Original subtitles

Afternoon, Doctor! Hi, Aislene.

Hello, Charlie. Boss.

Spare any change, Doc?

On my wages, you're probably richer than me, Charlie.

BABY BABBLES

Again, sorry for the wait, but everything looks fine.

And you're sure it's not infected?

I'm sure. You're healing up nicely.

Just, erm... it feels so uncomfortable down there.

Well, a little discomfort's to be expected.

How's everything else? Yeah, fine.

That's not quite true.

You've been struggling to cope. Ed.

I'm doing my best. She's not been sleeping.

I've been doing most of the feeding. It's not been easy.

Rosie, tell the doctor.

Having a baby and a toddler...

..it's hard.

Rosie, why don't we have a quick chat on our own?

Yeah.

Mm-hm. Yep.

Come on, then.

CLASSICAL MUSIC PLAYS

MUSIC CONTINUES

BUTTONS BEEP, DOOR BUZZES

Yes, I realise that.

Did you bleep me? Mm.

They keep calling about Toni's Mental Health Act assessment.

HE SIGHS, CHATTER ON PHONE

I called her. She's not answering.

Fine. I'll pass that on.

SHE HANGS UP PHONE What's wrong?

SHE SIGHS

Toni's meant to be getting sectioned right now,

but the team's at her house waiting for Dr McAllister.

The AMHP's threatening to cancel the whole thing

if she doesn't turn up ASAP.

Is she on her way? SHE SIGHS

She hasn't even left.

She's in her office doing God knows what.

I don't have time for this.

PHONE BUZZES

Hello. Dr Ford, psych reg on call.

'Hi, I'm Dr Hernandez calling from MAU.'

Yeah, I've got a patient I'd like you to see.

She's six weeks postpartum.

MOUTHS

'It'll just be a straightforward review.'

Yeah. 'We're room 127.'

Uh-huh.

It shouldn't take too long. They just need a bit of reassurance.

Sure, yeah, yeah. I'll be right there.

The team's at Toni's flat right now waiting for you so they can start.

The AMHP says they'll cancel if you don't arrive soon.

No, they can't cancel. I've spent ages trying to get Toni sectioned.

I'm about to start a management meeting.

It's the bloody Trust again. I've got so much on my plate.

She's out there psychotic, pregnant, using crack.

If she isn't sectioned today, anything could happen.

I know, and I wish I could help, but...

You could, actually, couldn't you?

They just need a doctor who knows Toni.

Kate, I can't. I'm on call. I've just accepted a referral.

Yeah, it's nearly five. Get the SHO to see them.

HE SIGHS SOFTLY: I really shouldn't.

It's a straightforward assessment, James.

Toni's symptoms are obvious. You'd get it done quickly.

I'm really sorry,

but I have to attend an urgent Mental Health Act assessment.

'It's nearly five, so the on-call SHO can see her after handover.'

I've already told the patient and her husband you're coming.

I know, but my consultant needs me to go do this assessment.

So do this first. It won't take long.

This patient is acutely unwell. Is your patient in imminent danger?

Well, obviously, not right now

because she's sitting in my clinic room,

but beyond that, I can't say.

Is she exhibiting any unusual symptoms?

'I can't assess that. I'm not a psychiatrist, am I?'

BABY CRIES WITHIN 'Look, this is time-sensitive.

'All right? They're waiting for me, and they can't...'

Look, we all have time pressures. You're the on-call psychiatrist.

'You can't refuse to come.'

HE SCOFFS I didn't refuse.

I-I told you, I'm having to prioritise a higher-risk patient.

SHE SCOFFS Fine.

If you're choosing to downgrade a referral you already accepted,

I'll document that in the notes.

Don't... Don't do that.

'You're not leaving me much choice.' CAR LOCK BEEPS

OK, well, if you're happy to wait with her,

then I'll review her when I get back.

You could be hours.

If you don't come now, I'm taking it higher.

I'm on my way.

PHONE BUZZES

Have you felt anxious or worried for no good reason?

No.

Do you ever blame yourself unnecessarily when things go wrong?

PHONE BUZZES No.

Er, she blames herself for not being able to breast-feed.

It's making her really anxious.

Isn't that normal?

It can be.

I-I'm trying, but I just can't.

PHONE CONTINUES BUZZING

Could you turn that off?

No. No, I can't, I'm afraid.

Rosie, I'm going to ask you some questions

to assess your mental state.

Some of these questions might feel a little strange,

but we ask everybody the same things.

PHONE BUZZES

Do you have any beliefs that other people think aren't true?

No.

Are you preoccupied by anything?

No.

Have you had any thoughts about harming yourself?

No.

How about harming other people?

No.

Do you ever feel like someone

is trying to remove thoughts from your head...

..or trying to put thoughts into your head without your control?

Do you ever feel like other people can hear your thoughts?

No.

Do you hear or feel things when there's nothing there?

Erm... What do you mean?

Er, like...

hearing somebody talking to you when there's nobody else in the room.

No. PHONE BUZZES

Er, sorry.

Well, you're clearly sleep-deprived, erm,

but there's no explicit risks that I'm concerned about.

And you have a supportive, loving partner.

DOOR OPENS

DOOR CLOSES

So, you're... not too concerned? Currently not, no.

But I'll refer her to the Home Treatment Team

for a full assessment tomorrow, just in case.

Prescribe lorazepam, two milligrams for when she gets home,

another two before bed.

It'll contain anxiety, help her to sleep.

They aren't safe in breast-feeding patients.

They are fine for short-term treatment,

and she's not breast-feeding. PHONE BUZZES

You asked for my advice. That's what it is.

Wait, you're not coming in to explain the plan?

I can't, I really have to go. Just tell her what I said.

Hello?

Yeah, yeah, yeah, I'm on my way, yes.

So, that's it? We just go home, and we wait for this home care team?

Dr Ford also suggested lorazepam to help with your anxiety and sleep.

It's a sedative similar to diazepam...

Is it safe to breast-feed?

There is a small risk of transfer to the baby during breast-feeding.

Rosie, you have not breast-fed for days.

I'm trying. I'll write the prescription.

That way, you have the tablets if you think you need them.

It's up to you.

I'll book you into my clinic later on this week

and see how you're doing.

Thank you.

CROWD JEERS

Dr Ford.

What's going on? Kicked off while we were waiting for you.

They're not happy with us being here.

Sorry. Where's Dr McAllister?

Toni won't come into hospital if she's not here.

She got caught in a meeting.

SHE SIGHS Right.

We need to get in there quickly,

ask the necessary questions, then get out.

If her partner's in there, he won't let us stay for long.

Who'll lead?

I'll do the intro, you can assess her mental state.

All right. Come on. Let's get this over with.

Amit Shafi. Section 12 doctor. Good to meet you.

CROWD YELLS

Just settle down. Hey, settle down!

Did you hear me, man?

Hey, pack it in, or I'll neck the lot of ya!

BOTTLES SMASH Hey!

Toni? Are you in there, love?

It's Michelle Dornaway from the Adult Care Team.

I'm here with some colleagues. We'd like to chat.

Antoinette? This is the police.

I'll count to three,

and if you don't answer, we're coming in by force.

One...

..two...

CROWD JEERS

..three.

Police! Police!

What the fuck did you do to my door?

Down! Get down! Are you gonna fix that?

What's going on?

Toni, we're worried about your mental health.

We're here to assess

whether you need to come into hospital under section.

The fuck you are! Take it easy.

Hey, hey!

Get the fuck out of my house! Mummy!

Drop the knife! If you do not, I will be forced...

Drop it now! HE YELLS

TASER ZAPS, HE SCREAMS IN PAIN

Give me back my baby!

CROWD YELLS Give me back my baby!

MAN MOANS Give me back my baby!

MAN YELLS No! No!

Oh, no, stop. No! No! Oh!

Bernadette.

Oh, James, hey. Sorry I missed handover.

We just did Toni's Mental Health Act assessment.

It was... a nightmare.

Dr McAllister should've sectioned her on the ward,

instead of letting her abscond again.

She was giving Toni the benefit of the doubt.

I asked her to pee in a pot for a pregnancy test.

She gave me this.

I know, er, but she thinks...

..God impregnated her.

She even has pregnancy delusions, pelvic pain, bloating, nausea.

This is her fifth presentation this year.

A&E keep sending her home without a test, so...

So you thought you'd challenge her delusions with fact.

Yes! See?

Now I can send her home, and with any luck, she won't come back.

Mm.

Hm.

Thank you, Miss O'Reilly.

She's showing signs of raised intracranial pressure,

and she has a palpable abdominal mass.

It's hard to know for sure without imaging,

but I'd guess uterine cancer with brain mets.

Causing the psychotic symptoms. Yeah.

Recent on-set psychosis and those physical changes at her age

should make you rule out any physiological cause.

The pelvic pain and nausea are real, not pregnancy delusions.

She's psychotic.

Doesn't mean she's not telling the truth.

Don't worry.

You're not the first doctor to dismiss her symptoms.

I need to get to the psych unit,

make sure Toni's section paperwork's been uploaded.

Then I have a seclusion review, then I'm going home.

But I'm on call tonight if you need anything.

Don't forget to see Toni on the ward.

She's coming down from crack,

so she might give the night staff a tough time.

Sure.

PHONE BUZZES

PHONE BUZZES

HE EXHALES SLOWLY

Hello? James, sorry to wake you.

We've a situation with a patient, and I really need you to come in.

'I didn't know what else to do.' Shit, is it Toni?

No. Rosie? Rosie Newman?

What?

I... I just... saw her a couple of hours ago.

'I've had enough! I've had enough!'

What the hell are you staring at, you fucking bitch?

Wait till I get my hands on you!

She's really unwell, and I don't know what to do. A&E won't help.

They keep saying she's my problem, but she's really agitated.

'The police are making it worse.' Police?

What, is she on a section 136?

Yes. 'Have A&E done, er, done bloods?'

No, nobody wants to go anywhere near her.

Keep her at A&E until I get there.

'She needs to have a baseline ECG.'

And... we need to rule out a physiological cause.

OK, can you get here as quick as you can? I'm really struggling...

Ah! SCREAMING

Bernadette? SCREAMING FROM PHONE

BERNADETTE GROANS, ROSIE SHRIEKS

Get her! Get her off! 'Hello?

'Bernadette, are you there? Bernadette?'

You need to get here now! Yeah, yeah, I'm... I'm on my way.

She had four milligrams of lorazepam earlier, so...

..give her five milligrams of haloperidol IM.

'And call the AMHP.'

I'll be there in, erm...

I'll be there within half an hour. ENGINE STARTS

Yes. No, no, I understand that. Hang on a second. He just walked in.

Where the hell have you been?

AMHP's on the phone. We're all waiting for you.

Sorry, there was, erm... car trouble.

Where is she? She kicked off again.

We had to put her in the 136 suite. She hasn't had a physical.

She needed the physical. That was the whole...

You still there? Great, yeah.

'You shouldn't have moved her.' Look, my hands were tied.

Things escalated. There... There was nothing else I could do.

POLICE RADIO CHATTER

'Foxtrot-six-three, any updates? Over.'

Doctor's only just arrived.

'OK, I need you back on the road ASAP.'

Copy that. Dr Ford, reg on call.

We need to get going. Talk me through what happened first.

We received a call at 12:20 from Mr Newman

saying his wife was trying to drown their baby.

When we arrived, she was distressed and very aggressive.

Mr Newman was locked in the nursery with the baby.

Where is he now?

He's gone to paeds A&E to get the baby checked.

Those restraints really necessary?

She attacked a doctor and bit me.

They're disproportionate to her current state.

With respect, you didn't see how she was.

She's calm now. She's responding to the sedatives.

Could you let me in, please?

NUMBER PAD BEEPS, LOCK BUZZES

Rosie?

DOOR SHUTS, LOCK BUZZES

Let's take this off, shall we?

SHE BREATHES UNSTEADILY

Rosie, I'm Dr Ford. We met earlier.

I'm not going to hurt you. I'm... just going to remove this.

It's OK, Rosie. It's OK. SHE GASPS

Just want to know what happened.

I met you before... in the other place.

I met you and Alfie, your baby.

No. No, there is no baby.

SHE BREATHES SHAKILY

I tried...

I tried, I tried, and I failed.

Rosie, is someone else talking to you apart from me?

I failed to try. I failed.

SHE SOBS

Rosie, what do you think you failed at?

Who the fuck are you calling a failure?

I tried, and it didn't work.

But I'll keep trying until he's dead!

SHE BREATHES SHAKILY

I have to go. I-I-I have an appointment, and I...

I-I need to leave.

Fucking bitch! What did I tell you?

Give another five milligrams of haloperidol now!

ROSIE SCREAMS

Er, should we add some lorazepam?

No, no, no, no. She's had the maximum dose.

ROSIE WAILS

OK, I've got her. Just move your hand there. No!

DOOR BUZZES Yeah, I've got her neck.

Injecting five milligrams haloperidol into the deltoid now.

Yeah, got it, secure. ROSIE CRIES OUT

We have other calls to attend.

Yeah, yeah. You can go. We've got this under control.

PHONE RINGS 'Hello, reception?'

Hi, can I get someone over across to 136 suite?

We've got a new patient for Willow Ward.

'Sure.'

Shouldn't we wait for transport? No. They'll take hours.

I want her in a secure ward before the sedatives wear off.

HE SIGHS I don't get it.

I saw her this afternoon, she seemed fine.

That's psychiatry - unpredictable.

It's not this unpredictable.

Listen to his breathing,

and if there's any sign he seems out of the ordinary to you,

just grab one of us, and we'll review him. OK.

In the meantime, I've booked an X-ray

to rule out water in the lungs.

Thank you. ALFIE CRIES

ALFIE COOS

How is he?

Er, yeah. Er, yeah, they think he's gonna be all right.

But they're keeping him overnight for observation now.

Er, how's Rosie? How's Rosie? Is she OK?

She's calmed down. We're moving her to a ward.

OK.

Can I just check what time Rosie took the lorazepam prescribed?

Erm, I don't know.

You don't know what time that she-she...?

She did take it? Well, I don't know.

I didn't see her physically take any tablets.

But she could've done. You can't be certain?

No. Why are you asking?

I'm just checking.

Where's Rosie? They've already picked her up. Why?

No, I don't...

I need to go. I need to go.

I don't, no... No... Are you OK, Rosie?

ROSIE GRUNTS Oh!

NURSE GROANS Rosie!

Are you OK? Yeah, yeah. She just hit me and ran.

Where did she go? The pharmaceutical building.

I'm calling security.

ALARM BLARES

Rosie!

Rosie. Rosie!

Please.

Don't... Don't move!

Rosie, come away from the edge.

SHE SOBS Please, Rosie...

SHE WHIMPERS That's it.

That's it, that's it, Rosie. It's Dr Ford.

SHE SOBS

You know who I am? You remember?

I can't, I can't...

Please. Stay where you are. I can't, I can't...

I can't, I can't. I-I tried.

SHE BREATHES SHAKILY

I tried, I tried. I tried, I failed, I...

You haven't... You haven't failed. What...

What do you... What do you think you've failed at?

Rosie. Rosie. Rosie, stop!

SHE SOBS

I know you're scared.

Please.

SHE SOBS I get scared, too.

That's right.

I get scared, too.

So, why don't we come down, and...

..go inside, and-and...

..we'll just talk.

That's all, Rosie. SHE SHUDDERS

We'll just talk. SHE EXHALES

Yeah?

We'll just talk...

THUD

NURSE SHRIEKS

SHE PANTS

If we have any more questions, we'll be in touch, Dr Ford.

DOOR BUZZES

How the hell did this happen?

HE SIGHS

She was much more unwell than you or I thought.

This has nothing to do with me.

I asked for your help, and you spent about two seconds reviewing her.

That's not true. You couldn't get away fast enough.

I-I don't wanna do this now. I haven't slept.

And I've just been through it all with the police.

Yeah, well, the coroner, the Trust, they'll all have questions.

You said it was safe to send her home.

She seemed OK when I saw her.

Then why did she throw herself off a building a few hours later?

You didn't think she was that unwell.

You said that yourself! I was concerned.

That's why I called you.

I trusted your advice. Did you?

Because Rosie didn't take the lorazepam.

If she had, none of this would have happened.

Don't you dare put the blame on me. I prescribed it exactly as you said.

OK, could you take everyone back to their lunch? Sure.

I've met doctors like you who think they're God's gift to medicine

because they sailed through their exams first time,

never stopping for a career break, but you all trip up eventually.

This is on YOU, not on me. It's on both of us.

Hey, hey, hey!

Not an appropriate time or place to discuss this, OK?

I've got to get to a ward round.

DOOR BUZZES

DOOR SHUTS You OK?

No. Not really.

Well, go home, James. Get some sleep.

I'll see you tomorrow.

DOOR BUZZES AND OPENS

Ready?

Just a sec.

Imagine being widowed this way, with a toddler and a newborn.

It's unthinkable.

This isn't gonna be easy.

I know.

Can you tell us what happened during Rosie's psychiatry review?

How did you find Dr Ford? He was in a rush.

His phone kept going off.

He just asked a few questions, then he left.

Dr Ford recommended a sedative, lorazepam,

but Rosie didn't take it.

I mean, she was... she was anxious about breast-feeding, but...

When we returned home from the hospital,

Rosie went straight up to bed.

I assumed that she'd taken them.

But I should have checked to be sure.

Did Dr Ford explain why he prescribed lorazepam?

No. Dr Hernandez did. He'd left by then.

Would you mind talking us through what... what happened that night?

Erm...

ED EXHALES

I woke up around midnight.

Alfie was crying, but it didn't sound right.

It was more like... gasping.

Rosie wasn't in bed. They were both in the bathroom.

She was shushing him and crying, holding him under the tap...

..as the bath filled up.

So...

..what did you do?

I grabbed Alfie.

We struggled, I don't know how long for.

I think Rosie fell... Yeah.

So I locked me and Alfie in the nursery.

You then called the police?

I came out of the nursery when I heard her shouting at them.

They were all outside on the front garden.

Rosie...

..she was screaming...

..biting.

INHALES SLOWLY

It was awful.

I'm sorry.

I knew that she wasn't OK.

They should never, never have sent her home from hospital.

She should have stayed there, been seen properly,

and then made to take the medication there.

How could something like this happen?

I don't know.

But rest assured, we are gonna get to the bottom of this.

You have my word.

'You know what my favourite thing in the world to do is?

'It's singing. I love singing.

'Yeah! We can sing together.

'Why don't I teach you a song?'

'So, moving on to Antoinette Campbell-Brown.'

Obviously, we've been here before, but how has Toni been

since her sectioning, Kwame?

Yeah, she's stable, eating well, tends to her personal hygiene.

Today, she attended music therapy. I meant her mental state.

She's refusing her quetiapine.

And yet you say she's well and stable.

Toni's refusing to come in.

What's she doing? Staring at the TV.

Says it reminds her of her new baby, Sam.

Oh, it's actually Samsung. Named after the TV.

KWAME CHUCKLES

Her first baby was called Apple, so that actually makes sense.

Well, at least she's acknowledging the pregnancy now.

Does the patient need to be here? Sorry, just, er...

explain to me how you can plan for a patient you've never met?

Mr Mansoor gave me the key details. Ah, fine.

I think we should schedule Toni for an elective caesarean.

She's a healthy 32-year-old lady. She doesn't need major surgery.

She can have a normal vaginal delivery.

She's floridly psychotic and can't follow instructions.

Just tell me how you plan to talk her step-by-step through her labour?

Mr Mansoor delivered Toni's first baby naturally

without any significant complications.

What constitutes significant?

We just need to ensure that the baby's delivered safely

and with no undue harm done to Mum.

Yeah, it's not in her best interests to have a caesarean.

She takes crack, right?

If she continues to take crack on the ward,

she's at risk of a placental abruption

and therefore a premature delivery.

Then don't let her use crack on the ward.

Sometimes these things are beyond our control.

No, there's psychiatric and physiological reasons

for an elective caesarean.

Her meds put her at risk of endocrinological complications.

If she gives birth "naturally", will likely be traumatic

and will end with an emergency caesarean anyhow.

Now you're an expert in obstetrics? Dr McAllister, surely you agree?

Erm, I think Sophia's right in that, according to the notes,

Apple was delivered naturally and there were no issues.

Fine.

She can't stay here, though.

If she goes into labour, we don't have the equipment.

Do what we did last time.

Your nurses can escort her, then we'll take over.

So after everything that's happened,

the plan is to escort a floridly psychotic woman,

in labour, across to the hospital?

Well, at least she won't be able to run away.

All right, so let's keep her here.

We'll put her on one-to-one obs, and with more medication,

she might improve enough to follow birthing instructions.

She has four weeks left to go,

so hopefully, a bed on a psych mother-baby unit

will become free before then.

And then the problem disappears.

Do not put that in the notes.

So, you really think that birth plan's good?

I'm just trying to keep the peace.

And after what happened with Rosie Newman,

we can't afford another fallout with Obstetrics.

There's something else. Erm, the MIU contacted me.

They're starting an investigation into Rosie's death,

and they want to speak to you.

So you need to get your story straight.

When you saw Rosie in Outpatients,

why didn't you spot how unwell she was?

I... HE EXHALES

I was... I was in a rush. You'd asked me to go and see Toni.

If you'd gone straight to Toni's assessment, like I asked,

you wouldn't be in this position, would you?

So tell the MIU you did a thorough assessment

and Rosie wasn't exhibiting any signs of a severe psychotic illness.

If she had, then a doctor of your experience

would have spotted them, wouldn't they?

So if this becomes about your incompetence,

they will go over every inch of your work and your life.

You don't want that, trust me.

DOOR BUZZES

SIRENS BLARE IN THE DISTANCE

'Do you ever feel like someone

'is trying to remove thoughts from your head?

'Or trying to put thoughts into your head without your control?

'Do you feel like other people can hear your thoughts?'

'No.'

'Do you have any beliefs that other people think aren't true?'

No.

Have you had any thoughts about harming yourself?

BREATHES HEAVILY

EXHALES SLOWLY

He's always the same, he's always the same.

Morning, mate. Morning.

Morning. You want some breakfast?

Oh, no, no. I've already eaten. How's the, er, house-hunting going?

Good, yeah. Yeah, yeah.

I've got a couple lined up this week.

What have you got on today?

Same old. What, another dose of the crazies?

Sorry.

Oh, er, before I forget...

Dad wants to drive over next weekend.

Er... I... I can't. I'm on... on call.

See you later.

You don't know where the MIU is, do you?

Yeah, yeah. Seventh floor. Seventh floor, yeah?

We've received a complaint

about Rosie Newman's treatment prior to her death.

We receive several complaints like this,

and we are duty-bound to assess each one.

We just want to get a clearer picture

of your involvement in her care.

OK. Erm... JAMES CLEARS THROAT

Er, I was on call when I received a referral for Rosie around 4pm.

Dr Hernandez didn't think the review would take long.

The couple just needed reassurance.

What did you make of Rosie's symptoms?

At that point, she wasn't displaying any psychotic symptoms.

You did a full Mental State Examination?

Yes. But you didn't document the full details in her notes.

No, because there were no positive findings.

Rosie was...

She was tired, but nothing out of the ordinary

for someone with a newborn.

Did you assess risk of harm? Yes.

The risk of harm to herself and others was low at that point,

and plus, she had protective factors, like a supportive partner.

And you asked specifically about thoughts of self-harm?

Yes. Rosie didn't express any desire to harm herself.

What was your plan? Er... Erm...

I asked Dr Hernandez to prescribe two milligrams of lorazepam then,

and then a further two milligrams before bed.

I also referred Rosie to the Home Treatment Team

for review the following morning.

Dr Hernandez's statement says you didn't feel it necessary

to explain the plan to Rosie yourself.

No. Cos the plan was simple.

Did you consider Rosie might have been masking her symptoms?

Well, she weren't... She was a little guarded, yes, but, erm...

that's why I was so keen

for a further review from the Home Treatment Team.

From these notes, it seems your assessment of Rosie was very brief.

It was long enough to ascertain the relevant details.

Ed Newman said your phone kept going off,

disrupting the assessment and distracting Rosie.

I was on call.

There's nothing I could do about that.

He also said you were in a rush.

CHUCKLES NERVOUSLY

Dr McAllister had asked me to attend a Mental Health Act assessment.

So there was a team waiting for me there,

but I wasn't in a rush.

But you were on call.

Rosie should have been your priority.

I thought I could do both.

You must have felt under considerable pressure,

knowing you were holding up a Mental Health Act assessment.

No. The team were happy to wait.

You reviewed Rosie in front of her husband and baby.

Did you consider seeing her alone?

I mean, yeah... if I'd had more time,

then ideally, I would have done, yes.

But you weren't in a rush.

No. Given the circumstances,

it seemed to be the most efficient thing to do.

At 2am, Dr Asamoah called asking you to come help with Rosie.

Yes, I came straight in.

How was Rosie when you arrived? Calm.

I asked the police to remove the restraints.

They'd gagged her and bound her arms and legs.

It seemed excessive.

But they did that based on the extremely agitated behaviour

they witnessed when you weren't there.

Do you think your judgement was clouded by the version of Rosie

you saw in Outpatients earlier?

A-Absolutely not, because I believed she'd had four milligrams lorazepam

and five milligrams of haloperidol, and therefore that had settled her.

Your assumption was wrong.

As a result, Rosie was under-sedated when you saw her in A&E

and when she ran from the nurse.

Did it not occur to you to get a collateral history from Mr Newman

before sending Rosie to Willow Ward?

As soon as I realised that Rosie hadn't taken the lorazepam,

I rushed back to give her some.

I had no idea that they would've already tried

to take her across to the ward.

But you called the ward and asked them to collect Rosie

before you went to see Mr Newman.

Usually, they don't come that quickly.

But it was your decision to wheel Rosie over to psych,

rather than wait for transport.

Yeah, but we do that all the time.

An ambulance takes forever. It's a short distance.

Look, is this complaint specifically about me?

If Rosie's symptoms were picked up earlier,

this entire tragedy could have been avoided.

You say your initial assessment wasn't rushed, but...

I find that hard to believe given what you've said.

You then had a second opportunity to fully assess Rosie,

but you didn't manage any of the risks.

If Rosie had taken the lorazepam, none of this would have happened.

I agree.

But YOU didn't explain its importance to Rosie or her husband.

I made it clear to Dr Hernandez.

She's the one who prescribed the drug.

If Rosie didn't take it, it's down to her.

In your opinion.

It's my opinion that the care you provided Rosie

fell below the minimum standard expected.

Therefore, we'll be looking further into events that night

and in the run-up to her death.

Am I under investigation? We'll look over everything

and decide whether a full fitness to practise investigation is needed.

We'll inform you of our decision in due course.

So, really, you think there were about 50 of them?

You didn't hold 50 of them, did you? No.

You just held one. Did it pinch you?

No. No, are you sure?

Did you have to wear special gloves?

Erm, right, l-let's go in. Quickly.

Is it plausible Rosie didn't show any symptoms

during the first review?

More likely he missed them because he was rushing

to attend the Mental Health Act assessment.

He was on call.

He should have been firm and told his consultant no.

I mean, that's not always easy to do.

Failure to prioritise cos you're scared of your boss

is not a defence, George.

CLASSICAL MUSIC PLAYS, LIGHT CHATTER

We were wondering if there's somewhere we could go to...

Erm, yeah. Yeah.

'The police brought Rosie to A&E.'

Within minutes, she was shouting and screaming at me.

It was awful, so I called Dr Ford.

He called the ward, asking for someone to walk a patient over.

He didn't say how unwell she was,

so I went to the 136 suite on my own.

Yes, we walk patients across

but only when they've been properly risk-assessed.

And you don't think Dr Ford did that?

SHE SCOFFS

Rosie Newman assaulted me...

then I had to watch her fall to her death,

so, no, I don't think he did.

'What drugs was Rosie prescribed?'

She had haloperidol, erm,

but she kicked off again and bit a police officer.

A&E were yelling at me to get her out of the department.

I-I didn't know what to do.

Why was she still in Majors and not in the 136 suite?

I'd seen a patient earlier

whose psychiatric symptoms were masking an underlying cancer.

Rosie needed a proper medical review,

an ECG, blood tests, to rule out a physiological cause.

Dr Ford told me to keep Rosie in A&E

until he arrived to ensure that happened.

Erm...

So, you called Dr Ford at two...

..he arrives roughly 30 minutes later.

The haloperidol wore off very quickly or...

..had no effect at all.

I heard what happened to Rosie Newman.

What the hell are you doing here?

I know this was something to do with you.

You can't hide the truth any more, Sophia.

And when they find out, it'll be your career that's over...

not mine.

'Bernadette, it's important

'we understand the timeline accurately.'

Now that I think about it, probably was probably closer to 2:40, 2:45

when Rosie lashed out again.

Dr Ford should have been there by then.

You're aware that the reg on call

must be within 30 minutes of the hospital?

What time did Dr Ford arrive?

Maybe just before three.

That's almost an hour after you called him.

If he'd been on time, he'd have seen for himself

why the police restrained Rosie so forcefully.

Could have spoken to Ed Newman.

He'd have known she was under-sedated.

ALFIE CRIES

Where's Mummy? I want Mummy!

ALFIE CRIES I want my mummy!

This could all have been avoided.

Why was Dr Ford so late?

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