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In the criminal justice system,
the people are represented
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00:00:03,040 --> 00:00:07,760
by two separate yet equally important
groups - the police, who
investigate crime,
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00:00:07,760 --> 00:00:11,080
and the crown prosecutors,
who prosecute the offenders.
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These are theirstories.
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Taylor. Ricky Taylor.
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That's who you should have brought
in. I didn't do nothing.
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Hold still, will you?
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00:00:53,280 --> 00:00:56,040
Adrenaline.
And get a chest X-ray organised.
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00:00:56,040 --> 00:00:57,920
I need a doctor here!
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00:00:59,400 --> 00:01:02,280
Get the crash trolley.
I need a line in, quick.
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Everything OK?
Check her blood pressure.
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Charge to 150.
I was waiting for chest X-rays.
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Back in a minute.
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Go ahead, Control.
Listen to me. I just...
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Sir, it doesn't matter
that you were here first.
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Someone has a knife sticking out of
their head, they take priority.
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So just take a seat and you'll be
called when they're ready.
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I've been here 40 minutes.
I just need to know where she is.
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I've told you! I have to check
with admissions!
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What about my prescription?
Take a seat!
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This is ridiculous.Sir! Sir,
you can't go through there.
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Sir! Sir, you can't go through there!
Still no pulse. Adrenaline in.
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I'm sorry, you can't be in here.
That's my daughter.
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Sir, you really need to
wait outside.What's going on?
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Her condition's deteriorated.
We're doing everything we can.
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Is she going to be alright?
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Dr Mills.
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Time to call it.
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Time of death is 23:17.
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I'm very sorry.
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What are you doing?
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I'm afraid your daughter had a total
pulmonary collapse.
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So do something! Do CPR,
use the paddles!
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We already tried. It didn't work.
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No. No, this is crazy!
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All she had was a sore throat.
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You don't die from a sore throat.
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You don't die from a sore throat.
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Suzy.
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So this girl comes in with flu...
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And four hours later she was dead.
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Right.
People can die unexpectedly.
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There can be underlying conditions
that aren't diagnosed properly.
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I know all that.
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00:03:04,200 --> 00:03:07,720
But I've been doing this a long
time, and I'm telling you, Nat,
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00:03:07,720 --> 00:03:09,920
Suzanne Morton
should not have died.
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If you say something's wrong,
I believe you.
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I'm not sure what I can -
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This is the third unexplained death
on my ward in the past six months.
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Each time the administration
fobbed the family off.
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It all gets swept under the carpet.
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This is the third one.
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I mean one, maybe two a year with
no obvious cause of death,
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that wouldn't be out
of the question, but this,
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this isn't right.
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00:03:33,880 --> 00:03:36,200
Let me get this straight, Sinead.
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00:03:36,200 --> 00:03:40,480
You think someone on the ward
is killing patients.
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00:03:40,480 --> 00:03:42,040
Yes, I do.
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00:04:25,440 --> 00:04:29,280
I can tell you how much her liver
weighedand what she had for dinner.
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00:04:29,280 --> 00:04:32,440
Why she died, who knows?
Not even a theory?
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00:04:32,440 --> 00:04:34,040
I don't do theories.
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00:04:34,040 --> 00:04:37,120
She died because
she stopped breathing.
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00:04:37,120 --> 00:04:39,960
There was some congestion,
fluid on the lungs.
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00:04:39,960 --> 00:04:41,480
For cause of death,
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00:04:41,480 --> 00:04:44,760
you'll have to wait for the tox
screen and tissue samples.
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00:04:44,760 --> 00:04:48,800
Could you rush those?Standard
post-mortem, standard tests.
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00:04:48,800 --> 00:04:50,800
They take the standard time.
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00:04:50,800 --> 00:04:54,320
It's the NHS, not CSI.
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00:04:56,120 --> 00:04:58,840
There was me thinking
you were Gil Grissom.
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00:04:58,840 --> 00:05:02,880
We've tried the dead. Let's see if we
have any more luck with the living.
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00:05:02,880 --> 00:05:05,320
Who's the head honcho
at the emergency department?
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00:05:05,320 --> 00:05:08,720
Dr Edward Austen, senior consultant.
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00:05:08,720 --> 00:05:10,840
All right.
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00:05:13,520 --> 00:05:18,680
So, you weren't in the emergency
department when Suzanne Morton died?
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00:05:18,680 --> 00:05:20,240
No, no, I wasn't.
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00:05:20,240 --> 00:05:23,960
When I'm on call I grab 40 winks
whenever the opportunity arises.
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00:05:23,960 --> 00:05:25,920
Saturday tends to be a long shift.
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00:05:25,920 --> 00:05:30,280
I thought consultants delegated that
kind of thing and played golf.
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00:05:30,280 --> 00:05:32,560
Ha! Sadly those days are long gone.
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00:05:32,560 --> 00:05:35,520
It's all accountability,
competition and choice,
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00:05:35,520 --> 00:05:38,440
or slash and burn,
depending on your point of view.
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00:05:38,440 --> 00:05:41,240
Your staff don't page you
with cardiac arrests?
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00:05:41,240 --> 00:05:42,760
I wouldn't expect it.
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00:05:42,760 --> 00:05:47,040
The crash team responds. Christine
Mills is a very experienced
registrar.
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Nothing I'd have done differently.
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00:05:49,080 --> 00:05:52,000
Except the girl still died.
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00:05:52,000 --> 00:05:53,640
Yes, she did.
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00:05:53,640 --> 00:05:56,680
Which is obviously a tragedy
for the family.
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00:05:56,680 --> 00:05:59,240
But I'm not sure what you expect
to find here.
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00:05:59,240 --> 00:06:02,240
These things are regrettable,
but hardly a crime.
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00:06:02,240 --> 00:06:04,640
We understand
there have been problems
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00:06:04,640 --> 00:06:07,360
regarding other patients
at the hospital.
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00:06:07,360 --> 00:06:09,680
Who told you that?
A source.
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00:06:09,680 --> 00:06:12,040
I hate to tell you
how to do your job,
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00:06:12,040 --> 00:06:15,480
but unless your source makes these
claims publicly,
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00:06:15,480 --> 00:06:18,440
I'd hesitate to believe anything
else they said.
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00:06:18,440 --> 00:06:20,800
Do you know who admitted
Suzanne Morton?
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00:06:20,800 --> 00:06:24,240
It was a Dr Simonson.
The nurses can help you find him.
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00:06:26,400 --> 00:06:29,320
Yes, she was my last patient
before I went off duty.
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00:06:29,320 --> 00:06:30,880
Viral chest infection.
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00:06:30,880 --> 00:06:33,960
Dramatised her symptoms a little,
but they often do.
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00:06:33,960 --> 00:06:36,400
I ordered a chest X-ray
before I left. Why?
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We're investigating her death.
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00:06:39,080 --> 00:06:42,040
Death?I guess she wasn't
dramatising after all.
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00:06:42,040 --> 00:06:44,840
She died?
You look surprised.
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00:06:44,840 --> 00:06:47,800
She had a chest infection.
She wasn't that sick.
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00:06:50,800 --> 00:06:53,320
What?You think it was my fault?
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00:06:53,320 --> 00:06:57,000
You think I missed something?
We've been asked to look into it.
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00:06:57,000 --> 00:06:59,720
Who treated her after you left?
I'm not sure.
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00:06:59,720 --> 00:07:02,720
One of the registrars
would have taken her charts.
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00:07:06,880 --> 00:07:08,880
I'm only a first year.
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00:07:08,880 --> 00:07:11,400
They don't let me do anything
on my own.
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00:07:11,400 --> 00:07:13,360
You should talk to Dr Mills.
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00:07:13,360 --> 00:07:15,280
It was pneumonia.
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00:07:15,280 --> 00:07:18,840
The sputum examination and blood
cultures were indicative,
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00:07:18,840 --> 00:07:21,960
and the chest X-ray
showed fluid on the lungs.
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00:07:21,960 --> 00:07:24,760
So the first doctor who saw her
got it wrong?No.
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00:07:24,760 --> 00:07:27,400
Dr Simonson made
a provisional diagnosis
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based on her symptoms
and ordered the X-ray to confirm it.
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00:07:30,720 --> 00:07:33,920
He did nothing wrong.
But pneumonia can be treated.
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00:07:33,920 --> 00:07:35,440
It doesn't kill people.
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00:07:35,440 --> 00:07:38,200
It can if complicated
by chemical pneumonitis.
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00:07:38,200 --> 00:07:41,920
Which is?The lungs become inflamed
by an irritant.
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00:07:41,920 --> 00:07:44,960
The patient was feverish
and lost consciousness.
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00:07:44,960 --> 00:07:48,480
She must have aspirated
some of her stomach contents.
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00:07:48,480 --> 00:07:52,480
And it can happen that quickly?
One minute OK, next minute dead?
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00:07:52,480 --> 00:07:55,840
If the registrar who was treating
her recognised it sooner,
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00:07:55,840 --> 00:07:58,960
we might have saved her,
but there's no way of knowing.
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00:07:58,960 --> 00:08:03,360
You were the one treating her.
No, you want to speak to Dr Grant.
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00:08:03,360 --> 00:08:06,040
And I think he's at lunch.
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00:08:11,160 --> 00:08:14,720
This is starting to feel like
pass the parcel.
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00:08:14,720 --> 00:08:17,680
If you see Mr Morton,
please extend my condolences.
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00:08:17,680 --> 00:08:19,960
You were treating Suzanne in the ER.
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00:08:19,960 --> 00:08:21,960
Er, the ED.
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00:08:21,960 --> 00:08:26,200
Only briefly. We were still waiting
for her X-rays to come back.
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00:08:26,200 --> 00:08:27,920
Sadly, by the time they did...
137
00:08:27,920 --> 00:08:30,880
So just exactly how ill was she?
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00:08:30,880 --> 00:08:34,240
We were told it was a chest
infection, possibly pneumonia,
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00:08:34,240 --> 00:08:36,120
nothing immediately life-threatening.
140
00:08:36,120 --> 00:08:37,840
No, she was extremely ill.
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00:08:37,840 --> 00:08:41,640
If we'd known what we were dealing
with she'd have been moved to ITU.
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00:08:41,640 --> 00:08:44,040
But sadly...
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00:08:44,040 --> 00:08:46,400
Yeah, it's all pretty sad.
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If that's everything you need...
Yes.
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Thanks for your help.
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What help?
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00:08:58,600 --> 00:09:00,960
I was using the term loosely.
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00:09:04,560 --> 00:09:08,600
So she had mild bronchitis,
she had chemical pneumonitis,
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00:09:08,600 --> 00:09:12,160
she was dramatising her symptoms,
she should have been in ITU.
150
00:09:12,160 --> 00:09:16,280
The only thing that everyone agrees
on is that no-one did anything
wrong.
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00:09:17,280 --> 00:09:20,600
Is it any clearer in the notes?
Oh, yeah, as mud.
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00:09:20,600 --> 00:09:24,160
Basically we could be dealing
with another Dr Crippen
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and I would not have a clue.
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00:09:25,840 --> 00:09:28,320
Judging from some of the handwriting,
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00:09:28,320 --> 00:09:31,400
I'd say half these doctors
were serial killers.
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00:09:31,400 --> 00:09:35,520
Give me a shooting in an alley.
At least I can spot a smoking gun.
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Look at this.
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00:09:37,600 --> 00:09:42,920
There's a word crossed out here
that looks like it says 'codename'.
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00:09:42,920 --> 00:09:45,800
What, in the notes?
No, on the chart.
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00:09:45,800 --> 00:09:48,680
Are you allowed to cross something
out on a chart?
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00:09:48,680 --> 00:09:51,920
Isn't it an official record?
I've no idea.
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00:09:53,400 --> 00:09:56,960
I think we ought to arrange
a rendezvous with Deep Throat.
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00:09:58,040 --> 00:09:59,840
Hm.
Not the porn film!
164
00:10:01,520 --> 00:10:04,120
Any mistake
should be clearly initialled.
165
00:10:04,120 --> 00:10:07,080
But if someone's in a rush,
they might forget.
166
00:10:07,080 --> 00:10:10,320
Would you ever get staff going back
to amend the charts,
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00:10:10,320 --> 00:10:13,040
correct something
if they've got it wrong?
168
00:10:13,040 --> 00:10:15,760
They'd be tampering
with hospital records,
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00:10:15,760 --> 00:10:17,760
which is definitely illegal.
170
00:10:17,760 --> 00:10:20,560
Could that be what's happened?
It's possible.
171
00:10:20,560 --> 00:10:23,880
Someone crossed 'codeine' out
and wrote 'paracetamol'.
172
00:10:23,880 --> 00:10:26,600
Not 'codename'.
They're common painkillers.
173
00:10:26,600 --> 00:10:29,840
The prescribing doctor
could have changed their mind.
174
00:10:29,840 --> 00:10:33,560
So if Suzanne Morton was given
codeine rather than paracetamol
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00:10:33,560 --> 00:10:35,840
what difference would that have made?
176
00:10:35,840 --> 00:10:39,160
There are situations where codeine's
contra-indicated.
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00:10:39,160 --> 00:10:42,880
Meaning?There's a good reason
why you shouldn't prescribe it.
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But that would have been noted
on admission.
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00:10:46,760 --> 00:10:50,080
It should be at the beginning
of her notes.It's not there?
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00:10:50,080 --> 00:10:52,560
There's a report
by the triage nurse.
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It stops halfway through.
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00:10:56,720 --> 00:10:59,320
There's a page missing.
183
00:11:00,520 --> 00:11:04,440
Oh. Looks like we've just found
our smoking gun.
184
00:11:07,160 --> 00:11:10,600
Do we have any idea who could have
changed the name of the drug
on this chart?
185
00:11:10,600 --> 00:11:13,320
Any of the staff
could have had access, guv.
186
00:11:13,320 --> 00:11:16,440
The handwriting looks
a lot like Dr Grant's.
187
00:11:16,440 --> 00:11:19,480
He was the registrar treating
Suzanne Morton, so...
188
00:11:19,480 --> 00:11:21,920
Why don't we bring him in
and push him a bit?
189
00:11:21,920 --> 00:11:25,280
No. I want to know what was in
that missing patient history.
190
00:11:25,280 --> 00:11:28,600
We've got to be sure this is
a cover-up, not a coincidence.
191
00:11:28,600 --> 00:11:31,280
Is that Suzanne's dad?
Yeah.
192
00:11:31,280 --> 00:11:32,880
He's been in every day.
193
00:11:35,360 --> 00:11:37,520
Hi. Sorry to keep you waiting.
194
00:11:37,520 --> 00:11:39,840
Go in and have a little chat?
195
00:11:43,760 --> 00:11:45,520
Suzie was an anxious young woman
196
00:11:45,520 --> 00:11:47,800
with a history
of serious depression.
197
00:11:47,800 --> 00:11:51,680
Sadly, we finally found a way of
managing it effectively.
198
00:11:51,680 --> 00:11:53,280
Was she on medication?
199
00:11:53,280 --> 00:11:57,000
I referred her to an adolescent
psychiatrist in her early teens,
200
00:11:57,000 --> 00:12:01,040
and over the past five years,
she'd been on every antidepressant
201
00:12:01,040 --> 00:12:02,600
with very little success.
202
00:12:02,600 --> 00:12:05,840
As a last resort we tried her
on phenelzine sulphate,
203
00:12:05,840 --> 00:12:07,480
and that really helped.
204
00:12:07,480 --> 00:12:10,160
And would this...
phenelzine sulphate...
205
00:12:10,160 --> 00:12:12,640
Can you take that along with
other drugs?
206
00:12:12,640 --> 00:12:15,160
Painkillers?
You have to be careful.
207
00:12:15,160 --> 00:12:18,640
If you combine phenelzine
with an opiate-based analgesic,
208
00:12:18,640 --> 00:12:20,880
then it would prove fatal.
209
00:12:20,880 --> 00:12:24,000
Opiate-based?Morphine, codeine,
that type of thing.
210
00:12:26,640 --> 00:12:32,160
OK, the tox screen shows
paracetamol, it shows aspirin
211
00:12:32,160 --> 00:12:33,760
and an antihistamine.
212
00:12:33,760 --> 00:12:36,720
What about phenelzine sulphate?
Not on this test.
213
00:12:36,720 --> 00:12:39,160
But we know the girl was taking it.
214
00:12:39,160 --> 00:12:42,960
She may have been, but it would not
show up on the standard test.
215
00:12:42,960 --> 00:12:45,200
Brilliant.
Does that go for codeine?
216
00:12:45,200 --> 00:12:47,480
Depends how long
she was taking it for.
217
00:12:47,480 --> 00:12:49,960
Why don't you order another
tox screen
218
00:12:49,960 --> 00:12:54,920
that shows up whether phenelzine
or codeine's in the girl's
system, urgently?
219
00:12:54,920 --> 00:12:56,760
These tests don't come cheap.
220
00:12:56,760 --> 00:12:59,720
You may not have heard
we've had some budget cuts.
221
00:12:59,720 --> 00:13:01,840
We'll have a whip round.
222
00:13:01,840 --> 00:13:04,680
Fine. But it won't be
before tomorrow.
223
00:13:04,680 --> 00:13:06,440
And you're wasting your time.
224
00:13:06,440 --> 00:13:09,720
You'd have to be an idiot to take
codeine with phenelzine.
225
00:13:09,720 --> 00:13:11,800
It could kill you.
226
00:13:12,800 --> 00:13:15,080
Deep breaths, son.
Come on, let's go.
227
00:13:18,720 --> 00:13:22,960
It was a busy night. I wrote codeine
but I gave her paracetamol.
228
00:13:22,960 --> 00:13:25,920
Why didn't you put your initials
to the correction?
229
00:13:25,920 --> 00:13:28,000
It was busy. I must have forgotten.
230
00:13:28,000 --> 00:13:30,160
It was a simple mistake.
231
00:13:31,120 --> 00:13:35,840
Did you know that some of Suzanne
Morton's patient history notes
had gone missing?
232
00:13:35,840 --> 00:13:39,560
Notes go missing in the emergency
department all the time.
233
00:13:40,560 --> 00:13:43,920
Anyway, the girl died of
pneumonia-related complications
234
00:13:43,920 --> 00:13:46,320
that had nothing to do
with her history.
235
00:13:46,320 --> 00:13:49,760
Not even the heavy duty
antidepressants she was on?
236
00:13:49,760 --> 00:13:51,280
Sorry?
237
00:13:51,280 --> 00:13:55,040
She'd been taking phenelzine
sulphate for the last six months.
238
00:13:55,040 --> 00:13:57,120
Surely that was on the history.
239
00:13:57,120 --> 00:13:59,880
Um, no. No, it wasn't.
240
00:13:59,880 --> 00:14:02,800
That is odd, because the triage
nurse is pretty sure
241
00:14:02,800 --> 00:14:06,520
that she included a full history,
including current medication.
242
00:14:06,520 --> 00:14:09,960
Either way, I wrote the wrong drug
on the chart, that's all.
243
00:14:09,960 --> 00:14:12,360
Haven't you ever made a mistake?
244
00:14:12,360 --> 00:14:15,600
Yes, of course, Dr Grant.
245
00:14:15,600 --> 00:14:20,280
Difference is, when you make one,
people end up dying.
246
00:14:21,720 --> 00:14:25,480
This is crazy!I didn't cause
Suzanne Morton's death.
247
00:14:25,480 --> 00:14:29,560
Fine. We'll see if the tox screen
agrees with you, shall we?
248
00:14:29,560 --> 00:14:33,840
I thought they'd already done the
post-mortem.We decided to
dig deeper.
249
00:14:38,360 --> 00:14:40,400
I thought he was going to throw up.
250
00:14:40,400 --> 00:14:42,560
Sounds like a guilty conscience.
251
00:14:42,560 --> 00:14:45,000
Even if the drugs show up
on the tox screen,
252
00:14:45,000 --> 00:14:47,760
no-one witnessed Grant give her
the injection.
253
00:14:47,760 --> 00:14:52,360
It makes sense, though.He messed
up, she died, he panicked,
tried to cover it up.
254
00:14:52,360 --> 00:14:55,800
Scratched out her name, tore a page
out and hoped for the best.
255
00:14:55,800 --> 00:14:57,480
Not exactly a mastermind.
256
00:14:57,480 --> 00:15:01,160
Still, if we hadn't have gone looking
no-one would have noticed.
257
00:15:01,160 --> 00:15:04,920
Makes you wonder what else
he's got away with.Cheers.
258
00:15:08,000 --> 00:15:11,160
Positive for phenelzine,
positive for codeine.OK.
259
00:15:11,160 --> 00:15:14,000
This is not a coincidence.
Bring him in.
260
00:15:14,000 --> 00:15:18,160
So it's Dr Grant.We'd just like
another chat with him.
261
00:15:18,160 --> 00:15:21,280
I should have known.
What makes you say that?
262
00:15:21,280 --> 00:15:24,240
The nurses know
when someone's out of their depth.
263
00:15:24,240 --> 00:15:27,800
Half the time he called in Dr Austen
cos he hadn't a clue.
264
00:15:27,800 --> 00:15:30,360
Maybe he's on his rounds in CDU.
265
00:15:31,440 --> 00:15:33,880
Cathy. Yes. Do you have
Dr Grant with you?
266
00:15:36,800 --> 00:15:38,680
OK.
267
00:15:38,680 --> 00:15:42,840
He didn't turn up for his shift and
nobody's seen him since yesterday.
268
00:15:44,440 --> 00:15:47,680
Checked his flat, no sign,
but his car is still outside.
269
00:15:47,680 --> 00:15:51,480
Got uniformed trying the neighbours
but they're mostly at work.
270
00:15:51,480 --> 00:15:54,280
We've stationed officers
at the hospital,
271
00:15:54,280 --> 00:15:56,600
but no-one's seen him since
yesterday.
272
00:15:56,600 --> 00:15:59,360
Spoken to the family?
Trying to track them down.
273
00:15:59,360 --> 00:16:02,160
If we didn't think he was guilty
before, we do now.
274
00:16:02,160 --> 00:16:04,400
We've got a hit on Grant's
credit card.
275
00:16:04,400 --> 00:16:07,640
He's bought a ticket at St Pancras
International.Paris?
276
00:16:07,640 --> 00:16:10,400
Bruges. The next train's
in 45 minutes.Come on.
277
00:16:19,560 --> 00:16:23,480
Exits are covered,
but no platform announcement yet.
278
00:16:23,480 --> 00:16:25,280
He could be anywhere.Fan out.
279
00:16:32,680 --> 00:16:37,040
I wonder if you could help us.
Do you recognise this man?
280
00:16:38,040 --> 00:16:39,760
Excuse me.
281
00:17:14,640 --> 00:17:17,160
All units, got eyeballs
on the suspect.
282
00:17:17,160 --> 00:17:20,880
He's halfway down the concourse
outside international arrivals
283
00:17:20,880 --> 00:17:22,720
in a blue cagoule with a holdall.
284
00:17:22,720 --> 00:17:27,760
Suspect is on the move. He's heading
back along the concourse towards me.
285
00:17:27,760 --> 00:17:30,200
Suspect on the move.
Excuse me, ladies.
286
00:17:57,040 --> 00:18:00,360
Dr Adrian Grant,
this is DS Matt Devlin.
287
00:18:00,360 --> 00:18:01,960
I need you to open up.
288
00:18:02,960 --> 00:18:04,160
Right.
289
00:18:04,160 --> 00:18:08,160
Seriously, doc, either you come out
or I'm coming in, yeah?
290
00:18:14,640 --> 00:18:16,240
Dr Adrian Grant,
291
00:18:16,240 --> 00:18:20,400
I'm arresting you on suspicion of
the manslaughter of Suzanne Morton.
292
00:18:30,680 --> 00:18:33,000
Hope you let him
wash his hands first.
293
00:18:40,720 --> 00:18:43,960
I really don't think I want to say
anything at this stage.
294
00:18:49,880 --> 00:18:54,360
I'd say trying to skip the country
speaks volumes, wouldn't you?
295
00:18:54,360 --> 00:18:58,160
I panicked.I didn't know what else
to do. They'd been too clever.
296
00:18:58,160 --> 00:19:00,760
Sorry - 'they'?
Who's 'they', Dr Grant?
297
00:19:00,760 --> 00:19:03,760
Austen, Mills, the nurses,
the whole lot of them,
298
00:19:03,760 --> 00:19:07,120
they're all in on it and they've
lied to make me take the fall.
299
00:19:07,120 --> 00:19:10,680
So it's all one big conspiracy?
Yes, yes, it is.
300
00:19:10,680 --> 00:19:13,040
And what, they put a gun
to your head?
301
00:19:13,040 --> 00:19:15,560
Made you give Suzanne Morton
the codeine?
302
00:19:15,560 --> 00:19:17,960
I didn't give her anything.
303
00:19:17,960 --> 00:19:20,120
It was Austen.
He gave the injection.
304
00:19:20,120 --> 00:19:21,640
I just filled in the chart.
305
00:19:21,640 --> 00:19:24,680
I didn't know it was wrong,
not till the girl had died.
306
00:19:24,680 --> 00:19:27,440
When you changed
'codeine' to 'paracetamol'.
307
00:19:27,440 --> 00:19:30,440
You're not listening.
I didn't change anything.
308
00:19:30,440 --> 00:19:33,160
That was Christine. Christine Mills.
I see.
309
00:19:33,160 --> 00:19:36,280
They really are all in on it.
Yes. Yes, they are.
310
00:19:37,240 --> 00:19:38,360
Hm.
311
00:19:39,360 --> 00:19:41,800
Funny you never mentioned
that before.
312
00:19:41,800 --> 00:19:44,520
Christine told me to keep quiet
and it'd be OK.
313
00:19:44,520 --> 00:19:47,440
She said they'd tell the family
it was pneumonia.
314
00:19:47,440 --> 00:19:49,440
You told Morton it was pneumonia.
315
00:19:49,440 --> 00:19:51,960
Didn't you speak to him
the next day?Yes.
316
00:19:51,960 --> 00:19:54,560
But only because I had to
go along with it.
317
00:19:54,560 --> 00:19:58,120
They gave me no choice.
Let me get this straight.
318
00:19:58,120 --> 00:20:00,960
Dr Edward Austen
just walks onto the ward
319
00:20:00,960 --> 00:20:04,280
and randomly gives your patient,
Suzanne Morton,
320
00:20:04,280 --> 00:20:05,840
an injection of codeine.
321
00:20:05,840 --> 00:20:08,000
He's erratic sometimes.
322
00:20:08,000 --> 00:20:11,360
Ask anyone. Everyone in the hospital
knows he's a drinker.
323
00:20:11,360 --> 00:20:14,800
And Dr Mills, is she a drinker too?
No, of course not.
324
00:20:14,800 --> 00:20:17,360
But she'll do anything
to protect Austen.
325
00:20:17,360 --> 00:20:20,840
She's got a thing for him.
Has done for years.
326
00:20:23,560 --> 00:20:27,640
You've no idea what it's like.
They all stick together.
327
00:20:28,640 --> 00:20:30,480
A code of silence.
328
00:20:31,960 --> 00:20:35,840
It's like dealing with the medical
Mafia.Cosa Nostra and the NHS.
329
00:20:35,840 --> 00:20:37,840
I swear I'm telling the truth!
330
00:20:39,240 --> 00:20:43,120
So basically Dr Grant
is going for the Shaggy defence.
331
00:20:43,120 --> 00:20:45,880
It wasn't me.
Exactly.
332
00:20:45,880 --> 00:20:47,160
What?
333
00:20:47,160 --> 00:20:50,600
Young person's music, Matty.
My girls keep me with it.
334
00:20:50,600 --> 00:20:53,840
You were doing really well
till you said 'with it'.
335
00:20:53,840 --> 00:20:56,160
It still may not be enough
to charge him.
336
00:20:56,160 --> 00:20:58,640
What? You are kidding, right?
337
00:20:58,640 --> 00:21:01,920
The only real evidence is
his handwriting on the chart.
338
00:21:01,920 --> 00:21:04,400
And the drugs in Suzanne
Morton's system.
339
00:21:04,400 --> 00:21:06,480
And the one-way ticket to Belgium.
340
00:21:06,480 --> 00:21:09,440
Come on, Alesha, if he's not guilty,
why does he run?
341
00:21:11,320 --> 00:21:13,760
There's someone
I think you should meet.
342
00:21:15,880 --> 00:21:19,600
Just flown in from Milan, wants to
know why we're looking for him.
343
00:21:19,600 --> 00:21:22,680
And are we looking for him?
I believe we are, yes.
344
00:21:22,680 --> 00:21:24,600
That's Dr Adrian Grant.
345
00:21:25,600 --> 00:21:29,880
If that's Adrian Grant...
Then who the hell is he?
346
00:21:33,680 --> 00:21:36,240
I was at an MSF conference in Italy
347
00:21:36,240 --> 00:21:38,920
when I got this crazy phone call
from my mum
348
00:21:38,920 --> 00:21:41,440
saying that the police
were looking for me.
349
00:21:41,440 --> 00:21:44,720
And you've been working in Haiti
for the last year?Yeah.
350
00:21:44,720 --> 00:21:46,520
And Burkina Faso before that.
351
00:21:46,520 --> 00:21:48,840
I joined the Medecins
Sans Frontieres
352
00:21:48,840 --> 00:21:51,240
when I finished
my foundation training.
353
00:21:51,240 --> 00:21:53,000
I wanted to do my bit.
354
00:21:53,000 --> 00:21:55,840
And you haven't worked in
this country since?No.
355
00:21:55,840 --> 00:21:59,960
Try telling my mum. She's convinced
I've been lying the last two years.
356
00:22:01,240 --> 00:22:03,640
Do you recognise this man?
Yeah.
357
00:22:03,640 --> 00:22:05,840
Yeah, it's Ian. Ian Naylor.
358
00:22:09,320 --> 00:22:11,040
And how do you know Dr Naylor?
359
00:22:11,040 --> 00:22:13,760
We shared a flat together
for a couple of months
360
00:22:13,760 --> 00:22:15,400
just before I went away.
361
00:22:15,400 --> 00:22:18,280
But Ian's not a doctor,
he's a chiropodist.
362
00:22:21,480 --> 00:22:23,320
Ian Naylor and Adrian Grant
363
00:22:23,320 --> 00:22:25,880
were medical students together
at Durham
364
00:22:25,880 --> 00:22:29,240
until Naylor failed his second-year
exams and dropped out.
365
00:22:29,240 --> 00:22:32,800
They lost touch, but Grant was
looking for a place two years back
366
00:22:32,800 --> 00:22:34,400
and Naylor had a room going.
367
00:22:34,400 --> 00:22:37,600
Naylor trained as a chiropodist
but never practised.
368
00:22:37,600 --> 00:22:39,520
Can't blame him. All those feet.
369
00:22:39,520 --> 00:22:43,400
When Grant went to Africa he left
some stuff in storage with Naylor -
370
00:22:43,400 --> 00:22:47,520
personal papers, medical
qualifications,birth certificate.
371
00:22:47,520 --> 00:22:49,800
And Naylor just helped himself?
Yeah.
372
00:22:49,800 --> 00:22:54,040
Borrowed the birth certificate,
applied for a new passport
and licence,
373
00:22:54,040 --> 00:22:57,480
then got a job at the Alderman
with Grant's qualifications.
374
00:22:57,480 --> 00:23:01,560
Passing himself off as a doctor
at a major London teaching hospital.
375
00:23:01,560 --> 00:23:03,080
Reassuring, isn't it?
376
00:23:03,080 --> 00:23:06,760
White coat, stethoscope, people
believe anything you say.
377
00:23:06,760 --> 00:23:09,000
Bit like a wig and a gown.
378
00:23:09,000 --> 00:23:13,320
Too right. I've been getting away
with it for years.
379
00:23:15,480 --> 00:23:19,000
The Prime Minister had his adenoids
removed at the Alderman.
380
00:23:19,000 --> 00:23:22,320
He was very impressed by
the staff's professionalism.
381
00:23:22,320 --> 00:23:24,280
That's come back to bite him.
382
00:23:24,280 --> 00:23:27,480
Well and truly. A rogue chiropodist
stalking the wards.
383
00:23:27,480 --> 00:23:29,160
The stuff of PR nightmares.
384
00:23:29,160 --> 00:23:32,000
A lot of people would like this
to go away ASAP.
385
00:23:32,000 --> 00:23:34,760
Have to wait for the medical
negligence inquiry.
386
00:23:34,760 --> 00:23:37,480
So far we've got Naylor
on at least ten counts.
387
00:23:37,480 --> 00:23:40,040
Fraud by false representation,
forgery,
388
00:23:40,040 --> 00:23:42,240
false instruments,manslaughter.
389
00:23:42,240 --> 00:23:45,760
We've had the call from the defence.
Robinson wants to meet.
390
00:23:45,760 --> 00:23:48,760
I'm expecting a straight guilty plea
on the fraud.
391
00:23:48,760 --> 00:23:51,720
Take it. We can prosecute
for the rest down the line.
392
00:23:51,720 --> 00:23:55,680
So long as we do. Naylor wasn't just
playing doctor, he killed someone.
393
00:23:55,680 --> 00:23:58,760
When we can, we will.
For now let's focus on the fraud.
394
00:23:58,760 --> 00:24:01,640
It's not like Naylor's
got a foot to stand on.
395
00:24:01,640 --> 00:24:04,080
Foot. Chiropodist. No?
396
00:24:05,040 --> 00:24:07,880
My client will plead
to two main counts of fraud.
397
00:24:07,880 --> 00:24:09,880
What about the other eight counts?
398
00:24:09,880 --> 00:24:13,960
A guilty plea would eliminate
the need for a long, costly trial.
399
00:24:13,960 --> 00:24:15,520
Very cost conscious.
400
00:24:15,520 --> 00:24:18,120
And bearing in mind my clients
mental state -
401
00:24:18,120 --> 00:24:19,840
What mental state is that?
402
00:24:19,840 --> 00:24:23,240
Mr Naylor's seeing an expert
in delusional behaviour.
403
00:24:23,240 --> 00:24:26,520
She's helped him understand
what triggered the events.
404
00:24:26,520 --> 00:24:30,240
Really? Some kind of deep-seated
trauma, I presume.
405
00:24:30,240 --> 00:24:34,880
I had some emotional problems
when I was a medical student.
406
00:24:34,880 --> 00:24:38,000
I now see that I had
some kind of breakdown.
407
00:24:38,000 --> 00:24:39,720
Mr Naylor, in this case,
408
00:24:39,720 --> 00:24:42,400
your mental state can't be used
as a defence.
409
00:24:42,400 --> 00:24:45,800
Can we agree to drop this groundless
manslaughter charge?
410
00:24:45,800 --> 00:24:47,560
I'd hardly call it groundless.
411
00:24:47,560 --> 00:24:50,400
My Naylor has identified
an alcoholic colleague
412
00:24:50,400 --> 00:24:53,040
as responsible for
Suzanne Morton's death.
413
00:24:53,040 --> 00:24:57,600
No-one supports his allegations,
leaving him holding the syringe.
414
00:24:57,600 --> 00:25:00,600
No! You're not pinning that girl's
death on me.
415
00:25:00,600 --> 00:25:03,840
It was Austen. I don't care what his
cronies have told you.
416
00:25:03,840 --> 00:25:05,440
Talk to the junior doctors.
417
00:25:05,440 --> 00:25:08,160
Simonson nearly lost a patient
because of him.
418
00:25:08,160 --> 00:25:12,160
It was about six months ago.
This guy, 25, basically healthy,
419
00:25:12,160 --> 00:25:14,880
walks in with the worst headache
of his life.
420
00:25:14,880 --> 00:25:17,800
Slight soreness in the neck.
But it was ambiguous.
421
00:25:17,800 --> 00:25:20,880
And Dr Austen treated him?
He prescribed morphine.
422
00:25:20,880 --> 00:25:22,640
Probably the worst thing.
423
00:25:22,640 --> 00:25:26,800
It masks the symptoms of meningitis,
which is what the guy had.
424
00:25:26,800 --> 00:25:29,800
Dr Mills found it in time
and he was OK in the end, but -
425
00:25:29,800 --> 00:25:32,120
It could have ended
very differently.
426
00:25:32,120 --> 00:25:35,200
I don't want to get anyone
into trouble.
427
00:25:35,200 --> 00:25:37,080
It's just one of those things.
428
00:25:37,080 --> 00:25:40,680
Is that the only time Austen
made a mistake like that?Yes.
429
00:25:40,680 --> 00:25:42,640
I mean, I don't know.
430
00:25:42,640 --> 00:25:44,920
People make mistakes.
431
00:25:44,920 --> 00:25:47,720
And Dr Austen is getting older.
He gets tired.
432
00:25:47,720 --> 00:25:49,600
Especially since his accident.
433
00:25:51,120 --> 00:25:55,560
Naylor's sticking to his story but
no-one will back him up about
the drinking.
434
00:25:55,560 --> 00:25:58,520
Even with one confirmed incident
of misdiagnosis,
435
00:25:58,520 --> 00:26:01,680
the general attitude is
you win some, you lose some.
436
00:26:01,680 --> 00:26:03,440
Yeah, well,
437
00:26:03,440 --> 00:26:08,360
Dr Austen may well have been losing
a few more than his share.
438
00:26:08,360 --> 00:26:11,040
What do you mean?
We looked into those deaths.
439
00:26:11,040 --> 00:26:13,520
Naylor was attendant registrar
for both,
440
00:26:13,520 --> 00:26:15,440
but the night Anna Jeffries died,
441
00:26:15,440 --> 00:26:17,640
he had an upset stomach
and went home.
442
00:26:17,640 --> 00:26:19,160
Austen stepped in.
443
00:26:19,160 --> 00:26:20,680
And Carl Hobbs -
444
00:26:20,680 --> 00:26:23,880
his daughters reckon Naylor had
a word with their dad
445
00:26:23,880 --> 00:26:27,760
and then handed over to 'some posh
old bloke with grey hair'.Austen.
446
00:26:27,760 --> 00:26:30,280
So we got onto the Medical
Negligence Team,
447
00:26:30,280 --> 00:26:33,280
who cross-reffed patients
that they'd flagged up
448
00:26:33,280 --> 00:26:37,320
and it turns out that Austen's name
comes up on another five files.
449
00:26:37,320 --> 00:26:41,840
So, what, Austen's been slowly losing
his marbles and nobody's noticed?
450
00:26:41,840 --> 00:26:44,960
That is one explanation.
However, there is another.
451
00:26:44,960 --> 00:26:49,200
Austen was done for drink driving
several times in the late '80s,
452
00:26:49,200 --> 00:26:51,960
finally disqualified from driving
in 1990,
453
00:26:51,960 --> 00:26:54,760
and his blood alcohol level
was off the charts.
454
00:26:54,760 --> 00:26:58,560
The ward sister mentioned the car
crash.He's been teetotal since.
455
00:26:58,560 --> 00:27:01,720
Could have fallen off the wagon.
This sister's sharp.
456
00:27:01,720 --> 00:27:04,360
She'd notice someone
smelling of booze.
457
00:27:04,360 --> 00:27:07,160
Although you'd be amazed
what a person can hide.
458
00:27:07,160 --> 00:27:10,960
There was another crash.Austen came
off his bike three years ago.
459
00:27:10,960 --> 00:27:13,800
Sister Logan said he was on
painkillers to work.
460
00:27:13,800 --> 00:27:16,320
Simonson says Austen's never been
the same.
461
00:27:16,320 --> 00:27:19,200
He was in pain,
having trouble coping with work.
462
00:27:19,200 --> 00:27:22,960
Couple of Nurofen Plus taken in the
right or the wrong state of mind,
463
00:27:22,960 --> 00:27:25,880
well, that's nearly as good as
a stiff whisky.
464
00:27:25,880 --> 00:27:27,480
And a lot easier to hide.
465
00:27:30,560 --> 00:27:32,080
Very straightforward.
466
00:27:32,080 --> 00:27:36,320
Some hooligan in a van turned left
without indicating,
467
00:27:36,320 --> 00:27:38,680
and Teddy took the brunt of it.
468
00:27:38,680 --> 00:27:42,680
I understand he was prescribed
painkillers for his back injury.
469
00:27:42,680 --> 00:27:44,640
Of course. The man was in agony.
470
00:27:44,640 --> 00:27:48,040
Even with the codeine he was
bed-bound for nearly a month.
471
00:27:48,040 --> 00:27:49,600
Do you prescribe codeine
472
00:27:49,600 --> 00:27:52,320
for a patient with a history
of alcohol abuse?
473
00:27:52,320 --> 00:27:53,960
History of what?
474
00:27:53,960 --> 00:27:57,920
Dr Austen lost his licence after
a string of drink-driving offences.
475
00:27:57,920 --> 00:28:01,640
That was years ago! Teddy sorted
himself out after that.
476
00:28:01,640 --> 00:28:04,160
I wasn't going to withhold
pain relief
477
00:28:04,160 --> 00:28:06,520
because he used to like
a few drinks.
478
00:28:06,520 --> 00:28:09,520
Did Dr Austen ever ask for
a repeat prescription?
479
00:28:09,520 --> 00:28:11,920
I can't discuss that.
480
00:28:11,920 --> 00:28:16,080
Well, might he have continued
prescribing it for himself?
481
00:28:16,080 --> 00:28:17,840
You'd have to ask him.
482
00:28:17,840 --> 00:28:20,720
If he did, it would have been
perfectly legal.
483
00:28:20,720 --> 00:28:23,280
The man's a doctor.
484
00:28:23,280 --> 00:28:26,800
Well, that's all right then.
485
00:28:26,800 --> 00:28:30,400
GMC guidelines say a doctor
should avoid self-prescribing,
486
00:28:30,400 --> 00:28:32,920
but there aren't statutory
restrictions.
487
00:28:32,920 --> 00:28:36,680
He can write as many as he likes.
He'd still need to get them filled.
488
00:28:36,680 --> 00:28:38,280
The hospital pharmacy?
489
00:28:38,280 --> 00:28:41,640
If he has a drug problem,
he's not getting them from there.
490
00:28:41,640 --> 00:28:43,760
And the staff?
I got more of the same.
491
00:28:43,760 --> 00:28:47,480
Austen's highly competent, sometimes
patients die, blah-blah.
492
00:28:47,480 --> 00:28:52,000
Pushed about medical errors,
everyone clammed up.Not everyone.
493
00:28:52,960 --> 00:28:54,760
So you now want to question
494
00:28:54,760 --> 00:28:57,000
Mr Naylor as a potential witness?
495
00:28:57,000 --> 00:28:58,640
It's one simple question.
496
00:28:58,640 --> 00:29:00,600
My client would be happy to answer,
497
00:29:00,600 --> 00:29:03,720
assuming you're dropping
the manslaughter charge.
498
00:29:03,720 --> 00:29:05,760
Let's not get ahead of ourselves.
499
00:29:05,760 --> 00:29:10,000
Then perhaps we should discuss my
previous proposal about fraud.
500
00:29:10,000 --> 00:29:13,560
You realise I was the only one who
saw Austen give the injection?
501
00:29:13,560 --> 00:29:16,840
I'm not here to bargain with you,
Mr Naylor.
502
00:29:16,840 --> 00:29:18,480
Of course not.
503
00:29:18,480 --> 00:29:21,160
It's just easy to get confused
about things.
504
00:29:21,160 --> 00:29:24,680
Especially with all these different
charges hanging over me.
505
00:29:26,360 --> 00:29:30,600
At the moment, your entire defence
against killing Suzanne Morton
506
00:29:30,600 --> 00:29:34,040
is based upon your accusation against
Dr Austen.
507
00:29:34,040 --> 00:29:38,000
Withdraw that statement and you'll go
back to being the prime suspect.
508
00:29:40,200 --> 00:29:42,320
But hey, it's up to you.
509
00:29:43,400 --> 00:29:48,000
Who knows, you might enjoy
the extra time in prison.
510
00:29:54,880 --> 00:29:57,840
You could have dropped
the manslaughter charge.
511
00:29:57,840 --> 00:29:59,520
Wasn't that what we agreed?
512
00:29:59,520 --> 00:30:02,760
Then we still thought Naylor was
guilty.But now we don't.
513
00:30:02,760 --> 00:30:05,360
No. And now he's trying to
blackmail us.
514
00:30:05,360 --> 00:30:08,240
Sometimes criminals
can be less then ethical.
515
00:30:08,240 --> 00:30:10,880
Still, life's all about compromise.
516
00:30:10,880 --> 00:30:14,080
There was no need to compromise.
Naylor was bluffing.
517
00:30:14,080 --> 00:30:17,720
The only thing linking Austen to
Suzanne Morton's death
518
00:30:17,720 --> 00:30:19,480
is Naylor's statement.
519
00:30:19,480 --> 00:30:22,200
He won't go back on it.
He's got too much to lose.
520
00:30:22,200 --> 00:30:23,880
Doesn't that worry you?
521
00:30:23,880 --> 00:30:26,920
He could be pointing the finger
to save his own skin.
522
00:30:26,920 --> 00:30:30,240
He could be telling the truth.
First time for everything.
523
00:30:31,760 --> 00:30:34,760
Either way, could we lose
the manslaughter charge
524
00:30:34,760 --> 00:30:37,520
before you end up in court
with no evidence?
525
00:30:40,960 --> 00:30:44,720
Appalachian Mist. Autumn Sonata.
They're all quite...
526
00:30:45,680 --> 00:30:47,880
Grey.
Mm.
527
00:30:49,200 --> 00:30:50,960
Something you'd like to share?
528
00:30:50,960 --> 00:30:54,520
Naylor's pleading guilty to all
counts relating to the fraud.
529
00:30:55,760 --> 00:30:58,720
Three years, which means
he'll be out in 18 months.
530
00:30:58,720 --> 00:31:02,160
The going rate for impersonating
a doctor?Apparently so.
531
00:31:02,160 --> 00:31:04,920
With a good sob story.
This should cheer you up.
532
00:31:04,920 --> 00:31:09,960
Dr Austen gets regular prescriptions
filled at 13 different places,
533
00:31:09,960 --> 00:31:12,080
all for codeine,
all in his own name.
534
00:31:12,080 --> 00:31:15,800
One hell of a backache.
He's got a nice little system going.
535
00:31:15,800 --> 00:31:19,080
Keeps them on rotation
so no-one gets suspicious.
536
00:31:19,080 --> 00:31:22,320
Picks up only a month's worth
from any one place at a time,
537
00:31:22,320 --> 00:31:24,080
but it's ramped up -
538
00:31:24,080 --> 00:31:28,080
in the last six months
he's popping them in like Smarties.
539
00:31:28,080 --> 00:31:29,800
A wonder the man can stand up.
540
00:31:31,760 --> 00:31:35,280
This is insane.
Edward Austen is not an addict!
541
00:31:35,280 --> 00:31:37,920
We have records
from 13 different pharmacies
542
00:31:37,920 --> 00:31:39,600
dating back over three years
543
00:31:39,600 --> 00:31:41,880
which strongly suggest otherwise.
544
00:31:41,880 --> 00:31:44,720
We've already got what we need to
prosecute Austen
545
00:31:44,720 --> 00:31:46,840
for gross negligence manslaughter.
546
00:31:46,840 --> 00:31:49,360
You need to start thinking
about yourself.
547
00:31:49,360 --> 00:31:52,200
We know that Austen persuaded you
to lie for him.
548
00:31:52,200 --> 00:31:56,760
At the least you're looking at a
charge for perverting the
course of justice.
549
00:31:56,760 --> 00:31:59,560
It wasn't like that.
Then tell us what happened.
550
00:32:03,000 --> 00:32:05,720
I wasn't called
until the girl arrested.
551
00:32:06,680 --> 00:32:10,400
When I looked through her notes I
saw that she'd been on phenelzine
552
00:32:10,400 --> 00:32:12,480
and I confronted Dr Grant.
553
00:32:12,480 --> 00:32:19,360
Naylor. He said that he'd asked
Dr Austen to take a look at her.
554
00:32:20,920 --> 00:32:24,640
And that he'd been the one
to give her the codeine.
555
00:32:26,480 --> 00:32:28,120
So what did you do?
556
00:32:28,120 --> 00:32:30,480
Dr Austen was asleep
in the on-call room.
557
00:32:30,480 --> 00:32:34,200
He was very groggy when I woke him.
558
00:32:34,200 --> 00:32:36,560
He had no idea
he'd done anything wrong.
559
00:32:36,560 --> 00:32:39,640
He admitted giving the injection?
560
00:32:39,640 --> 00:32:43,160
I don't think he even noticed
the phenelzine in her history.
561
00:32:43,160 --> 00:32:47,000
Any half-decent registrar would have
flagged that up immediately.
562
00:32:47,000 --> 00:32:50,560
But he didn't have a half-decent
registrar. He had Ian Naylor.
563
00:32:50,560 --> 00:32:53,760
I couldn't see him hung out to dry
for one mistake.
564
00:32:57,480 --> 00:33:00,840
So I altered the chart
and I removed the notes.
565
00:33:00,840 --> 00:33:03,800
So Austen told you to lie for him.
He didn't have to.
566
00:33:03,800 --> 00:33:06,200
I wanted to help.
567
00:33:06,200 --> 00:33:08,360
But if I'd known about
the addiction -
568
00:33:08,360 --> 00:33:11,520
You'd have thought twice
about protecting a killer.
569
00:33:15,240 --> 00:33:18,920
When they searched Austen's house
they found pills everywhere.
570
00:33:18,920 --> 00:33:21,440
Jacket pockets, behind radiators.
571
00:33:21,440 --> 00:33:23,680
He put a lot of them
in aspirin bottles.
572
00:33:23,680 --> 00:33:27,320
His wife was oblivious.
Her and the rest of the world.
573
00:33:27,320 --> 00:33:30,360
Medical degree from Oxford,
trained at UCLH.
574
00:33:30,360 --> 00:33:33,920
One of the first registrars
in his year to be made consultant.
575
00:33:33,920 --> 00:33:37,760
Alesha, I don't think you know
Philip Nevins, Dr Austen's defence.
576
00:33:37,760 --> 00:33:41,400
Regular contributor to the Lancet
and British Medical Journal
577
00:33:41,400 --> 00:33:43,000
on emergency medicine.
578
00:33:43,000 --> 00:33:44,520
Given the Halliwell Award
579
00:33:44,520 --> 00:33:47,480
for conspicuous services
to health care in 2003.
580
00:33:47,480 --> 00:33:49,240
Does he walk on water too?
581
00:33:49,240 --> 00:33:52,040
He's a good man, Jacob,
and a dedicated doctor.
582
00:33:52,040 --> 00:33:55,400
Not like the trash you usually spend
your time prosecuting.
583
00:33:55,400 --> 00:33:59,280
The guy's two years off retirement
and he's given his life to the NHS.
584
00:33:59,280 --> 00:34:03,440
Why destroy that?A patient died
having been given the wrong drug.
585
00:34:03,440 --> 00:34:06,360
Manslaughter -
drug administered by a consultant
586
00:34:06,360 --> 00:34:09,000
high on prescription medication
at the time.
587
00:34:09,000 --> 00:34:13,320
Manslaughter, gross negligence.
I guess we know where we stand.
588
00:34:13,320 --> 00:34:14,880
Guess so.
589
00:34:17,200 --> 00:34:19,360
Suzanne Morton was still complaining
590
00:34:19,360 --> 00:34:21,880
about muscle pains
when Dr Austen arrived.
591
00:34:21,880 --> 00:34:25,400
He examined her briefly,
but he seemed tired and distracted.
592
00:34:25,400 --> 00:34:28,360
He only glanced over
the patient history.
593
00:34:28,360 --> 00:34:31,840
He then administered an injection
of codeine for the pain
594
00:34:31,840 --> 00:34:33,760
and left me to fill in the chart.
595
00:34:33,760 --> 00:34:35,920
Thank you. No further questions.
596
00:34:37,640 --> 00:34:41,440
Mr Naylor. That is your correct
title, isn't it?
597
00:34:41,440 --> 00:34:44,040
Not Dr Naylor.
'Mister' is fine.
598
00:34:44,040 --> 00:34:47,160
Because you never qualified
as a medical doctor.
599
00:34:47,160 --> 00:34:48,200
No.
600
00:34:48,200 --> 00:34:51,920
You're currently serving
a three-year custodial sentence
601
00:34:51,920 --> 00:34:54,960
for fraud by false representation,
are you not?
602
00:34:54,960 --> 00:34:56,480
That's correct.
603
00:34:56,480 --> 00:34:59,800
We're expected to believe
the word of a convicted conman
604
00:34:59,800 --> 00:35:01,640
and professional fraudster.
605
00:35:01,640 --> 00:35:04,560
Dr Austen gave that patient
the wrong medication.
606
00:35:04,560 --> 00:35:08,000
You stood by and let it happen.
I didn't realise it was wrong.
607
00:35:08,000 --> 00:35:10,960
Of course you didn't,
because you weren't a doctor.
608
00:35:10,960 --> 00:35:13,720
Given your complete lack of
medical knowledge,
609
00:35:13,720 --> 00:35:17,200
you must have been a liability
on the ward.That's not true.
610
00:35:17,200 --> 00:35:19,960
Who knows how many wrong
prescriptions you made,
611
00:35:19,960 --> 00:35:21,640
how many misdiagnoses.
612
00:35:21,640 --> 00:35:23,480
My lord -
I knew what I was doing.
613
00:35:23,480 --> 00:35:25,920
You thought you knew
what you were doing.
614
00:35:25,920 --> 00:35:28,160
My lord, the witness is not
on trial.
615
00:35:28,160 --> 00:35:32,040
I was as good as the other
registrars. That was so frustrating.
616
00:35:32,040 --> 00:35:34,160
No further questions, my lord.
617
00:35:37,560 --> 00:35:39,080
If I may, my lord.
618
00:35:39,080 --> 00:35:42,640
My Naylor, you say it was
frustrating. In what way?
619
00:35:42,640 --> 00:35:45,960
I knew I could treat the patients
just as well as they could.
620
00:35:45,960 --> 00:35:49,040
But unlike them, I couldn't risk
making a mistake.
621
00:35:50,160 --> 00:35:52,160
That's why I paged Austen.
622
00:35:52,160 --> 00:35:55,040
That's why I only ever did
exactly what I was told,
623
00:35:55,040 --> 00:35:58,800
and I never prescribed a drug
without checking with someone else.
624
00:35:58,800 --> 00:36:01,400
That's how I got away with it
for so long.
625
00:36:01,400 --> 00:36:04,400
If I'd have messed up,
I'd have lost everything.
626
00:36:07,320 --> 00:36:08,840
I wasn't that stupid.
627
00:36:14,520 --> 00:36:16,760
Dr Mills, you say Dr Austen admitted
628
00:36:16,760 --> 00:36:19,080
to having given the codeine
injection.
629
00:36:19,080 --> 00:36:20,120
Yes.
630
00:36:20,120 --> 00:36:22,480
And what did he say
when you asked him
631
00:36:22,480 --> 00:36:26,800
if he'd seen the reference to
phenelzine sulphate in
the patient's notes?
632
00:36:27,840 --> 00:36:30,240
I-I didn't ask him that question.
633
00:36:30,240 --> 00:36:34,000
So is it possible that, having asked
for a second opinion,
634
00:36:34,000 --> 00:36:38,480
Mr Naylor simply gave a verbal
summary of the patient history?
635
00:36:38,480 --> 00:36:40,480
Yes, it's possible.
636
00:36:40,480 --> 00:36:43,520
And is it also possible
that he failed to realise
637
00:36:43,520 --> 00:36:46,360
the significance
of the phenelzine sulphate,
638
00:36:46,360 --> 00:36:49,200
maybe even failed to mention it
by name?
639
00:36:49,200 --> 00:36:50,920
I suppose so, yes.
640
00:36:50,920 --> 00:36:55,920
And you have worked closely with
Dr Austen for the past eight years.
641
00:36:55,920 --> 00:36:57,880
Have you had reason to believe
642
00:36:57,880 --> 00:37:00,720
that he was suffering
from any form of addiction?
643
00:37:00,720 --> 00:37:01,760
No.
644
00:37:01,760 --> 00:37:03,920
And this self-prescribed medication
645
00:37:03,920 --> 00:37:07,440
that m'learned friend has repeatedly
drawn our attention to,
646
00:37:07,440 --> 00:37:11,560
these were painkillers for a genuine
and serious injury,were they not?
647
00:37:11,560 --> 00:37:13,240
Yes. Yes, they were.
648
00:37:13,240 --> 00:37:16,800
And finally, Dr Mills,
do you consider Dr Austen
649
00:37:16,800 --> 00:37:18,440
to be a good doctor?
650
00:37:20,080 --> 00:37:22,280
He's the best I've ever worked with.
651
00:37:24,120 --> 00:37:25,840
He's an inspiration.
652
00:37:32,560 --> 00:37:34,920
We were worried about
the wrong witness.
653
00:37:34,920 --> 00:37:38,680
So what if Austen didn't read the
history? He was still negligent.
654
00:37:38,680 --> 00:37:40,520
He prescribed without due care
655
00:37:40,520 --> 00:37:43,680
because his judgment was impaired
by his addiction.
656
00:37:43,680 --> 00:37:46,680
I'm not sure the jury believes
he has an addiction.
657
00:37:46,680 --> 00:37:50,160
My Suzy was 18. 18, with her whole
life ahead of her.Security!
658
00:37:50,160 --> 00:37:52,320
And you took that away.
Mr Morton -
659
00:37:52,320 --> 00:37:54,760
You put that needle in her arm,
no-one else.
660
00:37:54,760 --> 00:37:56,720
And you won't admit you messed up.
661
00:37:56,720 --> 00:37:59,640
I'm truly sorry for what happened to
your daughter.
662
00:37:59,640 --> 00:38:03,360
It wasn't my fault. There were
a number of contributing factors.
663
00:38:03,360 --> 00:38:05,800
You have to understand.
664
00:38:07,560 --> 00:38:09,560
Get off me!
665
00:38:09,560 --> 00:38:12,960
You killed my Suzy, you murderer!
666
00:38:19,800 --> 00:38:23,360
You could see it when he talked to
the dad. He knows he's to blame.
667
00:38:23,360 --> 00:38:25,880
He's hidden his addiction
for three years.
668
00:38:25,880 --> 00:38:27,680
I'd say he's good at denial.
669
00:38:27,680 --> 00:38:30,040
Maybe this time.
What about last time?
670
00:38:30,040 --> 00:38:33,280
When I asked Austen's doctor
about the drink-driving,
671
00:38:33,280 --> 00:38:35,440
he said
Teddy had sorted himself out.
672
00:38:35,440 --> 00:38:38,320
Not many people can
give up drinking overnight.
673
00:38:38,320 --> 00:38:40,280
Maybe he had help, went into rehab.
674
00:38:40,280 --> 00:38:43,640
First step to recovery?
Admitting you have an addiction.
675
00:38:43,640 --> 00:38:47,200
If Austen knew he was an addict
when he started taking codeine,
676
00:38:47,200 --> 00:38:50,480
he knew the risks and what it could
mean for his patients.
677
00:38:50,480 --> 00:38:54,840
In which case the crime happened
before he even stepped onto the ward.
678
00:38:58,920 --> 00:39:01,680
Dr Austen, are you aware
of an establishment
679
00:39:01,680 --> 00:39:03,440
called the Colson Clinic?
680
00:39:03,440 --> 00:39:06,840
I, erm, I don't know.
681
00:39:06,840 --> 00:39:10,600
You spent three months there
in 1990, isn't that right?
682
00:39:10,600 --> 00:39:12,640
Yes, it is.
683
00:39:12,640 --> 00:39:15,560
Can you tell the court
what kind of clinic it is?
684
00:39:15,560 --> 00:39:19,400
It's a centre for drug and alcohol
rehabilitation.
685
00:39:19,400 --> 00:39:23,080
A centre that specifically caters for
medical professionals
686
00:39:23,080 --> 00:39:24,640
with addiction problems.
687
00:39:24,640 --> 00:39:27,720
So you considered yourself to be
an alcoholic.
688
00:39:27,720 --> 00:39:30,840
I considered myself
to have a drink problem.
689
00:39:30,840 --> 00:39:33,600
Meaning that you couldn't control
your drinking
690
00:39:33,600 --> 00:39:36,920
and needed professional help
in order to stop.I suppose.
691
00:39:36,920 --> 00:39:40,120
I think that's what's meant by
the term 'alcoholic'.
692
00:39:40,120 --> 00:39:44,600
Dr Austen, could you tell me the
advice on prescribing codeine
693
00:39:44,600 --> 00:39:47,240
to patients with a history
of alcohol abuse?
694
00:39:47,240 --> 00:39:49,080
It's generally avoided.
695
00:39:49,080 --> 00:39:51,000
Why is that?
696
00:39:52,000 --> 00:39:54,240
Actually, I have the information
here.
697
00:39:54,240 --> 00:39:55,880
'Codeine is habit-forming
698
00:39:55,880 --> 00:39:58,480
and should not be prescribed
to any patient
699
00:39:58,480 --> 00:40:00,840
with a history
of drug or alcohol abuse
700
00:40:00,840 --> 00:40:02,720
due to high risk of addiction.'
701
00:40:02,720 --> 00:40:04,960
Does that sound about right?
Yes.
702
00:40:04,960 --> 00:40:07,880
So, knowing you had a history
of addiction,
703
00:40:07,880 --> 00:40:10,640
you chose to start taking
a habit-forming drug.
704
00:40:10,640 --> 00:40:15,520
I hadn't had a drink for 17 years,
I was in a great deal of pain.
705
00:40:16,520 --> 00:40:19,040
The benefits outweighed the risks.
706
00:40:19,040 --> 00:40:22,840
Yet, three years on, you are still
taking that same drug.
707
00:40:22,840 --> 00:40:26,920
And we're not talking about a couple
of headache pills here and there.
708
00:40:26,920 --> 00:40:30,400
You've been on doses way above
the recommended guidelines.
709
00:40:30,400 --> 00:40:34,320
A closer equivalent would be half
a bottle of vodka before work.
710
00:40:34,320 --> 00:40:36,160
It's hardly the same.
711
00:40:36,160 --> 00:40:37,680
Could you tell the court
712
00:40:37,680 --> 00:40:40,720
the common side effects of prolonged
codeine use?
713
00:40:40,720 --> 00:40:44,320
They vary.But a patient
may become distracted.
714
00:40:44,320 --> 00:40:46,800
Their responses dulled.
715
00:40:48,160 --> 00:40:52,480
They can experience fatigue
or nausea, isn't that right?
716
00:40:52,480 --> 00:40:53,520
Mm-hm.
717
00:40:53,520 --> 00:40:57,080
It could affect someone's
professional judgment.
718
00:40:57,080 --> 00:40:59,000
It might, but as I explained -
719
00:40:59,000 --> 00:41:02,440
They might read a document
and miss crucial information.
720
00:41:02,440 --> 00:41:04,440
They might, but as I've explained -
721
00:41:04,440 --> 00:41:08,240
What's the correct dosage for
diamorphine for a 50-year-old male?
722
00:41:08,240 --> 00:41:09,280
What?
723
00:41:10,440 --> 00:41:13,480
Er, yes.
724
00:41:13,480 --> 00:41:15,320
100mg.
725
00:41:15,320 --> 00:41:17,280
100? You're sure about that?
726
00:41:17,280 --> 00:41:18,720
Yes.
727
00:41:18,720 --> 00:41:21,000
No. Sorry.
728
00:41:21,000 --> 00:41:22,680
I meant ten. 10mg.
729
00:41:22,680 --> 00:41:25,920
Just like that, a 50-year-old male
dies of an overdose.
730
00:41:25,920 --> 00:41:29,200
My lord -
The dosage for a woman in her 20s?
731
00:41:29,200 --> 00:41:32,920
Or a ventilated newborn infant?
I'd have to check.
732
00:41:32,920 --> 00:41:36,520
You can't think clearly
under pressure anymore, can you?
733
00:41:36,520 --> 00:41:39,880
Which means that, because of your
dependence on codeine,
734
00:41:39,880 --> 00:41:42,240
you are a danger,
not only to yourself,
735
00:41:42,240 --> 00:41:44,880
but to every patient under your care.
No!
736
00:41:44,880 --> 00:41:47,960
It was a mistake.
It could have happened to anyone.
737
00:41:47,960 --> 00:41:51,040
Dr Austen, it happened because of
your addiction.
738
00:41:51,040 --> 00:41:52,800
I am not an addict.
739
00:41:52,800 --> 00:41:56,920
I-I haven't taken any medication
in-in months.
740
00:41:58,160 --> 00:42:01,800
Then you won't mind emptying
your pockets.This is outrageous.
741
00:42:01,800 --> 00:42:04,960
I'm offering Dr Austen the chance
to prove his point.
742
00:42:04,960 --> 00:42:07,920
No addiction,
then no need for tablets.
743
00:42:11,120 --> 00:42:13,760
Very well, I'll allow it.
744
00:42:13,760 --> 00:42:18,120
Dr Austen, if you'd be so good as to
place the contents of your pockets
745
00:42:18,120 --> 00:42:19,960
where we can see them.
746
00:43:00,320 --> 00:43:03,600
Dr Austen, can you confirm
for the court
747
00:43:03,600 --> 00:43:07,000
that those are prescription
codeine tablets?
748
00:43:07,000 --> 00:43:09,160
Yes.
749
00:43:09,160 --> 00:43:13,240
And can you tell the court how many
of those tablets you've taken today.
750
00:43:15,760 --> 00:43:18,760
I'm not sure.
I'm sorry, could you repeat that?
751
00:43:20,400 --> 00:43:22,720
I don't know how many
I've taken today.
752
00:43:22,720 --> 00:43:27,080
Well, more than two, more than five?
More than 20?
753
00:43:41,440 --> 00:43:44,000
I never meant to harm anyone.
754
00:43:57,920 --> 00:44:00,360
A guilty verdict
after only 20 minutes?
755
00:44:00,360 --> 00:44:02,400
You must have done something right.
756
00:44:02,400 --> 00:44:05,200
They still only gave him
a two-year suspended.
757
00:44:05,200 --> 00:44:09,360
Elderly judge nearing the end of
his career. Hardly surprising.
758
00:44:09,360 --> 00:44:11,640
You could appeal the sentence.
759
00:44:11,640 --> 00:44:13,240
I don't think so.
760
00:44:13,240 --> 00:44:15,760
Not going soft in our old age,
are we?
761
00:44:15,760 --> 00:44:18,240
No, just don't think I'd win.
762
00:44:23,520 --> 00:44:25,200
What?
763
00:44:25,200 --> 00:44:28,840
Thought I'd seen
a glimmer of humanity.
764
00:44:28,840 --> 00:44:31,800
But no, my mistake.
765
00:44:47,920 --> 00:44:50,960
itfc Subtitles
766
00:44:50,960 --> 00:44:53,000
*
69631
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