The National Assembly for Wales's Health & Social Care Committee has issued 13 recommendations to help ensure the Welsh Government's Cancer Plan is delievered as planned.
The recommendations say:
- That the Minister for Health and Social Services ensures that there is a body which has the remit and resources to drive the delivery of the Welsh Government's Cancer Delivery Plan at a national level, hold health boards to account on the delivery of their local plans and undertake strategic forward planning of cancer services.
- That the Minister for Health and Social Services reminds health boards of the requirement in the Cancer Delivery Plan for them to publish their local cancer delivery plans and annual reports on their websites to enable the public to hold them to account, and asks health boards to make this information prominent and easy to locate.
- That the Minister for Health and Social Services provides an update to the Committee after 12 months on the strategy for targeting cancer prevention campaigns at harder to reach groups and socioeconomically deprived areas, to include information on the intended timescales, financial implications and how the effectiveness of campaigns will be measured.
- That the Minister for Health and Social Services provides an update to the Committee after 12 months on the steps that have been taken to ensure that all opportunities are explored and taken up to promote screening among harder to reach groups, and the impact of such promotion on screening uptake.
- That the Minister for Health and Social Services works with the Wales Deanery and the General Medical Council to ensure that GPs' training and continuing professional development raises awareness of cancer symptoms, early diagnosis, and the tools and resources available to support GPs in their roles.
- That the Minister for Health and Social Services requires health boards to take steps to ensure that GPs have clarity about the services available and the referral arrangements in their areas.
- That the Minister for Health and Social Services makes a statement on cancer diagnosis, to include diagnostic treatments, the Minister's strategy to support diagnostics across Wales, and the impact and value for money resulting from the additional funding provided in 2014-15.
- That to ensure that there is consistency and equity across Wales, the Minister for Health and Social Services establishes a national panel to consider and make decisions about Individual Patient Funding Requests.
- That the Minister for Health and Social Services provides an update after 12 months to the Committee on the actions taken, including the guidance he has committed to provide, and progress made by health boards to ensure that the requirements in the Cancer Delivery Plan for all patients to be assigned a key worker and provided a written care plan are met by 2016.
- That the Minister for Health and Social Services sets out the actions which will be taken, with associated timescales and financial implications, to address the aftercare needs of the increasing numbers of people living with cancer in the longer term. Such actions should take account of patients' medical and non-medical needs.
- That the Minister for Health and Social Services sets out the actions which will be taken, with associated timescales and financial implications, to reduce inequities in access to end of life and palliative care, and provides the Committee with an update after 12 months on the impact of those actions.
- That, as a matter of priority, the Minister for Health and Social Services considers the development or replacement of the Cancer Network Information System Cymru, and ensures that both clinical and research priorities are taken into account, including secondary episodes of care.
- That the Minister for Health and Social Services sets out the actions which will be taken, with associated timescales, to ensure the development and service delivery of stratified medicine in Wales.
A report by the Health & Social Care Committee has called for "stronger national leadership" to ensure that the Welsh Government's plan to tackle cancer meets its full potential.
While the committee said some improvements have been made in researching and screening cancer, as well as end-of-life care more needs to be done.
Some of those diagnosed with cancer related illness told the Committee that their experiences did not always match the aspirations set out in the plan.
Our report makes recommendations to the Minister, which if accepted and implemented, we believe will assist in the achievement of the plan's aspirations
A new study has revealed the scale of the health difficulties caused by alcohol - and it makes daunting reading. The experts warn that even long term moderate drinking can increase the risk of health problems.
Some key points are:
- Every week, our hospitals handle as many as a thousand alcohol related admissions
- 17% of eleven to sixteen year olds drink at least once a week - causing particular concern
- Alcohol leads to twenty nine deaths a week in Wales
- More lives are lost to alcohol in the south Wales Valleys than any other part of Wales
Find out whether you're drinking too much by visiting the drink aware website.
New figures show that over 70 per cent of people in Wales would not be confident performing CPR if a family member was having a heart attack.
The latest figures from the British Heart Foundation show over nearly a third don't have the skills or knowledge to react to a heart attack.
That's despite 22,000 people dying every year in the UK following a cardiac arrest in their home.
The British Heart Foundation is now launching a campaign which it says could save over 5,000 lives a year. As part of the campaign, young people and adults are being offered training in how to deliver CPR.
The training programme enables schools, workplaces and community groups to become self-sufficient in teaching the three steps that could save a life.
The Welsh Government says there is growing evidence that the introduction of minimum pricing on alcohol would target those who are the heaviest and most harmful drinks.
It says it needs to focus on prevention to improve the nation's health.
The comments follow a report which shows 29 people die every week because of alcohol related issues.
We need to focus relentlessly on prevention to improve the nation's health and there is growing evidence that the introduction of minimum unit pricing would particularly target those who are the heaviest and most harmful drinkers.
We advise that alcohol should be consumed responsibly and within the Welsh Government's drinking guidelines of no more than two to three units a day for women and three to four units a day for men. It is also very important to take at least two days off from alcohol a week to give your liver and heart the rest they need.
A new report from Public Health Wales shows Wales faces many challenges with alcohol-related issues.
Its 'Alcohol and Health in Wales' report shows Wales has the highest amount of people aged 11-16 drinking alcohol at least once a week.
Figures also show that 29 people die each week because of alcohol-related issues.
Other findings include;
- Drinking most prevalent in deprived communities
- Number of heavy drinkers over the age of 45 has increased
- Over 1,000 alcohol-related admissions to welsh hospitals every week
- 1 in 20 deaths are related to long term drinking problems
Public Health Wales is calling for minimum pricing on alcohol and for advertising to be regulated.
While we are making progress, this new report shows much more is still to be done if we are to reduce the avoidable harms that alcohol causes to communities across Wales.
We need to help people make the right choices about their own drinking. Too many drinkers fail to recognise how even moderate drinking can increase their risks of developing diseases such as cancer.
The normalisation of drinking at a young age is also especially harmful and our problems with alcohol must be tackled early in life.
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The NHS website describes acromegaly as a condition casued by the production of too much growth hormone, which leads to excess growth of body tissues over time.
Features can include:
- Abnormally large hands and feet
- Large, prominent facial features
- An enlarged tongue
- Abnormally tall height
Acromegaly can lead to:
- Joint aches
- Carpal tunnel syndrome (compression of the nerve in the wrist, causing numbness and weakness of the hands
- Thick, coarse, oily skin
- Enlarged lips and nose
- Protruding tongue and brow
- Widely spaced teeth