English: Diolch, Deputy Llywydd, and I move the motion tabled in the name of my colleague, Darren Millar. For some people in Wales, they worry that they will die without ever getting the cancer treatment they need, and that's the view of the board of community health councils and Andy Glyde from Cancer Research UK. Today's debate, of course, is extremely important for many people across Wales, and our motion calls for a number of measures, such as support for cancer patients through their treatment, by, for example, introducing free dental care during radiotherapy or chemotherapy. We're also asking the Welsh Government to urgently publish a workforce recruitment and retention plan for cancer specialists, and to publish a full cancer strategy that will set out how Wales will tackle cancer over the next five years. Current cancer treatment times suggest that Welsh cancer services are not catching up with diagnosis and treatment. Last November, just 58 per cent of patients newly diagnosed with cancer started their first definitive treatment within 62 days of first being suspected of cancer, far below the target of 75 per cent. Meanwhile, the cancer waiting lists in Wales continue to rise, with nearly one in three patient pathways taking over a year to treat, while the national cancer clinical director for Wales has said that services will have to work at 120 per cent to 130 per cent of previous capacity to deal with the increased numbers of patients. Welsh cancer survival rates have been stalling for many years. Prior to the pandemic, the Welsh cancer intelligence unit data showed that Wales had the lowest survival rates for six cancers, and the second lowest for three, across the UK. So, although the pandemic has, of course, caused more strain on the system - that's understandable, of course - the system was already broken, I would suggest, before the pandemic. Every other part of the UK has committed to implementing a robust cancer strategy, and it is sad to see that, soon, Wales will be the only UK nation without a definitive cancer strategy. Welsh cancer services are struggling to cope with a tsunami of missed cancer diagnosis and the appearance of later stage cancers as the direct result, of course, of pausing NHS services during lockdowns. And added to this, we've got five years - or many years - of chronic understaffing. Now, the Government seem to think that their cancer quality statement is a strategy. Well, correct me if I'm wrong, but the Minister will no doubt confirm at the end if I've analysed that correctly, but cancer charities say themselves that the cancer quality statement lacks both detail and ambition and is not a national strategy. Wales needs a cancer strategy. Unfortunately, cancer workforce is also an issue in Wales. A specialist cancer workforce that is able to cope with demand and an increasing backlog should be a priority for the Welsh Government in order to prevent cancer survival rates from slipping further back. Wales already has a severe shortfall of cancer specialists - we know that, sadly - with some areas of Wales experiencing significant gaps across, and that's according to many, including the Royal College of Radiologists. Shockingly, despite these grave concerns, the latest 10-year NHS workforce plan fails to include a specific workforce plan for cancer specialists. In fact, the joint Health Education and Improvement Wales and social care strategy from October 2020 fails to mention cancer at all. Instead, the strategy has broad aims, including - I'm quoting here - to 'have a workforce in sufficient numbers to be able to deliver responsive health and social care that meets the needs of the people of Wales'. Well, that's why we're holding this debate today, and I would urge the Welsh Government to publish a workforce recruitment and retention plan and a full cancer strategy that includes specific targets, as well as support for cancer patients through their treatment to make easier the difficult side effects that cancer treatment often causes. Given the prevalence of cancer, the people of Wales, I think, demand and deserve treatments that meet their needs and bring them into line, most importantly, with the performance of services elsewhere in the UK. So, I would urge the Welsh Government today to urgently publish a workforce recruitment and retention plan for cancer specialists, to publish a full cancer strategy that sets out how Wales will tackle cancer over the next five years, and to support cancer patients through treatment, for example, by introducing free dental care during radiotherapy and chemotherapy. I would hope this afternoon our debate is a sensible debate. It's a debate that I think is very worthy to have this afternoon, and I very much hope that we'll have positive contributions from other Members, and I very much hope we'll have a positive contribution from the Minister as she concludes at the end of the debate. I would urge Members, of course, to support our calls and our motion this afternoon. Diolch, Deputy Llywydd.
Welsh: Diolch, Ddirprwy Lywydd, ac rwy'n gwneud y cynnig a gyflwynwyd yn enw fy nghyd-Aelod, Darren Millar. I rai pobl yng Nghymru, maent yn poeni y byddant yn marw heb gael y driniaeth canser sydd ei hangen arnynt, a dyna farn bwrdd y cynghorau iechyd cymuned ac Andy Glyde o Cancer Research UK. Mae'r ddadl heddiw, wrth gwrs, yn hynod bwysig i lawer o bobl ledled Cymru, ac mae ein cynnig yn galw am nifer o fesurau, megis cymorth i gleifion canser drwy eu triniaeth, er enghraifft, drwy gyflwyno gofal deintyddol am ddim yn ystod radiotherapi neu gemotherapi. Rydym hefyd yn gofyn i Lywodraeth Cymru gyhoeddi cynllun recriwtio a chadw'r gweithlu ar frys ar gyfer arbenigwyr canser, a chyhoeddi strategaeth ganser lawn a fydd yn nodi sut y bydd Cymru yn mynd i'r afael â chanser dros y pum mlynedd nesaf. Mae amseroedd triniaeth canser presennol yn awgrymu nad yw gwasanaethau canser Cymru yn dal i fyny â diagnosis a thriniaeth. Fis Tachwedd diwethaf, 58 y cant yn unig o gleifion a gafodd ddiagnosis newydd o ganser a ddechreuodd eu triniaeth ddiffiniol gyntaf o fewn 62 diwrnod i'r diwrnod yr amheuir gyntaf fod ganddynt ganser, ymhell islaw'r targed o 75 y cant. Yn y cyfamser, mae'r rhestrau aros canser yng Nghymru yn parhau i godi, gyda bron i un o bob tri llwybr cleifion yn cymryd dros flwyddyn i'w drin, tra bo cyfarwyddwr clinigol canser cenedlaethol Cymru wedi dweud y bydd yn rhaid i wasanaethau weithio ar 120 y cant i 130 y cant o'u capasiti blaenorol i ymdrin â'r niferoedd cynyddol o gleifion. Mae cyfraddau goroesi canser Cymru wedi bod yn arafu ers blynyddoedd lawer. Cyn y pandemig, dangosodd data uned gwybodaeth canser Cymru mai Cymru oedd â'r cyfraddau goroesi isaf ar gyfer chwe math o ganser, a'r isaf ond un ar gyfer tri math o ganser, ledled y DU. Felly, er bod y pandemig, wrth gwrs, wedi rhoi mwy o straen ar y system - mae hynny'n ddealladwy, wrth gwrs - byddwn yn awgrymu bod y system eisoes wedi torri cyn y pandemig. Mae pob rhan arall o'r DU wedi ymrwymo i roi strategaeth ganser gadarn ar waith, ac mae'n drist gweld, cyn bo hir, mai Cymru fydd yr unig wlad yn y DU heb strategaeth ganser ddiffiniol. Mae gwasanaethau canser Cymru yn ei chael hi'n anodd ymdopi â tswnami o achosion canser y methwyd gwneud diagnosis ohonynt ac ymddangosiad canserau ar gamau diweddarach o ganlyniad uniongyrchol, wrth gwrs, i ohirio gwasanaethau'r GIG yn ystod y cyfyngiadau symud. Ac yn ychwanegol at hyn, mae gennym bum mlynedd - neu flynyddoedd lawer - o brinder staff cronig. Nawr, ymddengys bod y Llywodraeth yn meddwl mai strategaeth yw eu datganiad ansawdd ar gyfer canser. Wel, cywirwch fi os wyf yn anghywir, ond mae'n siŵr y gwnaiff y Gweinidog gadarnhau ar y diwedd os wyf wedi dadansoddi hynny'n gywir, ond mae elusennau canser yn dweud eu hunain fod diffyg manylder ac uchelgais yn y datganiad ansawdd ar gyfer canser ac nad yw'n strategaeth genedlaethol. Mae angen strategaeth ganser ar Gymru. Yn anffodus, mae'r gweithlu canser hefyd yn broblem yng Nghymru. Dylai gweithlu canser arbenigol sy'n gallu ymdopi â'r galw ac ôl-groniad cynyddol fod yn flaenoriaeth i Lywodraeth Cymru er mwyn atal cyfraddau goroesi canser rhag gwaethygu ymhellach. Mae Cymru'n brin o arbenigwyr canser eisoes - rydym yn ymwybodol o hynny, yn anffodus - gyda bylchau sylweddol mewn rhai ardaloedd yng Nghymru, a hynny yn ôl llawer o bobl, gan gynnwys Coleg Brenhinol y Radiolegwyr. Yn syfrdanol, er gwaethaf y pryderon dybryd hyn, nid yw cynllun gweithlu 10 mlynedd diweddaraf y GIG yn cynnwys cynllun gweithlu penodol ar gyfer arbenigwyr canser. Mewn gwirionedd, nid yw strategaeth ar y cyd Addysg a Gwella Iechyd Cymru a gofal cymdeithasol ym mis Hydref 2020 yn sôn am ganser o gwbl. Yn lle hynny, mae gan y strategaeth nodau cyffredinol, gan gynnwys - rwy'n dyfynnu yma - cael gweithlu 'mewn niferoedd digonol i allu darparu gofal iechyd a chymdeithasol ymatebol sy'n diwallu anghenion pobl Cymru'. Wel, dyna pam ein bod yn cynnal y ddadl hon heddiw, a hoffwn annog Llywodraeth Cymru i gyhoeddi cynllun recriwtio a chadw'r gweithlu a strategaeth ganser lawn sy'n cynnwys targedau penodol, yn ogystal â chymorth i gleifion canser drwy gydol eu triniaeth i leddfu'r sgil-effeithiau anodd y mae triniaeth ar gyfer canser yn aml yn eu hachosi. O ystyried pa mor gyffredin yw canser, mae pobl Cymru yn mynnu ac yn haeddu triniaethau sy'n diwallu eu hanghenion ac yn bwysicaf oll, triniaethau sydd gyfuwch â pherfformiad gwasanaethau mewn mannau eraill yn y DU. Felly, carwn annog Llywodraeth Cymru heddiw i gyhoeddi cynllun recriwtio a chadw'r gweithlu ar frys ar gyfer arbenigwyr canser, i gyhoeddi strategaeth ganser lawn sy'n nodi sut y bydd Cymru yn mynd i'r afael â chanser dros y pum mlynedd nesaf, ac i gefnogi cleifion canser drwy eu triniaethau, er enghraifft, drwy gyflwyno gofal deintyddol am ddim yn ystod radiotherapi a chemotherapi. Rwy'n gobeithio y bydd ein dadl y prynhawn yma'n ddadl synhwyrol. Mae'n ddadl deilwng iawn i'w chael y prynhawn yma yn fy marn i, ac rwy'n mawr obeithio y cawn gyfraniadau cadarnhaol gan Aelodau eraill, ac rwy'n mawr obeithio y cawn gyfraniad cadarnhaol gan y Gweinidog wrth iddi gloi ar ddiwedd y ddadl. Carwn annog yr Aelodau, wrth gwrs, i gefnogi ein galwadau a'n cynnig y prynhawn yma. Diolch, Ddirprwy Lywydd.