World Menopause Day

Caroline Johnson Excerpts

Thursday 16th October 2025 Westminster Hall

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

It is a pleasure to serve under your chairmanship, Mr Betts. I congratulate the hon. Member for Neath and Swansea East (Carolyn Harris) for securing this important debate on an issue about which we know she is extremely passionate and has campaigned for a long time.

In recent years, our country has made good progress in female empowerment. Today, women occupy 43% of company board roles and 35% of leadership positions at FTSE 350 firms. More women than ever before are partners in law firms, consultants in hospitals, entrepreneurs and executives managing successful businesses in every part of the country. None the less, there is a serious fault line running through that progress. Most women reach the professional apex of their careers in their late 40s to early 50s, after accruing many years of experience. For thousands of women across the country every single year, that moment of career maturity tragically coincides with the onset of the menopause.

An abrupt change to the menstrual cycle can happen; sometimes there are sudden floods of menstrual blood, hot flushes at inopportune moments throughout the working day, problems with concentration, low self-esteem, migraines, aches and itches—all things that make it more difficult to fulfil the employer’s expectations, let alone, as we have heard, fully rest in the precious hours of the night. Symptoms can be truly debilitating, running from months to years and fluctuating unpredictably over time. They leave some women with an impossible choice: their health or their career. I have heard from professionals in my constituency who love their job but felt there was no option other than to step back. I have seen it while working as a consultant in the NHS, too; some colleagues, amid the worst of their symptoms, go from thriving to just about surviving.

When that becomes commonplace, our economy pays a price. Every year, the UK loses 14 million working days to menopause-related absence. Graver still, we are losing many thousands of women from the workforce every year because of overwhelming symptoms and lack of support. The NHS Confederation tallies up the damage to a staggering £1.5 billion.

I am proud that the previous Government recognised the scale of the challenge and took concrete action. In 2022, aware that not enough focus was being given to women-specific issues like the menopause, they published a women’s health strategy for England. That set out 10-year ambitions, including for people to be informed of the menopause at an early age and provided with access to the full range of treatment options, improved understanding among healthcare professionals, and increased research of alternatives to HRT.

I am proud that the previous Government made good on those ambitions. They also launched the national menopause pathway programme, providing optimal care pathways to ensure more women get the right care the first time around. Recognising that almost nine in 10 adults were never educated about menopause in school, the previous Government changed the curriculum to add menopause to relationships and sex education for secondary school students. They also reduced the cost of HRT in England by making prescriptions available on an annual basis; 500,000 women saw their costs decrease by up to £200 as a result.

That is what real progress looks like, but the current Government have undermined those achievements. Many women I speak to are incandescent at the Government’s callous decision to disregard the women’s health strategy and replace it, seemingly, with nothing. It does not stop there: this Government have also compromised women’s healthcare provision by scaling back targets in NHS guidance and binning the commitment to roll out health hubs across all ICBs.

Can the Minister explain what impact these changes are going to have on support for menopausal women? What do the Government plan to replace the women’s health strategy with? I commend the Government for appointing a menopause employment ambassador—having a champion focused solely on the menopause in conversation directly with employers gives the issue exactly the attention it deserves—but women are best served by good execution and delivery, not just good intentions. That is where my concerns with the Government’s strategy lie.

The Employment Rights Bill will impose a new duty on firms with more than 250 people to publish menopause action plans. We know the menopause affects women in different ways, so I question the value of uniform plans, which will give some human resources managers cover stories for doing little of actual substance. How will the increased administrative burden translate into better support for menopausal women in the workplace, rather than simply becoming a cost for business? What metrics will the Government use to ensure that women are materially helped by menopause action plans? We know that many businesses with more than 250 employees are just as stretched as those with 25 employees—and no less so due to tax increases by this Government. What are the Government doing to prevent a two-tier system emerging, whereby the quality of workplace support hinges on not need but the size of an employer?

There is much the Government can do to help menopausal women that does not necessitate wielding the regulatory sledgehammer—for instance, improving public awareness, as the hon. Member for Neath and Swansea East talked about. Most adults were not taught about the menopause in school. Thousands of women are enduring excruciating symptoms without always recognising what is happening to their bodies, or realising that there is NHS support readily available for their symptoms in the form of HRT. This is a problem that can be solved.

The Menopause Charity ran a highly successful national campaign last year under the banner “educate yourself”. This year, as we have already heard, we have witnessed Asda and Tesco, among several other retailers, partnering with GenM to develop menopause aisles in their stores, replete with information to improve awareness and help women easily identify products that are capable of alleviating symptoms. Can the Minister explain what the Government are doing to encourage and amplify such voluntary initiatives by national charities and businesses?

The Government can also learn lessons from abroad. Ireland launched a nationwide campaign in 2022, deploying advertising across public displays, newspapers, magazines, radio and social media—a highly effective way to raise the awareness that British menopause advocates have long called for. Can the Minister say whether the Government have considered rolling out a national menopause awareness scheme?

I recognise that the Minister and the Government want to help menopausal women, but goodwill must translate into effective delivery. The previous Government made good progress on managing the menopause, which is why women want that progress to be built on, rather than dismantled. I look forward to the Minister’s response. I appreciate that some of these points are not in her brief, but within the scope of the Department of Health and Social Care. If she is not able to answer my questions herself, I would be grateful if she would commit to sending a letter in reply.