhai sydd mewn grym yng Nghymru yn poeni am y rhai sy'n byw gyda chanser metastatig y fron, ac rwy'n siŵr y bydd y Gweinidog yn cytuno nad yw hynny'n wir. O siarad gyda'r deisebwyr, yr hyn a'm trawodd fwyaf oedd bod llawer ohonynt yn teimlo eu bod wedi gorfod brwydro am eu diagnosis, a bod amharodrwydd i drafod yn y cyfnod cyn y diagnosis, a bod diffyg cefnogaeth a gwybodaeth sylfaenol ar ôl ei chael. Rydym wedi trafod prinder nyrsys a dosbarthiad anghyson o nyrsys yn adrannau GIG Cymru ac ar draws byrddau iechyd sawl gwaith yn y Siambr, ac rwy'n ofni y bydd y ddeiseb hon yn disgyn ar glustiau byddar ac yn cael ei gweld yn syml fel cwyn arall i ychwanegu at y rhestr. Ond rwyf am annog y Gweinidog i gydnabod y dylai darparu'r nyrsys arbenigol hyn fod yn fwy nag ymarfer ticio bocsys yn unig. Mae llawer o bobl sy'n byw gyda chanser metastatig y fron yn wirioneddol ofnus am eu bywydau bob dydd, a gall cael y gefnogaeth gywir wella canlyniadau byw gyda chanser metastatig y fron yn sylweddol. Mae'r ddeiseb hon hefyd yn gofyn am gofrestr genedlaethol o'r rhai sy'n byw gyda chanser metastatig y fron, oherwydd ar hyn o bryd, nid oes digon o ddealltwriaeth o'r darlun cenedlaethol, a fyddai'n caniatáu ar gyfer dull mwy cydgysylltiedig o ddarparu gofal, a dull gwell o fesur effaith ymyriadau, ac ni allaf weld sut nad yw hyn eisoes wedi'i wneud, gyda'r holl offer technolegol sydd gennym at ein defnydd. Nid wyf yn credu bod cost yn broblem hyd yn oed - rwy'n meddwl ei fod yn ymwneud mwy â chyfyngiadau ein byrddau iechyd o ran dod o hyd i'r amser a'r arbenigedd angenrheidiol i ddod at ei gilydd a llunio a gweithredu modelau casglu data a fydd yn gallu darparu tystiolaeth addas i lywio cynlluniau diagnosis a thriniaeth hirdymor. Weinidog, dyma lle gofynnir i chi ymyrryd. Mae 'r gymuned sy'n byw gyda chanser metastatig y fron angen eich cefnogaeth. Maent angen i chi ddarparu ysgogiad i sicrhau nad yw byrddau iechyd yn colli cyfleoedd hawdd i wneud diagnosis o ganser metastatig y fron gan adael y rhai sy'n dioddef ar ôl. Weinidog, pe bai cronfa ddata genedlaethol yn cael ei chreu, byddai'n helpu i wella dealltwriaeth o ganser metastatig y fron ymysg y boblogaeth, ac yn sicr byddai hyn yn helpu i ddarparu cynlluniau triniaeth gwell, yn helpu i reoli ac oedi amrywiolion penodol o'r clefyd a lleddfu symptomau, gan ganiatáu i bobl fyw'n dda am gyn hired â phosibl. Rwy'n annog pawb yma i gefnogi'r ddeiseb, ac rwy'n annog y Llywodraeth i weithredu ei hargymhellion. Diolch.