North Wales Assembly Member Mark Isherwood (pictured) has called
on the Welsh Government to ensure that health boards in Wales act on its
updated guideline that men with suspected prostate cancer should be offered a
Multiparametric MRI scan before biopsy.
His call follows the National Institute for Health and Care Excellence (NICE) having published its updated guidelines for prostate cancer diagnosis and management,
Mr Isherwood, who has made
repeated calls for pre and post-biopsy Multiparametric MRI scans to be made available to
suspected prostate cancer patients, has welcomed the announcement.
However,
speaking in the Chamber, he said it now up to the Welsh Government to
ensure that health boards amend their pathways accordingly.
Calling for a Welsh Government Statement on the
matter during the Business Statement, he said:
“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 near future, ending the current variation in access that has resulted in some men paying privately for scans’.
“Prostate Cancer UK stated ‘this breakthrough diagnostic technique should now be made available in all parts of Wales in the near future, ending the current variation in access that has resulted in some men paying privately for scans’.
"In March last year, NHS England announced that 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NICE issued new draft guidance recommending pre-biopsy mpMRI for suspected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 (Vaughan Gething AM) wrote to Assembly Members
stating that 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 have confirmed that, at present, they deliver care in line with
current NICE Guidance’.
"However, when I had a meeting with Betsi Cadwaladr
(Health Board) 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."
He added: "As Prostate Cancer UK states, ‘mpMRI revolutionizes 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.”
Responding the Minister for Finance and Trefnydd,
Rebecca Evans AM, said: “Of course, patients should have access to
investigations for cancer in line with national guidance, and this should be
delivered consistently across Wales.
"Mark Isherwood outlined that the National
Institute for Health and Care Excellence published updated guidance on the
diagnosis and treatment of prostate cancer on 9 May. Health Boards that do not
currently provide care in line with this guidance are due to submit their
implementation plans to the Welsh Government by 3 June, and then the Welsh
Government will be meeting with Health Boards on 19 June to review these plans,
and implementation timescales will depend on the content of those plans.”