Well I'm a GP and a woman on HRT and sadly I agree these are a tick-box suggestion and probably a waste of money and time. This is the typical sort of thing that Government reports suggest and they are implemented without any consideration of why menopause care is so poor in the first place.
Many GPs feel poorly-equipped to have these conversations with women, partly because for the last 20years (that I've been practising) the evidence and guidelines have been wildly conflicting and so doctors feel overwhelmed and out-of-date. It's not good enough - I spend a lot of my time banging my head on my desk as my colleagues ask me questions - it's really not that hard! However, I do this a lot. Many of my colleagues do not. And unfortunately that means that you get some very skilled drs and some who can barely spell HRT because they are intimidated by the thought of it. They are skilled in other areas, maybe (my diabetes care is certainly not what it once was, for example). General Practice is hugely more complicated than it used to be, hospitals are seeing and monitoring patients less and less, and our average patient has more long-term conditions and more medications than ever before. And with increasing pressures on primary care education has sadly taken a very back seat. All of our local education meetings (previously a half day/month) have been cancelled since covid and there is no prospect of getting them back. With many GPs routinely working 12-13 hour days the reality is that most don't want or don't have capacity to spend days off or holidays doing courses - they're trying to have some kind of life. (And of course many drs spend their days off doing practice admin so they're already working). This isn't good for patients (or doctors actually - it's much nicer going to work when you feel like you know something).
Similarly we hold an email inbox of patients waiting for appointments, but we are absolutely mad busy at the moment. 200, 300 requests for appointments every day. We are working as hard as we can but unfortunately there are health issues that are on-the-day urgent and then there are the things that can wait. Menopausal symptoms wait. We get to them as soon as we can, but I'm not blind to the fact that many women already hold off as long as they can and are (understandably) thoroughly pissed off when it's then another 3-4 weeks before they get an appointment. If we're struggling to control symptoms and refer to gynae that's a 1year+ wait locally. We're actually doing some work to set up a menopause pathway within the practice to improve access, assessment and treatment for these women. But inviting every 45yo woman in won't make the symptomatic ones get seen any quicker.
We need to improve all the systems so that all women feel able to come forward when they have troubling symptoms, whether related to the menopause or anything else, and feel that they will be properly and respectfully listened to, skilfully assessed and appropriately treated, all in a timely manner. We are some way from that.
The reason that people are offered a cardiovascular health check at 40 btw is because there is good evidence that screening and intervention at this stage will save money (and lives) in the long-term. Unfortunately, miserable as the menopause can be, in purely health economics terms it's unlikely to cut the mustard as a priority for proactive care. This is a soundbite from government I'm afraid and is unlikely to actually improve anything without the rest of our broken system being fixed.