Policy

Menopause Assessment & Diagnosis Policy

How menopausal and perimenopausal symptoms are assessed and diagnosed, so that diagnosis is clinical where it should be clinical and alternative causes are not missed

For Women's Health & Menopause ClinicRef BS-WOM-POL-002See a sample (PDF) →
£44.99
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  • Instant download after checkout
  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This policy is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Policy statement
  • 4. Definitions
  • 5. Diagnostic principles
  • 6. What every assessment must cover
  • 7. Examination, chaperones and emergencies
  • 8. Differential diagnosis
  • 9. Mental health risk and crisis response
  • 10. When another diagnosis or a red flag is likely
  • 11. Discussing the diagnosis and options
  • 12. Recording the assessment
  • 13. Roles and responsibilities
  • 14. Training and competence
  • 15. Records, monitoring and audit
  • 16. Related documents
  • 17. Version control and review
  • 18. Disclaimer

CQC fundamental standard

Regulation 9 (Person-centred care)
This document is written to evidence that standard. Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Legislation & standards it maps to

  • National Institute for Health and Care Excellence (NICE) guideline NG23, Menopause: identification and management (as last updated).
  • NICE guideline NG12, Suspected cancer: recognition and referral (as last updated).
  • European Society of Human Reproduction and Embryology (ESHRE), Evidence-based guideline: premature ovarian insufficiency (2024).
  • British Menopause Society consensus statements and Tools for Clinicians.
  • General Medical Council (GMC), Good practice in proposing, prescribing, providing and managing medicines and devices; Remote consultations guidance and decision flowchart; Decision making and consent; Intimate examinations and chaperones.
  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Regulation 9 (Person-centred care), Regulation 10 (Dignity and respect), Regulation 11 (Need for consent), Regulation 12 (Safe care and treatment), Regulation 13 (Safeguarding service users from abuse and improper treatment), Regulation 17 (Good governance) and Regulation 20 (Duty of candour).
  • Equality Act 2010 and Mental Capacity Act 2005.
  • UK General Data Protection Regulation, Data Protection Act 2018 and Records Management Code of Practice (2023).
  • Care Quality Commission (CQC) assessment framework: the five key questions (safe, effective, caring, responsive and well-led) and the quality statements of the single assessment framework, and the sector-specific framework for primary care and community services when it replaces them.

Who it applies to

All clinical and administrative staff, including self-employed and locum clinicians

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Amenorrhoea
Absence of periods.
Anti-Mullerian hormone (AMH)
A hormone reflecting remaining egg supply; not used to diagnose menopause.
Body mass index (BMI)
A measure of weight relative to height.
BRCA
Genes which, when altered, greatly increase breast and ovarian cancer risk.
British Menopause Society (BMS)
The United Kingdom specialist society for menopause care professionals.
Carcinoid syndrome
Flushing, diarrhoea and wheeze caused by hormones from certain rare tumours.
Chaperone
An impartial observer present during an intimate examination.
Cognitive behavioural therapy (CBT)
A talking therapy changing how people think about and respond to symptoms.
Care Quality Commission (CQC)
The independent regulator of health and social care in England.
Data Protection Act 2018
United Kingdom law, alongside the UK GDPR, governing use of personal data.
Differential diagnosis
Other conditions that could explain the symptoms.
Duty of candour
The legal duty to be open and honest when care goes wrong.
Equality Act 2010
The law protecting people from discrimination.
European Society of Human Reproduction and Embryology (ESHRE)
The professional society that published the 2024 international POI guideline.
Female genital mutilation (FGM)
Non-medical procedures that injure the female genital organs; illegal in the United Kingdom.
Follicle-stimulating hormone (FSH)
A hormone that rises as the ovaries stop working.
General Medical Council (GMC)
The regulator of doctors in the United Kingdom.
General Pharmaceutical Council (GPhC)
The regulator of pharmacists and pharmacy technicians in Great Britain.
General practitioner (GP)
A community doctor who usually holds the patient's main medical record.
Glycated haemoglobin (HbA1c)
A blood test showing average blood sugar, used to check for diabetes.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The fundamental standards registered providers must meet.
Hormone replacement therapy (HRT)
Oestrogen, usually with a progestogen, used to relieve menopausal symptoms.
Hyperprolactinaemia
A raised prolactin level, which can stop periods; sometimes caused by a pituitary tumour.
IU/L
International units per litre, the unit for FSH results.
Levonorgestrel intrauterine system (LNG-IUS)
A hormone-releasing device placed in the womb.
Mental Capacity Act 2005
The law on deciding whether a person can make a particular decision.
National Institute for Health and Care Excellence (NICE)
The body publishing evidence-based health guidance for England.
NG12 and NG23
The NICE guidelines on suspected cancer referral and on menopause.
Nursing and Midwifery Council (NMC)
The regulator of nurses and midwives in the United Kingdom.
Oestradiol
The main oestrogen produced by the ovaries.
Perimenopause
The years of hormonal change before the final period.
Phaeochromocytoma
A rare adrenal tumour causing episodes of sweating, headache and palpitations.
Premature ovarian insufficiency (POI)
Loss of normal ovarian function before age 40.
Records Management Code of Practice (2023)
Guidance on how long health records are kept and how they are managed.
Standard operating procedure (SOP)
A step-by-step procedure document.
Thyroid-stimulating hormone (TSH)
A blood test checking thyroid function.
Transient ischaemic attack (TIA)
Temporary stroke-like symptoms; a medical emergency.
UK General Data Protection Regulation (UK GDPR)
The United Kingdom's main data protection law.
Venous thromboembolism (VTE)
A blood clot in a vein, such as in the leg or lung.

How it works

  1. Buy securely with Stripe - instant, no VAT, no account needed.
  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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