1st Report - Women's reproductive health conditions

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.

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.

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.

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.

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.

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 consider new incentives.

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.

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.

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.

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.

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.

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.

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 the NHS website/app to be comprehensive, accessible, and highly-visible.

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 system changes for pain recognition and management.

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 health services.

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.

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 survey in early 2025.

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 lived experience individuals and will review internal information using this term.

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 standard by March 2029, and highlighted existing programmes like Getting It Right First Time (GIRFT).

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.

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 part of women's health hubs.

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.

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.

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 RCOG training standards.

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.

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 the Employment Rights Bill.

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.

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 for GPs.