
Founder, IMA Ready · Published 16 April 2026
On 14 April 2026, the Department of Health and Social Care published the Renewed Women's Health Strategy for England. Health Secretary Wes Streeting named the problem plainly: medical misogyny, a system that gaslights women, and a decade of declining outcomes despite rising NHS spend.
The strategy runs to 2036. It sets out five pillars, ten-year goals, and over 100 specific actions. This is our breakdown of what it commits to, what it means for women in primary care today, and why implementation is the only thing that matters now.
The strategy is built around four commitments and five steps, underpinned by a set of measurable ten-year goals.
The four commitments are: acting on women's voices and choices, transforming NHS performance in services that matter most to women, supporting all women to lead healthier lives, and creating an approach to research and development that works for and empowers women.
Ten-year targets
These are not aspirations. They are named targets with accountability mechanisms attached.
Each step in the strategy builds toward a system that is designed for women — responsive, local, and accountable.
For the first time, patient experience will be directly linked to NHS trust reimbursement through Patient Power Payments. If a woman reports a poor experience, funding can be withheld from the provider and redirected to improvements. Jess's Rule now requires GP teams to reflect, review and rethink if a patient presents three times with escalating symptoms. The Women's Voices Partnership, launching in 2027, will give organisations representing marginalised women a direct hand in NHS decision making.
Women's health hubs will provide one-stop models for contraception, cervical screening, LARC provision and menopause support closer to home. NHS Online, the new virtual hospital, launches in 2027 with menstrual problems and menopause as two of the first nine clinical pathways. The Single Patient Record, accessible through the NHS App by 2028, will mean women no longer have to repeat their story to multiple clinicians.
565,000 women are currently waiting for gynaecological care. The strategy commits to returning to the 92 percent standard for 18-week waits, backed by £80 million. New standards will guarantee informed consent and a genuine choice of pain relief for procedures like hysteroscopy and coil fitting. An explicit target has been set to close the Black and Asian maternal mortality gap, informed by the Amos Investigation.
A £1 million menstrual health education programme for schools and community settings. Expanded Violence Against Women and Girls clinical pathways. A dedicated focus on pre-conception health, recognising that outcomes begin before pregnancy. Programmes specifically targeting women in the most deprived communities, where healthy life expectancy currently stands at just 50.5 years.
NIHR will now only fund clinical research that appropriately considers sex-based differences and recruits diverse participants. The £1.5 million FemTech Healthcare Challenge Fund will accelerate deployment of innovations addressing unmet need, with a focus on community service models addressing health inequalities. A new accelerator programme will provide mentoring and growth capital to female founders leading innovations in women's health priorities.
Every major commitment in this strategy is welcome. The language is sharper than anything that has come before. The accountability mechanisms are more concrete. The explicit naming of ethnic disparities in maternal mortality, the direct link between patient feedback and provider funding, and the investment in community-based care all represent meaningful progress.
But strategy is the foundation. Community is what brings it to life.
More than 8 in 10 women have reported feeling unheard by healthcare professionals. That figure did not appear because of a lack of policy documents. It appeared because of a system that was not designed with women in mind, and that has not yet been rebuilt around their needs.
The question now is not whether the goals are right. They are. The question is which women benefit first, how fast the infrastructure reaches the communities that need it most, and whether the voluntary and community organisations already doing this work are funded to be part of delivery, not just consulted and then excluded from it.
While the strategy builds, women are still walking into 10-minute GP appointments underprepared, unheard, and unsure what to ask. The diagnostic odyssey for endometriosis still averages over nine years. Black women are still dying in childbirth at nearly three times the rate of white women. The 565,000 women on gynaecology waiting lists are waiting now.
The strategy is a commitment to change that reality. But the change is not instant, and the gap between policy and lived experience is where women continue to be failed.
IMA Ready was built for that gap. A privacy-first patient advocacy tool that helps women walk into any medical appointment prepared, clear, and heard. Because no woman should leave a consultation wondering what just happened, or feeling like her concerns were not taken seriously.
The strategy describes the problem. We are building the solution, one appointment at a time.
565,000
women currently waiting for gynaecological care in England
8 in 10
women report feeling unheard by healthcare professionals
3×
higher maternal mortality rate for Black women vs white women
9+ years
average diagnostic odyssey for endometriosis
50.5 yrs
healthy life expectancy for women in the poorest areas (vs 70 for wealthiest)
£1.5m
FemTech Challenge Fund to accelerate community-based innovation
Women should not have to fight to be heard in a 10-minute appointment.
IMA Ready helps you walk in prepared, clear, and confident. Because every woman deserves to be heard.
Try IMA Ready — imaready.co.uk ↗IMA Ready is a WIM Studio Ltd product · hello@imaready.co.uk
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