The Green ThistleNurse-led consultancy, Inverness Get in touch

A nurse first, then everything else.

I'm James Clyne Gunn, a Registered Nurse (Adult), NMC registered since 2009 and working in cannabis-based medicines since 2021. The best part of the job is the conversation.

James Clyne Gunn

How I got here.

I trained in the Highlands and qualified in 2009, having worked as a support worker all the way through my degree. My early years were the kind of nursing that teaches you fast: agency shifts across hospitals and care homes, and long stretches looking after people at home on ventilators and with tracheostomies, where you learn that families know more than the textbook and that a calm voice at 3am is a clinical skill.

From there I moved into complex care and management across Scotland, and in 2016 I came home to run community hospitals in Badenoch and Strathspey for the NHS. Two hospitals, a minor injuries unit, a budget, a redesign, and a lot of very good people. I was the lead clinical stakeholder on the design of a new hospital, which remains one of the pieces of work I'm proudest of.

In 2021 I took a leap into medical cannabis. It was legal, it was barely three years old as a prescribed medicine in the UK, and nursing's place in it was still being worked out. I became Nurse Manager of a large national cannabis clinic, and wrote the governance framework, the prescribing policies and the audit programme that helped it achieve a Good rating from the CQC. I set up a team of nurses and prescribing pharmacists, and a nurse-led clinic that gave patients someone with time to listen.

After that I went back to the bedside, or the screen, seeing up to twenty-five patients a day across pain, mental health and complex conditions, and working with producers on product development. Thousands of consultations later, I have a fair idea of what patients ask, what worries them, what goes wrong and what helps. The Green Thistle is where I put that to work for other people: clinics, clinicians, and the patients and carers who just want someone to explain it properly.

Every patient matters. These are the people I want services to do better for.

Some people are too often let down by services that weren't built with them in mind. These are the ones I care about most, and this is what I think good care looks like for each.

  • Deaf people and BSL users

    Too much of healthcare still runs on the phone. I'm fluent in British Sign Language, and good care means a proper conversation in your own language, by video if that's easier, with clear written follow-up. Nobody should have to struggle to be understood about their own health.

  • Families and carers

    Families and carers hold a great deal together, often with very little support. Good care means including them from the start, honest conversations, a plan everyone understands, and nobody left waiting for answers they need now.

  • People in remote and rural places

    I trained in the Highlands and ran community hospitals in Badenoch and Strathspey, so I know what distance does to care. Living a long way from a service shouldn't mean worse care. Good care means appointments that work on a poor connection, plans made early around the weather and the ferries, and nobody assuming you can just pop in.

  • LGBT and trans patients

    Trans patients especially. Healthcare can feel unwelcoming when your identity is treated as a complication. Good care means the right name and pronouns, no unnecessary questions, and dignity at every step. I want every LGBT patient to leave an appointment feeling they were treated as a person first.

  • People who need things done differently

    Some people need care adapted to them: shorter appointments, written summaries, no surprises, and a clinician who doesn't mind being asked the same question twice. I've helped design services that work this way, and the small things matter.

  • Safe, well-run services

    Behind every good appointment is a service that works: careful screening, follow-up that doesn't depend on the patient chasing, good records and honest audit. It's the unglamorous part, and it's where patients are kept safe.

Experience in brief.

What I bring, without the CV. I'm happy to send the full version to anyone who needs it.

Registered
Registered Nurse (Adult), NMC registered since 2009
Trained
BSc (Hons) Adult Nursing, University of Stirling, Highland campus
Specialist training
Medical Cannabis Clinicians Society, 2021, and a long list of mentors since
Member
Medical Cannabis Clinicians Society, Royal College of Nursing
Languages
English, British Sign Language, conversational Lithuanian
  • Ran two NHS community hospitals and a minor injuries unit.
  • Led clinical governance at a large national cannabis clinic, through a Good rating from the CQC.
  • Built nurse-led clinics, and teams of nurses and prescribing pharmacists.
  • Thousands of patient consultations in cannabis-based medicines.
  • Lead clinical stakeholder on the design of a new hospital.

How I work.

A few things you can expect from me, whether you're a clinic director or a carer with a list of questions on the back of an envelope.

  • An honest first conversation

    Before any scope or price, we talk. If I'm not the right person, I'll say so and point you to someone who is.

  • Plain English, always

    I've spent years translating between consultants, pharmacists, regulators and frightened patients. If I can't explain something simply, I don't understand it well enough yet.

  • Governance you can live with

    Policies only help if the people on shift can use them, so I write with the clinic floor in mind, and I try to make sure they answer the questions an inspector will ask.

  • The patient in the room

    Every decision, whether it's a pathway or a policy, gets the same question: what does this look like from the patient's side of the desk?

  • Highland-based, UK-wide

    I'm in Inverness. Most of my work happens by video and phone, and I'm always happy to travel when being in the room would help. If you live in the Highlands and want to know how the system works from here, see medical cannabis in Inverness and the Highlands.

Talk to me in BSL.

I'm fluent in British Sign Language, and I'd like Deaf patients, carers and colleagues to know they can talk to me directly, without an interpreter in the middle, if that's what they'd prefer.

Talk to me by BSL video call: email james@thegreenthistle.co.uk or use the contact form to arrange a time. If you live in Scotland, you can also call me free through contactSCOTLAND-BSL, the national BSL video relay service.