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Medicine attracts a cohort of people who care about others, society, equality, and fairness. This is particularly the case when those issues impact the health or wellbeing of people within society, or the medical profession more generally. How can you express your views while also maintaining your professional standards?
Factors for you as a doctor to consider when expressing your personal views about such issues or taking part in social activism are summarised below. In short, a doctor has a right to freedom of expression, but this must be done in light of the GMC’s 2024 guidance on professional standards expected of doctors when taking part in social activism. Doctors taking part in protests or other forms of activism - GMC (gmc-uk.org).
The GMC provides reassurance that it is supportive of doctors in expressing their views: “Like all citizens, doctors are entitled to their political opinions and have the right to campaign on issues.”1 However, this guidance is qualified with the need for a medical professional to be aware of the possible impact of the expressions or acts by a doctor and the impact that might have on other people’s rights and interests.
Exercise your freedom of expression, but carefully consider the following:
Share your views and/or take part in activism but think carefully before you speak or act – Could the words you use or actions you take offend or hurt others? Could your words or actions risk being offensive or discriminatory? Would your words or actions reflect poorly on how society views the medical profession? If the answer to any of these is “yes”, then reconsider your position and/or whether you should express your views if you want to avoid criticism or sanction.
Follow the GMC’s social media guidance2 – If you are expressing views on social media or public platform, follow the guidance provided to you by the GMC. In summary: - If commenting on issues, the GMC expects you to say who you are. - Avoid connecting with your patients on social media and maintain professional boundaries. - Do not use patient identifiable information. - You must not use social media to abuse, discriminate, bully, or harass.
Act lawfully – Do not break the law and you will reduce the risk of criticism or sanction. For example, if you wish to take part in a climate change protest, do so in a peaceful and respectful way, where you are not complicit to any criminal damage or obstruction during that protest. Your right to peaceful protest is permitted.
Don’t say it if you can’t defend it – Inappropriate or illegal comments that you might make in a private setting are not immune from scrutiny. Your conduct in private social contexts, either in person or in writing (including encrypted messaging groups) are not immune from future scrutiny. If those comments are disclosed to your employer, your regulator, or the police, they could place you at risk of criticism.
Seek expert advice – The GMC states: “If the concern does not involve a serious breach of our standards or a significant risk to public protection, it is unlikely to result in us taking any regulatory action.”1 Mistakes happen. Learn from the incident. Reflect on it. Consider remediation and learning to enhance your understanding of good communication and expression of your views that does not compromise professional standards. Medical Defence Organisations (MDOs) are experienced at advising doctors on GMP and how it applies to doctors. If you are unsure whether any expression or act might compromise your compliance with GMP, then seek advice before acting.
Express yourself – but carefully and considerately.
Act within lawful remits when engaging in social activism.
Follow the GMC guidance on the use of social media and engaging in activism.
If you have any questions or concerns, seek advice from your medical defence organisation.
