GLADD

The roots of the association lie with the Gay Medics and Dentals Society of the University of London Union, established by Martin Hamilton-Farrell in 1975; the society was founded to support gay and lesbian clinical students at the university - a role in which it participated in some of the earliest pride marches in London and distributed posters stating "you are not alone" across the London medical schools - as well as to advocate for the health needs of gays and lesbians to medical professionals across London, regularly sending questionnaires to medical professionals (in particular doctors in psychiatry, obstetrics & gynaecology, and sexual health) testing their knowledge of homosexuality as well as information booklets.^[1] One of its main acts was to distribute the "Guide to counselling agencies for homosexual people in London" in December 1977 to over 10,000 GPs and consultants across London.^[2] The society was at times criticised by the more radical Gay Liberation Front for elitism amongst its mainly middle and upper-class medical members. At its peak, the organisation had over 150 members, the list of which was kept strictly confidential for well-founded fears that the release of information of members' sexualities would prove career-destroying. Eventually, in 1978 the society closed after the majority of its members had graduated and were unable to maintain it under the pressure of junior doctor work life.^[1]

In 1980, both the British Medical Journal and the British Dental Journal refused to publish an advertisement by the Gay Medics and Dentists Group in Scotland on the grounds that its publication would be offensive to the majority of the BMA and BDA's members; in response, Dr Hamilton-Farrell published an open letter in the BMJ criticising the decision, calling it offensive to gay doctors and patients alike, and calling for greater acceptance of gay and lesbian doctors amongst the profession.^[1] This letter was well received, and in response Hamilton-Farrell founded the Gay Medical Information Society alongside David Harvey, which in 1983 would become the Gay Medical Association, around the time its membership was reported as approximately 150 members.^[2] Around the same time, the association published the leaflet "AIDS: Acquired Immune Deficiency Syndrome" in response to some of the first HIV/AIDS cases in the UK, possibly the first leaflet of its kind in the country; it was distributed in gay bars and nightclubs across the country, however only one print run was produced as the printer (who also produced gay pornography) was raided by the police after the first run and the remaining leaflets were confiscated and destroyed under the Obscene Publications Act. Further attempts to produce a leaflet in cooperation with the Health Education Council were rebuffed, but the GMA partnered with the Terrence Higgins Trust and London Lesbian and Gay Switchboard in the same year to host the first public conference on HIV/AIDS in the country in Conway Hall, and the year after produced a second leaflet also supported by the THT.^[1][2]

The early 1980s also saw the establishment of Women in Medicine, a radical alternative to the mainstream Medical Women's Federation, by lesbian doctor Susan Bewley who saw the GMA as too male-dominated; in response, and to recognise its lesbian members, the GMA changed its name to the Lesbian and Gay Medical Association in 1988.^[2] In 1986, the GMA hosted the first international conference on Homosexuality and Medicine at the Royal Society of Medicine in conjunction with the American Association of Physicians for Human Rights. This brought new publicity and prestige to the association, who then played a key role in the founding of Stonewall in 1989, a prolific LGBTQ+ rights organisation in the UK to this day; Peter Rivas, the then-chair of the LGMA became a founding member of Stonewall, and the LGMA contributed funds to the organisation's establishment.^[1]

In 1994, the modern Gay & Lesbian Association of Doctors and Dentists was formed as a new organisation, however it largely absorbed the funds and membership of the LGMA alongside other smaller organisations established for gay and lesbian medical and dental professionals; the new organisation, formally established by constitution in 1995, aimed to be more accepting, as highlighted by the inclusion of lesbians and dentists within the name, as well as the appointment of Dr Bewley as one of the new co-chairs. In 2010, Dr David Harvey, the co-founder of the GMA, died of a chest infection and complications of his Parkinson's Disease; in response, the annual prize of GLADD was named the David Harvey Award, which continues to be awarded.^[3][1] Finally, in 2020, the organisation was renamed to the LGBTQ+ Association for Doctors and Dentists to better represent its role in advocacy for all LGBTQ+ medical and dental professionals, including bisexual and transgender medics and dentists, however it continues to primarily go by the initialism GLADD to this day.

Today, GLADD exists to build community and representation for LGBTQ+ medical and dental professionals across the UK, with its specific aims being:^[4]

• To provide professional and social support for LGBTQ+ doctors, dentists and medical and dental students.
• To collect and disseminate information on LGBTQ+ issues relevant to the practice of medicine and dentistry.
• To combat discrimination against LGBTQ+ people, particularly if expressed by doctors and dentists or toward doctors and dentists.

The association is headed by an executive committee elected by its members; it hosts an annual general meeting each year, at which the executive committee members are elected, accounts and executive reports are presented, and at which members may propose resolutions to be voted on by the membership. Membership is open to any doctor, dentist, dental student, or medical student who identifies as LGBTQ+ or who supports the aim of the organisation; special membership is also available to those who are not in any of the above professions but who are involved in healthcare or medical/dental education and are involved in LGBTQ+ advocacy, as well as honorary membership which can be bestowed by the executive committee.^[5] The executive committee is supported by an advisory group which establishes working groups for various projects and has appointed several representatives of subsets of the membership, such as women, transgender members, students, and retired members. The association is also a member of the National Council for Voluntary Organisations^[4]

GLADD plays an educational advocacy role in the UK, delivering talks to employers, health organisations, and the public educating them on LGBTQ+ issues; in particular, the association often delivers talks at medical and dental schools and for other healthcare students, promoting inclusive practice and educating them on LGBTQ+ specific topics in healthcare, such as gender-affirming care and sexual health services. The association also produces a curriculum guide to help healthcare educators broach LGBTQ+ issues. GLADD also collaborates with the Royal Society of Medicine every year to host LGBTQ+ Healthcare day, consisting of talks at the RSM in London.^[6]

GLADD has a significant activism role, often responding to topical LGBTQ+ issues in the health field by publishing responses and petitioning organisations and the government to enact change. Some issues the association undertakes activism for include:

• Support for a comprehensive trans-inclusive ban on conversion therapy
• Support for gender-affirming healthcare
• EDI roles alongside the General Medical Council and Professional Standards Authority
• Periodic surveys on the experience of LGBTQ+ medical and dental professionals
• Apologies for historical medical license sanctions against LGBTQ+ medical and dental professionals
• Support for easing blood donation restrictions on men who have sex with men
• Supporting the disclosure of pronouns on ID badges, letters, and emails in health settings

In 2024, the association responded to the Cass Review; it expressed concern at an apparent disconnect between the evidence reviewed in the body of the report and the report's conclusions, as well as a tonal narrative which implicitly pathologizes trans identities, engages in biological determinism, and a bias against the autonomy of trans people.^[7] It also heavily criticised a supporting BMJ article which compared gender-affirming healthcare to gay conversion therapy.^[8]

• LGBTQ health
• LGBTQ rights in the United Kingdom
• Transgender rights in the United Kingdom
• Anti-transgender movement in the United Kingdom