17/06/2026
š Pride Month: How professional standards have evolved
This Pride Month, we wanted to reflect on how far professional regulation has come, and the role it now plays in protecting people in the LGBTQ+ community.
Not so long ago, same s*x attraction was criminalised in the UK and widely treated as a medical or psychological condition. It was only removed from the World Health Organization (WHO)'s International Classification of Diseases in 1992. This history of pathologizing s*xual orientation has had a lasting impact on how people in the community have been treated.
These attitudes were also reflected in professional regulation. As shared by the General Medical Council (GMC) in their 2024 apology, at least 40 male doctors faced regulatory action in historical cases, for engaging, or attempting to engage, in consensual s*xual activity and intimacy with other men. Eight were struck off the GMC register, with the last erasure taking place in 1966.
Today, the picture is very different.
Modern professional standards place equality, diversity and inclusion (EDI) at their core. Regulators increasingly expect professionals to provide inclusive care and to challenge bias. We have embedded EDI into our Standards for regulators and Accredited Registers. We expect the organisations we oversee to promote EDI and take action to reduce inequalities and assure its policies and processes are fair and equitable to all.
This shift is also clear in Fitness to Practise work. EDI is central to our Section 29 assessment process, where we review regulatorsā final decisions to ensure they adequately protect the public. Discriminatory behaviour towards patients, colleagues or the public raises serious concerns about a professionalās Fitness to Practise. Regulation is no longer neutral on inclusion; it is a key part of how the public is protected.
However, there is still more to do. NHS England reported last year that people in the LGBT+ community continue to experience health inequalities, including in mental health care, cancer screening and access to primary care services. Dr Michael Brady, National Adviser for LGBT Health, said: āItās unacceptable that LGBT+ people have a poorer overall experience of health services, which leads to worse health outcomes.ā
This highlights the need for continued action. Professional regulation must not be complacent. It must keep strengthening its approach to EDI and recognise the different needs across protected characteristics.
Professional regulation has evolved, and it continues to play an important role in ensuring that everyone is treated with fairness, dignity and respect.
Click below forā¬ļø
The BBC article relating to the GMC's apology: https://www.bbc.co.uk/news/health-68367790
Our Standards: https://www.professionalstandards.org.uk/publications/standards-regulators-and-accredited-registers-2026
Our Section 29 process: https://www.professionalstandards.org.uk/organisations-we-oversee/our-work-regulators/checking-and-appealing-fitness-practise-decisions
NHS England's work in tackling LGBTQ+ health inequalities: https://www.england.nhs.uk/2025/07/nhs-launches-first-ever-review-to-tackle-lgbt-health-inequalities/