I self referred to the Glasgow menopause clinic. Again, little working with Doctors. At a later point my own Doctor commented in a dismissive tone about them. By then I was in a different situation.  When I was given the patches first time, the clinic said I would need to go to the Doctor for further prescriptions - unless they completely refused to prescribe. 
I wonder if the menopause clinics are different in different regions. 
Fx