All language subtitles for Malpractice s02e02.eng

Hello, I'm Dr Ford,
psych reg on call.

Hi, I'm Dr Hernandez. I've got
a patient I'd like you to see.

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

'He was in a rush.'

His phone kept going off. He just
asked a few questions, then he left.

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

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

You were on call. Rosie should
have been your priority.

I thought I could do both.

The hell you are!
Give me back my baby!

SHOUTING

What did you make
of Rosie's symptoms?

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

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

What do you mean?
Prescribe lorazepam,

two milligrams when she gets home
and two before bed.

I'll write the prescription.

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

James, sorry to wake you,
but we've got a situation

with a patient, Rosie Newman.

Where the hell have you been?

I'm on the phone to AMHP,
we're waiting for you. Car trouble.

Can I check what time
Rosie took the lorazepam prescribed?

Well, I don't know. I didn't see her
physically take any tablets.

I don't know...

Oh! Rosie!

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

We'll just talk.

If Rosie's symptoms
were picked up earlier,

this entire tragedy
could have been avoided.

I trusted your advice.
Did you?

Because Rosie didn't
take the lorazepam.

If she had,
none of this would have happened.

I know this was something
to do with you.

And when they find out,

it'll be your career that's over,
not mine.

If this becomes
about your incompetence,

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

This could all have been avoided.

Why was Dr Ford so late?

SIREN WAILS

BUSY CHATTER

Afternoon, everyone.

Thank you all for coming.

Look, we provide a vital service
to the community,

the value of which
is hard to quantify.

However, the increasing number
of departmental failings

and serious safety concerns
are becoming hard to ignore.

And now, due to the death
of a vulnerable patient

and the subsequent MIU investigation
into those individuals involved,

the Integrated Care Board
is seriously considering

closing us down.
What? No.

MURMURING
What about our jobs?

And all the patients?

All right, let me finish.

If we can demonstrate
we've learnt from this incident

and can function safely,
we can save the unit.

How are we meant to do that?
We keep reporting problems

and nothing happens. We need
proper funding to function safely.

MURMURING

Well, additional funding
has previously been made available,

and we're doing our best...
JEERING

We are doing our best
to secure more.

But in the meantime,
we'll be monitoring you closely

and assessing your clinical skills
over the coming weeks.

So, please, adhere to protocol
at all times.

As a first step,
impromptu resuscitation drills

will be carried out on the wards,
I'm afraid.

And we expect you to treat these
like real-life emergency situations.

Look, as your
Chief Medical Director,

I've fought hard
to keep this unit open.

And we'll keep fighting, yes?

Until closure is off the table.

Thank you.

CLASSICAL MUSIC
PLAYING

DR FORD: Did someone bleep me?

You've got a visitor
in the relatives' room.

Any details?

Nope. Sorry.

Helpful (!)

Mr Newman.

I need answers.

How did you miss how unwell
Rosie was? Why did you let her go?

Rosie wasn't exhibiting
any severe symptoms...

You had a second chance to save
her life, and you let her run away.

How could you let that happen?

And now they're saying
that if she'd taken the lorazepam,

all of this would have been avoided.

Why didn't you stress
how important that was?

Where were you?

INAUDIBLE

KNOCKING
You let her...

Sorry, mate.

Do you want me to delay your 1pm?
No, no, no.

They're here, Kwame, erm...

That patient from earlier...

..could you ask management to...
handle that?

Right.

Yeah, sure.

Mr Newman, the Trust are
conducting an investigation...

An investigation'll take months.

I do not have months,
I just need answers now.

I cannot eat, can't sleep.
Alfie's crying all the time.

I'm off work.

My little girl, she asks me,
"When's Mummy coming back?"

What am I supposed to say to that?

You should take a seat, I'll get you
a drink, tea or a coffee.

I don't want a fucking coffee!
I want to know why my wife died.

You said that Rosie was psychotic,
but that does not happen overnight.

Why didn't anyone else notice
before?

It can come on gradually.

You said the community midwives
came to visit you.

Did they notice anything?
How?

How could they?
They just came and they went.

When Rosie gave birth,
there were doctors,

there were midwives
on that ward 24-7.

They should have noticed something.

But Rosie might not have had
any symptoms at that time.

Four days. She was sat on that ward
for four days.

They had four fucking days!

Four days? Rosie was on
the postnatal ward for four days?

Yes.

Why? Was there a problem?

What do you mean, problem?
It just seems to be a long time.

So you're saying there was
something wrong? No.

I'm just asking.

If they told you
everything was normal...

Normal? How am I supposed to know
what's normal?

You're just talking in circles...

CONVERSATION MUFFLED

..to the next professional,
and I'm sick of it!

Mr Newman,
why don't we go into my office...?

Why is he trying to blame
Rosie's death on the birth?

I didn't say that.

If you threaten our staff,
we'll have to ask you to leave.

HE SIGHS
Fine. I'll go.

What did you say to upset him?

Nothing.

He said Rosie was on the ward
for four days.

I asked why.

Cos that doesn't seem normal,
does it?

That doesn't seem necessary.

Was there a problem with the birth?

SHE EXHALES

We have a world-class
maternity unit, Dr Ford.

Nothing he said
is relevant to understanding

why his wife jumped off a roof
under your care.

I think we should revisit
compensating Mr Newman now,

before he does any more damage.

HE EXHALES

The board won't be happy.
What's the alternative?

We need to make sure the MIU
remain focused on Dr Ford.

OK.

OK.

Set up a meeting with them.

DOOR OPENS THEN CLOSES

FROM TV: 'Hypertension,
defined as blood pressure

'higher than 140 over 90,

'is far and away
the leading risk factor

'when it comes to premature death.'

How are you finding
the aripiprazole, Samira?

Samira, your medication.
How are you finding it?

There's a doctor on the telly
just like you.

You need to come quickly. It's Toni.

She's locked herself in the toilet,
and the baby's coming.

Toni! Toni, we need you to come out.

Toni, open the door!

Open the door!

SHE CRIES
We need the master key.

What master key?

Just call Dr McAllister, quick.

Toni, open this door.

SHE CRIES OUT

Toni, we are trying to help you.

How did this happen?

Where's her one-to-one nurse?
I don't know.

Hi, Dr McAllister.
Toni's gone into labour...

Toni, stand back from the door.
Stand back from the door!

SHE CRIES OUT

SHE SHOUTS

Just out this way. Out this way.

Step right over here.

That's it. Everything's gonna be OK.

Caitlyn, can I have a pillow,
please? Quickly.

Thank you.

TONI CRIES AND MOANS

Toni, stay calm.

We need to wait for obstetrics.
There's no time.

We shouldn't be doing this!

Toni, push.

SHE YELLS

Eric Sawers, Chief Medical Director.

Good to meet you.

And this is my colleague.

Indira Sharma,
I'm Director of Communications.

Nice to meet you.

We appreciate you
organising this meeting.

Rosie Newman's death was a tragedy,

and one that, as Medical Director,
I feel some responsibility for.

As a trust,

we're keen to prevent anything
like this ever happening again.

Thank you.

Our initial interview with Dr Ford

highlighted a number of issues
with his management of Rosie.

We've also spoken to key witnesses,

and there are a few details
we'd like to clarify.

I see.
How long has Dr Ford worked here?

He came to us midway through
last year from another hospital.

That's unusual for a registrar.
Do you know why?

He had a good reference,
so we didn't probe.

His former hospital should be able
to provide more details.

We'll contact them,
get his HR records.

How else can I help?

SHE GRUNTS

It's OK. It's OK.

That's it.

Calm down, Toni, it's OK.

What's wrong?

What is it, Toni?

The baby's stuck.
The shoulders aren't coming.

Toni, Toni, stop pushing.
Toni, stop pushing! Stop, Toni.

Listen. Stop pushing. Stop.
Toni, can you hear me?

What are you doing?
You need to stop pushing.

I'm looking up shoulder dystocia.

You are not an obstetrician.
Maybe we should wait for them.

If we don't do anything,
they'll both die.

Toni, stop pushing!
Listen, stop pushing, Toni.

TONI CRIES OUT

It's OK, Toni.
Toni, we're gonna get your baby out.

Guys, I need you to take a leg each,

and push her leg back
towards her chest like this.

Take that leg.
I don't know what I'm doing.

I know, it's all right,
we've got this.

It's all right, Toni.
I can feel the shoulders.

They're moving.
Now you can push. Toni, push.

OK.

GUSHING

Oh, my God, it's working.

That's it.
You did it, Toni, you did it.

What are you doing?

The baby was stuck.

Fast bleep the neonatal resus team.

They want me dead.
They don't want you dead, Toni.

You were meant to bring her over
as soon as labour started.

As soon as anyone realised
what was happening,

the baby was already coming.
You're doing brilliantly.

Just keep breathing.
Keep breathing, slow breaths.

That's it. Slow breaths.

Shit!

Is it dead?
Resus team here in ten.

That's too long.

Can we get the mother out of here?
She's losing too much blood.

Shit. Help her with the baby.

Toni! Listen to me.
Can you hear me? Toni.

She's losing consciousness.
Have you got fluids, an ABG machine?

No. There's a bag of fluid in there.
You'll have to hold it up.

Toni, stay with us.
Anything?

No.
Stay with us, Toni.

Toni needs oxygen.

We don't have any.

We've got a weak heartbeat.

BABY CRIES

SHE EXHALES

She's losing too much blood,
I need to get her into theatre.

BABY CRIES

Stay calm.
We're just on our way to hospital.

I can't believe this.

Where was her one-to-one nurse?

I had to take her off one-to-one.

We should go back to the ward.

She should have been
under constant supervision.

She wasn't due for four weeks.

I couldn't commit one nurse
to her for that amount of time.

She was always at risk
of a premature birth. I know!

You have no idea
what this department's up against.

What does that mean?

Just leave
the ward management to me.

And the MIU can't find out
about this. We saved their lives!

They won't think that. Trust me.
Couldn't have come at a worse time.

MACHINES BLEEPING

I can't control the bleeding.

Then you'll have to do
a hysterectomy.

We should have consented her
properly, explained the risks.

How?

She was lucid before she went under.

She understood we were taking her
to theatre.

She won't be able
to have any more children.

Is that a bad thing?

Come on, let's open her up.

Yes, Mr Mansoor.

Get me two more units
of cross-matched blood.

Two more units?
Yeah.

On it.

Get her legs down and lie her flat.

'Well, that was a total shitshow.'

Yep. I'm doing an incident report.

OK, then.

Whoa, whoa, whoa, whoa, whoa.
You're reporting Dr McAllister?

Dr McAllister shouldn't
have taken Toni off one-to-one.

Yeah, but we're short-staffed,
Toni wasn't due for four weeks.

In her defence, we can't afford
to spare a nurse for that long.

Obstetrics were the problem,
not Kate.

If you report her,
it reflects badly on all of us.

It already reflects badly on us.

And Dr McAllister would
throw all of us under the bus

if her career depended on it.

No, she wouldn't.

Obstetrics are gonna blame us
anyway,

so we need to stick together,
not make things worse for ourselves.

They messed up,
but they're going to blame me.

Nobody will blame you.

If psychiatry had
alerted us earlier,

this wouldn't have happened.

You did your best in
extremely difficult circumstances.

Look, a patient like that
is unlikely to make a complaint,

but if this does become a problem,

you should get your version
of events out there first.

That psychiatry registrar, Dr Ford,

he made several mistakes.

Make sure the right people
know that.

Where did you get to
with Dr Ford's late arrival?

Well, Bernadette's right.

CCTV footage shows him entering
the staff car park just before 3am.

Now, there are roadworks
near his address,

but I checked, and whichever route
you take round them,

it's still less than 20 minutes
to QM.

Right, well,
speak to police liaison,

let's get them to do
a licence plate check.

ANPR might have picked his car up
somewhere.

Oh, I meant to ask, do you and Gina
fancy coming over for dinner?

Ooh, dinner with the boss?
That's a big step.

Well, I need to make sure
she's good enough for you, don't I?

Put her through her paces,
pun absolutely intended.

Well, if you keep making
amazing medical jokes like that,

then absolutely not.

Look, she thinks I'm cool.

I'd like to keep it that way.
I'm kidding.

Relax, it'll be easy.

And Rubi will be there.
OK, well, let's do a restaurant.

It'll feel less like bringing her
home to meet the parents.

Er, surely you mean slightly older
much better looking sister?

PHONE RINGS
Yeah.

Hello?

Hi, it's Dr Hernandez from QM.

I was hoping to be able
to meet with you at some point.

We're actually at QM.
We can come and see you now.

No, I'd prefer
to meet somewhere off-site.

'Maybe tomorrow?'
OK.

I have some information

that might be relevant
to your investigation into Dr Ford.

Yo.

Ah. Can you sign this for Samira?

Dr McAllister wants her meds
increased.

Thanks.

Yeah.
Oh, OK.

Oh, and do you want me to hold that
bed for the one-three-six patient?

For the...

MC, lad with schizophrenia...

the guy who ran naked
into a thorn bush?

Oh, he's in A&E
waiting for transport.

Cool. I'll go get him.
No. We're doing things properly.

We're waiting for an ambulance,
even if it takes longer.

Guard that bed with your life
from the bed manager, Kwame,

with your life!

Aislene, I'm so sorry.

I've got half-an-hour's
escorted leave.

Will you take me down to the shops?

I-I can't, I'm afraid.

Perhaps Kwame will take you later.

'This is a reminder to all staff
and patients,

'smoking or vaping
is not permitted anywhere...'

It sounds like Dr Ford
did quite the heroic thing,

delivering Toni's baby
in such difficult circumstances.

Well, it was Dr Ford's fault
that we were in those circumstances.

We had an MDT and agreed that
as soon as Toni went into labour,

her nurse would bring her over
to the labour ward.

But, for whatever reason,

Dr Ford decided she didn't need
a one-to-one nurse any more.

That was Dr Ford's decision?

He was the most senior doctor
on the ward at the time.

His consultant wasn't there
till later.

I mean, Dr Ford would have seen
that Toni didn't have a one-to-one.

So, without the one-to-one,

nobody realised Toni was in labour
until it was too late,

which ultimately harmed Toni
and her baby unnecessarily.

Well, thank you.
We'll talk to Dr Ford about that.

While you're here,

I'd like to clarify a few things
about Rosie Newman,

if that's all right?
Sure.

When you saw her,

did she say anything concerning
about her mental health?

No, no, that was her husband,
but I took his concerns seriously.

Postpartum patients
can be guarded about these things.

So you referred her to Dr Ford.

Yes, and after he agreed to see her,
he tried to cancel.

Why?

He wanted to do
some other assessment.

He only agreed to see her after
I threatened to escalate things.

Really?
Yes.

It felt like an...
an inconvenience.

Rosie didn't take the lorazepam
as Dr Ford recommended.

If she had, it's likely she wouldn't
have deteriorated the way she did.

Well, I... I prescribed it
exactly as Dr Ford instructed.

I have no idea
why she didn't take it.

Mr Newman says Rosie was concerned
about breast-feeding on lorazepam.

Did she say anything like that
to you?

I said the risk of transfer
during breast-feeding was minimal.

Rosie seemed happy with that.

I was clear she needed
to take the medication.

Hm.

So another patient and her baby
have been seriously harmed

by Dr Ford's poor decision-making?

That's what she said,
but I don't know.

Would a registrar really remove
a high-risk patient's one-to-one

without discussing it
with the consultant?

No, you're right.
That is a consultant-level decision.

So, why did Dr Hernandez
feel the need to arrange a meeting

just to tell us that?
Dr Ford's HR record has arrived.

And there's something
you're gonna wanna see.

What is it?

Well, they mention
a serious untoward incident

that took place before he left.

But... all the details
have been redacted.

Must have been some incident.

Some of the witness statements
mention the police.

If it was serious enough
to involve them,

then there might be something
in the press.

It's worth a trawl.
See what you can find.

Oh, and we should contact Dr Ford's
clinical supervisor, Dr McAllister.

If there's anything concerning
on his record, she might know.

Thanks, George.

Ideally, we'd have managed
the bleeding conservatively,

but the hysterectomy
was unavoidable.

Unavoidable?
Yes!

Did you even try and consent her
for that? Mm-hm.

Anyway, she's doing really well
and should be ready for discharge

back to you in a day or so.

To the psych unit?
Yes!

You're actually serious.
She hasn't met her child.

She doesn't know
she's had a hysterectomy.

Then tell her.
She's a lot better than she was.

She seems depressed. She's in
no fit state to be told that now.

One minute she's psychotic,
then she's depressed.

She can be both.
Yeah, I agree with Dr Ford.

The psych unit isn't suitable
for a post-op patient.

She needs time to recover
and to bond with her baby.

And we'll need to get
child and family services involved

before she can be transferred.
She'll be in hospital for weeks.

Well, that can't happen
on the postnatal ward.

Most post-op patients go home after
three or four days, a week at most.

Yeah, I get it. Ideally, she'd go
to a psychiatric mother-baby unit,

but it's hard to get a bed. Then
she'll have to go to Willow Ward.

You can arrange for her
to see the baby there.

Sorry, in what world does a newborn
belong on an acute psychiatric ward?

I don't know, maybe in the world
where psychiatrists think

they're qualified to deliver babies?

OK. She'll go to the postnatal ward
until a mother-baby bed frees up.

We will provide
one-to-one psychiatric nursing.

If Arun has a problem with that,
he can take it up with me.

James, please document that
in the notes.

Hi.

Hi, can I get a log-in, please?

I need to write up some notes.

Shred that when you're done.
Thank you.

Are you aware of any incident

that might have caused Dr Ford
to leave his previous job?

No.

I understood he moved because
of this hospital's good reputation.

When Dr Asamoah called,

it took Dr Ford nearly an hour
to attend A&E.

Well, that's the first
I've heard of this.

Is Bernadette sure?
Yes.

Is he usually late for work,
or for assessments on call?

No, never. No-one's ever fed back
anything like that.

You know, Dr Ford tried
to cancel Rosie's review

to attend the sectioning
of a ward patient,

but changed his mind and did both.

Do you know why?

Er, because he's diligent
and determined to please.

He knew I was in a meeting,

and probably thought no-one else
could do the section.

So you didn't ask Dr Ford
to attend Toni's sectioning?

No.

And could you have left your meeting
to attend Toni's assessment?

Yes, and if James had come to me,
that's what I would have said,

but he is self-sufficient
and extremely competent,

so he probably thought it would
be easier to do it himself.

One last thing.
Mm-hm.

We know Toni recently gave birth
on your ward

after her one-to-one was removed.

Whose decision was that?

Um, unfortunately,
that was a management decision.

I insisted on a one-to-one,

but I was told
that we could only afford one

for the last week or so
of Toni's pregnancy.

Right.

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

'Who the fuck
are you calling a failure?'

'I am not going to hurt you.

'Do you know who I am?
Do you remember?'

'I tried!'
'Rosie!'

Following our last interview,
we'd like to clarify a few things.

You said Dr McAllister
asked you to attend

the Mental Health Act assessment.

Yes.

Nobody else was available.

She was just
in a management meeting.

If you'd come to her, she says
she'd have done the assessment

and told you to see Rosie,
like you should have done.

Well, that's not what I recall,
but perhaps I misunderstood.

You were on call.

Your priority was
to review on-call patients.

Precisely, which is why I wouldn't
have agreed to go to the assessment

if there was another option.
So Dr McAllister lied?

No, I'm saying...

there must have been
a misunderstanding.

The patient Toni Campbell-Brown
recently gave birth, didn't she?

Sorry, er...

I thought this interview
was about Rosie Newman.

And instead of following the plan,
you delivered her baby

on an acute psychiatric ward.

Who told you that? Dr Hernandez?

The baby nearly died.

And your patient is now infertile.

Toni should never have been
on our ward,

but obstetrics refused to take her.

Obstetrics were unaware

that the psych unit lacked the
clinical resources for an emergency.

If they'd have known,
they'd have taken Toni.

They're lying! They're lying.

Look, Toni wasn't our fault.

You should be speaking
with obstetrics.

Kathy, can you pull up
the CCTV image, please?

Dr Ford, is this your car?

Yeah.

The night Rosie Newman died,
Dr Asamoah called you at 2am.

And you said you came in from home.
Yes.

Why did it take you so long
to come in?

There's... There's roadworks.

They've been pulling up
Healey Street,

so keep changing the diversion.

You arrived nearly an hour
after Bernadette called.

Must have been...
quite the diversion.

If you'd arrived within 30 minutes,

Rosie and Ed would have still been
in A&E majors.

You could have asked Ed
about the lorazepam,

and seen Rosie deteriorate again,
assaulting the officer.

You wouldn't have removed
her restraints,

she wouldn't have been
under-sedated,

and she'd still probably be alive.

Kathy, next slide, please.

These are all the routes
you could have taken from home.

None add more than five minutes
to your journey,

even with roadworks.
Kathy, next image, please?

Police ANPR picked your car up
that night in these locations.

In fact, in the last 90 days,

your car's been picked up
by these same cameras several times.

I was at my girlfriend's.

Sometimes I stay there
when I'm on call

cos my flatmates are noisy,

so it's less stressful
to stay at hers, OK?

No. That's not OK.

Hospital guidelines stipulate that
doctors can be on call from home

only if it's within 30 minutes
of the hospital.

Your girlfriend lives
nearly an hour away...

This is a waste of time.

You should be asking Dr Hernandez
what went wrong with Rosie's birth.

Why? What happened?

Rosie's husband told me
Rosie was on the postnatal ward

for four days.

You're only on the ward that long
if you've had serious complications.

And Mr Newman specifically said
there was a problem with the birth?

No, but it was...
Well, then, that's just supposition.

But we have Rosie's maternity notes.

If there's a clinical reason
for her prolonged admission,

we can easily clarify that.

Why did you leave your last job?

Sorry,
what's that got to do with this?

Well, we received a heavily redacted
HR record from Oakwell Hospital,

referencing
a serious untoward incident.

Why is it redacted?

Because it wasn't relevant.

Kathy, next image, please.

"After swearing at the female nurse,

"the mentally ill man
was placed in seclusion.

"However, a junior doctor,

"who remains anonymous
for legal reasons,

"terminated the seclusion

"because he felt
the punishment was too harsh.

"Shortly after,
the nurse was assaulted."

Does this article refer to you,
Dr Ford?

Yes, but that's not what happened.

Well, then, tell us your version
of events.

Sure.

There was a culture on that ward
of nurses putting difficult patients

in seclusion because it was easier
than other de-escalation methods.

So you just felt your colleagues
were being lazy, you knew better.

No, I was trying to act
in the best interests of my patient,

I was advocating for him.
But your risk assessment was wrong.

And your colleague ended up in ITU.

She never returned to work.

It echoes what happened with Rosie.

You put your colleagues at risk,
and Precious Danso was assaulted.

Rosie, Toni, your former colleague.

You need to be the hero,
delivering babies,

freeing patients at the risk
of other people's safety.

No. That's not true or fair.

I see a doctor who dislikes
the restriction of protocols,

a rule-breaker who thinks
he knows better than the police,

his colleagues, and puts everyone
around him at risk.

And you've proven this
time and time again.

Being a good doctor
requires teamwork,

excellent communication skills,
and the ability to prioritise.

You haven't demonstrated
any of these.

As such, we are proceeding

to a full fitness to practise
investigation.

HE SCOFFS,
SIGHS

You've got this all wrong.
Once our investigation is complete,

we'll present our findings
to a tribunal panel,

who'll then decide whether you can
continue to practise medicine.

HE EXHALES

I think we're done.

CLASSICAL MUSIC
PLAYING

Are you a real doctor?

Samira, we've been through this.

I am a real doctor, this is
a real hospital... Hi, Samira.

..and this is a real nurse.

Come on.

That increase in her meds
isn't working.

Who left this on?

Oh, maintenance were here earlier.

They're useless.
This is an acute psychiatric ward.

They can't leave things suicidal
patients can use to kill themselves.

So call them back,
get them to come back here,

fix this now, properly,
and fix it today, all right?

I'll do it once I'm finished.
Where's Kate?

I haven't seen her all morning.

Why's MC not on the board?

He's in A&E waiting for transport.

Since yesterday?
He's low priority.

Well, is he
in the one-three-six suite?

No, he's on a trolley in the majors
corridor with a one-to-one.

What's the point
in following protocol

if it doesn't fucking work?

Yeah, hi, hi, yeah,

it's Dr James Ford here
from Willow Ward.

Yes, you have a patient that's
waiting to be brought across to us?

Yeah, I need two nurses
to walk him across now.

I don't care.

"Select product."
I am selecting product,

just give me the chocolate,
for God's sake! Norma?

They install
all these fancy machines

to stop us leaving the office,
and they never bloody work.

What is it?

Rosie Newman was
on the postnatal ward for four days.

Do the notes explain why?
No.

They used forceps, but the baby
was successfully delivered

without any mention
of complications.

And the notes repeatedly say

both mother and baby were doing well
before discharge.

Who discharged her?

Her midwife, Maria Carter,

after a discussion
with Dr Hernandez.

SHE SIGHS

Where are you going?

Going to the cafe to get a snack.
Come on, walk and talk.

Susannah, please put this
on my desk. Yes, of course.

I called the ward to speak to Maria,
but she transferred from QM

to North Yorkshire Hospital
six weeks ago.

And shortly after that,
she was suspended.

Why?

Well, the Nursing and Midwifery
Registry were reluctant

to tell me the details, as it's
a highly sensitive investigation.

OK.

Yeah, but they did say
it had nothing to do with her time

on QM's maternity unit, so they
shared her contact details with me.

She very quickly sent an email
refusing to speak to us

unless it was done formally
with her RCM rep and lawyer present.

Great. You explained we're not
part of their investigation,

we just want a statement
about Rosie's presentation?

Yep. It made no difference.
Fine.

Set up a meeting
as soon as possible.

Ms Carter,
thank you for coming in to see us.

You didn't leave me much choice.

Two months ago,

you were Rosie Newman's
named midwife at QMUH.

Unfortunately,
Rosie passed away three weeks ago.

During a postnatal
psychotic episode,

she fell from a hospital roof.

I saw it in the news.

A complaint has been made
about a doctor

who failed to do an appropriate
psychiatric examination

before Rosie died.

So Dr Hernandez is being
investigated and she's blaming me?

Maria...
Just because I disagreed with her.

I said there was a problem

and that Rosie needed
to see a psychiatrist, but...

Maria... ..she asked me
to cancel the referral.

I strongly advise you
not to say anything else.

Are you saying
Rosie was referred to psychiatry

when she gave birth,
six weeks before her death?

My client is already
being investigated

by the nursing and midwifery
regulatory body.

It is not appropriate
for you to question her

about another
ongoing medical investigation.

Maria, what did you
and Dr Hernandez disagree about?

Was it Rosie's management?
I'm terminating this interview.

Let's go, Maria.

Maria, if you know of anything

that could help us understand
how Rosie became so unwell,

you should tell us.

Maria, let's go.

I've got nothing else to say.

I left these out for you,
why haven't you packed them?

We don't need them any more.
Dad's bought us loads of new stuff.

SIGHS

HORN HOOTS

Right, your dad's here.

SIGHS

TEXT ALERT

SIGHS

LAUGHTER,
MUSIC PLAYING

Hello, mate. What are you doing?

You know your sister's cooked
a full-on feast.

Yeah. I've had a shit day. I'm not
in the mood for socialising.

There are literally
no nutrients in there.

What the fuck?
They cost actual money.

It never ceases to amaze me
how unhealthy you doctors are.

No. Come on. You're eating with us.

And I've invited someone
you might like. Come on.

LAUGHTER,
CHATTER

No way!
CHATTER FADES

James.

Are you a tech guy like Will?

No, James has a real job.
He's a... He's a psychiatrist.

Oh, cool. Did you, like,
do a special course or something?

SNIGGERING

Er, I went to medical school.
Oh, yeah.

My friend Tilly does that, but she
studied psychology, not medicine.

No, James is a medical doctor.
Tilly's a psychologist.

What's the difference? Sorry.
LAUGHTER

Until I met this guy, honestly,
I thought they were the same thing.

But he works on a ward with
all these completely mental people.

Patients.

Um... it's not really like that.

What's the craziest...? What's the
craziest patient you've ever had?

Um, probably a patient
who collected dead pigeons,

burnt them in butter
and took them to the Palace

as a present for the King.

James, that-that's disgusting.

She'd confused that nursery rhyme,

"Four and twenty blackbirds
baked in a pie..."

See I told you, man,
he works in a madhouse.

TEXT ALERT

Right. Cab'll be here
in five minutes, guys.

Where you going? For a drink, then
to that new club on North Street.

You should come.

I told you.

So, Gina,
how long have you been an architect?

Five years.
Wow!

It's hard work,
but I really enjoy it.

Do you design homes? I love all
those luxury property shows on TV.

It looks so glamorous.
I do.

But mostly small, private homes,

so it's not glamorous at all.

She's being modest, she's working

on a multi-million-pound
property deal right now.

Don't jinx it.
If our client wins the bid,

it'll be the biggest job
I've ever done.

I'd love to do something creative.

There's plenty of creativity
in medicine.

No, there isn't.

Yes, there is.
How?

You have to stick to protocols,
guidelines.

Your entire job is ensuring
everyone tows the party line,

or else they're out.

You've always wanted to be a doctor.

No, you've always wanted me
to be a doctor.

Are you not enjoying uni?

Erm, shall we get another bottle?

Hm.
Yeah. Yeah?

Can we get another bottle, please?

DANCE MUSIC PLAYS

Two? Did you just double-drop?
You can't take two!

LAUGHING

Mate, can I have a whisky, please?

Actually, can you make it three,
mate?

CHATTER

Airam Street.

Cheers, mate.

Um...

It's really, really hot in here.

Can you open your window, too?

Yeah, sure.

Are you OK?

Oh...

My head's... My head's pounding
and my chest hurts.

Fizz, are you OK? Look at me.

Fizz?

Fizz?

Mate, can take us to A&E, quickly!
She's just drunk!

She's not.

Take us to North Yorkshire.
Fuck's sake.

QM's much nearer.
I'll take you there.

She'll be seen quicker
at North Yorkshire.

I dunno, mate,
I don't want her dying in my cab.

Look, mate, I'm a doctor, OK?

Just take us
to North Yorkshire A&E... please!

Fizz, Fizz, listen to me?
Can you hear me, yeah?

Fizz? Fizz?

RAPID CHATTER

Check airway, please.

Can we get some lines in?

We need to run some bloods
and do a tox screen, thank you.

What's her name?

What's her name?
Oh, I just know her as... as Fizz.

Patient's name is Fizz.
And what's yours?

Toby, Toby Tait.

Right, and what's she taken, Toby?

Pills, I think, and...
I don't know if anything else.

What kind of pills?

I dunno.

Did you give her the drugs?

No! No, I... I... I don't know her.

We only just met.

Right, just stand over there,
I'll get some more details

from you later.

Right, can I get an update, please?

Fizz... Fizz, can you hear me?

Did you find any drugs on her?

MACHINES BEEP

Has she been sick?
She hasn't been sick, no.

Can we get that ABG done, please?

BUZZING

BUZZER

I wasn't expecting you tonight.

I fucked up.

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