World Menopause Day

[Mr Philip Hollobone in the Chair]

I beg to move,

That this House has considered World Menopause Day.

It is a pleasure to serve under your chairmanship, Mr Hollobone. I thank the Backbench Business Committee for granting time for this important debate. I am delighted to co-sponsor it with the right hon. Member for Romsey and Southampton North (Caroline Nokes), who shares my passion and determination to improve access to support and treatment for those experiencing symptoms of the menopause.

Anyone in or around Parliament last week might have noticed a buzz of activity. The reason, obviously, was that last Tuesday was World Menopause Day. It was an honour to welcome a group of women who have been instrumental in campaigning for change, from grassroots campaigners to clinicians and celebrities who are using their platform to amplify the message. The day ended with a rally in Old Palace Yard, almost 12 months on from our last Westminster menopause rally. Last year, I stood among jubilant women in Parliament Square. We were celebrating the fact that the Government had listened and committed to dramatically reducing the cost of NHS prescriptions for hormone replacement therapy in England, which would bring them somewhere near the free prescriptions in Wales, Scotland and Northern Ireland. They also committed to setting up a taskforce to look at other barriers women face.

This year, many of the same women were back again. They were as determined as they were last year. They were loud—possibly a little louder than last year. But they were a little less jubilant, a little more sceptical and far less confident in the Government’s commitment to the promises that they made in October 2021. However, they have not given up.

At the rally, Menopause Mandate launched a wonderful book, “It’s Beyond a Joke”, a collection of real lived experience stories from women. Some are graphic, some are funny, but some will break your heart. Every one is an honest account of a woman’s personal menopause journey, and every one is different, because no two women experience the same menopause. There are stories of misdiagnosis, insufficient workplace support and HRT shortages. There are stories from women who are struggling to afford the cost of the menopause, and from women who are hitting brick wall after brick wall when they try to access support. Thankfully, there are stories from women who faced some dreadful experiences but came out the other side—stronger, happier and ready to be their wonderful selves all over again.

I thank the hon. Lady for bringing this vital debate to Parliament. Her speech is a wonderful contribution on what so many people have gone through. Does she agree that menopause is not just a physical condition or response in the body, but something with a mental health and wellbeing impact? People need access to specialist services and clinicians, so that their psychosocial needs can be met in a holistic way.

I certainly agree with the hon. Lady. I myself spent eight years on antidepressants, believing that I had mental health problems, only to discover that I was actually menopausal. I can assure everyone that that was a relief.

I urge the Minister, his colleagues and any Member who does not have a copy—copies are available in my office—to read the book, and to join the campaign for change and for better access to menopause care. As I said, it has been almost a year since the first Westminster menopause rally, which followed the introduction of my private Member’s Bill, the Menopause (Support and Services) Bill.

Since then, we have seen a Government in chaos. There have been three different Health Secretaries, but now one has returned. An HRT tsar has come and gone within a few short months, leaving merely a list of recommendations. The HRT stock crisis rumbles on, months after the Department of Health and Social Care promised that it would be resolved. We still await the promised annual prepayment certificate for HRT prescriptions in England. As families up and down the country struggle with the costs of fuel, food and energy continuing to rise at an alarming rate, the prepayment certificate is more important than ever. Choices are being made on where to cut back on household expenses and on which luxuries can go. Menopause is not a choice and HRT is not a luxury but, for many women, the monthly cost of their prescriptions will be one of the casualties of family finance cutbacks. It is therefore vital that the promised prepayment certificate is implemented as soon as possible—women have already waited a year. The latest date we were advised for its introduction was April 2023. I would be grateful if we could have a guarantee from the Minister today that this will not slip any further.

Around the same time as my private Member’s Bill on menopause, the all-party parliamentary group on menopause, which I chair, launched its inquiry into the impact of the menopause. Earlier this month we published our latest report, which highlighted a number of areas where urgent change is vitally needed, including a call for better training for medical professionals. Stories from “It’s Beyond a Joke” show just how much that is needed. One woman says:

The debate can last until 4.30 pm. I am obliged to call the Front Benchers at no later than 3.57 pm, and the guideline limits are 10 minutes for the Scottish National party, 10 minutes for His Majesty’s Opposition, and 10 minutes for the Minister. Then, Carolyn Harris will have three minutes to sum up the debate at the end. It is Back-Bench time until 3.57 pm and eight Members wish to contribute. There is a strict four-minute limit and I strongly discourage speakers from accepting interventions, because if you do, it means that somebody will drop off the list. If you keep it to four minutes, everybody will get in.

It is a pleasure to serve under your chairmanship, Mr Hollobone. I offer my congratulations to the hon. Member for Swansea East (Carolyn Harris) and my right hon. Friend the Member for Romsey and Southampton North (Caroline Nokes) on securing this important debate and on giving us the opportunity to speak out and help raise awareness further.

I wanted to speak today to thank the hon. Member for Swansea East for her tireless work on raising awareness, improving education and increasing the availability of HRT to women across the country. I have to confess that I have learned more about the menopause since becoming an MP than in the previous half a century. I also want to thank the previous Health Ministers who have delivered the women’s health strategy, included the menopause in schools’ sexual health and relationships education and ensured it is included more fully in healthcare professionals’ training.

The Fawcett Society reports that one in 10 women has left a job due to menopause symptoms. At a time of such huge job vacancies across the country, I am sure the Minister, given his former roles, will agree that anything that can be done to facilitate more women feeling able to continue in their jobs and careers is vital. The vast majority of women report no employer support, no policies, no awareness and no training. I hope that by raising the menopause in the House again this afternoon, more women and their employers will think about what more can be done.

HRT is increasingly available more widely and I urge all women of that certain age to speak with their doctors about whether HRT may help with their symptoms, and to ensure they get their full year’s supply on that single prescription. Ladies, let us take back control of this time in our lives. Go and see your GP and ask the question. Speak to your friends and support each other, as half of us of that certain age are anxious and losing confidence. We can help each other. Indeed, these debates are highly therapeutic for all of us to recognise that the brain fog is not quite a senior moment yet.

It is a pleasure to serve under your chairship, Mr Hollobone. I thank my hon. Friend the Member for Swansea East (Carolyn Harris) for her continued work in this area, together with the right hon. Member for Romsey and Southampton North (Caroline Nokes). I also thank the Backbench Business Committee for agreeing to this debate.

Approximately 13 million women in the UK are peri or postmenopausal. Ten per cent of women over 50 quit jobs due to menopause symptoms. Ninety per cent. of women get menopause symptoms, yet women get inadequate support due to the taboo around menopause in work, society and home life, as well as medically. The cost of HRT creates socioeconomic divides in access to support for the menopause, and I reiterate the point made so well about the fact that the Government’s commitment to securing the cost of HRT will not come into place until April 2023. Given the current cost of living crisis, that has a real impact on working-class women in my constituency of Luton South, particularly as the menopause is not a choice.

Similarly to the hon. Member for North Devon (Selaine Saxby), I want to focus on menopause in the workplace. As our workforce age year on year, studies show that around 75% to 85% of menopausal women are in work. It is hugely important to tackle attitudes and policies relating to the menopause in the workplace, to ensure that women are supported and do not feel forced into leaving their positions. We have heard how nearly 1 million women leave the workplace due to menopause every year, and that just exacerbates gender inequality in the workplace and the gender pay gap. There are many employers who are still failing to consider menopause as a proper health condition and who lack supportive policies that help those going through the change.

Women who have experienced the menopause while at work have discussed their frustration at suffering from loss of concentration, brain fog, fatigue, anxiety, hot flushes, sweats or bleeding while they are at work. And the brain fog is real—I can assure the Minister of that.

It is a pleasure to serve under your chairmanship today, Mr Hollobone.

I pay particular tribute to the hon. Member for Swansea East (Carolyn Harris). Not only did she share some purple hair dye with my daughter, who at the time was 17, but she persuaded my daughter, who is now 18, to ask me about the menopause, so in my household anyway, the hon. Member is quite a famous person.

I also pay tribute to my right hon. Friend the Member for Romsey and Southampton North (Caroline Nokes). I always get confused by that constituency name, because I represent South Northamptonshire, so it is somehow a real tongue-twister; I am sure she understands.

I also pay tribute to everyone here today who is now openly talking about the menopause. For me, all the way through until I started menopause—quite late, as it happened—I did not know the foggiest thing about it, literally. What is it? Nobody ever talked about the menopause, and that is extraordinary. We all chat about Viagra, and that serves a very different purpose; but the menopause, which affects 100% of women at some point in their lives, is somehow a taboo subject, particularly the consequences for women—feeling terrible, not being able to sleep and all the things that hon. Members have been talked about today.

Yet 41% of medical schools do not teach menopause as a mandatory subject. How utterly bizarre is that? It is completely strange. A study by Newson Health highlighted that 79% of women surveyed had visited their GP regarding clearly menopausal symptoms, yet only 37% were given hormone replacement therapy, and 23% were given antidepressants. In addition, women often face a wait of more than a year to get help. It is utterly ridiculous.

As Liz Earle, who is famous for her face products but is a real campaigner for helping women through the menopause, has said:

It is a pleasure to serve under your chairmanship, Mr Hollobone, especially in this debate. I will probably not take four minutes—that will sound strange to many folk who hear me here regularly—but I am just here as a cheerleader. I went through the menopause—I was trying to work it out, but my arithmetic is absolutely rubbish—about 30 years ago. I know it is hard to believe, but it is true. It was an early-ish menopause, and no one spoke about it. It was the Cissie and Ada time—Les Dawson and his colleague, who just mouthed “the change”.

I find it refreshing, glorious and essential that we talk about menopause. The hon. Member for Swansea East (Carolyn Harris) knows that she is my heroine, even though I got to meet Richard Gere and she did not—that has always been a bone of contention between us. I pay tribute to her and her work. I also pay tribute to the right hon. Member for Romsey and Southampton North (Caroline Nokes), with whom I served on the Education Committee. They are great role models, including for people like me.

Another of my role models is my First Minister in Scotland, Nicola Sturgeon. She recently went to a centre in Coatbridge—I may have got the location wrong—to talk to other women about the menopause. That would not have happened even five or six years ago, but it is vital for all the reasons that everyone has talked about. We have heard the statistics about working women who are going through the menopause, and about the lack of understanding from employers.

I was fortunate, because I worked in an FE college and I commanded the room. If I felt hot, the students had wide open windows. If I did not feel too great, they kind of tiptoed around me, but I did not tell them that I was suffering from the menopause. They did not really know what was going on. It is important that younger women, younger men and older men know what the menopause involves. We must not make life even more difficult for 50% of the population, who are experienced—usually highly experienced—working colleagues.

It is a pleasure to serve under your chairmanship, Mr Hollobone. I pay tribute to the hon. Member for Swansea East (Carolyn Harris), and to my hon. Friend the Member for Lewes (Maria Caulfield), who did so much to ensure that people can get prescriptions for HRT over the counter. I also pay tribute to my hon. Friend the Member for Mid Sussex (Mims Davies), who is here but cannot speak in the debate. In her role as employment Minister, she recognises that the menopause is not simply a health issue; it also affects the economy, employment and women’s wellbeing in later life. I hesitate to use that phrase; I must declare my interest.

I will give the Minister a hard time. Back in July, the Women and Equalities Committee published our “Menopause and the workplace” report. I recognise that he is a Health Minister, but I hope he understands my disappointment that we are still waiting for a Health response to our report. This afternoon, I was sent an email apologising again for the fact that tomorrow the response to that report will be one month late, and telling me to expect the full response in the coming months. It is a very bad plan to tell a menopausal woman to wait for anything. They should not be waiting for their single prescription over 12 months, and we should not be waiting for months for the Government to come up with a response to a very sensible—I would say that—report.

What do I actually want from that response? I want to see flexible working, so I want an employment Bill. That is not the Minister’s responsibility. I want to see a consultation on whether the menopause should be a protected characteristic. That is not the Minister’s responsibility either. I am disappointed, because we should have a cross-Government response to the report.

We should see mandatory workplace policies, with the Department for Business, Energy and Industrial Strategy leading the way to provide that resource to employers, free of charge on its website, as easy as anything. Great organisations such as Henpicked already do that. I was at the Menopause Friendly employers awards last month, and it was absolutely brilliant. Lots of employers have signed up, but why is BEIS not leading the way on that? We want to see the enactment of section 14 of the Equality Act 2010. That will be lost on the Minister; he will not know what I am talking about. I urge him to talk to the Government Equalities Office and at least consider that.