PARLIAMENTARY DEBATE
Women’s Health Strategy - 16 April 2026 (Commons/Commons Chamber)
Debate Detail
The NHS was founded on the principle of equality and the right care for everyone, whenever they need it, but there is no getting away from the fact that it has failed to live up to that founding promise. For too long, women have been left to navigate a confusing system, fighting to get the basic care they deserve, and under-represented in health research. Above all, women’s voices and choices have been dismissed, and it is truly shocking how often women have been ignored when telling medical professionals about their pain. From pelvic mesh to endometriosis, we are expected to put up with pain as our lot in life, as if it were normal. But it is not normal, and since coming into office this Government have taken a number of measures to improve women’s health.
We have taken action to bring down gynaecology waiting lists, introduced menopause questions into routine health checks, made the morning-after pill available for free at high street pharmacies, stood up a rapid and independent investigation into maternity services, and introduced Jess’s rule, so that GP teams have to “reflect, review and rethink” if a patient presents three times with the same or escalating symptoms.
The blunt reality is that the NHS is failing women and girls on even the most basic measures of healthcare. Indeed, we do not treat all women equally either. The wealthiest 10% of women live almost 10 years longer than the poorest 10%, while the most deprived spend over a third of their lives in bad health—something I see starkly in my constituency of Bristol South. Disabled women experience poorer outcomes, and we should recognise the additional disadvantage faced by black and Asian women, who face the double discrimination of racism and misogyny all at once.
Our renewed women’s health strategy will address those and other glaring injustices. It will give women and girls faster care from a health system that actually listens. It will make it simpler and faster for them to access the care they need the first time they ask for it, and it will make sure that the latest innovations work for women, ranging from reproductive and maternal health to menopause and chronic conditions. Of course, every day women are receiving outstanding, compassionate care from our dedicated NHS staff, but being ignored, gaslit, humiliated and disrespected are all-too-common experiences for far too many. More than eight women in 10 say there have been times when healthcare professionals did not listen to them. Our mission is to dismantle the culture and ingrained behaviours that allow that medical misogyny to fester and grow, and that starts by listening to women.
Women’s voices and choices are the golden thread that runs through this renewed strategy. Their voices will be heard, as we work to reduce variation in how GPs listen to and respond to women, using patient survey data in a quality improvement programme. Their voices will be heard as we capture whether women have been treated with respect, kept informed, and involved in decisions about their own care. Their voices will be heard, as we co-develop new standards of care for procedures such as hysteroscopy, so that every woman has informed consent and a real choice over her pain relief.
Yesterday, my right hon. Friend the Secretary of State announced that we will do the first trial of a scheme known as patient power payments, which will cover gynaecology services. Women will get a say on whether the NHS provider should get full payment for the services women receive, based on the quality of their experience. It means that if a woman is not happy with her experience, a portion of the tariff paid to that provider would be redirected to fund improvements in the same services instead. In other words, women will have the power to kick medical misogyny where it hurts: in the budget.
All this is building on the evidence and expertise that informed the original strategy. I wish to acknowledge the intended ambition of that work, not least because it was based on the contributions of thousands of women. However, the changes that were promised have not translated into consistent improvements in access, quality of care or outcomes. Take gynaecology services. The waiting list for gynae care was north of 600,000 when we took office. Today that figure is finally moving in the right direction, but we cannot make as much progress as we would like because the system simply was not designed with women in mind.
I pay tribute to Baroness Merron, who has led this work on behalf of the Government. As she made clear in her foreword, this system was not designed in such a way—to be fair to Nye Bevan, in 1948 he was largely thinking about working men who were dying early in their sixties from the awful consequences of poor work, with some support for maternity services. We need to change that. We will support integrated care boards to introduce a single point of access for all non-urgent referrals to gynaecology and women’s health services, to speed up access. We will redesign the most common clinical pathways for heavy periods, menopause and urogynaecology, to remove unnecessary delays. Women with fibroids and endometriosis will be listened to at first presentation. They will be seen faster, and offered clear information through our new virtual hospital, NHS Online.
Women’s health pathways are being prioritised in NHS Online, and menopause and menstrual health services will be among the first to go live when it becomes operational this year.[Official Report, 28 April 2026; Vol. 784, c. 8WC.] (Correction) There will be a relentless focus on reducing women’s pain, improving standards, and reducing variation in both procedural and chronic pain management, including for chronic pelvic pain. We will launch a new programme to help young girls grow up understanding their menstrual health and know when to seek help.
From gynaecology to pain relief, our renewed strategy takes forward the work of the previous Government, and goes further and faster to fill the holes they left. It has only been made possible by the record £26 billion in funding for the NHS that was secured by my right hon. Friend the Chancellor, the first woman to hold that office. All that will be underpinned by an NHS that finally listens with respect, dignity and compassion to the voices and choices of every woman and every girl, every time. That is not least with the creation of the women’s voices partnership, which is a new space for organisations representing women, giving them a direct line to Whitehall to inform national decision-making. The partnership will have a particular focus on those women who are most excluded from traditional services, and through it we will ensure that women’s voices help to shape the long-term direction of NHS reform.
Unlike the original strategy that was based on an outdated model of care, this renewed strategy maps across the three shifts in our 10-year plan for health. The shift from sickness to prevention will mean that women can better understand and act on their risk of conditions such as breast cancer and diabetes. The shift from hospital to community will mean services designed around women’s lives, with much faster access to diagnosis and treatment. The shift from analogue to digital will mean that women will avoid long waiting lists for painful conditions through NHS Online. Within two years we will launch a new challenge fund, backing the most promising women’s health technology start-ups, with a focus on tackling health inequalities in community settings. We are embedding new sex and gender policies into studies through the National Institute for Health and Care Research, so that findings are genuinely representative and no woman is left behind by science.
As every woman hearing this statement knows, to fully exercise power over our lives we need to be at the top of our game, both mentally and physically. We also know that women’s health has been neglected for too long. It therefore falls to this Government to restore the founding promise of our national health service, and to deliver the right care for everyone when they need it. From the classroom to the clinic, our renewed women’s health strategy promises a fairer, healthier future for women and girls everywhere, acting on women’s voices and choices, transforming NHS performance in services that matter most to women, supporting all women to live healthier lives, and creating an approach to research and development that works for and empowers women. We are designing the system to fit around women’s lives. This will not be a strategy that sits around gathering dust on a shelf, because women are counting on us, and we will not let them down.
Today it is one year since the For Women Scotland judgment in the Supreme Court confirmed that sex is biological sex. At the time the Secretary of State told the public:
“We will be issuing guidance in the coming weeks before the summer”.
To be fair to him, he did not say which summer. This week, a Minister told the House that the guidance on single-sex spaces could not be published under purdah rules until after the local elections. Will the Minister explain why it is okay to announce policy on other aspects of women’s health but not on single-sex provision in the NHS?
I find it remarkable that the Minister has the audacity to talk about women harmed by pelvic mesh when, after almost two years in office, the Government have still not responded to the Hughes report. When do they intend to do so?
I was disappointed not to find a commitment in the strategy to the lobular breast cancer moon shot project. Will the Minister give us a timeline for what I understand is a commitment to that project by the Government?
The Minister talked about waiting lists. While it is welcome that gynaecology waiting lists have fallen in the past year by 1.9%, for those requiring some sort of procedure or admission, waiting lists are 4.5% higher than they were a year ago. One way to make waiting lists shorter is to not start counting until someone has been waiting for a few days already—more targets can certainly be hit that way—so will the Minister clear something up for me? The Government have decided to prevent GPs from directly referring patients to consultants, insisting that they request advice from consultant-led teams instead. If the consultant then decides to offer an appointment, the clock starts, but that will be a few days after the original request is received, making the waiting time a few days shorter. This is where it gets really confusing: the Minister for Care said that the rules are going to change so that the clock will start when the advice request is received, so that patient waiting times are accurately reflected, but the Minister for Secondary Care has said that that will only happen from October.
Who is right? Do the Government intend to try and fiddle the figures by making people’s waits look shorter between now and the autumn? Given that we have heard different answers from two different Ministers, do they not know what is going on? Or can they confirm that with their new process and with immediate effect waiting times will be calculated from the moment that the advice and guidance request is received, in the same way as happens with referrals now?
The first chapter of the strategy is about acting on women’s voices and listening to women, which of course is welcome, but the Government plan to abolish Healthwatch in favour of listening to organisations. Why are the views of organisations that may or may not accurately represent the voices of women more generally being prioritised, and the voices of women themselves being somewhat deprioritised?
In the strategy, the Government commit to increasing capacity for surgical—in other words, later—abortions. They commit to making the morning after pill available free from pharmacies; they have made the oral contraceptive pill available from pharmacies too, and they have said that they will improve workforce capacity to provide long-acting reversible contraception. At a time when sexually transmitted infections are on the rise, with potential significant short-term and long-term consequences for women, there is no mention of condoms in the strategy. Given that some men can be reluctant to use condoms and there is discussion of eliminating misogyny throughout the document, will the Minister explain the choice not to include those too?
Another issue I want to raise is that of fracture liaison services. On entering Government, the Secretary of State said that one of his first jobs would be to establish universal fracture liaison services by 2030, yet that is moving at such a slow pace that he will not meet his target. Will the Minister set out how many of the dual-energy X-ray absorptiometry—DEXA—scanners are new, how many are replacements and how many will be used to set up new fracture liaison services?
There are many more questions that I can ask, but I understand that I have run out of time. In summary, while there are a few good points, it has taken a long time to produce a strategy that is rather disappointing. Women deserve much better.
In launching what we call a “renewed strategy” we have given credit to the previous strategy, which we welcomed when we were in opposition. However, on issues where there could be cross-party agreement, from going to war to the women’s health strategy, the Conservatives’ modus operandi is now to give nothing for us to work on together on behalf of the people who we represent. It is disappointing that they choose to start on a negative and really they could have done better.
In opposition, we welcomed the initiative to have a women’s health strategy and we supported that work going forward, which has led to the publication of this renewed strategy, because the diagnosis of many of the issues was right. However, as I have made clear, we are upending the system because for decades the health service was built around the work and health needs of men and the predominance of men working in the system, despite the fact that 77% of our nursing staff are women. We are upending that to put women’s voices and choices front and centre, including control of the budget and through NHS Online. Those are the game changers.
The Conservatives do not recognise the total game-changing nature of NHS Online in facilitating services for women wherever they live across the country, whether they live near highly specialised centres, such as those that I am privileged to have in my city of Bristol, in the coastal and rural communities represented by Members from across the House, or near tertiary centres. Any woman, from any part of our country, can access NHS Online and have that specialist service. We are trialling that with gynaecology. They will then get support from our rapidly expanding community diagnostic centres, about whose expansion we made an announcement this week, in order to get quicker diagnosis and the support that they need, closer to home in their neighbourhood health services.
I am happy to respond to the other issues that the hon. Lady raises, including the For Women Scotland judgment, and to set out the work that we have had to do to clear up the mess that the Conservatives left. Everything that happened to women under that system happened on the watch of the Conservative Government, from self ID to the issues at the Tavistock and everything else. There was a lack of rules, a lack of governance and a lack of clarity, and they did not take control. That is the mess that we inherited from the Conservative Government.
The Minister for Women and Equalities, my right hon. Friend the Member for Houghton and Sunderland South (Bridget Phillipson), is doing an excellent job: she is made of steel and good experience, and she has had to navigate a difficult landscape. The Conservatives understand the rules of purdah like the rest of us, so let us not pretend that they do not. My right hon. Friend will be laying that guidance as soon as she can after the election.
I will go on to talk about the DEXA scanners that we are investing in and fracture liaison services bringing people together, which were promises in our manifesto. This strategy is about specialists coming together and working together in fracture liaison services and women’s health hubs. Those have led the way among clinicians about how we can work better for women. That is why we are building on and expanding them, and it is disappointing that the Conservatives do not want to work with us on that.
The picture around maternity safety is deeply troubling. Maternal mortality has increased by over 20% in the past 15 years, and there have recently been some high-profile media discussions about women and babies being let down, sometimes with devastating consequences. That is why the Liberal Democrats have been calling for one-to-one midwifery care and specialist doctors on every unit.
I welcome the Government’s specific commitment on treatments for morning sickness. My hon. Friend the Member for Lewes (James MacCleary) has campaigned on that issue for a long time, and it is right that we end the postcode lottery for these medicines. The condition can be debilitating for some people, and it is not fair that women have different experiences simply because of where they live.
Given that this is not the first women’s health strategy to be brought to this place—the previous Government brought one through in 2022—and the fact that many women we speak to do not feel that there has been any meaningful change, a lot of people are saying that we cannot just keep announcing strategies while women are waiting for basic care. Given the failure of the last Government to deliver meaningful change, can we have reassurances that this will not simply be another strategy announcement and that women will feel a difference in the care that they receive?
Let me turn to some of the issues that the hon. Gentleman raised. May I take the opportunity to mention endometriosis in particular? There have long been campaigns on that issue in this place from many women and men such as him talking not on behalf of their partners, but for them about the suffering. That is all very welcome.
I commend the work of Sir David Amess, a former Member of the House whose plaque is behind us, and of my right hon. Friend the Member for Redcar (Anna Turley) in chairing the all-party parliamentary group on endometriosis. When in opposition in 2017 or 2018, I had a member of staff—I hope she does not mind my saying so—who opened my eyes to this issue. Persistence works. We have got to where we are by supporting women’s voices across the country, and that is front and centre in this strategy.
On the hon. Gentleman’s wider point, I am sure that when he gets all the way through the strategy, he will see that there is a list of 102 actions—if I remember rightly—with dates aligned to them. I am sure that all hon. Members will look at that. I notice that my friend Baroness Merron is in the Gallery; she will be keeping everybody’s feet to the fire, including the Secretary of State’s, to deliver on this work. That list is in the strategy, and we wanted to set it out very clearly. We are waiting for the roll-out of NHS Online during the summer, and seeing how that works will be a litmus test for us, so I very much welcome the hon. Gentleman’s challenging us on that.
I wanted to highlight that, because it is very rare that constituents contact us on the publication of a Government report to comment on its contents so quickly. That shows what an absolute hotbed this issue is and how profoundly it affects people. They speak of sometimes having decades of debilitating pain, going into debt while looking for treatment, losing housing, and suffering from relationships being impacted, their jobs being undermined and experiencing a loss of income, but overall they talk about how the condition is just not recognised and how their pain goes unheard.
One of my constituents said that women need better understanding, better support and better options, and seeing that set out in black and white in a Government report has really meant so much to women. Will the Minister join me in thanking these women for their bravery in continuing to raise their voices despite their continued experience?
May I commend my right hon. Friend the Secretary of State? He was on various media yesterday and he has been working with people such as influencers to give voice to those women. I think that this is an important part of our democracy. It is worth emailing MPs—I am sorry if that elicits more emails to other Members and to my staff—because we listen and we are engaged. It matters when people raise these issues in our surgeries and come forward with them. Sometimes policy development and getting action is a struggle for all of us; it is tough and takes a long time. The process of politics sometimes takes too long, but those women have made this happen, and I thank them for it.
Again, bringing voices forward is a key part of this work. The thing to bear in mind in the development of this strategy is that it is predicated on the 10-year plan and on bringing care closer to home. For example, people who have stoma and stoma care sometimes have quick questions and do not need to make an appointment to go and see somebody else, with lots of rapid appointments to and from a hospital, and all the parking, travelling and so on.
There are ways in which we can use online services and particularly neighbourhood services, where people are closer to home, to facilitate the management of care of things like stoma after people have come through or are in ongoing care. That is the sort of place where we have voices and experience informing local care, which will look different in different geographies depending on the other facilities available. I ask the hon. Gentleman to keep working with us on how that experience works out.
On behalf of the many women and, heartbreakingly, children who suffer from chronic urinary tract infections, can the Minister confirm whether those commitments cover the treatment of acute, recurrent and chronic UTIs? Will she consider our requests for support to establish agreed clinical definitions for the different types of UTIs so that we can inform long-overdue updates to National Institute for Health and Care Excellence guidelines and finally end the scandal of sufferers being ignored and gaslit by medical professionals, which has happened for far too long?
The hon. Gentleman tempts me to move into some clinical definitions and clinical pathways. I am not going to do that, but I am very keen to hear about the work that the APPG is doing and its expertise. We will continue to hear from it and about the work that he and my hon. Friend the Member for Stoke-on-Trent South are leading to ensure that we make this work in reality. That is absolutely central to the strategy.
“this complaint is not simply about one patient having an unfortunate experience. It concerns what I believe to be a broader and deeply concerning failure in the way menstrual and gynaecological pain is recognised, assessed, investigated, and acted upon”.
I completely agree with her. Does my hon. Friend the Minister agree that yesterday’s renewed women’s health strategy allows us to commit to streamlining and improving gynaecological care, and can she tell me more about how she believes this will make a real difference for my constituents?
“we will improve mental health support for women and girls”,
but it does not say what the Government will do. Will they produce a strategy for delivering on this, and how will progress against this document be measured, so that we can hold the Government to account?
The other real game changer is the online service. As I said, women, wherever they live, be it in Harlow, Bristol, rural Lincolnshire or coastal areas like Thanet—I have heard from Members from so many places this afternoon—will have access to online specialist treatment. There will be a further roll-out of diagnostic services, to get that diagnostic record back into neighbourhood healthcare, so that people can be treated closer to home. Building an NHS around women, women’s needs, women’s experiences—that is the game changer promised by this Labour Government.
Contains Parliamentary information licensed under the Open Parliament Licence v3.0.