Freedom of Information Request – Ref: FOI 317-2026
Thank you for your recent Freedom of Information request. Please find our response below.
You asked:
1. Standard Assessment Criteria
Do your Trust’s standard assessment tools or templates for (a) mental-health crisis assessment, (b) self-harm/suicide risk assessment, and/or (c) psychiatric admission specifically prompt clinicians to ask about or record the following?
For each, please answer Yes or No.
- Menstrual cycle history? Yes/No
- Menstrual cycle phase at the time of presentation? Yes/No
- Cyclical worsening of psychological or psychiatric symptoms? Yes/No
- PMS ?Yes/No
- PMDD? Yes/No
- premenstrual exacerbation (PME) of an existing mental-health condition? Yes/No
- Perimenopause or menopause status? Yes/No
- Use of hormonal contraception or Hormone Replacement Therapy (HRT)? Yes/No
- Recent commencement, discontinuation or change in hormonal contraception, HRT or other hormonal treatment? Yes/No
For clarity, we are asking whether these are specifically prompted within the standard assessment, rather than whether they could be entered under a general medical or psychiatric history section.
Our response:
The following answers apply to each of the three assessment types identified in the request: mental-health crisis assessment, self-harm or suicide risk assessment, and psychiatric admission assessment.
- Menstrual cycle history – No
- Menstrual cycle phase at the time of presentation – No
- Cyclical worsening of psychological or psychiatric symptoms – No
- PMS – No
- PMDD – No
- premenstrual exacerbation (PME) of an existing mental-health condition – No
- Perimenopause or menopause status – No
- Use of hormonal contraception or Hormone Replacement Therapy (HRT) – No
- Recent commencement, discontinuation or change in hormonal contraception, HRT or other hormonal treatment – No
You asked:
2. Assessment Documentation
Please provide a blank copy of the current standard assessment form, template, or electronic record outline used by clinicians during crisis, risk, or psychiatric admission assessments.
Our response:
The Trust does not hold a current standard assessment form, template or electronic record outline that falls within the scope of this part of the request.
You asked:
3. Staff Training
Do healthcare professionals undertaking these assessments receive mandatory or optional specific training on reproductive mental health (including PMDD, cyclical exacerbation of mental-health conditions, and perimenopausal/menopausal mental health)? If so, please provide brief details on the scope and frequency of this training. If training is provided, please also state which staff groups receive it, whether it is mandatory or optional, and its approximate duration.
Our response:
Not applicable.
You asked:
4. Clinical Guidelines and Pathways
Does the Trust have a specific clinical guideline, pathway, protocol or policy relating to PMDD, premenstrual exacerbation (PME), or mental-health symptoms associated with perimenopause or menopause? Yes/No
Our response:
No.
You asked:
If Yes, please provide a copy or electronic link to the relevant document(s). If it is held, please provide this information for the most recent operational period available.
Our response:
Not applicable.
Next steps:
Should you have any queries in relation to our response, please do not hesitate to contact us. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:
Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss@ghc.nhs.uk
If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office (ICO) for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.