English: I would like to thank the Petitions Committee for bringing forward this debate and give particular thanks to the petitioner, Stuart Davies, for bringing the petition to the Assembly. Only yesterday, my husband had to attend Neath Port Talbot Hospital for an extremely painful biopsy on his prostate. So, this is a topic that is dear to my heart. The fact that my husband and hundreds of men like him could have a faster, less painful and less risky route to diagnosis but are being denied is unacceptable. Multiparametric MRI has the potential to transform the prostate cancer pathway, but it is not available to all. Men are being forced to pay over £1,000 for an mpMRI scan because it is not available on the NHS in their part of Wales. My local health board doesn't offer this service. Had we lived 15 miles to the north-east, my husband would have had an mpMRI scan with dynamic contrast enhancement, which would have given his oncology team the best possible and most comprehensive detail about the health of the prostate. This would possibly have negated the need for the painful and invasive biopsy he underwent yesterday. It could have meant that he didn't have to undergo days, maybe a couple of weeks, of painful recovery. He might have avoided the need to live with the side effects of the powerful antibiotics he has been taking, and will continue to take, to stave off the threat of sepsis. Over the border in England, the NHS has mandated the adoption of multiparametric MRI by 2020. We are making some progress in Wales, but it is slow due to a lack of trained radiologists. I welcome the moneys that the Welsh Government have put into improving MRI provision across Wales, as well as the establishment of the Welsh Imaging Academy. But this is not helping today. Welsh Government need to ensure that maximum utilisation of our MRI capacity is made. Where a health board cannot offer mpMRI with dynamic contrast enhancement, they should refer to other health boards or the private sector. Men should not be forced to find £1,000 to fund private MRI scans because they happen to live in a part of Wales that doesn't offer this revolutionary prostate cancer pathway. We are supposed to have a national health service, not seven regional health services. We have to end this postcode lottery today. We have to offer the best, the quickest and the most effective treatment pathway available today. I fully support this petition and the motion before us today, and I urge my colleagues to do likewise. Diolch yn fawr.
Welsh: Hoffwn ddiolch i'r Pwyllgor Deisebau am gyflwyno'r ddadl hon a diolch yn arbennig i'r deisebydd, Stuart Davies, am gyflwyno'r ddeiseb i'r Cynulliad. Ddoe ddiwethaf bu'n rhaid i fy ngŵr fynychu Ysbyty Castell-nedd Port Talbot am biopsi poenus iawn ar ei brostad. Felly, mae hwn yn bwnc sy'n agos at fy nghalon. Mae'r ffaith y gallai fy ngŵr a channoedd o ddynion tebyg iddo gael llwybr cyflymach a llai poenus gyda llai o risg at ddiagnosis, ond fod hynny'n cael ei wrthod iddynt, yn annerbyniol. Mae gan MRI amlbaramedr botensial i drawsnewid y llwybr canser y prostad, ond nid yw ar gael i bawb. Gorfodir dynion i dalu dros £1,000 am sgan mpMRI oherwydd nad yw ar gael o dan y GIG yn eu rhan hwy o Gymru. Nid yw fy mwrdd iechyd lleol yn cynnig y gwasanaeth hwn. Pe baem yn byw 15 milltir i'r gogledd-ddwyrain, byddai fy ngŵr wedi cael sgan mpMRI gyda chyferbyneddau deinamig estynedig, a fyddai wedi rhoi'r manylion gorau posibl a mwyaf cynhwysfawr i'w dîm oncoleg am iechyd y prostad. Byddai hyn o bosibl wedi dileu'r angen am y biopsi poenus ac ymyrrol a gafodd ddoe. Gallai fod wedi golygu na fyddai'n rhaid iddo dreulio dyddiau, wythnos neu ddwy efallai, mewn poen tra'i fod yn gwella. Efallai y gallai fod wedi osgoi'r angen i fyw gyda sgil-effeithiau'r moddion gwrthfiotig pwerus y bu'n eu cymryd, ac y bydd yn parhau i'w cymryd, i osgoi'r bygythiad o sepsis. Dros y ffin yn Lloegr, mae'r GIG wedi ei gwneud hi'n orfodol i fabwysiadu MRI amlbaramedr erbyn 2020. Rydym yn gwneud rhywfaint o gynnydd yng Nghymru, ond mae'n araf oherwydd diffyg radiolegwyr hyfforddedig. Rwy'n croesawu'r arian y mae Llywodraeth Cymru wedi'i roi tuag at wella'r ddarpariaeth MRI ledled Cymru, yn ogystal â sefydlu Academi Ddelweddu Cymru. Ond nid yw hyn yn helpu heddiw. Mae angen i Lywodraeth Cymru sicrhau'r defnydd mwyaf posibl o'n capasiti MRI. Lle na all bwrdd iechyd gynnig mpMRI gyda chyferbyneddau deinamig estynedig, dylai atgyfeirio at fyrddau iechyd eraill neu'r sector preifat. Ni ddylid gorfodi dynion i ddod o hyd i £1,000 i ariannu sganiau MRI preifat oherwydd eu bod yn digwydd byw mewn rhan o Gymru nad yw'n cynnig y llwybr canser y prostad chwyldroadol hwn. Gwasanaeth iechyd gwladol sydd i fod gennym, nid saith gwasanaeth iechyd rhanbarthol. Rhaid rhoi terfyn ar y loteri cod post heddiw. Rhaid inni gynnig y llwybr triniaeth gorau, cyflymaf a mwyaf effeithiol sydd ar gael heddiw. Rwy'n cefnogi'r ddeiseb a'r cynnig sydd ger ein bron heddiw, ac rwy'n annog fy nghyd-Aelodau i wneud yr un peth. Diolch yn fawr.