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Menopause awareness has come a long way in recent years – especially in the workplace. This stands to reason, as nearly 80% of menopause-age women in the UK are in work, according to the Faculty of Occupational Medicine (FOM). In fact, according to ONS figures, menopausal women are the fastest-growing demographic in the workforce. While menopause isn’t challenging for everyone, around three-quarters going through it will experience symptoms – such as brain fog, impaired sleep, hot flushes, anxiety and mood changes – and for one in four women, the impact is severe. Celebrities like Davina McCall have worked hard to tackle taboos and open up conversations around menopause, and a lot has been going on behind the scenes to improve things across healthcare and the workplace. As World Menopause Day 2023 (October 18) approaches, three key figures in the field share their thoughts on the progress so far, and what needs to happen next… Louise Minchin, TV presenter, author and journalist “Progress has definitely been made in respect of people feeling able to speak up. Even if they don’t yet have the answers, people know they can ask the questions – the conversation is no longer taboo, which is brilliant,” says Minchin, who has been at the forefront of menopause conversations in the media. “There’s so much more in the public domain on menopause now, and this enables people to have more of a handle on the topic, and a much better idea where to find help.” In terms of what needs to happen next, she adds: “Employers should be much clearer on how to access training, advice and signposting services that will help their employees work through menopause. Guidelines are all well and good, but [people] need clarity – they need action plans, access to expert trainers and well-informed educators to help them understand and meet their responsibilities and obligations. “It’s important to change the culture, as only when this happens can people open up about what’s happening to them. If you have a supportive and open culture, people feel able to continue in their jobs with the changes that might be needed,” says Minchin – adding that it’s also important to remember “not everyone wants to share or will feel comfortable talking about their situation or their symptoms”, and that needs to be respected too. “We must keep going until we reach the point where we don’t even have to have a conversation about what employers are doing to support colleagues through menopause – because they just are.” Deborah Garlick, CEO of Henpicked: Menopause In The Workplace “In terms of progress, we’ve seen a significant increase in the number of employers taking menopause in the workplace seriously. Seven years ago, no employers had a menopause policy or guidance document. “Today, research suggests around half do, and we have hundreds of employers working towards The Menopause Friendly Accreditation to prove and demonstrate the remarkable, positive impact they’re making for their colleagues,” says Garlick, referencing a scheme set up to show employers ‘have a clear understanding of how menopause can have an effect at work’ and that they ‘care about the wellbeing’ of women at work. “Next we need to see every employer commit to being menopause friendly by putting their menopause policy into action. This is urgent, important and critical for organisational success, particularly with the double threat of our ageing population and the shrinking talent pool,” adds Garlick. “Employers who fail to look after people working through menopause will fall behind.” Rt Hon Caroline Nokes MP, Chair of the Women and Equalities Committee “We’ve made progress on the taboo and stigma, but we need healthcare to up its game. Too many women are still being told they’re too young, it’s depression, you can manage without HRT,” says Nokes, who heads up the cross-party committee set up in 2015 to scrutinise government work and spending around issues impacting women. HRT shortages also need to be tackled, Nokes adds: “You can’t be at your awesome best if you’re anxious about whether your next prescription will be filled – and that is in itself a workplace issue. If we are worried about productivity as a nation, then we need to give menopausal and perimenopausal women the tools to be as productive as possible.” Read More Online apps recommended to manage lower back pain From choppy bobs to fox red, 5 celebrity-approved hair trends for autumn The UK’s first dedicated male breast cancer organisation has launched How Taylor Swift’s style has evolved over the years Model Emily Ratajkowski unveils latest fashion campaign 10 ways to cosy-up your home for an autumnal vibe

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Sarina Wiegman has a big decision to make as England face Spain in the Women’s World Cup final and the Lionesses look to win the game’s biggest prize for the first time. After successfully ending their run of semi-final defeats to beat hosts Australia in Sydney, Wiegman must decide whether she will bring star forward Lauren James back into her starting line-up for the final. James was sent off for stamping on an opponent in England’s last-16 win over Nigeria but has now served her two-match suspension is available to play in the final. England’s Ella Toone impressed with her performance against Australia and was also on the scoresheet as she scored the opening goal, so the Manchester United midfielder will be difficult to drop. But James was one of the players of the World Cup during the group stages, scoring three goals, and could be the difference for England as they look to win the World Cup for the first time. Here’s everything you need to know ahead of the World Cup final and find latest tips for the game itself here. When is England vs Spain? The Women’s World Cup final will kick off at 11:00am BST on Sunday 20 August at Stadium Australia, Sydney. What TV channel is it on? The World Cup final will be shown by both the BBC and ITV. Coverage on BBC One starts at 10am, while ITV’s coverage begins at 10:15am. It will also be available to watch online, on both the BBC iPlayer and on ITV X. What is the England team news? England have no injury concerns and the return of Lauren James means Sarina Wiegman has all 23 players available for the final. Wiegman faces a decision on whether to bring in James from the start, but is likely to stick with the team that performed so impressively against Australia. Mary Earps is a contender for the tournament’s golden glove and will start behind England’s back three of Jess Carter, Millie Bright and Alex Greenwood, with Lucy Bronze and Rachel Daly at wing-back. Should Ella Toone start, the midfielder will play alongside Kiera Walsh and Georgia Stanway, with James remaining an excellent option to have on the bench. England’s front two of Alessia Russo and Lauren Hemp have struck up a deadly partnership and were both on target in the quarter-finals and semi-finals. Chloe Kelly will be among the other attacking options on the bench. What is the Spain team news? Spain face a big decision of their own, with Salma Paralluelo scoring in both their quarter-final win against the Netherlands and in the semi-final win against Sweden after coming off the bench. Head coach Jorge Vilda may decide to keep the 19-year-old winger as an impact substitute, with Alexia Putellas set to remain in the starting line-up even though she is yet to come to life at the tournament. Predicted line-ups Spain: Coll; Batlle, Parades, Codina, Carmona; Teresa, Bonmati, Putellas; Caldentey, Hermoso, Redondo England: Earps; Carter, Bright, Greenwood; Bronze, Stanway, Walsh, Daly; Toone; Hemp, Russo Read More England stand on the brink of history — and a moment to change the game forever Ella Toone or Lauren James? Sarina Wiegman has already made the biggest decision of England’s World Cup Infighting and rebellion: How Spain overcame themselves to reach edge of Women’s World Cup glory Women’s World Cup TV schedule: How to watch every match today Sarina Wiegman thankful for ‘dream’ support as World Cup final set to unite country England vs Spain: Kick-off time and how to watch World Cup final on TV