The government has published the first-ever Women's Health Strategy for England to tackle the gender health gap

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Women and girls across England will benefit from improved healthcare following the publication of the first ever government-led Women’s Health Strategy for England today (Wednesday 20 July).

Following a call for evidence which generated almost 100,000 responses from individuals across England, and building on Our Vision for Women’s Health, the strategy sets bold ambitions to tackle deep-rooted, systemic issues within the health and care system to improve the health and wellbeing of women and reset how the health and care system listens to women.

The strategy includes key commitments around new research and data gathering, the expansion of women’s health-focused education and training for incoming doctors, improvements to fertility services, ensuring women have access to high quality health information, and updating guidance for female specific health conditions like endometriosis to ensure the latest evidence and advice is being used in treatment.

Women live on average for longer than men but spend more of their life in poor health, often limiting their ability to work and participate in day to day activities. Closing the gender health gap and supporting women to live well will not only benefit the health and wellbeing of women, but the health of the economy.

Responses to the call for evidence highlighted a need for greater focus on women’s specific health conditions including fertility and pregnancy loss, and gynaecological conditions such as endometriosis, which affects 1 in 10 women. To support progress already underway in these areas the strategy aims to:

This will support our ambition that national healthcare services consider women’s needs specifically and by default, and that women can access services that meet their reproductive health needs throughout their lives.

Health and Social Care Secretary Steve Barclay said:

Minister for Women’s Health Maria Caulfield said:

Women and clinicians also called for the expansion of information and educational resources for women and healthcare professionals, and more cohesion in the way services are provided, making it as simple as possible for women to access the healthcare they need.

Our vision set out that all women should have access to high-quality information and education from childhood through to adulthood, and that all women should have equal access to and experience of services, reducing disparities in outcomes. Building on this, the strategy commits to:

Women’s Health Ambassador Dame Lesley Regan said:

Feedback from thousands of women across the country revealed that they feel their voices were not always listened to, and there was a lack of understanding or awareness amongst some medical professionals about health conditions which affect women. To address this, the strategy commits to:

By tackling the gender data gap through increased research, building understanding through training and tackling the root causes of why women’s voices are not always listened to, both women and clinicians should feel empowered to have more informed discussions over their care.

Chief Scientific Advisor at the Department of Health and Social Care and Chief Executive Officer of the NIHR Lucy Chappell said:

The publication of the Strategy is the latest action taken by the government to address the issues and disparities many women face. This includes appointing the first ever Women’s Health Ambassador for England earlier this year, the creation of a network of family hubs in 75 upper-tier local authorities across England, and providing protections to the millions of people who experience domestic abuse through the Domestic Abuse Act 2021.

We have also taken action to increase access to Hormone Replacement Therapy (HRT) and reduce costs of this medication. The creation of a prepayment certificate will mean women can access HRT on a month-by-month basis if need be, easing pressure on supply, paying a one-off charge equivalent to two single prescription charges, currently £18.70, for all their HRT prescriptions for a year. This system will be implemented by April 2023.

To ensure women can reliably access HRT, decisive action has been taken including the appointment of Madelaine McTernan as chair of the HRT supply taskforce and issuing of serious shortage protocols to even out distribution and provide greater flexibility to allow community pharmacists to supply specified alternatives, where appropriate.

The government has already been taking action to begin to address the issues and disparities women face, including: