In 2009 she was listed at number 10 in the Pink News list of 50 most powerful gay, lesbian and bisexual people in British politics. The citation said:
- "Although not yet an MP, Margot James wields considerable influence in her role as Deputy Chairman of the Conservative party for Women, a position she has held since 2005. Despite being the only prominent lesbian in the Tory party, she is impatient with the description and stresses her impressive background in business and work as a local councillor. In 1986 co-founded her own company, Shire Health, a PR and medical education business. It was voted ‘Consultancy of the Year’ three times. She later sold it to the WPP Group.
She received a lifetime achievement award in the Pink List 2011 and was ranked number 52 in the Pride Power List 2011 70 in the World Pride Power List 2012 and 67 in the World Pride Power List 2013. The World Pride Power List article said:
- "James is vice-chairman of the Conservative party, the first openly lesbian Tory MP in history."
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