From 2027, large employers must publish an Equality Action Plan that addresses menopause. Hormonal health stops being a wellbeing topic and becomes a reporting one. HHEI holds the clinical view, the occupational one, and the voice of people who have lived it, in the same room. For UK employers, the NHS, and the partners serving them.
Fertility & occupational health briefing (includes white paper)
Hormonal health needs a movement. Be in it.
Join as a person. Build with us as an organisation.
White paper
Fertility treatment and working life: the integrated picture
Read the paper →
Our framework
These are the lenses through which HHEI understands hormonal and cardiometabolic health, and the framework for how it works.
Hormonal and cardiometabolic science. Evidence-based, mechanistic, grounded in current research.
Health experienced in communities. Co-design built in. Lived experience as a full contributing lens.
For most working-age adults, health is shaped by work. The workplace lens is not an add-on.
Ethnicity, language, faith, family structure, migration, and socioeconomic position all shape health.
Works across NHS, employer, technology, research, policy, and community simultaneously.
Find your route in
Why this exists
Endometriosis, PCOS, fibroids, fertility challenges, perimenopause, menopause, testosterone disorders. These conditions shape working life, mental health, and relationships. For people from ethnic minority communities, the barriers compound: later diagnosis, lower research representation, and care that rarely reflects cultural context. HHEI was built to hold the full picture.
Multi-lens clinical depth
Primary care, occupational medicine, and expert by experience in one founding body. The clinical picture and working life are inseparable for most people navigating these conditions.
Equity by design
Hormonal health inequalities are structural. Ethnic minority communities face compounding barriers across diagnosis, treatment, and workplace support. HHEI's equity lens is built in, not bolted on.
Beyond a women's health agenda
Men carry disproportionate testosterone-linked cardiometabolic and oncological risk that rarely reaches clinical or occupational attention. HHEI addresses hormonal health across genders.
Workplace and system integration
HHEI adds clinical depth and equity framing to what employers and health systems already have. It works alongside OH providers, EAPs, ICBs, and HR structures, not instead of them.
Research and evidence grounding
Community-anchored recruitment and inclusive research design for grant teams. HHEI brings access to the populations most under-represented in hormonal health research.
Platform clinical layer
A non-competing clinical and equity partner for health tech, femtech, and EAP providers. Expert advisory panels, licensed content, cross-cultural input, and procurement-ready credibility for platforms with reach.
The scale we are responding to
of English women aged 16 to 55 have at least one indicator of poor hormonal health
Palmer et al., BJOG, March 2025 (n=59,332, DHSC-commissioned)
Read the white paper
£0.0bnannual UK economic cost of endometriosis alone, one condition within HHEI's scope
Endometriosis UK Survey 2023
Read the white paper
0%of time off taken for fertility treatment is logged as sick leave, a further 23% as unpaid leave
Totaljobs with the Fawcett Society, September 2023 (n=2,000)
Read the white paper
~0large UK employers in scope of the developing GEAP framework (the gender pay gap reporting population)
UK Government, Employment Rights Act 2025. Mandatory publication expected Spring 2027
Read the white paper
The work
Five areas of work. Tap any row to see what it includes and how partners engage.
Manager training, Integration Days, OH and EAP framework consulting, and policy frameworks designed to work with the partners you already have.
Talks, manager training, the KHUSH-6 audit and an employer mark, with a South Asian doctor and someone with lived experience in every room. A reportable health action for Race at Work signatories, WRES reporting and ethnicity pay gap plans.
Expert advisory panel contribution, licensed clinical modules, equity and cross-cultural input, co-branded clinical authorship, and procurement-ready credibility. A non-competing partner that adds integrated clinical depth to platforms with reach.
Co-developed programmes with ICBs, women's health hubs, public health teams, and community organisations. Culturally adapted, bilingual where needed.
Curriculum contribution into accredited programmes, co-hosted webinars and conferences, and policy briefings designed for delivery through royal colleges, faculties, professional bodies, and policy partners who hold the accreditation.
Who's behind HHEI
A founding board built so the lenses hormonal health requires sit in the room together, not stitched together across providers. Primary care. Occupational medicine. Anaesthetics and women's surgical care. Lived patient experience. Cross-cultural and bilingual grounding.
Founding Director
MBChB · MRCGP · DOccMed
GP and occupational medicine, and a South Asian woman who has navigated PCOS and IVF inside the system she works in.
Founding Director
MBBS · FRCA · DOccMed · AFOM
Anaesthetics and secondary care alongside occupational health, bringing both the workplace and secondary-care lens, with a cultural perspective.
Latest from The Journal
April 2026
Equality Action Plans are expected to become mandatory for large UK employers from 2027, subject to regulations. The clinical case for what this actually requires, and why HR frameworks alone will not meet it.
Read: Why hormonal health at work is now a legal question, not a wellbeing questionApril 2026
For most people navigating hormonal health conditions, the clinical picture and working life are inseparable, yet they often arrive in different consulting rooms. The case for holding them together.
Read: When hormonal health meets working life: the integrated clinical pictureApril 2026
For people from ethnic minority communities in the UK, hormonal health outcomes are consistently worse. The evidence, and what addressing it structurally actually requires.
Read: Structural, not incidental: understanding the hormonal health equity gapQuestions
HHEI CIC is a clinician-founded, asset-locked Community Interest Company registered in England and Wales (Companies House 17166971), incorporated in April 2026. We bring primary care, occupational medicine, and expert-by-experience perspectives on hormonal health together in one founding body. We work with UK employers, NHS and ICB commissioners, digital health platforms, research funders, and community organisations serving people from ethnically diverse backgrounds.
Duration
30 minutes
Format
Video call
Cost
No charge