Delivering holistic menopause care through group consultations: a feasibility study in a military population

BACKGROUND: Menopause consultations are increasingly common in general practice and workplace health settings, yet time and resource constraints limit clinicians' ability to provide comprehensive care. Group consultations (GCs) may offer a scalable alternative, particularly in occupational environments where access to women's health expertise may be limited. AIM: To evaluate the acceptability and perceived impact of a menopause GC series in a UK Armed Forces (UKAF) population, exploring outcomes for patients, medical services, and the wider organisation. METHOD: A service evaluation of a five-session menopause group consultation series, held in-person at a Defence Primary Health Care Practice. Ten participants attended between two and five 90-minute sessions co-designed with subject matter experts. Quantitative measures included pre/post symptom questionnaires (GCS, Meno-D), and self-rated confidence and knowledge. Qualitative feedback was collected via focus groups, free text and email responses, and analysed thematically. RESULTS: Participants reported improved confidence (average increase 45%) and symptom reduction on both scales. Notably, some symptom scores increased, reflecting greater awareness rather than deterioration. Participants valued peer support, continuity, and holistic discussion. Administrative and booking barriers were noted. While estimated clinical time 'saved' (6.75 hours) did not exceed time spent (7.5 hours), participants strongly endorsed the approach. The group model positively influenced perceptions of employer investment and retention. CONCLUSION: Menopause GCs were acceptable and empowering for participants, with implications for workforce wellbeing and retention. With adaptation, this model could be applied to other occupational settings or health topics, balancing patient benefit with clinician time and cost.