HRT prescriptions doubled in UK between 2020-2024 following major awareness campaigns and parliamentary attention to menopause. NHS capacity to prescribe and supply hasn't matched the demand surge. Long waits for menopause specialist appointments and intermittent supply shortages continue.
What's driving demand
Menopause Mandate, Davina McCall coverage, social media attention all raised awareness. Many women previously suffering silently sought treatment. Younger women (perimenopause) now seek earlier intervention.
Where the supply shortfalls show
Specific HRT formulations (Oestrogel especially) face periodic shortages. Specialist menopause clinic waiting lists exceed 6 months in many areas. GP knowledge varies widely (NICE guidelines exist but uneven application).
What's working
Prescription prepayment certificate for HRT (£19.30 covers 12 months of prescriptions). Online services (Newson Health, BUPA Menopause Hub) provide faster private alternatives. Increased GP training on menopause management. The system is improving but unevenly.