The NHS is set to implement a significant change by including questions about the menopause in routine health checks, a move expected to benefit nearly five million women across England. This initiative aims to raise awareness of menopause symptoms, such as hot flushes, mood swings, and sleep difficulties, and encourage women to seek support rather than endure these often debilitating changes in silence. Health Secretary Wes Streeting highlighted that women have been "suffering in silence for too long" and that this change will finally provide the visibility and support that those experiencing menopause and perimenopause have long demanded.
Menopause typically occurs between the ages of 45 and 55, marking the end of menstrual periods due to declining hormone levels, with a transitional phase known as perimenopause lasting several years beforehand. Routinely offered every five years to eligible people aged 40 to 74, NHS health checks have traditionally focused on conditions such as heart disease, stroke, type 2 diabetes, kidney disease, and dementia. The forthcoming inclusion of menopause-related questions—currently under development with expert guidance—reflects a broader overhaul of women's healthcare led by the government.
This move responds to longstanding criticism about how menopause has been neglected within the healthcare system. According to the Department of Health and Social Care, about 75% of women experience symptoms such as weight gain, joint pain, memory issues, and "brain fog," yet fewer than 10% feel they have enough information to manage these changes effectively. Dr Sue Mann, NHS England's national clinical director for women's health, stressed that many women feel unheard and unsupported regarding menopause symptoms that can profoundly impact their lives. The revision of NHS health checks is part of a concerted effort to change this, ensuring women no longer have to "put on a brave face" while facing these challenges alone.
The initiative has received broad support, including from the Local Government Association (LGA), whose Health and Wellbeing Committee Chair, Cllr Dr Wendy Taylor, called it a "long-overdue recognition" of menopause's significant impact on women's health and quality of life. She emphasised the importance of normalising conversations around menopause to promote early intervention and reduce stigma.
This change also aligns with the government’s renewed Women's Health Strategy, which aims to remove barriers to healthcare access for women across England and ensures timely, appropriate care. The strategy reinforces a commitment to building an NHS fit for the future—one that better addresses women’s health needs throughout their lives.
Meanwhile, advocacy efforts continue to push for even more comprehensive support. MPs from the All-Party Parliamentary Group on Menopause, for instance, have called for free NHS menopause health checks for all women aged 45 and over, alongside improved access to Hormone Replacement Therapy (HRT) and enhanced training for healthcare professionals regarding menopausal symptoms.
Supporting these healthcare reforms, initiatives such as Health Innovation North West Coast being awarded 'Menopause Approved' status highlight a growing commitment within the NHS to foster menopause awareness and better support women in workplaces and healthcare settings alike.
Overall, the integration of menopause questions into NHS health checks marks an important step toward recognising and addressing menopause as a serious health issue rather than a natural but silent passage. It promises to empower millions of women with the information and support necessary to manage their symptoms and improve their quality of life.
📌 Reference Map:
- Paragraph 1 – [1] (Manchester Evening News), [2] (gov.uk)
- Paragraph 2 – [1] (Manchester Evening News), [2] (gov.uk)
- Paragraph 3 – [1] (Manchester Evening News), [4] (ITV News)
- Paragraph 4 – [1] (Manchester Evening News), [3] (Local Government Association)
- Paragraph 5 – [5] (gov.uk), [1] (Manchester Evening News)
- Paragraph 6 – [7] (Sky News), [1] (Manchester Evening News)
- Paragraph 7 – [6] (Health Innovation North West Coast), [1] (Manchester Evening News)
- Paragraph 8 – Synthesised from all sources
Source: Noah Wire Services