(5 days, 16 hours ago)
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Dr Scott Arthur (Edinburgh South West) (Lab)
You will not be surprised to hear me say, Mr Mundell, that it is a pleasure to serve under your chairmanship. I thank my hon. Friend the Member for Colne Valley (Paul Davies) for the way in which he introduced this debate, and other hon. Members for the excellent speeches that followed.
I recently met a constituent who lives in Chesser and has adenomyosis. During our meeting, she told me about the debilitating impact of the condition on her personal life and her work life, and it was a real insight for me. On some days, her pain is so severe that she struggles to walk or move around her home, even to reach the toilet. She also reminded me just how common endometriosis and adenomyosis are: given that around 10% of menstruators suffer from one of the two conditions, there could be thousands of people in Edinburgh South West who currently suffer from the regular and excruciating pain that they cause.
Although my constituent now has an employer who understands and accommodates her health needs and allows her to work from home or take leave for her condition, that has not always been the case. She recounted the degrading experience of having to explain her health issues in detail to a former employer, just for taking time off. Despite that, she was still given a written warning. It is such inconsistency among employers that motivated her to sign the petition and to meet me to ask, very politely, that I attend this debate on her behalf.
As we have already heard, up to one in six women with endometriosis have to leave the workplace due to their condition. For some women, that will be because they really cannot work due to the pain they suffer. Sadly, for other women, who can work and want to work, it may come down to a lack of accommodating workplaces. We have to be honest about that situation and say that it is discrimination.
I recognise the Government’s position that the provisions of the Equality Act 2010 should ensure the flexibility that is required for women affected by these conditions to take leave or for adjustments to be made for them. However, laws are only useful if they are respected and enforced. None the less, I hope that the reforms introduced in the Employment Rights Act 2025, including statutory sick pay, will ensure that further accommodations can be made.
I hope that the Minister will give some guarantee today that the Government will look at menstrual leave schemes abroad to inform the evidence-based best practice that we need in the UK. I also hope that the Government will do what they can to support businesses or organisations that decide to introduce such practice in the interim, simply because it is the right thing to do. I must be honest and say that I had not heard of the endometriosis-friendly employer scheme before, so it would also be interesting to hear what the Government are doing to support that scheme.
The data from the schemes implemented abroad show that they are unlikely to be abused. Although the petition we are discussing today relates to the scheme in Portugal, the introduction of a similar menstrual leave policy in Spain has not led to an avalanche of sick days being taken as a result. Although I know there have been some concerns about how easy it is to access that scheme, the Spanish allowance has been used just 1,550 times. It will hardly have a significant impact on the Spanish economy, but it will be a huge benefit to the women who are able to access it.
Equally, such schemes can help employees avoid having repeatedly to justify in detail absences that they require. With the Portuguese system of requiring only one initial confirmation of diagnosis, employees will likely be spared uncomfortable and degrading conversations with superiors and work colleagues about this medical condition.
I hope the Government will look to the positive impact of those schemes abroad and build up best practice for the UK. I want to make one last point: when I spoke about this debate on my Facebook page, many women who responded said that they were keener for GPs to be better informed about the condition, and for diagnosis to happen much quicker. I could not believe it took just over nine months for a diagnosis to take place—
Dr Arthur
Nine years—apologies. It took just over nine years for a diagnosis to take place, given the pain we have heard about. We have heard in this debate about the real human impact that delay causes. That must be impacting our economy too, so I hope the Government will commit to studying the effect of these conditions on the economy, and perhaps that will justify action in this domain.