World Menopause Day

Anna Sabine Excerpts

Thursday 16th October 2025 Westminster Hall

[Anna Sabine (Frome and East Somerset) (LD)]

It is a pleasure to serve under your chairmanship, Mr Betts. I am proud that not one but two of my constituents are leading figures in the Menopause Mandate campaign, and they are here today. I would like to pay tribute to that organisation and all the work it is doing on this issue, ably supported by the hon. Member for Neath and Swansea East (Carolyn Harris), whose passion and energy about this subject are so wonderful to see. I pay tribute to her for convening this debate.

As someone who does not personally have direct experience of menopause yet, and whose mum is not around to advise her, most of what I know about menopause comes from following the social media accounts of organisations such as Menopause Mandate. That is a sad indictment of the lack of information that women in their 40s have about a health issue that will affect them. I am sure that Menopause Mandate and everyone else here agrees that it is time to stop tiptoeing around the topic of menopause and the perimenopause.

Brain fog, hot flushes, night sweats, panic out of nowhere—they are not just inconveniences; they are symptoms that can knock women off their feet. Often, however, as with so many other health issues, women’s concerns are too readily dismissed. Women deserve serious, joined-up education, action and policy. They deserve to be heard, believed and supported, not left to suffer in silence. As has been mentioned, according to Menopause Mandate’s recent survey, only 12% of menopausal women were actually diagnosed by a healthcare professional, while around 60% had to figure it out for themselves. We are leaving women to google their way to an answer after years of avoidable misery, without guidance and often without treatment. That is not good enough.

The Menopause Mandate team has a simple, sensible ask: education for all. If our health professionals are not adequately trained, and women are not given routine consultations about the subject, we are setting them up to face menopause and perimenopause ill-prepared and uninformed about the lifestyle changes, treatment options and support that could make all the difference. This is not a niche issue; it should be a mainstream health policy. It could be seamlessly integrated into standard mid-life check-ups. When I had mine a few years ago, menopause was not mentioned. There are specialist clinics doing great work in this area, but frustratingly many of the best have huge waiting lists unless women can afford to be seen privately. I know that is true of my local hospital.

Most women have to speak to their GP or practice nurse, so we need to equip primary care properly to recognise symptoms, treat confidently and refer swiftly. Menopause is also not just a health issue, but an employment one. One of the most shocking findings in the Menopause Mandate survey was that—as has been mentioned—one in 20 women has left their job because of menopause symptoms. Those may be women doing brilliant work, often at the peak of their careers: teachers, nurses and business leaders—the kind of people this country cannot afford to lose. We need to keep that experience in our NHS, schools, offices and everywhere that this country relies on it. We should not be losing it because we fail to support half the population in a health issue that every one of them is going to face at some point.

Here is the to-do list: let us make menopause education mandatory in healthcare training with regular refreshers; include perimenopause and menopause in routine health checks—so that I am not relying on Instagram to find out what is going to happen; work with employers to provide basic workplace support for flexible working, manager training, cool spaces and clear policies; and, above all, make sure women can manage this stage of life with dignity, confidence and proper support. This is not a women’s issue; it is a fairness, workforce and public health issue. It is time we gave it the serious attention it deserves.

[Mr Clive Betts (in the Chair)]

There is a four-minute guideline for speeches. Please try not to go over it so that we can get everyone in.

--- Later in debate ---

[The Minister of State, Department for Work and Pensions (Dame Diana Johnson)]

Let me start by congratulating my hon. Friend the Member for Neath and Swansea East (Carolyn Harris) on securing this important debate from the Backbench Business Committee, and on her passionate and exceptional speech. I thank her for her tireless work in raising awareness of this issue over many years, and, in particular, her leadership of the APPG on menopause, which has been instrumental in making some of the changes we have seen in support for women going through menopause over the last few years.

[Gill Furniss in the Chair]

My hon. Friend the Member for Neath and Swansea East gave an interview a few years back in which she described being sent out of the room as her mother and her aunties discussed “the change”. We can all reflect on that and think, “Well yes, a small child being sent out of the room,” but what I found interesting was that my hon. Friend was actually 36 years of age!

It is fair to say that this House has not been much better in dealing with the menopause. The term menopause was coined in 1821, but a quick scan of Hansard shows that it was 1964 before it was first mentioned in the House of Commons. We had literally sent a man to space before we had started to talk about the menopause in this, the mother of Parliaments. On that occasion, the hon. Member for Willesden West argued that women could not bear the extra mental strain of giving up smoking

“with all the other changes going on”.—[Official Report, 12 February 1964; Vol. 689, c. 513.]

That was the level of the debate back in 1964. Thankfully, things have changed considerably since then, and that is due in no small part to the work of my hon. Friend the Member for Neath and Swansea East.

We have heard many passionate speeches in this debate. I will follow my hon. Friend’s use of the word flush by saying that a flush of MPs have made speeches this afternoon. In particular, the hon. Member for Frome and East Somerset (Anna Sabine) talked about the role of good information and not having to rely on Google. My hon. Friend the Member for Carlisle (Ms Minns) talked about an awful, painful experience at work but also referred to Cumbria Radical Birds, which I would love to hear more about.

As ever, the hon. Member for Strangford (Jim Shannon) made a very thoughtful contribution. I was pleased to hear about Sandra, his wife—I had not heard about her before—as well as about his role as an employer and the support he gives to the women who work in his office.

My hon. Friend the Member for Bournemouth East (Tom Hayes) said at the outset that his mum had taught him well, and from what he said today, she absolutely did. He gave a shout-out to Viv Galpin and Beat the Pause. I was also interested in the Kickass Menopause Event that is going to be held.

My hon. Friend the Member for Bathgate and Linlithgow (Kirsteen Sullivan) spoke about the need to join the dots—that is vital—and said that every woman deserves to be seen, heard and supported through this transition in their lives. My hon. Friend the Member for Merthyr Tydfil and Aberdare (Gerald Jones) talked interestingly about the menopause bingo event that he went along to, and my hon. Friend the Member for Wolverhampton North East (Mrs Brackenridge) talked about early medical menopause in particular.

The Liberal Democrat spokesperson, the hon. Member for North Shropshire (Helen Morgan), made a very personal speech, with which many of us can identify. The Opposition spokesperson, the hon. Member for Sleaford and North Hykeham (Dr Johnson), has a medical background and spoke with her usual thoroughness, but I have to say that some of her comments about the role of the previous Government and what they achieved were rather rose-tinted.

I am pleased that my first debate in Parliament as the new Minister for employment is about menopause. Women make up 51% of the workplace, and every woman will go through menopause. This Saturday’s World Menopause Day throws a spotlight on the challenges faced by women and the support they need and deserve. It reminds us of the need to keep raising awareness among women and men, and challenging taboos about this very natural stage of a woman’s life, so that everyone can access the help they need.

Let me underline some facts. Each year, around 400,000 women in the United Kingdom will enter menopause, and around three quarters of them will experience symptoms—that is more than the population of my home city of Hull, each and every year. Symptoms can last for years, with one in three women’s symptoms lasting for more than seven years. For one in four women, the impact can be severe, touching on every area of life, both at home and at work.

This is an issue for every one of us. When women have their symptoms minimised or cannot get the treatment they need, it is a fairness issue. It is also an economic issue: the cost to the UK economy from menopause—from sick days, lost productivity or women leaving work entirely—is estimated at £1.7 billion each year. The loss of women and their knowledge, skills and experience from the workplace is certainly not something that I am willing to tolerate.

We have heard much about the new mega-survey from Menopause Mandate, which I had the pleasure of meeting earlier this week. It reveals that more than three quarters of women going through menopause say that they have been impacted by symptoms at work, and that four in 10 even considered quitting or changing their jobs as a result, yet only one in three women—35%—say that their workplace has a menopause policy.

We need to build understanding across women and men so that everyone has the knowledge to provide the support that is required. When workplaces fail to support women, and when they lose out on women’s unique skills and experience, our whole economy suffers. I want to move on to what we are going to do to change that.

[Anna Sabine]

It seems to me that an awful lot of what we have talked about today—the impact on women, particularly in the workplace—would also apply to periods, so I wonder whether the Department of Health and Social Care might think about employers considering periods as well.

[Dame Diana Johnson]

I am not a Health Minister, but a Minister in the Department for Work and Pensions. I take the point, however, and I will raise it with my colleagues in the Department of Health and Social Care. I will also raise the point that my hon. Friend the Member for Neath and Swansea East highlighted about looking at the health of women throughout their whole career in employment, including when women have children and when they are pregnant, and how we can best fit that together. That is a very important point that I will take forward.

I want to go through a few of the things that I think it is important to refer to today. Our Employment Rights Bill marks the biggest update in employment rights for a generation. For the first time, employers with more than 250 staff will have to produce menopause action plans setting out exactly how they will support women going through the menopause. The action plans will be published, so that employers can be held to account for the actions that they take. Our experience with gender pay gap reporting shows that such things are not just treated as formalities. They have the power to drive businesses’ behaviour and bring about real change. Menopause Friendly UK has said that the provisions mark “real progress” and are a

“sign that menopause in the workplace is finally being recognised as the serious issue it is.”

It is really good to hear about the work that employers such as Tesco and trade unions such as USDAW and the GMB are already doing.

Smaller employers, which some Members are concerned about, will be given guidance on how to help women experiencing the menopause, from changing the office temperature—Westminster Hall today has certainly had the thermostat set at menopause temperature—to providing fans, making changes to uniforms, allowing regular breaks and flexible working. I also take the point about the need to evaluate the policy.

Secondly, on the last World Menopause Day almost a year ago, the Government appointed Mariella Frostrup, the broadcaster, women’s rights campaigner and menopause champion, as the Government menopause employment ambassador. Her role is to work with employers nationwide to raise awareness of menopause in the workplace and improve workplace support. She has been hard at work and has already engaged with over 300 employers to raise awareness. In April, she chaired the first meeting of the independent menopause advisory group, bringing together some amazing expertise from leaders across a range of sectors, including business, media, energy, education and the law. They will draw on their real and vast experience to create practical advice on supporting women going through menopause in the workplace. As Mariella said at the time, midlife is a time when women are often balancing many other responsibilities. It is only right that they are supported themselves when they are in work. I very much look forward to working with Mariella and to meeting her soon.

Thirdly, I agree with what my hon. Friend the Member for Neath and Swansea East said about the need for support for women in the workplace, which will be key to helping them stay in work and thrive, or return to work and thrive. Good occupational health can be a route to achieving that. However, we need to improve the scope, coverage and quality of the support offered for all in the workplace. That is why the Government commissioned the Keep Britain Working review, led by Sir Charlie Mayfield, which is exploring the employer’s role in creating healthy and inclusive workplaces, and the support that can help them achieve this. We look forward to receiving his recommendations from the review shortly. I am pleased to note that Sir Charlie spoke to Mariella and received input on the importance of considering women’s health during the engagement for that review.

Many hon. Members raised issues relating to healthcare and support, so I want to refer to some of the work going on across Government, both in health and in education. We are updating the 2022 women’s health strategy to assess the progress that has been made and to continue delivering for women. Where shortages in vital hormone replacement therapy products have occurred, we have worked extensively with suppliers to expedite deliveries and resolve supply issues, and we have issued management guidance for healthcare professionals and serious shortage protocols to make sure that patients can get alternatives quickly and easily without needing to get a new prescription.

In November last year, the National Institute for Health and Care Excellence published updated guidelines on the menopause. NHS England has created a menopause self-care fact sheet, and the General Medical Council has introduced the medical licensing assessment for all doctors starting work in the UK, which includes knowledge of the menopause and building better understanding in new doctors and the profession at large.

In education, we know that taboos and stigma will end only with greater understanding. That is why the Department for Education’s revised statutory guidance, released on 15 July, on relationships, sex and health education emphasises the need for all primary and secondary pupils to have a full understanding of women’s health, including menopause.

I see that you are giving me a look, Ms Furniss. Do you want me to conclude?

Oral Answers to Questions

Anna Sabine Excerpts

Monday 1st September 2025 Commons Chamber

[Andrew Western]

I very much agree with my hon. Friend. This Government are determined to bear down on tax evasion with 5,000 additional investigators. Wherever we see people ripping off the public purse, whether that is defrauding the Department for Work and Pensions or abusing the tax system, we are determined to bear down on them, and that is what we will do.

[Anna Sabine (Frome and East Somerset) (LD)]

8. What assessment she has made of the adequacy of the personal independence payment application process.

[The Minister for Social Security and Disability (Sir Stephen Timms)]

The PIP application process is outdated and can be very difficult to navigate. The health transformation programme will deliver radical improvements and much better efficiency.

[Anna Sabine]

In my constituency, I was contacted by a woman who had suffered two strokes, resulting in permanent right-side paralysis and ongoing mobility difficulties. Despite her condition being permanent, she has had to undergo reassessment for PIP and has appealed for it to be reinstated. I welcome the Government changing the reassessment requirement for people with long-term health conditions. Will the Minister clarify what steps the Government are taking to reduce the stress and difficulty of the PIP application process for people with those serious health conditions?

[Sir Stephen Timms]

The health transformation programme that I mentioned will allow the introduction of a modern digital service, which is certainly not how the existing arrangements could be characterised. It is a big job—the programme will run until 2029—but the outcome from it will be a process that is simpler and easier to understand, which I hope will reduce the stress to which the hon. Member has rightly drawn attention, and shorten decision times.

Winter Fuel Payment

Anna Sabine Excerpts

Wednesday 19th March 2025 Commons Chamber

[Anna Sabine (Frome and East Somerset) (LD)]

After such a huge election victory by a supposedly progressive party, it was disappointing to me and many of my constituents that, despite the financial situation that the Government inherited, one of their first acts was to strip vital support from many of the poorest pensioners in our society. I am sure that many of us across the House had hundreds of emails from concerned pensioners, worried about how they would afford their energy bills this winter. Stripping pensioners of this allowance was the wrong thing to do.

The Government said that the removal of winter fuel payments would allow money to be spent in other areas, but as with other attempts to raise money such as increasing employers’ national insurance contributions, any savings will be offset, as pointed out by the right hon. Member for South West Wiltshire (Dr Murrison), by cold, hungry and unwell pensioners adding to the strain on GPs and social services. It is morally and economically a poor decision.

One of my constituents, Patricia, wrote to me about how furious she was that the winter fuel allowance had been taken away. She is no longer eligible for winter fuel payments, but neither is she eligible for benefits or pension credit. She worked in the NHS for over 40 years, but her NHS pension is not large, and she has been a widow for over 10 years so she is managing on a small, single income. Because her husband died when she was 54, she was not entitled to a widow’s pension, either. She wrote to me saying:

“It is always the middle people who are squeezed, whose pips are made to squeak, the easy targets”.

I could give numerous other examples of pensioners in a similar position to Patricia who do not know what to do.

In January, I held a cost of living advice surgery in Midsomer Norton where I brought together organisations and charities such as Wessex Water and Mind to provide a one-stop shop for constituents to come to me with their concerns about bills and benefits. The majority of those who attended the surgery were pensioners anxious about the cost of their utility bills or confused about their eligibility for various payments. More than 2 million pensioners currently live in poverty—that is unacceptable. The pressure that they are feeling will only be heightened by yesterday’s welfare reform announcements. I have already received a deluge of emails from constituents worried about the likely impacts.

Loss of winter fuel payments, changes to personal independence payments and increases to national insurance for charities and social care providers all pile the pressure on the least well-off in our country while the Government kick tricky decisions like fixing social care into the long grass. The cost of living crisis is going nowhere, and removing winter fuel payments is just another example of a decision that penalises some of the most vulnerable.

Women’s Changed State Pension Age: Compensation

Anna Sabine Excerpts

Wednesday 15th January 2025 Westminster Hall

[Rebecca Long Bailey (Salford) (Ind)]

It is a pleasure to serve under your chairmanship, Dr Murrison. It is a pleasure to follow the right hon. Member for South Holland and The Deepings (Sir John Hayes), who—as I know from working with him on other campaigns—is quite the social justice warrior, contrary to popular belief. I fully align myself with the comments he has made. I also welcome the new Minister to his position. We have high hopes for him in this place.

When the ombudsman finally confirmed last year that the Department for Work and Pensions was guilty of maladministration, that these woman had suffered injustice and that they were entitled to compensation, we thought that was it—case closed; the next step would be what a redress mechanism would look like. Of course, many felt that the ombudsman’s report had not gone far enough, but we had the firm expectancy that the previous Government, and later this one, would at the very least act on the ombudsman’s recommendations, as would be the usual course of action.

So when the Government finally issued their response, it was met with shock—shock that despite the clear findings of state-level injustice, these women were to be denied justice; shock that the ombudsman’s findings that too many people did not understand their own situations was ignored by the Government; and shock that while, on the one hand, maladministration was accepted, the recommendations of the ombudsman were rejected in full, without alternative proposals being set out or there being an opportunity to vote or debate the matter in Parliament, as the ombudsman intimated.

There were also fears, as colleagues have stated, that a precedent might now be set on observing an ombudsman’s proposals. Usually, when a state-level injustice is found, a Government of the time will act on an ombudsman’s proposals or outline their own alternative ones.

[Anna Sabine (Frome and East Somerset) (LD)]

The work the Government are doing to improve transparency and accountability contrasts with what happened under the previous Administration, but does the hon. Lady agree that if they ignore an independent ombudsman’s report, it just looks like more of the same to people in my constituency?

[Rebecca Long Bailey]

It is incredibly worrying.

I do not want to test your patience, Dr Murrison, so I will draw my comments to a close by saying this to the Minister. He must be aware that the ombudsman made the rare choice to lay this report before Parliament because it was not reassured that the Department for Work and Pensions would act on its recommendations, and it was right to have that fear. The Minister must understand that although many of us in this place wholeheartedly welcome the Government’s apology to the impacted women and acknowledge the difficult financial landscape the Government find themselves in, state-level injustice is state-level injustice. It cannot be ignored, and an apology alone is not sufficient. A remedy must be forthcoming to address the clear and apparent injustice that these women have faced.