World Menopause Day

Carolyn Harris Excerpts

Thursday 18th October 2018 Commons Chamber

[Carolyn Harris (Swansea East) (Lab)]

I congratulate my hon. Friend the Member for East Lothian (Martin Whitfield) and the Minister on their bravery, and I say to every man in the Chamber today: welcome to the sisterhood.

Some 49.6% of the population worldwide are women, which equates to close to 3.8 billion of us, and with the vast majority of women—in the developed world at least—living way beyond menopausal age, it is about time this issue was taken seriously. For too long the menopause has been one of two things: a taboo subject that women do not dare to admit they are suffering from, or the punchline of a joke that is actually anything but funny.

Most women will experience the menopause at some time in their lives, and the severity of their suffering varies greatly. About 25% of women are lucky enough to barely notice any changes to their body or experience any of the well-documented symptoms, but for others the menopause can be an unbearable time—stressful, debilitating and completely life changing. Yet many women are completely unprepared for this phase of their lives, which is something that we desperately need to change for future generations. We need to be educating our children—boys as well as girls—so that they understand the impact the menopause could one day have on their lives and relationships.

The Government’s draft sex and relationships education guidance includes advice on teaching young people about menstruation, but it makes no mention of the menopause, which is just as important and often more difficult. Will the Minister ask the Department for Education, as part of its consultation, to consider extending the guidance to include teaching on the menopause? In doing this, we could help to educate the next generation and put an end to the lack of knowledge around the menopause, which is having a hugely detrimental effect on those suffering today.

Also having a detrimental effect is the limited training given to GPs on this subject. Too many women struggle when doctors either do not recognise their symptoms, do not prescribe hormone replacement therapy—because they are relying on inaccurate and outdated information—or incorrectly diagnose those symptoms as depression and subsequently offer the wrong medication. This needs to change, and the Department of Health and Social Care needs to play its role and work with patients, experts, the NHS, the Royal College of General Practitioners, medical schools and all health professionals to better educate them about the menopause.

The NICE guidelines on the menopause were first published almost three years ago, yet many doctors admit that they are either not aware of them or have not read them. Women are therefore relying on the chance that the GP they visit is one of those who has. Healthcare should not be a lottery. Every woman suffering the effects of the menopause is entitled to the same quality of care, but the quality of that care in the UK at the moment needs serious attention. Current treatment options for women are woefully poor. Referrals to NHS menopause clinics take up to six months because of the limited number of places—the result of the ongoing cuts to services. For many women unable to take HRT, particularly those who have had breast or gynaecological cancers, there is no support at all.

It is not just medical support we are here to talk about. In the UK, the average age women reach the menopause is 51, but about one woman in every 100 experiences early menopause owing to medical conditions, treatment or surgery. The loss of fertility as a result can be devastating for some women, and their psychological health is as affected as their physical health. These women need to be offered counselling as well as advice on how to maintain their long-term health, which can be affected by early oestrogen depletion.

I have heard cases of women going into debt to fund appointments with private doctors and gynaecologists because they cannot access the care that should be available to them on the NHS. Even more worryingly, the Samaritans’ 2017 report on suicide figures shows that the highest suicide rate for women is for those aged between 50 and 54. It cannot be coincidence that the age of menopause is 51. I find it deplorable that in this country something that affects so many people is so underfunded and misunderstood.

It is not just the treatment of the symptoms that needs serious attention. Life does not stop for women when they reach the menopause—I am testament to that—even if they are suffering from crippling side effects, and for many this means continuing to work. Women are working in greater numbers than ever, making up 47% of the UK workforce. About 4.3 million of these employed women are aged 50 or over, and this number is set to increase over the next few years. With studies showing that menopause symptoms can have a significant impact on attendance and performance in the workplace, employers need to start looking at what they can do to help these women and improve their own productivity.

[Rachel Maclean]

Does the hon. Lady also agree that it is in those businesses’ and organisations’ own interests to retain these members of staff, whom they have trained and invested in over many years, and who have so many skills and so much knowledge?

[Carolyn Harris]

I do, and I was just coming to that.

Employers have a duty of care to all their employees. While no respectable company would even consider running their business without a maternity policy, very few will have given any thought to the introduction of a menopause policy. Simple adjustments, such as relaxed uniform policies, flexible working conditions and temperature control in offices, could have a huge impact on a woman’s decision to remain in work. It is a win-win situation: employers would benefit from retaining valuable, trustworthy and experienced employees, saving money on sickness cover and training new staff, while women would find it easier to cope with the physical symptoms of the menopause. With simple adjustments, such as being able to travel outside rush hour or to wear cooler, less restrictive clothing, they would also feel valued and supported in their professional roles, which in turn would help with the psychological barriers associated with the menopause.

Yet current figures show that two thirds of women going through the menopause say they have no support at all in their workplace. Some 25% of women say they have considered leaving their job because of it, and one in 10 actually ends up handing in her notice. Women in our emergency services, nurses, frontline retail staff and office workers—in fact, women from all sectors of industry—are leaving the workplace owing to a lack of support from their employers. These are not small businesses, but massive national and global companies. We need big business and workplaces to take this seriously.

Many unions are already championing the call for a menopause policy. An excellent example is the Union of Shop, Distributive and Allied Workers, which I have worked with, and the very wonderful Julie Bird, who has encouraged Tesco to set up pilot menopause support groups. The scheme started in Swansea and is now being rolled out across the south-west.

Nottinghamshire police was the first force in the country to introduce a menopause policy that includes flexible working and lighter uniforms. The hon. Member for Motherwell and Wishaw (Marion Fellows) talked about local authorities. I am pleased to say that I have just received a message informing me that my own local authority, City and County of Swansea—I think it knew I would want to say this—is going to introduce a menopause policy.

[Martin Whitfield]

These discussions can take place in local authorities, unions such as the CWU and the GMB, and employers such as the civil nuclear constabulary. This does not cost a lot of money, but it does require understanding.

[Carolyn Harris]

People need to talk. We must take the best practice from these examples, share them with other employers and ensure that menopause guidelines become compulsory for all businesses.

On this World Menopause Day, let us educate children—girls and boys—within the school curriculum so that for future generations the menopause ceases to be a taboo subject or a joking matter. Let us improve public understanding of the menopause and its symptoms so that women no longer feel that they need to suffer in silence. Let us ensure that our medical professions know how to diagnose and best treat these symptoms so that women’s experiences are less painful and less distressing. Let us pledge to work towards a mandatory menopause policy within workplaces so that women can carry on with a normal life, however severe their symptoms may be. On this World Menopause Day, let us make a commitment to make a difference.