This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

A faulty production line

Katharine Morrison

  • Media reports of sepsis deaths 'make parents pressure GPs for antibiotics'

    Katharine Morrison's comment 25 Jan 2020 11:42am

    Knew this would happen. The anti antibiotic group and the anti sepsis group need to put their heads together to come up with a public message which does not polarise the issue. Something like: Sepis is a rare but rapidly fatal condition that needs early identification and antibiotic treatment for cure. Using precious antibiotics for common self limiting illness makes it less likely that you or a family member will survive sepsis and will not prevent its occurrence. Do not badger your GP or health care worker for antibiotics. They will know when they need to be prescribed. The symptoms of sepsis are: a b c d. The people who get it tend to be: w x y z. The action you need to take if you suspect sepsis is: k l m n.

  • Judge rules health secretary's right to suspend GPs' pensions before conviction is 'unlawful'

    Katharine Morrison's comment 20 Jan 2020 10:54am

    The doctors have paid into their pensions so what is the rationale for not paying it? Such a ruling is not fair to the spouses and children of the doctor. Are other professions similarly treated?

  • Twice-yearly cholesterol-lowering injection set for NHS clinical trial

    Katharine Morrison's comment 16 Jan 2020 10:23am

    Has it actually been proven that lowering cholesterol lowers all cause mortality?

  • Female GPs earn on average £40,000 less than male counterparts, finds report

    Katharine Morrison's comment 14 Jan 2020 1:43pm

    I worked as a GP partner for 33 years and got the same pay as the male GPs. There is no discrimination gap here at all. Women have a burden of household and childcare labour that men generally don't have. Women generally do not want to work the same hours and intensity as men in terms of their paid work. This is a matter of choice for these women who are lucky enough to be able to do fewer hours or not take on partnership work. Part of that luck factor is having male partners who do take on the paid work burden. Male GPs and female GPs who do not have children already subsidise maternity leave and that is enough.

  • GP acquitted of ‘assault’ after serving 15 months in prison

    Katharine Morrison's comment 03 Jan 2020 1:10pm

    We need surgery only consultations with audio and visual recording of every single one. The patient should have one year to complain and that is all. This would protect the doctor far more often than it would protect the patient.

  • All rise for NICE

    Katharine Morrison's comment 18 Dec 2019 5:07pm

    I've been doing this for years. It saves you from having to take people off their medications again when they start falling about. An important point is that the arm that the cuff is on should be supported by the other arm so the elbow is at a right angle. If you leave the arm straight down this falsely raises the blood pressure. Also they need to not talk and preferably do the bp before conversing with them much because the more they talk beforehand the higher their blood pressure.

  • The RCGP must adopt a neutral position on the assisted dying debate

    Katharine Morrison's comment 11 Dec 2019 7:17pm

    I support the choice of patients to end their suffering by physician assisted death. Currently it takes at least 3 months to arrange a physician assisted death in Switzerland and at a cost of £13,000. There are many safeguards to respect. Even though a nice home birth may seem like a good idea up until the moment it isn't, a nice home death may seem like a good idea up until the moment it isn't. Not all experiences around life events such as birth and death are under our control, no matter how skilled and resourced we may be. Personally I would prefer to die by a method of my own choosing under certain circumstances. The majority of the public agree with this stance and although many doctors would not like to aid patients in this situation there are some that would. Medically assisted abortion is the killing of a little person at the very start of their unlived life who has no choice in the matter. Physician assisted suicide is the killing of usually an old person or at least adult who has lived their life, wants to die because they consider living unbearable, or who is afraid of a painful, protracted, undignified death. They may also wish to spare their relatives anguish by witnessing such a death. Why abortion is considered to be a woman's right up till 24 weeks gestation and is becoming decriminalised and physician assisted death is considered medically abhorrent and a criminal offence defies logic. Other countries and certain US states have already overcome safeguarding issues so we don't need to figure it all out from scratch. Doctors and patients who do not want a physician death and prefer to have a natural death may continue to do so. They should not impose their religious or moral stances on those who don't.

  • British GP unable to work in NHS as GMC says laws are 'not fit for purpose'

    Katharine Morrison's comment 05 Dec 2019 12:21pm

    The Australians have stopped recognising UK qualifications.

  • We must convince graduates that general practice is 'exciting', says Ashworth

    Katharine Morrison's comment 17 Nov 2019 4:22pm

    Well GP land certainly is exciting, but not in a good way.

  • I was left unsupported for 80 minutes in a life-threatening situation

    Katharine Morrison's comment 16 Nov 2019 1:13pm

    Better getting a taxi for anything not including spillage of body fluids. To be fair to the ambulance service, if there was a charge for each use, they would be engaged in far fewer calls.

  • GP leaders to call for removal of home visits from contract

    Katharine Morrison's comment 11 Nov 2019 12:06pm

    Great idea. Home visits put both the patient and particularly doctor at risk. They are time consuming and of no benefit unless the patient is dead (to confirm death) or dying (by agreement of the doctor for terminal care). For the genuinely housebound they can be of in a very small proportion of the calls actually requested. For acute care they are a liability. The patient should pay for them directly.

  • Four in 10 GPs in favour of charging patients for appointments

    Katharine Morrison's comment 10 Oct 2019 11:37am

    NHS. Free at the point of exploitation.

  • Schoolgirl died from heart attack after hour wait for ambulance at GP practice

    Katharine Morrison's comment 20 Sep 2019 10:48am

    I waited 1 hour 40 minutes for a suspected myocardial infarction (not an arrest) recently. Perhaps GPs should be provided with green lights to go on their cars and simply drive casualties straight to hospital. You are tied up with these patients till the ambulance arrives anyway. I don't imagine there would be any more deaths en route than there are from delayed ambulances.

  • Lessons learned from a spell of solitude

    Katharine Morrison's comment 08 Sep 2019 4:10am

    This is why pets are so valuable. They keep you in a routine and you can talk to them too. They are also generally a lot less demanding than kids.

  • Pharmacist to dispense high-dose statins without GP prescription under NHS plans

    Katharine Morrison's comment 04 Sep 2019 5:16pm

    Maybe it would be better to check whether statins make that much difference to total mortality and the cost of this in terms of drugs, tests and health care professionals time, before they roll this out.

  • Lack of GP time and workforce shortages a factor in late cancer diagnosis

    Katharine Morrison's comment 04 Sep 2019 11:10am

    Truth finder, you are right. What is even more worrying is that the royal colleges have jointly issued a directive saying that the standard of care for negligence should be determined by these guidelines. From a pragmatic stance it would make more sense to cut the number of people who go for the diagnostic tests to what is actually achievable.

  • The sinister parallels between the NHS and the airline industry

    Katharine Morrison's comment 21 Aug 2019 11:15am

    I've been selected for random security checks plenty of times and I am a white, old, female.
    My husband and kids all get these too. The plane won't move until everyone is strapped in and if he was either holding up embarkation or holding up the taxi to the runway then the flight could have missed their slot. This would lead to a whole array of knock on effects. Maybe the crew had a point.

  • GPs should not prescribe antibiotics for impetigo, says NICE

    Katharine Morrison's comment 17 Aug 2019 5:28pm

    The peroxide then needs to be made available to pharmacists who can be trained to sell it to patients for this condition.

  • A poor choice for a health minister

    Katharine Morrison's comment 07 Aug 2019 6:44pm

    I don't think that Nadine's views on abortion are unreasonable at all. 23 week old babies can survive with medical help when they are wanted. Great efforts are made to keep them as healthy as possible. It seems unreasonable to me to be killing babies of this age for reasons of societal expediency. Some degree of cool off period is also helpful so that the decision is not later regretted. Between seeing a GP and the deed being done is usually longer than ten days unless the private sector is much more efficient. Like it or not there are two (or more) human lives to consider when it comes to induced abortion. Women do have control over their own bodies. They can usually choose whether or not to use contraception, whether or not to have sex, whether or not to have sex with a man, and whether or not he is required to use a condom, and whether or not they will do a pregnancy test, whether or not they will attend a chemist for the morning after pill, and whether or not they will see a GP. By the time a late abortion is being considered, apart from foetal abnormality which can't always be diagnosed in the first trimester, the woman has usually had a whole series of choices over what to do with her own body.

  • ‘Highly respected’ GP dies following motor racing crash

    Katharine Morrison's comment 06 Aug 2019 12:45pm

    Just on the cusp of retirement as well. What a shame.