Open Letter on Patient Access, Welfare and Moderation Transparency | PatientsCann UK®
About this letter This is an open statement of our own experience, shared to inform patients and to invite fair dialogue. It is not legal advice. In the screenshots below, moderator names have been removed, and the only accounts shown are our own team's. The screenshots also show our former name and website, The Sanskara Platform; we now operate as PatientsCann UK CIC.

Who we are

PatientsCann UK CIC is a registered Community Interest Company. A CIC is a non-profit set up to serve the community, not to make money for owners. We exist to give UK medical cannabis patients free, honest information, legal guidance and support. We take no payment from patients for any of it.

We are writing this letter because free, non-profit patient resources, ours and those we are linked to, keep being filtered, removed and banned on one of the busiest patient forums in the country: the r/ukmedicalcannabis subreddit. We have asked, appealed, and offered to follow every rule. Time and again we have been met with silence.

Why this matters

Free, not for profit
Every guide, legal framework and toolkit we make is free. We take no money from patients, ever.
Removed and banned
Our links and crossposts were filtered, our posts held for approval, and then we were permanently banned.
Appeals ignored
Our requests, formal appeals and offers to talk have gone unanswered for years.

The core issue

Gatekeeping essential patient information

UK medical cannabis is new, complex, and changing fast. Patients lean on each other, and on trusted independent guidance, to stay safe and to stay legal. When the first forum a worried patient finds removes free, non-commercial education, patients are the ones who lose out.

Over the past few years we have found that resources produced by, or linked to, PatientsCann UK have been filtered and removed from r/ukmedicalcannabis. This has even included content where we were not the only author, but were simply named as a contributor or a source. At the time we operated under our former name, The Sanskara Platform, and links to that free resource site, along with crossposts linked to our work, were blocked.

The pattern we have seen: free help is treated as advertising, links are quietly filtered, appeals are ignored, and the door is closed with no clear right to reply.

What we have experienced

A documented timeline

Around 4 years agoOur links removed, our crossposts blocked

Links to our free resource site were being automatically removed, and crossposts from our patient committee subreddit were disabled. When we asked why, the moderators told us the material was being treated as advertising, because our website "appears to be built by and partnered with companies and consultancies in the medical cannabis sector." Our answer at the time was simple: the site exists to give patients resources and education, and it makes no money from those links.

Reddit mod-mail thread titled 'blocked/disabled'. The moderators confirm that links to our resource website and crossposts from our patient committee subreddit are being automatically filtered, and describe the material as advertising.
Moderation reply confirming our links and crossposts were being automatically filtered as "advertising", and our response explaining the resources are free.
Around 4 years agoA patient resource taken down

A post explaining how to verify a patient was removed under the "no advertising" rule. In the same message, the moderator accepted that the post "does contain a patient resource", but removed it anyway.

Reddit thread titled 'Post removed'. A moderator confirms a post about verifying a patient was removed under the no-advertising rule, while accepting that it does contain a patient resource.
A free patient resource removed under the "no advertising" rule, even though the moderator accepted it was a genuine patient resource.
Around 4 years agoPosting rights limited to approval only

After a month-long ban was lifted, we were told we were not banned. In practice, every post and comment we made would be held back and would only appear if a moderator approved it first.

Reddit thread titled 'am I still banned'. A moderator confirms the account is not banned, but that all posts and comments must wait for approval.
Told we were "not banned", but that every post and comment would have to wait for a moderator to approve it.
Around 3 years agoWe tried again, in good faith

We reached out again, calmly, hoping to reach "a mature conclusion" about the block on our resources. We explained that patients ask the same questions every day, questions our free guides already answer, and asked to talk it through so we could move forward together.

Reddit post titled 'The Sanskara Platform' asking the moderators to reopen the conversation maturely and resolve the block on the free resource platform.
Our good-faith request to reopen the conversation and find a fair way forward for the community.
Around 3 years agoA permanent ban, and a question turned back on us

We were then permanently banned from taking part in r/ukmedicalcannabis. When we asked for a clear reason, and suggested an independent review of the decision, the reply did not answer the point. Instead it turned the question back on us, saying that if anything needed investigating, it was our "backing and investors."

Reddit message: 'You've been permanently banned from participating in r/ukmedicalcannabis', followed by an exchange where our request for reasons and independent review is turned back on us with a question about our backing and investors.
The permanent ban notice, and the exchange that followed when we asked for reasons and an independent review.
This year, MarchA fresh request for review, met with silence

Most recently, in March, we sent a calm, respectful request to revisit the ban. We explained that we were never given a clear or definitive reason, and that we simply wanted the chance to put it right. As with our earlier appeals, we received no meaningful reply.

Reddit mod-mail on a phone titled 'Request for review'. A polite message asks the moderators to revisit a ban from a few years ago, noting that no clear reason was ever given.
Our most recent request for review, sent in good faith and, once again, left unanswered.

Not one account

This reached others.

The messages above are from our Managing Director. But this was never about one account, or one person. Another of our directors, Sal, a medical cannabis patient and an NHS worker, was silenced in the same community, in the same way, and for the same reason: being linked to us.

Around 3 years agoSafety updates offered, then a ban for being an "associate"

Sal asked to share two things that genuinely help keep patients safe: an official update from Devon and Cornwall Police, following his own arrest, including training for police forces on how to recognise legitimate medical cannabis patients; and news that an airline had given him clear permission to take his medicine on a flight. This is exactly the kind of information that helps a patient avoid a wrongful arrest and travel without fear.

Shortly after, Sal was permanently banned. The only reason the moderators wrote was two words: "Sanskara Associate". In plain terms, he was banned for being connected to us, not for anything he had done. He still replied warmly, explaining who he was and the awareness work he was doing, and asked if he could keep sharing safety updates with patients.

Reddit message titled 'Devon and Cornwall police update 2'. Sal asks to share an update on his work with Devon and Cornwall Police following his arrest, including police training on identifying legitimate patients, and permission from an airline to medicate on a flight.
Sal asking to share police-safety and safe-travel updates with the community, in good faith.
Reddit ban notice: the account is permanently banned from r/ukmedicalcannabis. The moderators' only note reads 'Sanskara Associate'. Sal replies explaining he is a patient and an NHS worker, and asks to keep sharing awareness work.
The permanent ban. The moderators' only stated reason was "Sanskara Associate", followed by Sal's warm reply asking to keep helping.
Around 2 years agoStill asking, politely, to help patients

Even after the ban, our team kept asking in good faith. Sal wrote again to ask permission to share a post that, in his words, could help patients feel more confident using their medicine and dealing with their local authorities. It was a warm, respectful message. It went nowhere.

Reddit message titled 'PatientsCann awareness work post'. Sal greets the team and politely asks permission to share a post that could help patients feel more confident using their medication or engaging their local authorities.
A polite request to share awareness work that could help patients feel more confident. It received no way forward.
Around 1 year agoFull transparency about Releaf, met with delay, then silence

When we simply asked for a flair, the moderators pointed to our history and the old Releaf contract, and asked us to disclose our current involvement. Sal answered every point openly. He explained that the Releaf contract was a mistake we would never repeat, that we have no contracts or relations with Releaf in any form, that we had brought in proper governance and due diligence, and that we had publicly raised our own concerns about malpractice in the sector, such as excessive charges and cannabis cards. He was told it would be discussed at a meeting in a week or two. He followed up. No decision ever came back.

Reddit private message archive titled 'No advertising'. Sal from PatientsCann UK asks for a flair as a patient-led non-profit. A moderator raises the history with Sanskara and the Releaf contract and asks for disclosure. Sal replies confirming no relations with Releaf, new governance, and public criticism of sector malpractice, then follows up for a decision.
Sal disclosing everything about the former Releaf sponsorship and asking only for a flair. The reply was a promise to discuss it, and then silence.

The cost to patients: some of the blocked posts were about avoiding a wrongful arrest and travelling safely with legal medicine. When that kind of help is kept from people, the cost is not hurt feelings. It can be someone's freedom.

Full transparency

The reasons we were given, and our honest answer

We have nothing to hide, so we will address every reason that has ever been put to us, in plain words.

1. Data and privacy

Early on, a concern was raised about our privacy policy. We fixed it straight away and made sure we met the rules in full. This was resolved a long time ago.

2. Money and sponsorship

As a CIC, our accounts are a matter of public record. Anyone can check them. We will also be completely open about the one point that has been used against us for years.

We once accepted a single, one-off sponsorship from a clinic, Releaf, to help fund an awareness campaign. The deal was simple and at arm's length: they provided funds for the campaign and had no say over what we said or did, and we stayed fair and balanced whenever we talked about clinics. That sponsorship lasted only three months. After it ended, we made the decision never to work with them again.

We were so determined to be transparent that, at the time, we went on a public podcast with MCPA to explain the partnership openly, and to say sorry for any sense that it could look like bias. Every clinic that sponsored our work was responsible for promoting itself, by turning up to our events and meeting patients face to face. Releaf, the sponsor in question, did not attend a single one.

To be clear: we take no ongoing commercial kickbacks and no affiliate fees, and we earn nothing when a patient uses our material. Our education is non-commercial, and it stays that way.

3. Verification and flair

We have asked, through the proper moderation channels, for the organisation flair and for anything else needed to follow the community rules. Those requests, our formal appeals, and our repeated offers to talk have simply gone unanswered.

The real cost

Why this harms the patient community

When moderation runs with no clear rules, no right of appeal, and no reply, it stops being moderation. It becomes a closed door. That door leaves patients inside an echo chamber, cut off from free, checked, non-profit tools that could help them.

A forum that is the first place many vulnerable patients land has a real duty of care. Removing free, non-profit help while refusing to talk raises fair and serious questions: who benefits from that silence, and how is this community really being led?

Patients should never have to fight past a locked gate to find free, honest help.
PatientsCann UK CIC

Our commitment

Where we go from here

Free and open access
Every guide, legal framework and patient toolkit we make will stay completely free, public, and hosted on platforms we control.
An open door for dialogue
We remain willing to talk, openly and on the record, with any moderation team, to agree fair rules for non-profit patient organisations.
Independent, un-gated spaces
We are speeding up our work to build and support open patient communities, where education is never gated, filtered or censored.

Never gated

Where you can always find us

Our website

Free guides, legal help and patient support, all in one place.

patientscann.org.uk

Our Discord community

A safe, moderated space for patients to connect, share and support one another.

Join the PatientsCann UK Discord

Talk to us

Questions, ideas, or an offer to open dialogue are always welcome.

patientscann.org.uk/contact-us

Free help, for every UK patient

Our resources will always be free and open. If you moderate a community and want to agree fair rules for non-profit patient groups, our door is open too.

References and sources

References follow the Harvard style. Moderation correspondence is held on record by PatientsCann UK CIC; moderator identities have been withheld. Sources with no named author are listed by the organisation responsible.

  1. r/ukmedicalcannabis moderation team (2021 to 2026) Moderation correspondence and thread records: removals, approval-only posting, permanent ban and requests for review. Records held by PatientsCann UK CIC.
  2. Reddit (2026) Reddit Content Policy. Available at: redditinc.com/policies/content-policy (Accessed: 30 July 2026).
  3. Office of the Regulator of Community Interest Companies (2026) Community interest companies: guidance and forms. Available at: gov.uk (Accessed: 30 July 2026).