The administration of electro-convulsive therapy is governed by guidelines laid down by the Royal College of Psychiatrists and must also comply with the Ethical Code of Medical Practitioners. It must be prescribed by the consultant psychiatrist in charge of the patient and must satisfy certain clinical criteria. The Royal College may withdraw recognition of a consultant training programme if these guidelines are not met.
The Inspector of Mental Hospitals, in the course of his inspections of psychiatric hospitals examines ECT procedures, equipment and premises to ensure that they are of an appropriate standard paying particular attention to rights, privacy and feelings of patients.
The Green Paper on Mental Health published in 1992, proposed new legal safeguards for detained mentally disordered persons in respect of consent to treatment. These proposals were based on the UN Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care.