Opinion
Positively disruptive: the top five trends dramatically altering the UK pharma market access space
By Brenda Dooley, founder and CEO of AXIS Consulting UK and Ireland

For virtually every industry in the world, the last several years have been, in a word, tumultuous.
Every industry, from hospitality to manufacturing, has been impacted by global events such as Brexit, the COVID pandemic, the Ukraine crisis and economic strife.
The pharmaceutical sector has been no different, but not all change is negative. In fact, the pharmaceutical market access industry in the UK is experiencing a whirlwind metamorphosis that is likely to echo in some interesting trends as we move towards 2024.
As the winds of change unearth new opportunities, disrupting traditional models, the industry as a whole looks set to witness a dramatic shift in the pharma market access space.
Uncertainty and opportunity
Uncertainty can create a sense of unease in an industry. Intrinsically, it is human nature to find comfort and reassurance in what we know, so when significant events, such as Brexit, impact our lives, professionally and personally, it can be difficult to see the wood for the trees.
With the future so unclear, making the best business decisions can sometimes be extraordinarily difficult, but there is something to be said for how empowering it can feel to focus on your goals and emerge from the chaos, with a stronger business sense.
With the UK’s departure from the EU creating waves of uncertainty throughout the world, there is also opportunity to find clarity and move steadily forward. For the pharmaceutical market access industry, it is a chance to explore regulatory flexibility and reshape the NHS.
Additionally, creative, intelligent strategies within the market access sphere will help the sector to adapt to the ever-changing landscape.
In this new era for the UK, it is crucial that the region maintains its attractiveness and stays on track, or indeed ahead, of the European Medicines Agency (EMA) for drug licensing. For example, the UK must focus on continuing to gain investment from manufacturers headquartered in the US.
The Medicines and Healthcare Products Regulatory Agency (MHRA) will launch its new international recognition framework on January 1, 2024, to ensure continued alignment with the EU as well as further trusted partners, so transparency and collaboration will be paramount.
Global digitalisation
Mass digitisation is a trend that is unlikely to slow down anytime soon. Moreover, the majority of industries worldwide, especially those wishing to successfully navigate uncertain times, will have to adopt modernisation methods to stay afloat and relevant.
This is also true of the UK pharmaceutical market access sector. As we go into 2024, we are likely to see different divisions of the pharmaceutical industry utilising innovative AI technologies.
Positively disruptive advancements such as virtual clinic trials, and machine learning algorithms and data, will have the potential to reduce costs, optimise on efficiency, and improve the overall patient experience, which is always at the core of the industry.
Pharmaceutical market access in the UK – and indeed throughout the world – is a highly interconnected sector that thrives on collaboration. Mass digitalisation further bonds the organisations that operate within that sphere and it is important that we fully understand the technology that will ultimately dictate the future of market access, making it more accessible for all.
HTA agency collaborations
The role of Health Technology Assessments (HTAs) is crucial in the goal of making a drug reimbursable and accessible through state organisations such as the NHS. Now, more than ever, HTAs influence who can access certain medications, as well as the impact of the financial cost.
An inability to prove a drug’s value and cost-efficiency can seriously impact the likelihood of a successful submission, therefore, as we move towards another new year in a few short months, more and more businesses will be prioritising partnerships and information sharing channels, with the aim of streamlining and successfully traversing the HTA process.
A deal brokered between the UK, Canada, New Zealand and Australia will see the topic of global HTA collaboration remain at the forefront of the conversation and has already begun identifying the main areas of interest to the eight partner agencies for 2023-24. Partners will explore the feasibility of work sharing to support HTA decision making and expand their capacity.
Activities will include the identification of methodological and procedural areas where further HTA alignment is needed to support future work sharing, engagement with national and global stakeholders regarding opportunities for work sharing, initial process development, and pilot identification and for non-pharmaceutical technologies, a process to share information about planned and in-progress assessments.
Patient-first discourse
Long-gone are the days where people take a passive role in their health, signing over autonomy to a trusted GP, pharmacist or government body.
These days, the individual is instrumental in the decision making process, and is often highly informed as to the various organisations and policies dictating their health and future wellbeing.
In part, this has led to pharmaceutical companies placing the individual at the centre of their own policy making, promoting the prioritisation of patient-centric therapies and pricing models.
Innovative payment models
The UK is showing signs of adopting a more progressive mindset than many other jurisdictions, and this is a pattern that will need to continue if the region is to remain attractive to stakeholders and investors.
A recent report describes the NHS as “the first health system in the world to put in place a national, targeted programme for a high-risk group of people with Type 2 Diabetes Mellitus.” Around 140,000 people aged 18-39 will receive additional tailored health checks and support with diabetes management, such as blood sugar level control, weight management and cardiovascular risk minimisation.
Funding of £14.5m will enable local health teams to roll out the new scheme to “help minimise the risk of these people developing health complications and severe illness and to support a reduction in health inequalities.”
Innovative payment models could help the NHS manage long-term uncertainty and help to address cumulative NHS affordability challenges, for example in cell and gene therapies.
Ultimately, before we know it, 2024 will be upon us. Though we will likely face many of the challenges experienced in the previous 12 months, we can also expect some positively disruptive trends to dramatically alter the UK pharmaceutical market access sector.
Brenda Dooley is founder and CEO of AXIS Consulting UK and Ireland. AXIS Consulting provides strategic market access and health technology assessments for pharmaceutical and biotechnology firms.
Opinion
Femtech’s next chapter: Building a truly equal and comprehensive health tech category

By Wolfgang Hackl, MD, CEO OncoGenomX, Allschwil, Switzerland
FemTech is moving from a promising niche to a foundational part of modern healthcare.
Over the next decade and beyond, its real promise will not only be better products, but a more equitable system: one where women’s health is treated as an equal area for innovation, investment, clinical care, and public policy.
That shift matters because women’s health has long been under-researched, underfunded, and too often managed through systems that were not designed with female biology and life stages in mind.
The opportunity now is to change that trajectory.
If stakeholders act deliberately, FemTech can become a category that improves outcomes, expands access, and creates measurable value across the HealthTech ecosystem.
From niche to infrastructure
The most important change ahead is a mindset shift. FemTech should no longer be seen as a narrow consumer segment focused only on logging symptoms.
It should be understood as health infrastructure spanning puberty, fertility, pregnancy, postpartum recovery, menopause, pelvic health, chronic disease, mental health, and long-term preventive care.
This broader framing creates a more durable market and a stronger social case. It also encourages innovation that serves people across the full life course, rather than only at highly visible moments.
In practical terms, this means building tools that are clinically relevant, integrated into care pathways, and designed to work for different populations and health systems.
What needs to change
For FemTech to become a truly equal healthcare category and a genuine societal priority, several layers need to move together.
First, the evidence base must deepen. More sex-disaggregated data, more women-inclusive clinical studies, and more research on conditions that disproportionately affect women are essential.
Without stronger evidence, product development, diagnosis, reimbursement, and clinical adoption all remain constrained.
Second, policy and regulation must mature. Privacy protections need to be strong enough to build trust in highly sensitive health data.
Regulatory pathways should be clear enough to help innovators bring safe, effective products to market without unnecessary delay.
Reimbursement frameworks also need to evolve so that useful digital tools are not limited to those who can pay out of pocket.
Third, healthcare systems must become more open to integration. The best FemTech products should not sit outside the care journey as standalone apps.
They should connect with clinicians, diagnostics, telehealth, and care coordination so that patients experience continuity rather than fragmentation.
Finally, society needs a broader cultural shift. Women’s health should be discussed as a mainstream public health and economic issue, not as a side topic or a private concern.
That means normalizing conversations around menopause, miscarriage, postpartum health, chronic pain, infertility, and long-term preventive care.
The role of each stakeholder
A healthier FemTech future depends on the full value chain.
Founders and product teams need to design for clinical relevance, usability, and trust. The strongest solutions will be those that solve real problems, use data responsibly, and fit into everyday life and care.
Investors can help by backing long-term value creation rather than only consumer growth. FemTech deserves capital that supports rigorous validation, regulatory readiness, and scalable business models.
Healthcare providers and systems play a critical role in adoption. By integrating FemTech into clinical workflows, they can reduce delays in care, improve monitoring, and make support more continuous and personalised.
Payers and insurers can accelerate access by recognising the downstream value of early intervention, prevention, and better self-management. Coverage decisions will strongly shape which innovations become standard practice.
Policymakers and regulators should create environments where safety, innovation, and privacy coexist. Clear standards and supportive reimbursement policy can make the difference between isolated success and category-wide growth.
Employers and public institutions also have a role. Women’s health affects productivity, retention, and long-term wellbeing, which means workplace benefits and public programs can help expand access and reduce inequity.
FemTech is not only “women for women.” It is “everyone to solve a health and social issue that has been ignored for far too long.”
When stakeholders across the value chain recognise women’s health as a shared responsibility, FemTech moves from a segmented category to a mainstream force for better outcomes, fairer access, and stronger social impact.
Why the upside is larger than the market
The benefit of getting this right is not only commercial.
Better women’s health tools can improve early detection, support self-management, reduce avoidable complications, and lower the burden on social and healthcare systems.
They can also help close persistent gaps in access and outcomes that affect families, workplaces, and economies.
For HealthTech innovators, this is an opportunity to build products that are both mission-driven and scalable. For health systems, it is a chance to improve care quality and efficiency. For society, it is a way to move women’s health from an afterthought to an equal priority.
Actions that will move the field forward
The right direction will not happen automatically. It requires deliberate action across the ecosystem.
- Build products around real clinical needs, not only consumer engagement.
- Invest in women-inclusive research and validation from the start.
- Design privacy and governance into the product architecture.
- Create reimbursement models that reward prevention and continuity.
- Integrate FemTech into mainstream care pathways.
- Expand education for clinicians, employers, and the public.
- Expand the category to the invisible concerns to cover the full range of women’s health needs.
When these actions align, FemTech can mature into something larger than a market category. It can become a model for how health innovation should work: evidence-based, inclusive, trusted, and built to improve lives at scale.
A strong FemTech future is not just possible. It is a practical next step if the ecosystem chooses to treat women’s health as what it truly is: a core healthcare priority and a major driver of innovation.
Table: FemTech Focus Areas
| Field | Approximate number of active solutions/companies |
| Reproductive health & fertility | 120+ |
| Pregnancy & maternal care | 80+ |
| Menstrual health | 60+ |
| General women’s health & wellness | 50+ |
| Diagnostics & monitoring | 45+ |
| Menopause & perimenopause | 40+ |
| Pelvic & uterine health | 30+ |
| Chronic women’s health / integrated care | 30+ |
| Sexual health & wellness | 25+ |
Legend: FemTech is becoming a multi-category healthcare layer. Reports also show that software/apps remain the largest product type overall, while reproductive health continues to dominate as an application area. Best-effort estimates based on category listings, company directories, and market reports, not audited totals.
Opinion
Q1 momentum: Female founders are advancing, but the system still hasn’t caught up

By Melissa Wallace, CEO Fierce Foundry
The first quarter of 2026 tells a familiar but evolving story for female founders in the U.S.: measurable progress, paired with persistent structural gaps.
On the surface, the numbers suggest momentum.
A recent Pitchbook report showed female-founded companies captured 27.7 per cent of U.S. venture capital in 2025, up significantly from 19.9 per cent the year prior.
This is not a marginal shift, it reflects a broader recognition that women are building scalable, investable companies across sectors.
But the deeper cut tells a different story.
When you isolate companies founded solely by women, funding drops to just 1.1 per cent of total venture dollars.
As many of us continue to preach, this gap has remained largely unchanged for decades, hovering around 2 per cent on average.
This is the paradox: performance is not the issue—access is.
Research consistently shows that women-led companies generate stronger capital efficiency, yet they continue to receive a fraction of funding.
As Leslie Feinzaig has pointed out, the challenge is not a lack of ambition or quality, it’s that the system still evaluates women through a narrower lens, often expecting more proof, more traction, and more certainty before capital is deployed.
A Shift in How Women Are Getting Funded
What’s changed in Q1—and what’s most important—is not just how much funding is flowing, but how it’s being accessed.
Based on the data shared by Forbes in their 6 Trends Reshaping Women’s Health Investments this is what is clear:
- A rise of angel and operator capital: More women are entering the cap table as investors, not just founders, reshaping early-stage decision-making
- Alternative vehicles gaining traction: Donor-advised funds (DAFs), syndicates, and community-driven capital pools are stepping in where traditional VC has been slow
- Lower barriers to entry for investors: Smaller check sizes and structured angel education are expanding who participates in funding innovation
This diversification matters. Traditional venture capital has historically been concentrated both in who writes checks and what gets funded.
Broadening capital sources doesn’t just increase access; it changes what is considered “investable.”
At Fierce Foundry, this is a core assumption.
The venture studio model is not just about building companies, it’s about engineering capital access from day one.
By combining capital with shared services, investor networks, and early validation, the goal is to reduce the friction female founders face long before a Series A.
Why This Matters for Women’s Health
Nowhere is this shift more critical than in women’s health.
Despite being one of the fastest-growing sectors in healthcare, projected to exceed $200B globally in the next decade, FemTech and women’s health startups remain significantly underfunded. In 2024, only ~6 per cent of healthcare venture funding went to this category.
This disconnect is not due to lack of opportunity. In fact, the opposite is true.
Thanks to another incredible article from Geri Stenger in Forbes, we know women’s health has already generated over $100 billion in exits, with 27 billion-dollar transactions and increasing M&A activity.
This is not an emerging category, it is a proven one that has simply been misclassified, undercounted, and undervalued.
The implication is clear: capital is not flowing in proportion to outcomes.
The Role of New Models in Closing the Gap
This is where new models, particularly venture studios, are becoming essential.
The traditional startup pathway assumes equal access to networks, capital, and operational expertise.
Female founders, particularly in women’s health, are often navigating all three deficits simultaneously:
Limited access to early-stage capital
- Higher burden of proof in clinical and regulatory environments
- Fewer embedded operators with domain expertise
- The studio model addresses this by collapsing time and risk:
Co-building companies alongside founders
- Providing shared services across product, regulatory, and go-to-market
- Embedding investor alignment and exit pathways from the beginning
What Q1 Signals for the Future
If Q1 tells us anything, it’s that the narrative is shifting but the infrastructure is still catching up.
We are seeing:
- Increased participation of women across both sides of the cap table
- New funding mechanisms that challenge traditional VC gatekeeping
- Growing recognition that women’s health is not niche, but foundational
But we are also seeing that progress is uneven, and in many cases, still fragile.
The next phase of growth will not come from incremental increases in funding percentages.
It will come from rebuilding the systems that determine how capital flows in the first place. Because the real opportunity is not just funding more female founders.
It’s building an ecosystem where they don’t have to fight so hard to access what they’ve already proven they can return.
Learn more about Fierce Foundry at thefiercefoundry.com
Opinion
India’s top court rejects menstrual leave petition

India’s top court rejected a menstrual leave petition for women and female students, saying such a law could mean “no-one will hire women”.
The two-judge bench, headed by chief justice Surya Kant, said mandatory leave would make young women think they were “not at par” with their male colleagues and would be “harmful for their growth”.
The subject of menstrual leave has long divided opinion in India. While many agree with the judges’ view, others argue that a day or two off can help women manage painful periods.
Some states and a number of large private companies have already introduced menstrual leave for employees.
The court’s comments came while hearing a petition filed by lawyer Shailendra Mani Tripathi, who was seeking a national menstrual leave policy, legal website LiveLaw reported.
Tripathi later told news agency IANS that he had hoped working women would receive “two-to-three days of leave” to account for menstrual difficulties.
The judges, however, said introducing such a policy would not benefit women. Instead, they said it would reinforce gender stereotypes and affect employability.
They said this could make private-sector employers hesitant to hire women and might ultimately discourage their recruitment.
They added that “the government could come up with a menstrual leave policy in consultation with all stakeholders”, LiveLaw reported.
The comments from the top court have again put the issue in the spotlight in India, reviving debate over whether menstrual leave is a progressive step or whether it encourages stereotypes that women are weaker and unfit for the workplace.
Public health expert and lawyer Sukriti Chauhan told the BBC that by saying menstrual leave would make women “unattractive” as employees, the judges “reiterate the taboo around menstruation and rights that we have failed to address”.
She said there were laws in India covering “workplace dignity, gender equality, and safe working conditions” for women and that “denying menstrual leave violates these principles by forcing women into uncomfortable, undignified or hazardous work environments”.
“Providing menstrual leave not only supports women’s health and well-being, but also promotes productivity and efficiency in the workplace,” she added.
Some argue that giving women extra leave would be discriminatory to men and that, in a country where periods are often a taboo subject, with women barred from temples or isolated at home as “unclean”, menstruating women may be too shy to claim it.
But campaigners point out that countries such as Spain, Japan, South Korea and Indonesia already offer menstrual leave, and that studies have shown this time off can be beneficial to women.
Some Indian states also offer limited menstrual leave. Bihar and Odisha give two days per month to government employees, while Kerala provides it to university and industrial training institute staff.
Last year, the southern state of Karnataka introduced a law approving one day off a month for all menstruating women.
In the past few years, several companies have also introduced similar policies for female staff.
In 2025, industrial and services conglomerate RPG Group announced a two-days-a-month period leave policy for employees in its subsidiary CEAT.
Engineering giant L&T also introduced a similar policy, offering a one-day leave in a month, while food delivery company Zomato offers up to 10 days of period leave a year.
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