A new report published by the NHS Business Services Authority (NHSBSA) shows that a record two million women aged 40 and over in England were prescribed NHS of hormone replacement therapy (HRT) in 2025/26, more than double the number in 2020/21 of 0.8 million. Prescribing rates vary by location, from four per 100 women aged 40 and over being prescribed NHS HRT in Newham, to 23 per 100 women aged 40 and over in Brighton and Hove. Women in the most deprived areas are less likely to be prescribed NHS HRT than women in the least deprived areas, with women in rural areas more likely to be prescribed NHS HRT than women in urban areas. While HRT prescribing has increased in women aged 40 and over, the data highlights that prescribing rates vary by area deprivation, geography and age. The report provides insights by age, deprivation, region, Integrated Care System, Primary Care Network, Local Authority and medication type.