Menopause

Abena Oppong-Asare Excerpts

Thursday 26th October 2023 Commons Chamber

[Abena Oppong-Asare (Erith and Thamesmead) (Lab)]

I congratulate my hon. Friend the Member for Swansea East (Carolyn Harris) on securing this important Backbench Business debate; I am sure we all agree that she has been a fantastic champion on this issue. I would also like to thank my hon. Friend the Member for Bootle (Peter Dowd) for opening the debate. I can say with certainty that he did this debate justice, talking powerfully about the concerns of my hon. Friend the Member for Swansea East, as well as referencing where improvements need to be made and the newly launched “Manifesto for Menopause” by the menopause APPG. They have done fantastic work.

I thank those who have contributed to today’s discussion. It has been particularly uplifting to see male colleagues also speaking in the debate. It is important that we all discuss this issue and that it is not just on the shoulders of women to raise it. As the hon. Member for Walsall North (Eddie Hughes) said, our role as MPs is to inform people, and particularly men, who have a powerful role to play in providing the support that is needed. He also talked about the phs Group, which has been doing great work on this issue.

I thank my hon. Friend the Member for Bradford South (Judith Cummins), who highlighted really well the fact that menopause is not just a women’s issue but a health issue for everyone. My hon. Friend the Member for Merthyr Tydfil and Rhymney (Gerald Jones) talked about how companies can play a role by ensuring that employees are supported through the menopause and about Labour’s plans for the workforce. He highlighted the fact that over half of the workforce are women, and with one in 10 women leaving work because of the menopause, we need to do more to retain their skills. The hon. Member for Bath (Wera Hobhouse) powerfully explained how women have to fight before symptoms are taken seriously, and the hon. Member for Strangford (Jim Shannon) talked about how his wife went through menopause and how it is important to understand this issue at home. I thank him for sharing his personal story.

As we all know, for far too long women’s health has been a marginalised issue, and when it comes to women’s health, the issue of menopause is critical. It affects every woman, yet time and time again, we in this country have neglected doing the right and obvious thing: to support women experiencing the menopause. I will not be presenting any groundbreaking information today, since all Members present are aware of the inadequate quality of care and support that women currently receive. For instance, there is the staggering finding—which has been highlighted —that nearly one in 10 women must consult their GP on 10 separate occasions before receiving proper guidance and support regarding the menopause. Of those women who did eventually receive treatment, 44% waited at least one year, and 12% waited more than five years. I am sure Members agree that those statistics are staggering.

One in 10 women have quit their job because of menopause symptoms, despite the fact that menopause affects every woman. As my hon. Friend the Member for Swansea East has mentioned on previous occasions, although women are 51% of the UK population, only 59% of medical schools included mandatory menopause education in their curriculum. Further important findings were released last week by Menopause Mandate reinforcing the inadequacy of support. Those findings confirm that not only do nearly all women experiencing the menopause find that the symptoms have a negative impact on their quality of life, but the vast majority face negative experiences at their GP and significant barriers at work. The finding that only 24% of women have a positive experience at their GP is surely a damning indication of how much further there is to go.

I warmly welcome the release of the manifesto by the APPG on menopause and the important words that have been spoken by Members today. It is one step further in this positive campaign, and in the work my hon. Friend the Member for Swansea East has done to put the menopause on the map and act on an issue that has been in the shadows for far too long. She is a trailblazer, and I am privileged to have the opportunity in my new brief to work more closely alongside her on these issues and make sure we realise many of the changes she has been fighting for. Education on the menopause is the first important step towards progress: when seeing our GP, we rely on their knowledge and guidance, yet too often, we hear stories of women who go to their GP again and again without proper diagnosis. Some women have said that it is a gamble whether their individual doctor prescribes them the treatment they need, which has been echoed in some of the contributions to this debate.

It is therefore essential that we seek to improve the education and training of healthcare professionals across the NHS with regard to the menopause. As well as looking at those who are training now, we must look at those who are currently practising—those whom we currently rely on to diagnose and assist the millions of women experiencing the menopause today. Furthermore, as with all health concerns, early detection is essential. When it comes to menopause, early detection can prevent much unnecessary pain and suffering. That is why Labour has been so focused on making our health and care services deliver a prevention first revolution that would support our NHS, our economy and, importantly, women. If we fail to progress on awareness, early detection and prevention, we are surely failing at the first hurdle.

Turning to the availability of hormone replacement therapy products, I want first to commend the progress that has been made, and again praise the work of my hon. Friend the Member for Swansea East. It was her private Member’s Bill and her determined campaigning which, two years ago, saw the Government finally commit to reducing dramatically the cost of HRT prescriptions for women in England. I commend her on not giving up—on raising awareness and constantly pushing for change on this issue. It is also important to acknowledge the positive steps we are introducing, with a dedicated page on the NHS website for women’s health. I hope this becomes an invaluable source for women to access the latest information and advice on menopause, HRT and all women’s health issues.

But while progress has been made on access to HRT, the Minister will surely be aware that women face an HRT postcode lottery, and, as with so many health issues, those in the most deprived areas are least likely to receive support. It is important that we tackle the structural inequalities that contribute to poor health for disadvantaged groups.

Additionally, we must not forget the serious failures that have led to the continued shortage of HRT drugs. Women seeking to access HRT are still being failed by the system, with drugs unavailable and alternatives out of reach. This has left so many women with debilitating symptoms, extending unnecessary pain and suffering. Education and informing clinicians are no good if we do not also improve access to HRT and end shortages. As my hon. Friend the Member for Swansea East has said, it is a very bad sign when only 14% of the 13 million women experiencing the menopause in this country are getting treatment. I hope the Minister can update the House on the Government’s actions on ensuring that shortages of these essential treatments do not happen again and improving access to HRT for women.

Fundamental to progress for women experiencing menopause would be progress for women in the workplace. As my hon. Friend the Member for Oxford East (Anneliese Dodds) has announced, a Labour Government would advance this issue by bringing in menopause action plans for large employers and publishing guidance for small businesses to support women suffering with menopause symptoms. These important steps are part of our plans for a new deal for working people and will make Britain work for working women. These reforms will give hope to women and significantly help all who work so hard to hold their jobs and care for their children and families while experiencing the challenges and symptoms of menopause. This is the right thing to do for these women, but it is also good for employers and the economy as a whole.

It is a tragedy that one in 10 women experiencing menopause leave their jobs and 14% reduce their hours due to lack of support in the workplace. That means hundreds of thousands of women are reducing their hours, giving up promotions or quitting their jobs because of the menopause. Labour is on the side of these women, wherever they work, and unlike the Government, we have committed to take the required action. Does the Minister not agree they are failing women in the workplace and damaging the economy as a result?

I finish by praising all who took part in the menopause revolution in our country. I am sure the whole House will agree that not only has this revolution begun but that it will continue to grow. Central to the revolution is my hon. Friend the Member for Swansea East, whom I congratulate again on championing this cause. If we get this right, the difference we can make for the millions of menopausal women will be life-changing, benefiting them and all future generations of women, so that no woman has to suffer in silence again.