Menopause

Wera Hobhouse Excerpts

Thursday 26th October 2023 Commons Chamber

[Wera Hobhouse (Bath) (LD)]

I commend the APPG on bringing this important issue to the House, and I thank the Backbench Business Committee for granting today’s debate. The menopause is a time of change for every woman. For some, it can be completely debilitating. Big physical and emotional changes in one’s body can be extremely unsettling. Some 51% of our population are women, who all go through the menopause, yet the experience of the menopause remains shrouded in mystery and stigma. That means there are far too many barriers to support. Too often, women must fight before their symptoms are taken seriously, which adds insult to injury.

The culture of silence that surrounds menopause makes bearing and dealing with symptoms even harder. Research by the Fawcett Society found that only 22% of people who experience menopause disclose it at work, because they are worried about the stigma they may face. Why should women feel too ashamed to talk? The Government’s appointment of the first menopause employment champion is a step in the right direction to start this much-needed conversation. However, it has taken far too long and there is still much to do.

As we have heard, many women choose to leave the workforce prematurely because they feel unsupported by their employer during the menopause. That is not new information: the Chartered Institute of Personnel and Development found in 2019 that almost 900,000 women in the UK had left their job because of menopause symptoms, and we have made little progress since. Women with years of experience are still forced to sacrifice their career, retire early or choose not to put themselves forward for promotion. Not only does that contribute to an absence of women in executive positions, but it lessens workplace productivity.

Eight out of 10 women say that their employer has not given them adequate support. I am pleased to hear of good examples in this space; it is important that we share them, because there are still far too many bad examples. Such support could include a menopause absence policy to help women balance their career with the major life changes associated with the menopause.

I welcome the Government’s commitment in the women’s health strategy to ensuring that employers are well equipped to support women during the menopause, but the Government have shown little interest in trialling menopause leave in England, despite the evidence presented by the Women and Equalities Committee that it would make considerable savings. The private sector is beginning to understand the economic benefit of menopause leave. The Government should explore all avenues to best support women experiencing menopause, including a trial to see the benefits of menopause leave.

Alongside difficult everyday symptoms, those who experience menopause face risks to their health. During menopause, the body produces less oestrogen, which can increase the risk of coronary heart disease, heart attack and stroke. Women also face greater risk of osteoporosis—I am pleased that the hon. Member for Bradford South (Judith Cummins) talked extensively about that—caused by the loss of bone density in the first few years after the menopause.

I am proud that the Royal Osteoporosis Society is based in Bath, and I congratulate it on its campaign with the Sunday Express for greater access to fracture liaison services and a good standard of services across the country. We have heard today about the Better Bones campaign. I hope that everyone in the Chamber will champion it and help it along, because we really need that gold standard across all hospital trusts. The Royal Osteoporosis Society has a very helpful helpline that everyone can access. Just by googling the Royal Osteoporosis Society, every woman can access advice, which is so necessary.

We have also heard extensively about hormone replacement therapy, which can lessen the health risks from menopause. HRT is a welcome treatment for many struggling with menopause symptoms. It can reduce hot flushes and protect cardiovascular health. However, it remains out of reach for many women across the UK. Women face a postcode lottery when it comes to accessing vital HRT treatment. A report conducted by the APPG on menopause last year found that there is a stark socioeconomic divide between women who can access HRT and those left without it. Financial struggles should not be a barrier to healthcare. I commend the APPG on menopause for all seven of its recommendations. The call for all parties to include those recommendations in their manifestos is a good one.

We Liberal Democrats welcome new measures to ensure that women in England pay less for repeat HRT prescriptions. However, the list of exemptions for prescription charges is out of date: it has not been fully updated since 1968 and contains many anomalies. The current prescription charge system is grossly unfair and must be urgently reformed.

Menopause currently affects 13 million women. We cannot continue to allow a common health issue to force women out of their jobs. It is unacceptable that accessing vital healthcare is still a postcode lottery. I have not actually experienced any adverse symptoms from menopause, but I was still completely uncertain about what to expect, and that in itself is very unsettling. Young women know what to expect when their period starts, but why are older women not given at least some advice by healthcare professionals about what to expect when the menopause starts, what the symptoms are and so on and so forth? It is very unsettling for every woman that complete mystery still surrounds the menopause, and that definitely needs to change. I hope that the debate will help to break the culture of silence and end the stigma.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Member for Bootle (Peter Dowd) for setting the scene so well. I have made a few interventions, but I will add a few words to put on record my support for the motion, as I am here on behalf of my party.

The hon. Member for Walsall North (Eddie Hughes) made an interesting point to which I subscribe from a personal point of view. My wife Sandra went through this, and it was quite difficult for her, not just physically but emotionally. The hon. Gentleman put forward some incredibly helpful ideas: better understanding in the home, better understanding in the family and better understanding in the workplace. I employ seven girls and one fella in full-time and part-time roles, and although I am not better or more knowledgeable than anyone else, I do understand some of the issues that are apparent in the office. That understanding has to start with me and end with everyone in the staff to ensure that the right things happen.

Over the last period, we have had a menopause support group in Northern Ireland. It was created for one reason. The hon. Member for Walsall North referred to a private place. Sometimes people need a private place where they can discuss their experiences and talk about what is happening with others, sharing information on the perimenopause, the menopause and any hormone-related issues. I know the knowledge that women will be able to give each other in those private circumstances and discussions. That is so very important.

The hon. Member for Bradford South (Judith Cummins), who has the Adjournment debate on osteoporosis, reminded us all of the increased risk of osteoporosis, fractures and brittle bones through menopause. She clearly and helpfully reminded us that when it comes to understanding those things better, the health sector needs to be a bigger part of the picture.

[Wera Hobhouse]

It is important that everybody understands that osteoporosis leads to many premature deaths. That is why we need to talk more about it. I am glad that we have all been talking about osteoporosis in connection with the menopause. Does the hon. Gentleman agree that we need to raise awareness of it, because it leads to many premature deaths?

[Jim Shannon]

I thank the hon. Lady for her intervention. I referred to the groups in Northern Ireland because, in many cases, we find that it is the women themselves who are initiating the private support groups and ensuring that things are happening. I ask the Minister, is there any help from Government to ensure that these advice groups are available?

To go back to the subject of osteoporosis, the hon. Member for Bradford South is right. In my office, I have a staff member specifically tasked with looking after benefit issues, and the work for that lady is enormous; she is probably working the equivalent of a five or six-day week. She tells me that, in many cases, the issue is access to personal independence payments. I know that this does not come under the Minister’s Department, but is there a process in place to help ladies understand and apply for that benefit, which is there for a purpose? Government have created the benefits system, and people should never feel that they should not apply for a benefit if it is there for them, which I believe it is.

When people are drained and emotionally raw, which many are, and when the sweats mean they have to shower several times a day and they need prompting to eat and take care of themselves, we need a system, and we need someone there to help along the way. I am my party’s health spokesperson, and I want to add my support to all those who have spoken.

The Government need to be proactive and ensure that guidance is given to businesses, so that they can do things the right way. Some 45% of women felt that menopausal symptoms had a negative impact on their work, and 47% said they needed to take a day off work due to the menopause. That underlines the need for support.

With that, I will conclude, ever mindful that we are fortunate to have a shadow Minister, the hon. Member for Erith and Thamesmead (Abena Oppong-Asare), who will add her support to the debate—I look forward to hearing from her—and a Minister who well understands our requests. I am very confident that we will have the help we need, not for us, but for our constituents, for the women who contact me, for my wife and for all the other women who find it very hard to deal with these issues.