Terms & Conditions
Your Menopause Care with Rupa
Last updated: August 2026
These Terms and Conditions (“Terms”) set out the basis on which we provide online menopause consultation and prescribing services and related services.
By registering with us, booking an appointment, using our website or otherwise using our services, you agree to be bound by these Terms. If you do not agree, you must not use our services.
1. Definitions
1.1 In these Terms:
(a) “Clinic”, “we”, “us”, “our” means Menopause Care (London) Limited, company number 16848569, trading as Your Menopause Care with Rupa.
(b) “Clinician” means Ms Rupa Lyall, Independent Prescribing Pharmacist (GPhC no. 2058281), recognised as an Advanced Level Practitioner by the British Menopause Society.
(c) “Services” means our online perimenopause and menopause consultation, prescribing and follow-up services, and any related workplace talks or educational services, provided via our Website or other agreed platforms.
(d) “Patient”, “you”, “your” means the individual using our Services as a patient or service-user.
(e) “Website” means yourmenopausecare.co.uk and any associated domains or sub-domains.
(f) “SignatureRx” means Signature Pharmacy/SignatureRx or such other registered pharmacy as we may use from time to time.
2. Who we are & regulatory information
2.1 The Services are provided by:
(a) Menopause Care (London) Limited (trading as Your Menopause Care with Rupa);
(b) registered office: Dawes Court House, Dawes Court, High Street, Esher, Surrey, KT10 9QD;
(c) email: rupa@yourmenopausecare.co.uk.
2.2 We are:
(a) registered with the Care Quality Commission (CQC) as an independent healthcare provider for the provision of online consultation and treatment services in England;
(b) professionally regulated by the General Pharmaceutical Council (GPhC);
(c) registered with the Information Commissioner’s Office (ICO) as a data controller under registration number ZC136473.
2.3 Details of how to check relevant registrations will be made available on the Website.
3. Scope of services
3.1 We provide:
(a) online consultations for perimenopause, menopause and postmenopausal care. Initial consultations are provided by video, with follow-up consultations provided by video or, where clinically appropriate, by telephone;
(b) follow-up consultations, repeat prescription requests and treatment-related support for existing patients, as described on the Website;
(c) prescribing of medicines where clinically appropriate and lawful, and arranging dispensing and delivery via registered pharmacies;
(d) optional workplace menopause education sessions and talks for organisations, as further described in clause 8.7.
3.2 We do not provide:
(a) emergency medical services;
(b) general primary care, as our Services are intended to complement, and not replace, the care provided by your GP or other NHS/healthcare professionals;
(c) diagnosis or treatment of conditions outside our stated scope of practice.
4. Eligibility and registration
4.1 Our patient Services are intended primarily for individuals who:
(a) are aged between 40 and 65 years (or outside this age range at our clinical discretion); and
(b) are ordinarily resident in the United Kingdom.
4.2 You must:
(a) have capacity to consent to treatment;
(b) provide accurate identity and contact details and keep them up-to-date;
(c) provide your registered GP practice details and consent to us communicating with your GP as described in clause 6.6.
4.3 We may decline to provide or continue to provide Services if:
(a) it is clinically unsafe or inappropriate to do so;
(b) the information you provide is incomplete, inaccurate or misleading;
(c) your needs fall outside our scope of practice or the limitations of online care.
5. Medical disclaimer and emergencies
5.2 The information and advice provided through the Website and during consultations:
(a) constitute personalised clinical advice based on the information you provide;
(b) must not be used as a substitute for face-to-face medical assessment where that is clinically needed;
(c) depend on you giving full, accurate and truthful information about your health.
5.3 You must not disregard, avoid or delay seeking medical advice from your GP or other healthcare professional because of something you have read on the Website or been told during a consultation with us.
5.4 Our Services must not be used for medical emergencies. If you believe you may be experiencing an emergency, including but not limited to:
(a) chest pain, severe shortness of breath or suspected heart attack;
(b) sudden weakness, slurred speech or suspected stroke;
(c) severe allergic reaction (anaphylaxis);
(d) suicidal thoughts or acute mental health crisis;
you must call 999, attend A&E, or contact the appropriate urgent care service (for example, NHS 111) immediately.
5.5 Menopause-related symptoms such as low mood, anxiety or insomnia may overlap with other medical or psychiatric conditions. Where we consider it necessary, we will advise you to seek assessment by your GP or another specialist.
6. Online consultations and clinical care
6.1 All clinical consultations are carried out by the Clinician, acting within her scope of practice as an independent prescribing pharmacist.
6.2 You agree to:
(a) join consultations on time and in a private, quiet space where you can talk freely;
(b) ensure your technology (including device, internet connection, microphone and camera) is working;
(c) answer all questions honestly and completely.
(d) if you wish, you may invite a partner, family member, friend, carer or translator to join the consultation, in accordance with clause 6.7.
6.3 The Clinician will:
(a) take a medical history, review your questionnaire and assess your symptoms;
(b) discuss potential treatment options, including benefits and risks;
(c) prescribe medicines only when clinically appropriate and lawful;
(d) explain when further investigations, blood tests or referral are advisable.
6.4 We reserve the right to refuse or defer prescribing or treatment if:
(a) it is clinically unsafe or inappropriate;
(b) we believe you require urgent or face-to-face assessment;
(c) there are concerns about authenticity of your identity or the information you provide.
6.5 Repeat prescriptions for existing patients are subject to clinical review. Repeat prescriptions will normally only be issued where you have attended your recommended follow-up appointment, your treatment is stable and the Clinician considers it clinically appropriate to continue your treatment. If further clinical review or a change to treatment is required, you may be asked to book a follow-up consultation instead.
6.6 In relation to communication with your GP:
(a) you must provide correct GP details when registering;
(b) you consent to us sharing relevant information about your care, prescriptions and test results with your GP to ensure continuity and safety of care;
(c) in rare cases, including safeguarding concerns or serious risk to you or others, we may contact your GP or appropriate authorities without your prior consent, as allowed by law and professional guidance.
6.7 If you wish, you may have a partner, family member, friend, carer or translator present during your consultation, provided that:
(a) they are over 18 unless we expressly agree otherwise and behave in a respectful and non-disruptive manner;
(b) you remain our patient and the primary focus of the consultation and we will normally direct our questions and advice to you;
(c) by inviting them you consent to us discussing your health and treatment in their presence and you are responsible for ensuring they understand and respect the confidential nature of what is discussed;
(d) if they act as an informal interpreter, we are not responsible for any inaccuracies or omissions in translation and, for complex or sensitive issues, we may recommend or require the use of a professional interpreter instead;
(e) we may ask them to leave the consultation temporarily or permanently if their presence appears to affect your ability to speak freely, raises safeguarding concerns or their behaviour is disruptive, abusive or otherwise inappropriate; and
(f) where clinically appropriate, we may offer you the opportunity to speak with us alone during part of the consultation so that you can raise any concerns in private.
7. Prescriptions, pharmacies and medicines
7.2 We:
(a) use SignatureRx (or another suitably registered UK pharmacy) to dispense and deliver medicines;
(b) send valid prescriptions electronically to the partner pharmacy;
(c) provide sufficient clinical information to support safe dispensing;
(d) inform you how your medicines will be supplied.
7.3 You must:
(a) check that your name, address and medicine details are correct on delivery;
(b) read the patient information leaflet and any instructions we provide;
(c) use medicines exactly as directed and never share them with anyone else;
(d) tell us promptly if you experience side-effects or if you are pregnant, breastfeeding or planning pregnancy.
7.4 We are not responsible for:
(a) changes to medicine availability or pricing by pharmacies or manufacturers;
(b) clinical decisions made independently by another prescriber or pharmacist;
(c) services provided directly by SignatureRx or any other third-party pharmacy, which are governed by their own terms.
8. Fees, payment, refunds and cancellations
8.1 In respect of consultation fees:
(a) our current fees are shown clearly on the Website and/or at the point of booking;
(b) you must pay consultation fees in full at the time of booking.
8.2 In respect of medication costs:
(a) pharmacy charges for medicines are separate from our clinical fees;
(b) you will pay the dispensing pharmacy directly;
(c) the pharmacy’s prices and refund policies apply.
8.3 In respect of repeat prescriptions:
(a) a repeat prescription administration fee will apply, as shown on the Website or at the point of request;
(b) payment of the administration fee does not guarantee that a prescription will be issued and all requests remain subject to clinical review;
(c) where the Clinician considers that a follow-up consultation is required before further treatment can safely be prescribed, you will be advised accordingly.
8.4 In respect of blood tests and other diagnostic services:
(a) blood tests will only be arranged where clinically appropriate;
(b) costs will vary depending on the tests required and the total fee will be confirmed before the test is arranged;
(c) where applicable, the fee may include the laboratory test, blood sample collection and interpretation of the results.
8.5 In respect of rescheduling and cancellation of patient consultations:
(a) you may reschedule or cancel a consultation by following the instructions in your confirmation email or contacting us by email;
(b) if you give us at least 24 hours’ notice, we will either reschedule your appointment or refund the consultation fee, at your choice;
(c) if you cancel with less than 24 hours’ notice, or do not attend your appointment, the full fee for the booked service will be non-refundable.
8.6 For consumer “cooling-off” rights:
(a) when you book a consultation, you request that we begin providing the Service on the scheduled date, which may be within the statutory 14-day cooling-off period;
(b) you acknowledge that once we have completed your consultation, you no longer have a right to cancel that consultation under distance-selling rules;
(c) no refund will be due after a consultation has been completed, except as expressly stated in these Terms.
8.7 Where we provide workplace menopause talks and business services:
(a) fees will depend on audience size, location, format (remote or in-person) and level of customisation;
(b) such fees will be agreed in writing in a proposal, quote or email and may include reasonable travel time and expenses;
(c) cancellation terms will be set out in the booking confirmation, and, if not, we reserve the right to charge reasonable non-recoverable costs and preparation time if a booking is cancelled at short notice;
(d) unless expressly agreed otherwise, our workplace talks are for information and education only and do not constitute individual clinical advice.
8.8 We will normally refund consultation fees where:
(a) we cancel because we are unable to provide the Service and you do not wish to reschedule; or
(b) we determine at the outset that you are unsuitable for our Service and no consultation occurs.
8.9 Medicines that have been dispensed cannot be returned or refunded for safety reasons, except where required by law.
9. Delivery of medicines and tests
9.1 Delivery of medicines is arranged by the dispensing pharmacy using courier or postal services.
9.2 You are responsible for:
(a) ensuring that the delivery address you provide is correct and secure;
(b) ensuring that someone is available to receive the medicines where a signature is required.
9.3 We are not responsible for:
(a) delays, loss or damage caused by couriers, postal services or events beyond our reasonable control;
(b) delivery problems caused by incorrect or incomplete details you provide,
but we will provide reasonable assistance in liaising with the pharmacy or courier to help resolve issues.
9.4 Where blood tests or other diagnostics are arranged via third-party providers, their separate terms and conditions will apply.
10. Your responsibilities
(a) provide accurate, complete and truthful information about your health, medication, allergies and lifestyle;
(b) promptly tell us about any changes to your health status or medicines;
(c) follow the advice and instructions we give, including attending recommended follow-up appointments;
(d) use the Website and Services only for lawful purposes and not for fraudulent or abusive purposes, and not attempt to gain unauthorised access to our systems, interfere with or disrupt the Website or Services;
(e) treat our staff with courtesy and respect and refrain from abusive, threatening or discriminatory behaviour.
11. Intellectual property
11.1 All content on the Website and in our written materials, including text, graphics, logos, videos, educational resources, branding and trade names (including “Your Menopause Care with Rupa” and any associated logos), is owned by us or our licensors and is protected by copyright, trade mark and other intellectual property laws.
11.2 We grant you a personal, non-exclusive, non-transferable, revocable licence to:
(a) access and use the Website; and
(b) use any patient information materials we provide;
solely for your own personal, non-commercial use in connection with your care.
11.3 You must not, and must not allow anyone else to:
(a) copy, reproduce, adapt, modify, publish, distribute, sell, license or create derivative works from any part of the Website or our materials;
(b) use our name, logo or branding in any way that suggests endorsement of your own products or services;
(c) record or distribute any consultation, webinar or talk without our prior written consent.
11.4 Where we deliver workplace talks:
(a) we remain the owner of all underlying intellectual property;
(b) unless we expressly agree otherwise in writing, your organisation may use any slides or materials we provide only internally, for training and information purposes;
(c) you must not share our materials publicly, upload them to public websites or use them to create competing services.
11.5 Nothing in these Terms grants you any rights in our trade marks or other intellectual property except as expressly stated.
12. Data protection and privacy
(a) UK General Data Protection Regulation (UK GDPR);
(b) Data Protection Act 2018; and
(c) applicable health record and professional confidentiality requirements.
12.2 Full details of how we collect, use and protect your data, and your rights as a data subject, are set out in our Privacy Policy, which forms part of these Terms.
12.3 By using our Services, you acknowledge that you have read and understood our Privacy Policy.
13. Complaints and feedback
13.1 We welcome feedback and complaints and use them to improve our Service. This clause 13 sets out our Complaints Policy and Procedure and is designed to comply with:
(a) the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, including Regulation 16 (Receiving and acting on complaints) and Regulation 20 (Duty of candour);
(b) the Accessible Information Standard;
(c) the Equality Act 2010;
(d) UK data protection law, including UK GDPR and the Data Protection Act 2018.
13.2 You can raise a concern or make a complaint in any of the following ways:
(a) by email to rupa@yourmenopausecare.co.uk; or
(b) by post to Your Menopause Care with Rupa, Dawes Court House, Dawes Court, High Street, Esher, Surrey, KT10 9QD.
13.3 To help us respond promptly, please include where possible:
(a) your full name, date of birth and contact details;
(b) details of your concern or complaint – what happened, when it happened and who was involved;
(c) how you have been affected;
(d) what outcome you are seeking (if you wish to say).
13.4 We will make reasonable adjustments to support you to raise a concern or complaint, in line with the Accessible Information Standard and the Equality Act 2010. If you need help to set out your complaint, or you require information in another format or language (for example, large print or a different language), please let us know and we will do our best to accommodate your needs.
How we handle complaints – step-by-step
13.5 We will handle complaints in a way that is open, fair and proportionate. Our process is:
(a) Acknowledgement – We will acknowledge your complaint within 3 working days of receiving it, confirming that we have received it and explaining the next steps.
(b) Investigation – Your complaint will normally be investigated by Ms Rupa Lyall (registered manager) or another appropriate person. We may:
(i) review your clinical records and any relevant correspondence;
(ii) speak to staff or providers involved in your care;
(iii) ask you for further information or clarification if needed.
(c) Response – We aim to send you a full written response within 20 working days of acknowledging your complaint. If it will take longer, we will explain why and provide an updated timeframe.
(d) Outcome – Our response will:
(i) summarise your complaint;
(ii) set out the steps we took to investigate;
(iii) explain what we have found and, where something has gone wrong, what happened and why;
(iv) include, where appropriate, an apology in line with our duty of candour;
(v) explain any actions we are taking to put matters right or to reduce the risk of similar issues arising in future.
13.6 We will keep you updated during the process, particularly if there are any delays, and we will cooperate with any independent review or external investigation as required.
13.7 If your complaint relates to the registered manager and/or (if applicable) the nominated individual, or there is a potential conflict of interest:
(a) it will be reviewed by an alternative senior person or an appropriate external adviser where practicable; and
(b) we will take reasonable steps to ensure that the complaint is handled fairly, objectively and without disadvantage to you.
13.8 We keep a complaints log that records the date, nature, outcome and any learning from each complaint.
13.9 We review complaints regularly as part of our clinical governance arrangements to:
(a) identify patterns or recurring themes;
(b) improve our clinical care, communication and patient experience;
(c) update policies, procedures or training where needed;
(d) check that our complaints system is working effectively.
13.10 Complaints will be handled confidentially and in accordance with UK GDPR and the Data Protection Act 2018.
13.11 Records of complaints will be kept separately from your main clinical record where appropriate, but may be cross-referenced where this is necessary for your care or for governance.
13.12 We will retain complaint records for at least 3 years from closure of the complaint, or longer where required by law or relevant guidance.
13.13 If you remain unhappy after receiving our final response, you may contact us again to explain why and to ask us to review your complaint.
13.14 Nothing in these Terms affects your right to raise concerns with regulatory bodies at any time, including:
(a) the Care Quality Commission (CQC), which uses information about complaints to monitor and inspect services (but does not normally investigate individual complaints);
(b) the General Pharmaceutical Council (GPhC), in relation to professional or pharmacy matters;
(c) the Information Commissioner’s Office (ICO), in relation to data protection and privacy concerns.
13.15 Contact details for these bodies are set out in our Privacy Policy and may also be found on their respective websites.
14. Third-party services and links
14.1 The Website may contain links to websites or services provided by third parties, including pharmacies, laboratories, payment processors and educational resources.
14.2 We:
(a) do not control, endorse or accept responsibility for the content or services provided by such third parties;
(b) are not responsible for any loss or damage that may arise from your use of third-party websites or services, which is at your own risk and subject to their own terms and conditions.
15. Indemnity
15.1 You agree to indemnify us for any loss, damage, liability, costs and expenses reasonably incurred by us arising from:
(a) your breach of these Terms;
(b) your misuse of the Services;
(c) your provision of false, misleading or incomplete information.
15.2 This indemnity will not apply to the extent that any loss is caused by our negligence or breach of these Terms.
16. Limitation of liability
16.1 Nothing in these Terms excludes or limits our liability for:
(a) death or personal injury caused by our negligence;
(b) fraud or fraudulent misrepresentation;
(c) any matter which cannot lawfully be limited or excluded.
16.2 Subject to clause 16.1:
(a) we are not liable for any indirect, incidental, special or consequential loss, including loss of profits, business or opportunity, arising out of or in connection with your use of the Services or Website;
(b) our total aggregate liability to you for all claims arising out of or in connection with any Service shall not exceed the total fees actually paid by you for that Service.
16.3 We are not liable for losses arising from:
(a) your failure to provide accurate, complete and truthful information;
(b) your failure to follow the instructions or advice we give or those accompanying your medicines;
(c) the use of your prescribed medicines by anyone other than you;
(d) delays or failures in delivery caused by third-party couriers, postal services or events beyond our reasonable control;
(e) technical issues, including internet outages or device failures, which prevent you from accessing the Services;
(f) acts or omissions of third-party providers, such as pharmacies, laboratories or payment processors, which are responsible for their own services.
16.4 Nothing in these Terms affects your statutory rights as a consumer.
17. Suspension and termination
17.1 We may suspend or terminate your access to the Services, on reasonable notice where practicable, if:
(a) you seriously or repeatedly breach these Terms;
(b) you behave in a threatening, abusive, discriminatory or otherwise unacceptable manner towards us or others;
(c) we consider that continuing to treat you would be clinically inappropriate or unsafe;
(d) we are required to do so by law, regulation or a regulatory body.
17.2 You may stop using the Services at any time.
17.3 Termination does not affect:
(a) any accrued rights or obligations up to the date of termination;
(b) the continued application of clauses which are stated to survive termination, as set out in clause 23.
18. Force majeure
18.1 We will not be in breach of these Terms or liable for delay or failure to perform our obligations where such delay or failure results from events, circumstances or causes beyond our reasonable control.
19. Assignment and other dealings
19.1 These Terms are personal to you. You may not assign, transfer or subcontract your rights or obligations without our prior written consent.
19.2 We may assign, transfer or subcontract our rights and obligations under these Terms to another organisation, including in connection with a business reorganisation, provided that this does not materially reduce the protections afforded to you.
20. Set-off
20.1 You may only set-off any amount we owe you against amounts you owe us where this is permitted by law.
20.2 We may set-off any refund owed to you against unpaid fees or other sums properly due from you to us.
20A. Interest on late payment
20A.1 If you do not pay any amount properly due to us under these Terms on the due date for payment, we may charge interest on the overdue amount from the due date until payment is received in full.
20A.2 Interest will accrue on a daily basis at a rate of 4% per annum above the Bank of England base rate from time to time, or such lower rate as we may determine in our discretion.
20A.3 We may also recover from you any reasonable costs we incur in seeking to recover overdue sums.
21. Confidentiality
21.1 We will keep your information confidential in accordance with professional obligations and data protection law, subject to the disclosures described in our Privacy Policy and these Terms.
21.2 You agree to keep confidential any non-public information about our business and Services which you receive in the course of using our Services.
22. Variation of Terms
22.1 We may update these Terms from time to time to reflect changes in law, regulation, professional guidance or how we deliver the Services.
22.2 The latest version will:
(a) be available on the Website; and
(b) apply to your use of the Services from the date it is posted or from such later date as may be stated.
22.3 Where changes materially affect existing patients, we will take reasonable steps to notify you, for example by email or notice on the Website.
22.4 Your continued use of the Services after changes take effect constitutes your acceptance of the updated Terms.
23. Survival
23.1 The following clauses will survive termination or expiry of these Terms and continue in force:
(a) clauses 5, 8 (in respect of unpaid fees), 9.3, 10, 11, 12, 13, 14, 15, 16, 18, 19, 20, 20A, 21, 23, 24, 25, 26, 28, 29, 30, 31 and 32; and
(b) any other provision which by its nature is intended to continue.
24. Severance
24.1 If any provision of these Terms is found by a court or regulator to be invalid, unlawful or unenforceable, that provision shall be severed from the remaining provisions, which shall continue in full force and effect.
25. No waiver
25.1 Any delay in enforcing, or failure to enforce, any right or provision under these Terms does not constitute a waiver of that right or provision.
26. Entire agreement
26.1 These Terms, together with the Privacy Policy and any written booking confirmation or consent form, constitute the entire agreement between you and us in relation to the Services and supersede any prior discussions or correspondence.
26.2 If there is any conflict between these Terms and any specific written agreement we enter into with you (for example, a corporate services agreement for workplace talks), the specific written agreement will prevail to the extent of the conflict.
27. Counterparts
27.1 Where you agree to these Terms electronically, for example by ticking a box or clicking “I agree”, that electronic acceptance will have the same legal effect as a signed hard-copy document.
27.2 These Terms may be entered into in any number of counterparts, all of which together constitute one agreement.
28. Notices
28.1 Any formal notice to us under these Terms should be sent:
(a) by email to rupa@yourmenopausecare.co.uk; or
(b) by post to Your Menopause Care with Rupa, Dawes Court House, Dawes Court, High Street, Esher, Surrey, KT10 9QD.
28.2 We may give notices to you via:
(a) the email address you provided on registration; and/or
(b) messages or notifications within your online account, if applicable.
28.3 Notices sent by email will be deemed received on the next working day after sending.
29. No partnership or agency
29.1 Nothing in these Terms is intended to create any partnership, joint venture, employment or agency relationship between you and us.
30. Dispute resolution
30.1 We aim to resolve concerns quickly and informally where possible. If you have a concern, please contact us in the first instance.
30.2 If you wish to make a formal complaint, you should follow the complaints process set out in clause 13.
30.3 Nothing in these Terms limits your right to:
(a) raise concerns with the CQC, GPhC or other relevant regulator; or
(b) issue legal proceedings in the courts of England and Wales.
31. Governing law and jurisdiction
31.1 These Terms and any non-contractual obligations arising from them are governed by and construed in accordance with the law of England and Wales.
31.2 The courts of England and Wales have exclusive jurisdiction over any dispute arising in connection with these Terms or the Services.
32. Third party rights
32.1 A person who is not a party to these Terms has no right under the Contracts (Rights of Third Parties) Act 1999 to enforce any term of these Terms.
32.2 This does not affect any right or remedy of a third party which exists or is available apart from that Act.
