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Women's voices to shape NHS reform under renewed health strategy

  • Apr 14
  • 4 min read
Wes Streeting leaves Downing Street. Credit: PA News Agency
Wes Streeting leaves Downing Street. Credit: PA News Agency

Women’s experiences will be placed at the centre of healthcare decision-making under a renewed Women’s Health Strategy, with ministers promising to tackle diagnostic delays, improve pain management and give patients greater influence over how services are delivered.


The strategy, unveiled by the Department of Health and Social Care and NHS England, represents the Government’s latest attempt to address persistent inequalities in women's healthcare and close what campaigners have described as the gender health gap.


Health Secretary Wes Streeting said the reforms were designed to confront a healthcare system that has too often failed women, citing long waits for diagnosis, inadequate pain relief and a tendency for women's symptoms to be dismissed or minimised.


Putting women’s experiences at the centre of care


A key proposal within the strategy is a new trial that would allow women's experiences of care to play a direct role in assessing NHS providers. Under the scheme, patient feedback could be linked to funding decisions and targeted service improvements, creating stronger incentives for healthcare organisations to respond to concerns and improve standards.


Ministers say the move is intended to address long-standing complaints that women are not listened to when seeking medical help, particularly for conditions involving chronic pain, reproductive health and menopause.


The renewed strategy also establishes a new Women's Voices Partnership, bringing together organisations representing women to help shape future policy and ensure that lived experience informs healthcare reform.


Faster access to diagnosis and treatment


Reducing delays in diagnosis is another central aim of the strategy.


Women with conditions such as endometriosis and fibroids can currently face years-long waits for diagnosis and treatment, with endometriosis taking close to a decade to diagnose on average. The Government plans to streamline referral pathways through a single access point, helping patients reach the right specialist more quickly.


Clinical pathways for conditions including heavy menstrual bleeding, menopause and urogynaecological disorders will also be redesigned in an effort to speed up diagnosis and treatment.


The strategy builds on wider NHS reforms aimed at reducing waiting lists and shifting more care into community settings. According to the Government, gynaecology waiting lists have already fallen since 2024, although hundreds of thousands of women remain on waiting lists for specialist care.


Tackling pain and "medical misogyny"


One of the most significant commitments is the development of a new standard of care for invasive gynaecological procedures.


Women undergoing procedures such as contraceptive coil fittings and hysteroscopies have long reported inadequate pain relief, prompting criticism from clinicians, patient groups and parliamentarians. The renewed strategy promises clearer standards to ensure appropriate pain management is routinely offered.


The issue has become increasingly prominent in recent years amid concerns about what campaigners describe as "medical misogyny" - the tendency for women's pain and symptoms to be dismissed or underestimated within healthcare settings.


Investment in education, innovation and research


The strategy also includes a series of new funding commitments designed to improve women's health outcomes over the longer term.


These include:

  • A £1 million programme to improve menstrual health education in schools.

  • A £1.5 million FemTech Challenge Fund to support innovations in women's healthcare.

  • Regional specialist centres to support group-based approaches to care and self-management.

  • Continued investment in research into women's health conditions and reproductive care.


Researchers will also be encouraged to strengthen the representation of women in clinical studies through updated sex and gender research policies, helping to address historical evidence gaps in healthcare.


Broad support from health organisations


The strategy has received cautious support from health charities, professional bodies and patient advocacy groups.


Representatives from organisations including Royal College of Obstetricians and Gynaecologists, Endometriosis UK and Wellbeing of Women welcomed commitments to reduce waiting times, improve menstrual health education and strengthen patient involvement in policymaking. However, many stressed that success will depend on sustained investment, workforce capacity and clear delivery plans.


Campaigners have repeatedly argued that women’s health strategies have historically struggled because ambitions were not matched by funding or implementation. Several organisations have therefore called for transparent reporting and measurable targets to track progress over the coming decade.


Closing the gender health gap


The renewed Women's Health Strategy forms part of the Government's wider 10-Year Health Plan and seeks to address inequalities affecting women throughout their lives-from menstrual health and fertility to maternity care, menopause and later-life conditions.


For many advocates, the most significant aspect of the strategy is its emphasis on listening to women themselves. Whether through patient feedback, consultation partnerships or greater involvement in research, ministers argue that healthcare services must be designed with women's experiences at their core if longstanding disparities are to be addressed.


While the commitments have been broadly welcomed, the focus now shifts to implementation. As waiting lists, workforce pressures and funding constraints continue to challenge the NHS, health leaders will face increasing scrutiny over whether the strategy delivers the meaningful change women have long been promised.


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