1 00:00:00,000 --> 00:00:03,040 In the criminal justice system, the people are represented 2 00:00:03,040 --> 00:00:07,760 by two separate yet equally important groups - the police, who investigate crime, 3 00:00:07,760 --> 00:00:11,080 and the crown prosecutors, who prosecute the offenders. 4 00:00:11,080 --> 00:00:12,760 These are their stories. 5 00:00:44,600 --> 00:00:46,680 Taylor. Ricky Taylor. 6 00:00:46,680 --> 00:00:50,640 That's who you should have brought in. I didn't do nothing. 7 00:00:50,640 --> 00:00:52,240 Hold still, will you? 8 00:00:53,280 --> 00:00:56,040 Adrenaline. And get a chest X-ray organised. 9 00:00:56,040 --> 00:00:57,920 I need a doctor here! 10 00:00:59,400 --> 00:01:02,280 Get the crash trolley. I need a line in, quick. 11 00:01:02,280 --> 00:01:04,800 Everything OK? Check her blood pressure. 12 00:01:09,640 --> 00:01:12,760 Charge to 150. I was waiting for chest X-rays. 13 00:01:12,760 --> 00:01:14,760 Back in a minute. 14 00:01:14,760 --> 00:01:17,760 Go ahead, Control. Listen to me. I just... 15 00:01:17,760 --> 00:01:21,280 Sir, it doesn't matter that you were here first. 16 00:01:21,280 --> 00:01:25,520 Someone has a knife sticking out of their head, they take priority. 17 00:01:25,520 --> 00:01:29,720 So just take a seat and you'll be called when they're ready. 18 00:01:29,720 --> 00:01:33,040 I've been here 40 minutes. I just need to know where she is. 19 00:01:33,040 --> 00:01:36,080 I've told you! I have to check with admissions! 20 00:01:36,080 --> 00:01:38,960 What about my prescription? Take a seat! 21 00:01:38,960 --> 00:01:42,960 This is ridiculous. Sir! Sir, you can't go through there. 22 00:01:42,960 --> 00:01:47,280 Sir! Sir, you can't go through there! Still no pulse. Adrenaline in. 23 00:01:47,280 --> 00:01:50,400 I'm sorry, you can't be in here. That's my daughter. 24 00:01:50,400 --> 00:01:53,520 Sir, you really need to wait outside. What's going on? 25 00:01:53,520 --> 00:01:57,200 Her condition's deteriorated. We're doing everything we can. 26 00:01:58,840 --> 00:02:00,920 Is she going to be alright? 27 00:02:03,240 --> 00:02:05,040 Dr Mills. 28 00:02:08,520 --> 00:02:10,200 Time to call it. 29 00:02:12,080 --> 00:02:14,640 Time of death is 23:17. 30 00:02:17,440 --> 00:02:19,000 I'm very sorry. 31 00:02:20,160 --> 00:02:21,920 What are you doing? 32 00:02:21,920 --> 00:02:25,280 I'm afraid your daughter had a total pulmonary collapse. 33 00:02:25,280 --> 00:02:28,760 So do something! Do CPR, use the paddles! 34 00:02:28,760 --> 00:02:30,800 We already tried. It didn't work. 35 00:02:30,800 --> 00:02:33,000 No. No, this is crazy! 36 00:02:33,000 --> 00:02:35,200 All she had was a sore throat. 37 00:02:35,200 --> 00:02:37,520 You don't die from a sore throat. 38 00:02:39,080 --> 00:02:41,320 You don't die from a sore throat. 39 00:02:44,720 --> 00:02:46,320 Suzy. 40 00:02:50,000 --> 00:02:52,800 So this girl comes in with flu... 41 00:02:52,800 --> 00:02:55,000 And four hours later she was dead. 42 00:02:56,080 --> 00:02:58,440 Right. People can die unexpectedly. 43 00:02:58,440 --> 00:03:02,400 There can be underlying conditions that aren't diagnosed properly. 44 00:03:02,400 --> 00:03:04,200 I know all that. 45 00:03:04,200 --> 00:03:07,720 But I've been doing this a long time, and I'm telling you, Nat, 46 00:03:07,720 --> 00:03:09,920 Suzanne Morton should not have died. 47 00:03:09,920 --> 00:03:12,760 If you say something's wrong, I believe you. 48 00:03:12,760 --> 00:03:14,680 I'm not sure what I can - 49 00:03:14,680 --> 00:03:18,640 This is the third unexplained death on my ward in the past six months. 50 00:03:18,640 --> 00:03:21,800 Each time the administration fobbed the family off. 51 00:03:21,800 --> 00:03:24,000 It all gets swept under the carpet. 52 00:03:24,000 --> 00:03:25,520 This is the third one. 53 00:03:25,520 --> 00:03:29,400 I mean one, maybe two a year with no obvious cause of death, 54 00:03:29,400 --> 00:03:32,360 that wouldn't be out of the question, but this, 55 00:03:32,360 --> 00:03:33,880 this isn't right. 56 00:03:33,880 --> 00:03:36,200 Let me get this straight, Sinead. 57 00:03:36,200 --> 00:03:40,480 You think someone on the ward is killing patients. 58 00:03:40,480 --> 00:03:42,040 Yes, I do. 59 00:04:25,440 --> 00:04:29,280 I can tell you how much her liver weighed and what she had for dinner. 60 00:04:29,280 --> 00:04:32,440 Why she died, who knows? Not even a theory? 61 00:04:32,440 --> 00:04:34,040 I don't do theories. 62 00:04:34,040 --> 00:04:37,120 She died because she stopped breathing. 63 00:04:37,120 --> 00:04:39,960 There was some congestion, fluid on the lungs. 64 00:04:39,960 --> 00:04:41,480 For cause of death, 65 00:04:41,480 --> 00:04:44,760 you'll have to wait for the tox screen and tissue samples. 66 00:04:44,760 --> 00:04:48,800 Could you rush those? Standard post-mortem, standard tests. 67 00:04:48,800 --> 00:04:50,800 They take the standard time. 68 00:04:50,800 --> 00:04:54,320 It's the NHS, not CSI. 69 00:04:56,120 --> 00:04:58,840 There was me thinking you were Gil Grissom. 70 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. 71 00:05:02,880 --> 00:05:05,320 Who's the head honcho at the emergency department? 72 00:05:05,320 --> 00:05:08,720 Dr Edward Austen, senior consultant. 73 00:05:08,720 --> 00:05:10,840 All right. 74 00:05:13,520 --> 00:05:18,680 So, you weren't in the emergency department when Suzanne Morton died? 75 00:05:18,680 --> 00:05:20,240 No, no, I wasn't. 76 00:05:20,240 --> 00:05:23,960 When I'm on call I grab 40 winks whenever the opportunity arises. 77 00:05:23,960 --> 00:05:25,920 Saturday tends to be a long shift. 78 00:05:25,920 --> 00:05:30,280 I thought consultants delegated that kind of thing and played golf. 79 00:05:30,280 --> 00:05:32,560 Ha! Sadly those days are long gone. 80 00:05:32,560 --> 00:05:35,520 It's all accountability, competition and choice, 81 00:05:35,520 --> 00:05:38,440 or slash and burn, depending on your point of view. 82 00:05:38,440 --> 00:05:41,240 Your staff don't page you with cardiac arrests? 83 00:05:41,240 --> 00:05:42,760 I wouldn't expect it. 84 00:05:42,760 --> 00:05:47,040 The crash team responds. Christine Mills is a very experienced registrar. 85 00:05:47,040 --> 00:05:49,080 Nothing I'd have done differently. 86 00:05:49,080 --> 00:05:52,000 Except the girl still died. 87 00:05:52,000 --> 00:05:53,640 Yes, she did. 88 00:05:53,640 --> 00:05:56,680 Which is obviously a tragedy for the family. 89 00:05:56,680 --> 00:05:59,240 But I'm not sure what you expect to find here. 90 00:05:59,240 --> 00:06:02,240 These things are regrettable, but hardly a crime. 91 00:06:02,240 --> 00:06:04,640 We understand there have been problems 92 00:06:04,640 --> 00:06:07,360 regarding other patients at the hospital. 93 00:06:07,360 --> 00:06:09,680 Who told you that? A source. 94 00:06:09,680 --> 00:06:12,040 I hate to tell you how to do your job, 95 00:06:12,040 --> 00:06:15,480 but unless your source makes these claims publicly, 96 00:06:15,480 --> 00:06:18,440 I'd hesitate to believe anything else they said. 97 00:06:18,440 --> 00:06:20,800 Do you know who admitted Suzanne Morton? 98 00:06:20,800 --> 00:06:24,240 It was a Dr Simonson. The nurses can help you find him. 99 00:06:26,400 --> 00:06:29,320 Yes, she was my last patient before I went off duty. 100 00:06:29,320 --> 00:06:30,880 Viral chest infection. 101 00:06:30,880 --> 00:06:33,960 Dramatised her symptoms a little, but they often do. 102 00:06:33,960 --> 00:06:36,400 I ordered a chest X-ray before I left. Why? 103 00:06:36,400 --> 00:06:39,080 We're investigating her death. 104 00:06:39,080 --> 00:06:42,040 Death? I guess she wasn't dramatising after all. 105 00:06:42,040 --> 00:06:44,840 She died? You look surprised. 106 00:06:44,840 --> 00:06:47,800 She had a chest infection. She wasn't that sick. 107 00:06:50,800 --> 00:06:53,320 What? You think it was my fault? 108 00:06:53,320 --> 00:06:57,000 You think I missed something? We've been asked to look into it. 109 00:06:57,000 --> 00:06:59,720 Who treated her after you left? I'm not sure. 110 00:06:59,720 --> 00:07:02,720 One of the registrars would have taken her charts. 111 00:07:06,880 --> 00:07:08,880 I'm only a first year. 112 00:07:08,880 --> 00:07:11,400 They don't let me do anything on my own. 113 00:07:11,400 --> 00:07:13,360 You should talk to Dr Mills. 114 00:07:13,360 --> 00:07:15,280 It was pneumonia. 115 00:07:15,280 --> 00:07:18,840 The sputum examination and blood cultures were indicative, 116 00:07:18,840 --> 00:07:21,960 and the chest X-ray showed fluid on the lungs. 117 00:07:21,960 --> 00:07:24,760 So the first doctor who saw her got it wrong? No. 118 00:07:24,760 --> 00:07:27,400 Dr Simonson made a provisional diagnosis 119 00:07:27,400 --> 00:07:30,720 based on her symptoms and ordered the X-ray to confirm it. 120 00:07:30,720 --> 00:07:33,920 He did nothing wrong. But pneumonia can be treated. 121 00:07:33,920 --> 00:07:35,440 It doesn't kill people. 122 00:07:35,440 --> 00:07:38,200 It can if complicated by chemical pneumonitis. 123 00:07:38,200 --> 00:07:41,920 Which is? The lungs become inflamed by an irritant. 124 00:07:41,920 --> 00:07:44,960 The patient was feverish and lost consciousness. 125 00:07:44,960 --> 00:07:48,480 She must have aspirated some of her stomach contents. 126 00:07:48,480 --> 00:07:52,480 And it can happen that quickly? One minute OK, next minute dead? 127 00:07:52,480 --> 00:07:55,840 If the registrar who was treating her recognised it sooner, 128 00:07:55,840 --> 00:07:58,960 we might have saved her, but there's no way of knowing. 129 00:07:58,960 --> 00:08:03,360 You were the one treating her. No, you want to speak to Dr Grant. 130 00:08:03,360 --> 00:08:06,040 And I think he's at lunch. 131 00:08:11,160 --> 00:08:14,720 This is starting to feel like pass the parcel. 132 00:08:14,720 --> 00:08:17,680 If you see Mr Morton, please extend my condolences. 133 00:08:17,680 --> 00:08:19,960 You were treating Suzanne in the ER. 134 00:08:19,960 --> 00:08:21,960 Er, the ED. 135 00:08:21,960 --> 00:08:26,200 Only briefly. We were still waiting for her X-rays to come back. 136 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? 138 00:08:30,880 --> 00:08:34,240 We were told it was a chest infection, possibly pneumonia, 139 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. 141 00:08:37,840 --> 00:08:41,640 If we'd known what we were dealing with she'd have been moved to ITU. 142 00:08:41,640 --> 00:08:44,040 But sadly... 143 00:08:44,040 --> 00:08:46,400 Yeah, it's all pretty sad. 144 00:08:50,280 --> 00:08:53,400 If that's everything you need... Yes. 145 00:08:53,400 --> 00:08:55,000 Thanks for your help. 146 00:08:56,960 --> 00:08:58,600 What help? 147 00:08:58,600 --> 00:09:00,960 I was using the term loosely. 148 00:09:04,560 --> 00:09:08,600 So she had mild bronchitis, she had chemical pneumonitis, 149 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. 151 00:09:17,280 --> 00:09:20,600 Is it any clearer in the notes? Oh, yeah, as mud. 152 00:09:20,600 --> 00:09:24,160 Basically we could be dealing with another Dr Crippen 153 00:09:24,160 --> 00:09:25,840 and I would not have a clue. 154 00:09:25,840 --> 00:09:28,320 Judging from some of the handwriting, 155 00:09:28,320 --> 00:09:31,400 I'd say half these doctors were serial killers. 156 00:09:31,400 --> 00:09:35,520 Give me a shooting in an alley. At least I can spot a smoking gun. 157 00:09:35,520 --> 00:09:37,600 Look at this. 158 00:09:37,600 --> 00:09:42,920 There's a word crossed out here that looks like it says 'codename'. 159 00:09:42,920 --> 00:09:45,800 What, in the notes? No, on the chart. 160 00:09:45,800 --> 00:09:48,680 Are you allowed to cross something out on a chart? 161 00:09:48,680 --> 00:09:51,920 Isn't it an official record? I've no idea. 162 00:09:53,400 --> 00:09:56,960 I think we ought to arrange a rendezvous with Deep Throat. 163 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, 167 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, 169 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 175 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. 177 00:10:39,160 --> 00:10:42,880 Meaning? There's a good reason why you shouldn't prescribe it. 178 00:10:42,880 --> 00:10:45,480 But that would have been noted on admission. 179 00:10:46,760 --> 00:10:50,080 It should be at the beginning of her notes. It's not there? 180 00:10:50,080 --> 00:10:52,560 There's a report by the triage nurse. 181 00:10:54,320 --> 00:10:56,720 It stops halfway through. 182 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 *