James Munro
jamesfm55.bsky.social
James Munro
@jamesfm55.bsky.social
Proud ex-CEO at Care Opinion CIC. 40+ years hanging around the NHS as doctor, academic, nursing assistant, patient, relative + hospital porter.

careopinion.org.uk
Pinned
Thinking about online patient feedback...

In some orgs it's data: log, count, report.
In some it's cases: listen, resolve, close.
In some it's culture: learn, improve, be open.
Reposted by James Munro
November 26, 2025 at 6:55 AM
Reposted by James Munro
Good morning, while everyone is waiting for the budget to be announced it’s a good time to say that immigration is a source of prosperity for the UK and painting Britain as a hostile state is sabotaging the country. Thanks!
November 26, 2025 at 7:44 AM
Reposted by James Munro
I really wish we'd stop calling them climate "skeptics" or "vaccine skeptics", if you jump off a cliff we don't call you a "gravity skeptic"
November 25, 2025 at 8:18 PM
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Everything about this might be the saddest thing I’ve ever seen
November 24, 2025 at 1:07 PM
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On Care Opinion, stories aren’t just good or bad. They’re personal.

One story thanked the Asha Centre at #WHSCT and suggested a small change about the butter. The service listened and responded with a change: www.careopinion.org.uk/1389147#1404...

Even small changes can have a real impact.
November 24, 2025 at 2:50 PM
Reposted by James Munro
the last 24 hours on X, summed up:
November 23, 2025 at 2:26 PM
Reposted by James Munro
1) Start the worst European war since 1945 and commit every imaginable war crime
2) Decide how you want to be rewarded for your aggression
3) Leak the list of your desiderata to the US press
4) Wait for the US president to enforce your wish list on your victim.
Russian policy 2025
November 23, 2025 at 3:30 PM
Reposted by James Munro
If you’re a journalist who’s still on Twitter, from now on in your writing you have to replace “the American people want” with “troll bots in Eastern Europe demand”

Being there makes your judgment suspect. I don’t care how savvy you think you are, you’re marinating in a disinformation campaign.
November 23, 2025 at 4:27 PM
Reposted by James Munro
And I gather Grok has analysed the so-called 'peace plan' and concluded that various bits of syntax, spelling and style suggest it's been translated from Russian
Musk turned on a feature on X that showed country of origin.

He disabled it a couple hours later when it was revealed how many MAGA accounts aren't in the U.S.

Foreign bot disinformation machines exposed.

Seems like Twitter could have done that feature 15 years ago & we wouldn't be here today.
November 23, 2025 at 2:21 PM
Reposted by James Munro
Newmarket MP Matt Hancock gave a £37bn Covid testing contract to Jockey Club director Dido Harding, who subcontracted it to Grand National sponsor Randox, employer of Tory MP Owen Paterson, whose late wife chaired Aintree racecourse. That's how the Tories handled the pandemic.
November 22, 2025 at 12:42 PM
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Anti-vaccine propaganda from 1892 versus 2025.

Same fear-mongering tactics, different century.
November 22, 2025 at 3:34 PM
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This week, I withdrew from a speaking engagement at a public university because they sent me a list of prohibited “words & concepts.” I will not humor this censorship. It does a disservice to the stories I’m discussing & the audience, who deserve unfettered access to information & conversation.
November 20, 2025 at 10:20 PM
Reposted by James Munro
Once Nathan Gill is sentenced, investigate all the MEPs.

Nigel Farage
Richard Tice
Dr David Bull
Paul Nuttall
Martin Daubney
Alex Phillips

#ReformRussianBribes
November 21, 2025 at 8:16 AM
Reposted by James Munro
The President of the United States just called for my arrest and execution.

In these moments, fear is contagious, but so is courage:
November 20, 2025 at 7:15 PM
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Has Nigel Farage or Zia Yusuf remembered who Nathan Gill is yet?

www.bbc.co.uk/news/article...
Nathan Gill: How WhatsApp messages revealed ex-Reform politician's pro-Russian bribes
The former leader of Reform UK in Wales has admitted bribery and will be sentenced on Friday.
www.bbc.co.uk
November 21, 2025 at 10:38 AM
Reposted by James Munro
Reposted by James Munro
Nadine Dorries:

"It’s just rewriting history, it’s with hindsight. I’m not sure the evidence is there to back up those claims that 23,000 people died because of that week’s delay. I think that just sounds to me not right.”

Honestly woman, learn some humility.

www.independent.co.uk/news/uk/poli...
Boris Johnson could face legal action over pandemic failings after damning report
Nadine Dorries and Michael Gove have led attempts to undermine the damning report by Heather Hallett after it found inaction by Boris Johnson’s government may have cost 23,000 people their lives
www.independent.co.uk
November 21, 2025 at 3:24 PM
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Celebrating @careopinion.org.uk and all the social enterprises putting people and planet before profit.💗
#NHS #OnlineFeedback #SocEnt #SocialEnterpriseDay
We're a proud social enterprise and today is #SocialEnterpriseDay - a moment to raise awareness and celebrate the amazing work carried out by these businesses around the world, including @careopinion.org.uk. But what is a social enterprise?...
#CareOpinion
November 20, 2025 at 4:15 PM
Reposted by James Munro
Despicable
open.substack.com/pub/steady/p...
Great read from Dan Rather:
"...The very existence of a free press is a threat to this president’s modus operandi, which is to govern by lying. Why would he want people around him who ask for facts and truthful answers?..."
#BlueCrew #MisogynistInChief
Despicable
The bully-in-chief is targeting women in the White House press corps
open.substack.com
November 21, 2025 at 4:04 AM
Reposted by James Munro
My feeling reading about the covid inquiry is just how much unprocessed grief there still is, so many untold stories. So much need for ongoing healing & coming to terms with.
November 20, 2025 at 9:50 PM
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The Telegraph (alone) dismisses the Covid inquiry as telling us nothing we didn’t know, rather than acknowledging the enormity of what we do know.
November 21, 2025 at 7:40 AM
Reposted by James Munro
This is completely disgusting. Today, the CDC updated their vaccine safety page. It now says:

“The claim "vaccines do not cause autism" is not an evidence-based claim because studies have not ruled out the possibility that infant vaccines cause autism”.
November 20, 2025 at 2:53 AM
Reposted by James Munro
Measles vaccination averted more than 60 million deaths between 2000 and 2023.

In 2023, there were an estimated 107 500 measles deaths globally, mostly among unvaccinated or under vaccinated children under the age of 5 years.

www.who.int/news-room/fa...
November 19, 2025 at 12:58 PM
Reposted by James Munro
On Monday, Reform held a press conference to say the councils it runs had identified £330m in savings, and that it had a list setting out the details. Since then I have asked Reform several times to see the list, and have been told repeatedly it will be sent. It has still not been sent.
November 19, 2025 at 2:20 PM
Reposted by James Munro
What is the weight of American collective moral responsibility?

"Trump’s anti-climate agenda could result in 1.3m more deaths globally, analysis finds."

#ClimateSky

www.theguardian.com/environment/...
Trump’s anti-climate agenda could result in 1.3m more deaths globally, analysis finds
Fallout from increased emissions linked to president’s ‘America First’ policies expected to most affect those in poor, hot countries
www.theguardian.com
November 19, 2025 at 2:35 PM