Recommendations & Conclusions
51 items
1
Conclusion
1st Report - Women's reproductive healt…
Accepted
High quality education about reproductive health is vital. Educating girls about their periods and the possibility of related conditions at a young age safeguards them against the distress of not understanding what is happening to their bodies and empowers them to identify problems and to seek help. We welcome the …
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High quality education about reproductive health is vital. Educating girls about their periods and the possibility of related conditions at a young age safeguards them against the distress of not understanding what is happening to their bodies and empowers them to identify problems and to seek help. We welcome the inclusion of teaching about reproductive health conditions in the draft RSHE statutory guidance.
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Government response AI summary
The government agrees on the importance of comprehensive menstrual health education and states the Department for Education is reviewing the RSHE statutory guidance, including menstrual and gynaecological health, with consultation results and its response to be published this year.
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Government Equalities Office
2
Recommendation
1st Report - Women's reproductive healt…
Deferred
However, we are concerned that the teaching of the menstrual health element of relationships, sex and health education is insufficient and inconsistent. It is often delivered too late in a child’s development to be of use and by teachers who lack the necessary training. The requirement in the draft guidance …
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However, we are concerned that the teaching of the menstrual health element of relationships, sex and health education is insufficient and inconsistent. It is often delivered too late in a child’s development to be of use and by teachers who lack the necessary training. The requirement in the draft guidance that schools need to cover reproductive health conditions only by the end of year 11 contrasts with Government advice that puberty and menstruation should be addressed before onset. It needs revising.
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Government response AI summary
The government agrees on the importance of comprehensive menstrual health education, outlining existing RSHE coverage, and states that the Department for Education is currently reviewing the statutory guidance and will consider the recommendations as part of this process, with results published this year.
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Government Equalities Office
3
Recommendation
1st Report - Women's reproductive healt…
Deferred
The Government should ensure teachers tasked with delivering the menstrual and gynaecological health element of RSHE receive the training necessary to deliver it effectively. Information on women’s reproductive health conditions should be taught early on in secondary education, preferably around the time most girls first experience menstruation. That information should …
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The Government should ensure teachers tasked with delivering the menstrual and gynaecological health element of RSHE receive the training necessary to deliver it effectively. Information on women’s reproductive health conditions should be taught early on in secondary education, preferably around the time most girls first experience menstruation. That information should include guidance on what is and is not considered to be healthy reproductive health and cover intersectional differences, preparing pupils to advocate for their needs and seek help when necessary.
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Government response AI summary
The government deflects the recommendation regarding teacher training for RSHE and curriculum content, instead focusing on the provision of general women's health information via the NHS website and the development of women's health hubs.
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Government Equalities Office
4
Conclusion
1st Report - Women's reproductive healt…
Deferred
The guidance fails to recognise the importance of boys and men understanding reproductive health conditions that their peers might experience and their role in changing the culture and stigma that girls face. (Paragraph 26) 72 Publicly available information
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The guidance fails to recognise the importance of boys and men understanding reproductive health conditions that their peers might experience and their role in changing the culture and stigma that girls face. (Paragraph 26) 72 Publicly available information
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Government response AI summary
The government's response focuses on the NHS's digital and social media initiatives to provide information to women and girls on reproductive health, and a competition for women's health innovations, rather than addressing the recommendation about teaching boys and men about female reproductive health conditions.
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Government Equalities Office
5
Conclusion
1st Report - Women's reproductive healt…
Deferred
The statutory guidance should specify that boys should be taught about female reproductive health conditions.
Government response AI summary
The government's response deflects the recommendation to specify teaching boys about female reproductive health in statutory guidance by discussing NHS England's plans for elective care reform, addressing racial biases in healthcare, and professional training for healthcare professionals.
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Government Equalities Office
6
Conclusion
1st Report - Women's reproductive healt…
Accepted
We welcome the ongoing improvements to the NHS website to include information about a wider range of women’s reproductive health conditions, information to specific communities and signposts to support and the ambition to include that information in alternative formats.
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We welcome the ongoing improvements to the NHS website to include information about a wider range of women’s reproductive health conditions, information to specific communities and signposts to support and the ambition to include that information in alternative formats.
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Government response AI summary
The government outlined existing plans for reforming elective care, including gynaecology pathways in community diagnostic centres, aiming to meet the 18-week referral-to-treatment standard by March 2029. It also highlighted ongoing Office for National Statistics studies on endometriosis and NHS England's work on developing metrics for …
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Government Equalities Office
7
Conclusion
1st Report - Women's reproductive healt…
Deferred
We know that many women and girls are using online spaces to get information and seek help while there are gaps in support in medical fields. It is therefore imperative that the NHS and trusted sources become a first-port-of-call to prevent misinformation. The NHS website and app must therefore be …
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We know that many women and girls are using online spaces to get information and seek help while there are gaps in support in medical fields. It is therefore imperative that the NHS and trusted sources become a first-port-of-call to prevent misinformation. The NHS website and app must therefore be comprehensive, accessible, inclusive, and highly-visible.
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Government response AI summary
The government focused on the inclusivity aspect, noting RCOG is developing a guideline for trans and gender-diverse adults by 2026, which NHS England encourages but will not actively implement. It mentioned NHS England's existing LGBT+ health programme but did not address the broader recommendation for …
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Government Equalities Office
8
Recommendation
1st Report - Women's reproductive healt…
Accepted
To supplement improvements in the provision of information on the NHS website, we recommend the inclusion of an interactive tool which can help women to determine whether they might have a reproductive health condition. We further recommend that information on specific conditions, contains links to the relevant medical guidelines so …
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To supplement improvements in the provision of information on the NHS website, we recommend the inclusion of an interactive tool which can help women to determine whether they might have a reproductive health condition. We further recommend that information on specific conditions, contains links to the relevant medical guidelines so that patients can make themselves aware of the care they should expect. Information on the website should be made accessible by default, including in different languages. The link between reproductive health conditions and mental ill health should also be clearer, with information on how to access support signposted. Women’s health hubs should be commissioned to provide tailored information at a local level, in a range of formats suited to their local population.
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Government response AI summary
The government emphasised that healthcare professionals are expected to provide comprehensive information, discuss treatment options, pain relief, and use shared decision-making, citing existing NHS England guidance. It also noted that women's health hubs provide specialist knowledge, but did not commit to any new actions regarding …
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Government Equalities Office
9
Conclusion
1st Report - Women's reproductive healt…
Deferred
With women and girls relying on online spaces and a proliferation of femtech apps to fill gaps in their knowledge of reproductive health conditions, the NHS should increase its own digital and social media presence in relation to reproductive health conditions. This should be consistent rather than a one-off campaign …
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With women and girls relying on online spaces and a proliferation of femtech apps to fill gaps in their knowledge of reproductive health conditions, the NHS should increase its own digital and social media presence in relation to reproductive health conditions. This should be consistent rather than a one-off campaign and monitored to ensure it reaches those in need of support with their reproductive health. (Paragraph 36) Accessing support and treatment
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Government response AI summary
The government did not address the recommendation to increase the NHS's digital and social media presence for reproductive health. Instead, it acknowledged poor experiences with procedural pain and committed to NHS England holding a roundtable in spring 2025 to discuss issues, review training, and identify …
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Government Equalities Office
10
Conclusion
1st Report - Women's reproductive healt…
Accepted
There is a clear lack of awareness and understanding of women’s reproductive health conditions among primary healthcare practitioners, particularly when those conditions occur in young women and girls. Women are finding their symptoms normalised and their pain dismissed, with an ingrained belief among some healthcare professionals that women, 73 particularly …
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There is a clear lack of awareness and understanding of women’s reproductive health conditions among primary healthcare practitioners, particularly when those conditions occur in young women and girls. Women are finding their symptoms normalised and their pain dismissed, with an ingrained belief among some healthcare professionals that women, 73 particularly those from a minority ethnic background, are exaggerating their symptoms. Such medical misogyny and racism is unacceptable.
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Government response AI summary
The government agreed on the importance of addressing women’s pain and experiences. It committed that NHS England, with DHSC, will review the potential of conducting the Reproductive Health Survey regularly and that NHS England will review national data collection processes and protocols, including scoping a …
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Government Equalities Office
11
Recommendation
1st Report - Women's reproductive healt…
Accepted
The NHS needs to urgently implement a training programme to improve the experience of treatment and diagnosis in primary care for women, girls, trans and non-binary people with reproductive ill health. Improving early diagnosis, including through the provision of follow up appointments, must be a priority to prevent a worsening …
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The NHS needs to urgently implement a training programme to improve the experience of treatment and diagnosis in primary care for women, girls, trans and non-binary people with reproductive ill health. Improving early diagnosis, including through the provision of follow up appointments, must be a priority to prevent a worsening of symptoms. The programme should seek to challenge racial biases and ensure that all those experiencing pain are believed and able to access treatment and support quickly. It should include training to support women and girls whose socio-cultural situation or beliefs make it harder to discuss reproductive health conditions and involve women and girls with lived experience.
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Government response AI summary
The government recognises the importance of raising awareness and committing to addressing racial biases, referring to an existing RCGP Women's Health Library with educational resources for primary care professionals. It also points to NHS England's plan to meet 18-week treatment standards by March 2029 for …
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Government Equalities Office
12
Conclusion
1st Report - Women's reproductive healt…
Deferred
Improvements in diagnosis times should be made a key performance indicator for the Women’s Health Strategy for England.
Government response AI summary
The government did not address the recommendation to make improvements in diagnosis times a key performance indicator for the Women’s Health Strategy. Instead, it focused on improving mental healthcare provision for women, committing to recruiting an additional 8,500 mental health workers and detailing existing mental …
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Government Equalities Office
13
Conclusion
1st Report - Women's reproductive healt…
Deferred
We support the Royal College for Obstetricians and Gynaecologists’ initiative for a guideline on inclusive care. When finalised it should be implemented throughout the healthcare system and medical practitioners must receive adequate training, with implementation monitored by the RCOG.
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We support the Royal College for Obstetricians and Gynaecologists’ initiative for a guideline on inclusive care. When finalised it should be implemented throughout the healthcare system and medical practitioners must receive adequate training, with implementation monitored by the RCOG.
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Government response AI summary
The government did not address the recommendation regarding the implementation, training, and monitoring of the RCOG guideline on inclusive care. Instead, it focused on the role of women's health hubs in local communities and their potential to commission mental health provision or offer referral pathways.
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Government Equalities Office
14
Conclusion
1st Report - Women's reproductive healt…
Deferred
Healthcare practitioners lack sufficient understanding of the range and suitability of treatment options available to treat reproductive health conditions. Too often conditions are viewed through the prism of fertility which, while a necessary consideration, should not be the only factor influencing a clinician’s judgement. There is also an evident lack …
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Healthcare practitioners lack sufficient understanding of the range and suitability of treatment options available to treat reproductive health conditions. Too often conditions are viewed through the prism of fertility which, while a necessary consideration, should not be the only factor influencing a clinician’s judgement. There is also an evident lack of empathy in primary care around the adverse effects some treatment options may have on a patient. For example, approaches which focus on managing symptoms rather than diagnosis risk diseases progressing with potentially life altering consequences.
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Government response AI summary
The government did not address the core recommendation about practitioners' lack of understanding, empathy, and narrow focus on fertility. It instead acknowledged the negative impact of mixed waiting areas and committed that NHS England will publish the findings of the NHS maternity and neonatal estates …
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Government Equalities Office
15
Conclusion
1st Report - Women's reproductive healt…
Deferred
The NHS must take steps to ensure healthcare practitioners keep up to date with the full range of diagnostic and treatment options available for reproductive health conditions. Those options, as well as waiting times and potential outcomes of surgical procedures and non-invasive alternatives, should be communicated to patients as a …
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The NHS must take steps to ensure healthcare practitioners keep up to date with the full range of diagnostic and treatment options available for reproductive health conditions. Those options, as well as waiting times and potential outcomes of surgical procedures and non-invasive alternatives, should be communicated to patients as a matter of course to allow informed, shared decision making. The NHS should identify and address any regional disparities in the availability of particular treatments and support. (Paragraph 66) 74 Pain of investigation
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Government response AI summary
The government did not address the recommendation for healthcare practitioners to keep up to date on treatment options, communicate these to patients, or address regional disparities. Instead, it focused on the problematic use of the term 'benign gynaecology', committing that NHS England is working with …
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Government Equalities Office
16
Conclusion
1st Report - Women's reproductive healt…
Deferred
The NHS is failing many patients who undergo routine reproductive healthcare procedures such as hysteroscopy, IUD fitting and cervical screening. In too many cases, we find that a duty of care from gynaecologists and other medical practitioners is absent. Women are being pressured into enduring severe pain and find that …
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The NHS is failing many patients who undergo routine reproductive healthcare procedures such as hysteroscopy, IUD fitting and cervical screening. In too many cases, we find that a duty of care from gynaecologists and other medical practitioners is absent. Women are being pressured into enduring severe pain and find that they are ignored or belittled by those charged with their care when they cannot. The Women’s Health Strategy for England does not sufficiently prioritise challenging this behaviour.
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Government response AI summary
The government did not directly address the concerns about absent duty of care, patients enduring severe pain, or being ignored/belittled during procedures. Instead, it focused on its commitment to cutting waiting lists and reforming elective care through NHS England's plan to meet the 18-week referral-to-treatment …
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Government Equalities Office
17
Conclusion
1st Report - Women's reproductive healt…
Accepted
The NHS must do more to monitor and enforce protocols governing procedures such hysteroscopy, IUD fitting and cervical screening and ensure that they are underpinned by informed consent and are trauma-informed. A risk assessment that allows a patient to make an informed choice on the recommended procedure should be undertaken …
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The NHS must do more to monitor and enforce protocols governing procedures such hysteroscopy, IUD fitting and cervical screening and ensure that they are underpinned by informed consent and are trauma-informed. A risk assessment that allows a patient to make an informed choice on the recommended procedure should be undertaken as standard, taking account of any previous history of undergoing related procedures. This should also include consideration of the patient’s mental and physical preparedness for a penetrative procedure, particularly in cases where the individual has not had or recently had penetrative sex. The full range of options on pain relief, including anaesthesia, should be considered and a clear commitment made that if the level of pain during the procedure is unbearable, that procedure will be halted and a separate appointment will be made. As membership bodies, the Royal College of Obstetricians and Gynaecologists and the Royal College of General Practitioners should be doing far more to ensure their members adhere to guidelines and best practice.
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Government response AI summary
The government commits to NHS England publishing a suite of adult and children's elective performance metrics, long waits, and waiting times data in an accessible format by March 2027. It will also increase the availability of elective, cancer, and outpatient data and expand diagnostic coding …
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Government Equalities Office
18
Recommendation
1st Report - Women's reproductive healt…
Deferred
Concerns about painful procedures have been raised for years with little sign of progress. We recommend the NHS collects data on whether guidelines for hysteroscopy, IUD fittings and other potentially painful gynaecological procedures are being adhered to. That data must include surveys of patient experience. Without the pressure of having …
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Concerns about painful procedures have been raised for years with little sign of progress. We recommend the NHS collects data on whether guidelines for hysteroscopy, IUD fittings and other potentially painful gynaecological procedures are being adhered to. That data must include surveys of patient experience. Without the pressure of having this information captured we are sceptical there will be the necessary drive to improve the level of care.
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Government response AI summary
The government's response did not address the recommendation about collecting data on adherence to guidelines for painful gynaecological procedures. Instead, it discussed the affordability of period products and prescription charges.
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Government Equalities Office
19
Conclusion
1st Report - Women's reproductive healt…
Deferred
Reducing the pain women experience during invasive procedures should be made a key performance indicator for the Women’s Health Strategy for England. (Paragraph 82) 75 Effect on mental health
Government response AI summary
The government's response did not address the recommendation about making pain reduction in invasive procedures a key performance indicator for the Women's Health Strategy. Instead, it discussed mandating gender equality action plans for large employers.
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Government Equalities Office
20
Conclusion
1st Report - Women's reproductive healt…
Accepted
Individuals with a suspected or diagnosed reproductive health condition should be offered specialist mental health support from when they start to report distressing and/or painful symptoms and throughout diagnosis and treatment. Delays at each step of the process and a lack of treatment options make mental health support all the …
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Individuals with a suspected or diagnosed reproductive health condition should be offered specialist mental health support from when they start to report distressing and/or painful symptoms and throughout diagnosis and treatment. Delays at each step of the process and a lack of treatment options make mental health support all the more essential.
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Government response AI summary
The government highlights existing Sexual Assault Referral Centres (SARCs) providing 24/7 care and enhanced mental health pathways for victims of rape and sexual assault. It states NHS England will review and develop website content for those needing help, and will consider the committee's broader recommendations …
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Government Equalities Office
21
Conclusion
1st Report - Women's reproductive healt…
Deferred
Women’s health hubs situated in areas where access to appropriate mental health services is lacking should be commissioned to include mental health support as part of their core specification.
Government response AI summary
The government's response focuses on the importance of training for primary care professionals in women's reproductive health and existing resources. It states NHS England is assessing workforce training gaps and scoping future clinical training needs but does not commit to commissioning mental health support as …
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Government Equalities Office
22
Conclusion
1st Report - Women's reproductive healt…
Deferred
NHS England should implement policies to ensure there are separate spaces for patients undergoing investigations or treatment for reproductive health conditions and obstetrics patients. (Paragraph 91) Waiting lists
Government response AI summary
The government's response did not address the recommendation for separate spaces for reproductive health and obstetrics patients. Instead, it discussed the diagnosis of Polycystic Ovary Syndrome (PCOS), including the potential role of AMH blood tests and NICE's planned clinical guideline on PCOS.
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Government Equalities Office
23
Conclusion
1st Report - Women's reproductive healt…
Deferred
The use of terminology such as ‘benign gynaecology’ downplays the impact of reproductive health conditions and risks de-prioritising them for treatment that could significantly improve patients’ health and lives.
Government response AI summary
The government's response did not address the recommendation to cease using terminology like 'benign gynaecology.' Instead, it focused on primary care professionals' training and appraisal processes, and how patient satisfaction is captured through the GP Patient Survey.
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Government Equalities Office
24
Conclusion
1st Report - Women's reproductive healt…
Rejected
NHS England should cease to use the term benign in relation to reproductive ill health. The NHS should work with stakeholders to develop a way to describe these conditions that more accurately reflects the serious impact they can have on people’s lives. This should include a wider discussion about what …
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NHS England should cease to use the term benign in relation to reproductive ill health. The NHS should work with stakeholders to develop a way to describe these conditions that more accurately reflects the serious impact they can have on people’s lives. This should include a wider discussion about what treatments take precedence for surgery and the steps necessary to ensure that chronic conditions primarily affecting women, such as endometriosis, are appropriately prioritised. This re-prioritisation is required to address the fact that gynaecology waiting lists have grown at a faster pace than any other specialty since the pandemic.
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Government response AI summary
The government recognizes the importance of training in women's reproductive health but states NHS England will not collect data on primary care practitioners' training hours due to burdens and logistical challenges. The recommendation about terminology and prioritisation for chronic conditions remains unaddressed.
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Government Equalities Office
25
Conclusion
1st Report - Women's reproductive healt…
Deferred
Measures to reduce waiting lists for elective surgery should prioritise areas where waiting lists are longest and disparities greatest. The NHS should provide financial support to women to allow them to travel further to access care earlier.
Government response AI summary
The government's response did not address the recommendation to prioritise waiting list reduction or provide financial support for women to travel for earlier care. Instead, it focused on the training and curricula of medical professionals, noting that women's health is included in GMC, RCGP, and …
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Government Equalities Office
26
Conclusion
1st Report - Women's reproductive healt…
Acknowledged
Data and analysis must improve. The NHS should collect data on where there are delays in the system, where women are being referred from, which could highlight areas where community provision is lacking, which groups of women are most affected by delays, to allow better understanding of health inequalities, how …
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Data and analysis must improve. The NHS should collect data on where there are delays in the system, where women are being referred from, which could highlight areas where community provision is lacking, which groups of women are most affected by delays, to allow better understanding of health inequalities, how many women are waiting for more than one type of treatment, and the satisfaction and outcomes of follow-ups, including which women and girls access this pathway. (Paragraph 99) 76 Period poverty
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Government response AI summary
The government commits to reviewing and updating existing e-learning training packages for primary care practitioners to promote opportunistic reproductive healthcare during routine contacts like the 6-8 week maternal postnatal check. It will also consider what else can be done to maximise routine contact points but …
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Government Equalities Office
27
Conclusion
1st Report - Women's reproductive healt…
Deferred
More than half of the population will experience menstruation yet women and girls are financially disadvantaged by having to pay for essential products without which they cannot leave their homes, work or attend education. This is an unfair burden, not least given the existing context of a gender pay gap …
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More than half of the population will experience menstruation yet women and girls are financially disadvantaged by having to pay for essential products without which they cannot leave their homes, work or attend education. This is an unfair burden, not least given the existing context of a gender pay gap and a cost of living crisis which disproportionately affected women. For those with conditions such as heavy bleeding, the cost is higher and products are not always effective, further affecting their mental health. Existing period and incontinence product schemes are inadequate.
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Government response AI summary
The government's response focused on the work of NICE in developing clinical guidelines for reproductive health conditions and its process for prioritising new guidance topics. It did not address the recommendation for reviewing period and incontinence product schemes or considering free provision of products.
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Government Equalities Office
28
Recommendation
1st Report - Women's reproductive healt…
Deferred
The Government should review existing period and incontinence product schemes alongside the burden of need. We recommend the Government considers the merits of legislating for free provision for particular groups such as children, students, people seeking asylum and those in receipt of benefits. Products that are appropriate for heavy bleeding …
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The Government should review existing period and incontinence product schemes alongside the burden of need. We recommend the Government considers the merits of legislating for free provision for particular groups such as children, students, people seeking asylum and those in receipt of benefits. Products that are appropriate for heavy bleeding and other urogynaecological conditions should be available on free prescription. As part of their corporate social responsibility we call on the major manufacturers of period and incontinence products to help fund the provision of those products. The introduction of such policies should be supported by a public awareness campaign. (Paragraph 103) Workplace support
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Government response AI summary
The government response outlined its commitment to a neighbourhood health service and the development of women's health hubs, noting 80 of 88 planned hubs are operational. It did not address the recommendation to review period and incontinence product schemes or consider free provision and prescriptions.
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Government Equalities Office
29
Conclusion
1st Report - Women's reproductive healt…
Deferred
Workplaces must be incentivised by the Government to have strategies in place to support women experiencing reproductive ill health. The availability of flexible working patterns, a workplace that provides easy access to period products, and time off to attend appointments are just some of the measures that can better support …
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Workplaces must be incentivised by the Government to have strategies in place to support women experiencing reproductive ill health. The availability of flexible working patterns, a workplace that provides easy access to period products, and time off to attend appointments are just some of the measures that can better support women at work. While some employers have recognised the benefits of policies such as paid leave for fertility treatment, pregnancy loss, menopause symptoms, and menstruation-related issues, there is not consistency across employers and sectors. The Employment Rights Bill is a good opportunity to address these concerns.
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Government response AI summary
The government response detailed efforts to tailor women's health hubs to local populations and outlined NHS England's development of an equity framework to reduce inequalities, focusing on menopause and heavy menstrual bleeding. It did not address workplace incentives, support strategies for reproductive ill health, or …
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Government Equalities Office
30
Conclusion
1st Report - Women's reproductive healt…
Deferred
Clause 26 of the Employment Rights Bill should be amended to make clear that supporting women with reproductive health conditions falls under the definition of advancing gender equality. (Paragraph 111) 77 Violence against women and girls
Government response AI summary
The government response highlighted the role of long-acting reversible contraception (LARC) in women's reproductive health and stated it will consider LARC fee structures and work to understand training issues. It did not address the recommendation to amend Clause 26 of the Employment Rights Bill.
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Government Equalities Office
31
Conclusion
1st Report - Women's reproductive healt…
Acknowledged
The Government’s plans for the Women’s Health Strategy for England should include support and guidance for women who have conceived as a result of rape, and for children born as a result of rape. This should include tailored information on the NHS website, including on rape-induced gynaecological issues. (Paragraph 113) …
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The Government’s plans for the Women’s Health Strategy for England should include support and guidance for women who have conceived as a result of rape, and for children born as a result of rape. This should include tailored information on the NHS website, including on rape-induced gynaecological issues. (Paragraph 113) Training and standards
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Government response AI summary
The government stated it is working to take forward the Women's Health Strategy for England and will 'take into account' the committee’s recommendations on specific areas of focus, including this one, as part of that ongoing work.
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Government Equalities Office
32
Recommendation
1st Report - Women's reproductive healt…
Deferred
The Department of Health and Social Care should set out plans to improve the accessibility and take up of professional development in women’s reproductive health conditions among practitioners in primary care. Those plans should include allocating increased funding for training on reproductive health conditions and protected time for GPs to …
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The Department of Health and Social Care should set out plans to improve the accessibility and take up of professional development in women’s reproductive health conditions among practitioners in primary care. Those plans should include allocating increased funding for training on reproductive health conditions and protected time for GPs to undertake that training.
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Government response AI summary
The government detailed its commitment to funding research into women’s reproductive health conditions through NIHR and UKRI, highlighting initiatives to increase investment and support academic training in this field. It did not outline plans for improving professional development or funding for primary care practitioners' training.
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Government Equalities Office
33
Conclusion
1st Report - Women's reproductive healt…
Acknowledged
The approval of the anti-mullarian hormone blood test as another tool to assist in the diagnosis of polycycstic ovary syndrome is a welcome development. NHS England should evaluate the merits of rolling it out nationally as a matter of priority.
Government response AI summary
The government stated it is working to take forward the Women’s Health Strategy for England and will consider the committee's recommendations on topics and key indicators, including the evaluation of the anti-mullarian hormone blood test, as part of this ongoing work.
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Government Equalities Office
34
Conclusion
1st Report - Women's reproductive healt…
Deferred
GPs face difficulties diagnosing complicated reproductive healthcare conditions which may present with a variety of symptoms. They face workplace pressures, have short consultation times, and can struggle to access training and guidance. While it is positive to see that medical guidelines and assessments are being updated, further work on professional …
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GPs face difficulties diagnosing complicated reproductive healthcare conditions which may present with a variety of symptoms. They face workplace pressures, have short consultation times, and can struggle to access training and guidance. While it is positive to see that medical guidelines and assessments are being updated, further work on professional standards is required if the invalidation that women have reported during this inquiry is to be adequately addressed.
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Government response AI summary
The government acknowledged the importance of early intervention and referred to NHS England’s plan to reform elective care and meet the 18-week referral-to-treatment standard by March 2029, which aims for earlier diagnoses and treatment. It did not commit to further work on specific professional standards …
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Government Equalities Office
35
Recommendation
1st Report - Women's reproductive healt…
Rejected
The annual GP appraisal process should be strengthened to include a specific performance indicator on the diagnosis and treatment of women’s reproductive health conditions, including intersectional considerations. That indicator should include patient experience.
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The annual GP appraisal process should be strengthened to include a specific performance indicator on the diagnosis and treatment of women’s reproductive health conditions, including intersectional considerations. That indicator should include patient experience.
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Government response AI summary
The government rejects adding specific performance indicators for women's reproductive health to GP appraisals, explaining that such indicators are not part of the system, but notes that patient experience is already captured through 360-degree reviews and the GP Patient Survey.
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Government Equalities Office
36
Recommendation
1st Report - Women's reproductive healt…
Rejected
NHS Digital should collect data on how many hours of training primary care practitioners undergo annually in the field of women’s reproductive health. (Paragraph 131) Medical education
Government response AI summary
The government rejects the recommendation for NHS Digital to collect data on training hours for primary care practitioners, citing burdens, potential overlap with regulators, and logistical challenges, and refers to existing CPD and appraisal processes.
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Government Equalities Office
37
Recommendation
1st Report - Women's reproductive healt…
Accepted
Training on women’s reproductive health in medical schools needs to be improved. Healthcare practitioners are graduating without sufficient knowledge of the conditions that may affect women over their lifetime . 78 Without that education, healthcare professionals are less likely to choose women’s health as a specialty and less able to …
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Training on women’s reproductive health in medical schools needs to be improved. Healthcare practitioners are graduating without sufficient knowledge of the conditions that may affect women over their lifetime . 78 Without that education, healthcare professionals are less likely to choose women’s health as a specialty and less able to support women during their interactions with the health service.
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Government response AI summary
The government acknowledges the importance of training and describes existing measures, such as GMC standards, the new MLA assessment topics (including women's health), and mandatory obstetrics and gynaecology rotations, as already addressing the need for improved education.
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Government Equalities Office
38
Recommendation
1st Report - Women's reproductive healt…
Deferred
The Government should work with the RCOG, RCGP and the GMC to improve the teaching of women’s health at undergraduate level and ensure it is an integral part of medical education for all those seeking a career in healthcare. As part of that work the Government should consider how to …
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The Government should work with the RCOG, RCGP and the GMC to improve the teaching of women’s health at undergraduate level and ensure it is an integral part of medical education for all those seeking a career in healthcare. As part of that work the Government should consider how to better incentivise healthcare professionals to specialise in women’s reproductive health, including making obstetrics and gynaecology a mandatory rotation. This is necessary to address current shortages in this area and to tackle the long waiting lists for gynaecological care. The merits of using of the quality and outcomes framework (QOF) or commissioning for quality and innovation (CQUIN) indicators should be part of its consideration of potential incentives.
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Government response AI summary
The government states the GMC, an independent body, is responsible for setting medical standards and curricula, noting that the GMC's new MLA includes women's health topics. It clarifies that obstetrics and gynaecology is already a mandatory undergraduate rotation, and does not address the recommendation to …
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Government Equalities Office
39
Recommendation
1st Report - Women's reproductive healt…
Accepted
Primary care practitioners should be trained to use women’s common interactions with the healthcare system, such as cervical screening appointments, ante- and post-natal care checks and visits to STI clinics, as an opportunity to pick up hidden health concerns relating to reproductive health. (Paragraph 139) Medical guidelines and standards
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Primary care practitioners should be trained to use women’s common interactions with the healthcare system, such as cervical screening appointments, ante- and post-natal care checks and visits to STI clinics, as an opportunity to pick up hidden health concerns relating to reproductive health. (Paragraph 139) Medical guidelines and standards
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Government response AI summary
The government accepts the recommendation, stating work is underway and committing to holding webinars for primary care practitioners, reviewing and updating existing e-learning packages, and referencing 2023 guidance on postnatal checks and the role of women’s health hubs.
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Government Equalities Office
40
Recommendation
1st Report - Women's reproductive healt…
Accepted in Part
The Department of Health and Social Care and NHS England should commission NICE to develop comprehensive guidelines for all reproductive health conditions. Those guidelines should be communicated to GPs and made accessible to patients through the NHS website to allow informed patient-GP discussions. Adherence to these guidelines by medical practitioners …
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The Department of Health and Social Care and NHS England should commission NICE to develop comprehensive guidelines for all reproductive health conditions. Those guidelines should be communicated to GPs and made accessible to patients through the NHS website to allow informed patient-GP discussions. Adherence to these guidelines by medical practitioners and any barriers to following them must be monitored, including their usefulness to patients. (Paragraph 145) A fragmented commissioning system
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Government response AI summary
The government accepts that reproductive health is a priority for guidelines and notes NICE already has an extensive portfolio and is developing new guidance, but states NICE cannot commit to developing comprehensive guidelines for all conditions due to limited capacity and its prioritisation framework.
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Government Equalities Office
41
Conclusion
1st Report - Women's reproductive healt…
Not Addressed
The expansion of the women’s health hub model has the potential to be a positive step towards providing the joined-up care and commissioning needed to effectively support women experiencing reproductive health conditions. However, the women’s health hub model exists within a healthcare system which has significant commissioning, funding, workforce and …
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The expansion of the women’s health hub model has the potential to be a positive step towards providing the joined-up care and commissioning needed to effectively support women experiencing reproductive health conditions. However, the women’s health hub model exists within a healthcare system which has significant commissioning, funding, workforce and expertise problems, particularly in the area of reproductive health. There are also risks that those not yet served by hubs, or with limited access such as in rural areas, will be disadvantaged. (Paragraph 159) 79
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Government response AI summary
The government highlights its commitment to neighbourhood health services and the positive impact and cost-benefit of women's health hubs, noting ICBs are responsible for commissioning these services. It does not directly address the committee's concerns about systemic problems or risks to underserved areas.
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Government Equalities Office
42
Recommendation
1st Report - Women's reproductive healt…
Not Addressed
It is positive to hear that many of the leaders in the ICBs are focusing their hubs on disadvantaged groups. While local ownership, management and decentralisation of the hubs is important to meet local needs, regular national-level evaluations are also required to ensure that the hubs are providing the intended …
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It is positive to hear that many of the leaders in the ICBs are focusing their hubs on disadvantaged groups. While local ownership, management and decentralisation of the hubs is important to meet local needs, regular national-level evaluations are also required to ensure that the hubs are providing the intended additional benefits and are not just a rebadging of existing services. It disappointing, for example, that it is rare for hubs to offer multiple services at the same time—something we view as a key benefit of the hub model.
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Government response AI summary
The government reiterates its commitment to neighbourhood health services and the positive impacts of women's health hubs, noting that ICBs are responsible for commissioning and are encouraged to provide multiple services. It does not commit to national-level evaluations.
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Government Equalities Office
43
Recommendation
1st Report - Women's reproductive healt…
Deferred
We find that women’s health hubs have proven the concept that they can deliver improvements to women’s healthcare. The Government must now allocate long-term, ring-fenced funding and resource to embed the hub model and further support its development. That development should include increased provision of ultrasound facilities within hubs. Funding …
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We find that women’s health hubs have proven the concept that they can deliver improvements to women’s healthcare. The Government must now allocate long-term, ring-fenced funding and resource to embed the hub model and further support its development. That development should include increased provision of ultrasound facilities within hubs. Funding should be accompanied by a break-down of how it will be used and which services will be available in each area.
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Government response AI summary
The government expresses commitment to local health services and acknowledges the positive impact of women's health hubs. However, it states that Integrated Care Boards (ICBs) are responsible for commissioning and funding these services, and the core specification encourages ICBs to consider providing ultrasound facilities.
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Government Equalities Office
44
Recommendation
1st Report - Women's reproductive healt…
Acknowledged
Integrated care boards must ensure that their hubs meet the specific demographic needs of their populations, particularly accounting for religious and cultural considerations.
Government response AI summary
The government agrees that hubs must be tailored to local needs and highlights that NHS England is developing an equity framework for ICBs, which hubs are likely to implement. It also notes existing legal duties and programmes for reducing health inequalities.
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Government Equalities Office
45
Conclusion
1st Report - Women's reproductive healt…
Acknowledged
There remains a postcode lottery of access in primary care to long-acting reversible contraception. As a result, some women are having to seek care from secondary or community services, leading to delays in treatment and an unnecessary burden on secondary care. This is a preventable cost to the system and …
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There remains a postcode lottery of access in primary care to long-acting reversible contraception. As a result, some women are having to seek care from secondary or community services, leading to delays in treatment and an unnecessary burden on secondary care. This is a preventable cost to the system and to the wellbeing of the individual. While the establishment of women’s health hubs may go some way to addressing this concern, in areas where hubs are not established other solutions will be required.
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Government response AI summary
The government acknowledges the vital role of GPs in LARC provision and states it will consider fee structures and announce future funding allocations in due course, while continuing to work with partners to understand training issues.
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Government Equalities Office
46
Recommendation
1st Report - Women's reproductive healt…
Acknowledged
The Government should develop a funding and training strategy to address the lack of LARC provision in general practice, particularly in those areas not covered by a women’s health hub. This should include an assessment of whether the current fee structure is fit for purpose. (Paragraph 164) Research
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The Government should develop a funding and training strategy to address the lack of LARC provision in general practice, particularly in those areas not covered by a women’s health hub. This should include an assessment of whether the current fee structure is fit for purpose. (Paragraph 164) Research
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Government response AI summary
The government acknowledges the vital role of GPs in LARC provision and states it will consider the fee structures for LARC. It also notes that it continues to work with partners to understand training issues, and future funding allocations will be announced later.
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Government Equalities Office
47
Conclusion
1st Report - Women's reproductive healt…
Accepted
Finding the causes of women’s reproductive health conditions and new and better diagnostic tools and treatments for them cannot happen without sufficient research, which includes all groups of women and others affected, at different life stages. Yet research remains lacking because it is not adequately prioritised by funders or commissioners …
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Finding the causes of women’s reproductive health conditions and new and better diagnostic tools and treatments for them cannot happen without sufficient research, which includes all groups of women and others affected, at different life stages. Yet research remains lacking because it is not adequately prioritised by funders or commissioners and is not incentivised enough in clinical academia. While these issues are recognised by the Women’s Health Strategy for England and some positive work is underway, the Government needs to be more ambitious and more targeted approaches are needed. (Paragraph 180) 80
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Government response AI summary
The government fully recognises the importance of funding and building research capacity in women's reproductive health, detailing how NIHR and UKRI fund research and stating that NIHR has invested approximately £258 million over the last five years, a 55% increase. It also highlights the launch …
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Government Equalities Office
48
Recommendation
1st Report - Women's reproductive healt…
Deferred
The Women’s Health Strategy for England should be updated to include priorities for specific, common conditions. We recommend the Government commits to reducing waiting times for an endometriosis diagnosis to less than two years by the end of this Parliament and to improved understanding, diagnosis and treatment of heavy menstrual …
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The Women’s Health Strategy for England should be updated to include priorities for specific, common conditions. We recommend the Government commits to reducing waiting times for an endometriosis diagnosis to less than two years by the end of this Parliament and to improved understanding, diagnosis and treatment of heavy menstrual bleeding over the same period.
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Government response AI summary
The government recognises the impact of long wait times for gynaecological conditions and states it is working on taking forward the Women's Health Strategy, considering the committee's recommendations on specific areas of focus. It also refers to previous responses on measuring improvements in diagnosis times.
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Government Equalities Office
49
Recommendation
1st Report - Women's reproductive healt…
Accepted
The Government should allocate increased, ringfenced funding to support research into the causes, diagnosis and treatment of women’s reproductive health conditions. While increased funding will in itself attract more researchers to this area, NHS England and research bodies should also consider what steps they can take to increase interest among …
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The Government should allocate increased, ringfenced funding to support research into the causes, diagnosis and treatment of women’s reproductive health conditions. While increased funding will in itself attract more researchers to this area, NHS England and research bodies should also consider what steps they can take to increase interest among clinical academia. (Paragraph 182) Implementing the Women’s Health Strategy for England
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Government response AI summary
The government recognises the importance of funding and building research capacity in women's reproductive health, detailing how NIHR and UKRI fund research through open competition and training awards. It highlights existing initiatives and examples of current funding, but does not commit to new ringfenced funding.
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Government Equalities Office
50
Recommendation
1st Report - Women's reproductive healt…
Deferred
The Government should publish an implementation plan for the Women’s Health Strategy for England detailing timelines, costs and resource. (Paragraph 184) Funding
Government response AI summary
The government is working with NHS England and the Women’s Health Ambassador on how to take forward the Women's Health Strategy and will consider the committee's recommendations for inclusion and indicators as this work progresses.
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Government Equalities Office
51
Recommendation
1st Report - Women's reproductive healt…
Deferred
We call on the Government to recognise the financial benefits of increased investment in early diagnosis and treatment of women’s reproductive health conditions and provide the additional funding necessary to truly transform the support available to the millions of women affected by reproductive ill health in this country. (Paragraph 187) …
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We call on the Government to recognise the financial benefits of increased investment in early diagnosis and treatment of women’s reproductive health conditions and provide the additional funding necessary to truly transform the support available to the millions of women affected by reproductive ill health in this country. (Paragraph 187) 81
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Government response AI summary
The government recognises the importance of early intervention and refers to an existing NHS plan to reform elective care and meet treatment standards by March 2029 for earlier diagnoses. Information on future funding allocations will be announced later.
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Government Equalities Office