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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:00,000 --> 00:00:10,000 [ Y2flix.cc - Watch Movies and TV Shows Online for Free ] 2 00:00:00,000 --> 00:00:02,960 Hello, I'm Dr Ford, psych reg on call. 3 00:00:02,960 --> 00:00:05,960 Hi, I'm Dr Hernandez. I've got a patient I'd like you to see. 4 00:00:05,960 --> 00:00:08,960 From these notes, it seems your assessment of Rosie was very brief. 5 00:00:08,960 --> 00:00:10,320 'He was in a rush.' 6 00:00:10,320 --> 00:00:13,640 His phone kept going off. He just asked a few questions, then he left. 7 00:00:13,640 --> 00:00:16,960 Dr McAllister had asked me to attend a Mental Health Act assessment. 8 00:00:16,960 --> 00:00:18,960 If you don't come now, I'm taking it higher. 9 00:00:18,960 --> 00:00:21,960 You were on call. Rosie should have been your priority. 10 00:00:21,960 --> 00:00:22,960 I thought I could do both. 11 00:00:22,960 --> 00:00:25,960 The hell you are! Give me back my baby! 12 00:00:25,960 --> 00:00:27,960 SHOUTING 13 00:00:27,960 --> 00:00:29,800 What did you make of Rosie's symptoms? 14 00:00:29,800 --> 00:00:32,960 At that point, she wasn't displaying any psychotic symptoms. 15 00:00:32,960 --> 00:00:34,960 Do you hear or feel things when there's nothing there? 16 00:00:34,960 --> 00:00:36,960 What do you mean? Prescribe lorazepam, 17 00:00:36,960 --> 00:00:38,960 two milligrams when she gets home and two before bed. 18 00:00:38,960 --> 00:00:39,960 I'll write the prescription. 19 00:00:39,960 --> 00:00:42,960 That way, you have the tablets if you think you need them. 20 00:00:42,960 --> 00:00:45,000 James, sorry to wake you, but we've got a situation 21 00:00:45,000 --> 00:00:46,800 with a patient, Rosie Newman. 22 00:00:46,800 --> 00:00:47,960 Where the hell have you been? 23 00:00:47,960 --> 00:00:49,960 I'm on the phone to AMHP, we're waiting for you. Car trouble. 24 00:00:49,960 --> 00:00:52,960 Can I check what time Rosie took the lorazepam prescribed? 25 00:00:52,960 --> 00:00:55,000 Well, I don't know. I didn't see her physically take any tablets. 26 00:00:55,000 --> 00:00:56,480 I don't know... 27 00:00:56,480 --> 00:00:57,960 Oh! Rosie! 28 00:00:57,960 --> 00:01:00,960 I tried... I tried, I failed, I... 29 00:01:00,960 --> 00:01:02,480 We'll just talk. 30 00:01:02,480 --> 00:01:04,960 If Rosie's symptoms were picked up earlier, 31 00:01:04,960 --> 00:01:06,960 this entire tragedy could have been avoided. 32 00:01:06,960 --> 00:01:08,960 I trusted your advice. Did you? 33 00:01:08,960 --> 00:01:10,960 Because Rosie didn't take the lorazepam. 34 00:01:10,960 --> 00:01:12,960 If she had, none of this would have happened. 35 00:01:12,960 --> 00:01:14,960 I know this was something to do with you. 36 00:01:14,960 --> 00:01:15,960 And when they find out, 37 00:01:15,960 --> 00:01:18,960 it'll be your career that's over, not mine. 38 00:01:18,960 --> 00:01:20,960 If this becomes about your incompetence, 39 00:01:20,960 --> 00:01:23,960 they will go over every inch of your work and your life. 40 00:01:23,960 --> 00:01:25,960 This could all have been avoided. 41 00:01:25,960 --> 00:01:27,960 Why was Dr Ford so late? 42 00:01:38,800 --> 00:01:40,160 SIREN WAILS 43 00:01:41,960 --> 00:01:42,960 BUSY CHATTER 44 00:01:59,960 --> 00:02:01,960 Afternoon, everyone. 45 00:02:01,960 --> 00:02:03,960 Thank you all for coming. 46 00:02:03,960 --> 00:02:06,960 Look, we provide a vital service to the community, 47 00:02:06,960 --> 00:02:09,160 the value of which is hard to quantify. 48 00:02:09,160 --> 00:02:12,960 However, the increasing number of departmental failings 49 00:02:12,960 --> 00:02:16,960 and serious safety concerns are becoming hard to ignore. 50 00:02:16,960 --> 00:02:20,160 And now, due to the death of a vulnerable patient 51 00:02:20,160 --> 00:02:24,960 and the subsequent MIU investigation into those individuals involved, 52 00:02:24,960 --> 00:02:28,000 the Integrated Care Board is seriously considering 53 00:02:28,000 --> 00:02:30,960 closing us down. What? No. 54 00:02:30,960 --> 00:02:32,480 MURMURING What about our jobs? 55 00:02:32,480 --> 00:02:33,960 And all the patients? 56 00:02:33,960 --> 00:02:35,480 All right, let me finish. 57 00:02:35,480 --> 00:02:38,640 If we can demonstrate we've learnt from this incident 58 00:02:38,640 --> 00:02:40,960 and can function safely, we can save the unit. 59 00:02:40,960 --> 00:02:43,960 How are we meant to do that? We keep reporting problems 60 00:02:43,960 --> 00:02:46,960 and nothing happens. We need proper funding to function safely. 61 00:02:46,960 --> 00:02:48,640 MURMURING 62 00:02:49,640 --> 00:02:51,960 Well, additional funding has previously been made available, 63 00:02:51,960 --> 00:02:54,160 and we're doing our best... JEERING 64 00:02:54,160 --> 00:02:56,320 We are doing our best to secure more. 65 00:02:56,320 --> 00:02:58,960 But in the meantime, we'll be monitoring you closely 66 00:02:58,960 --> 00:03:01,960 and assessing your clinical skills over the coming weeks. 67 00:03:01,960 --> 00:03:04,960 So, please, adhere to protocol at all times. 68 00:03:04,960 --> 00:03:07,960 As a first step, impromptu resuscitation drills 69 00:03:07,960 --> 00:03:09,960 will be carried out on the wards, I'm afraid. 70 00:03:09,960 --> 00:03:14,960 And we expect you to treat these like real-life emergency situations. 71 00:03:14,960 --> 00:03:17,960 Look, as your Chief Medical Director, 72 00:03:17,960 --> 00:03:20,960 I've fought hard to keep this unit open. 73 00:03:20,960 --> 00:03:23,640 And we'll keep fighting, yes? 74 00:03:23,640 --> 00:03:25,960 Until closure is off the table. 75 00:03:25,960 --> 00:03:26,960 Thank you. 76 00:03:38,960 --> 00:03:41,480 CLASSICAL MUSIC PLAYING 77 00:03:45,960 --> 00:03:47,160 DR FORD: Did someone bleep me? 78 00:03:47,160 --> 00:03:48,960 You've got a visitor in the relatives' room. 79 00:03:48,960 --> 00:03:50,640 Any details? 80 00:03:50,640 --> 00:03:51,960 Nope. Sorry. 81 00:03:51,960 --> 00:03:52,960 Helpful (!) 82 00:03:59,960 --> 00:04:01,320 Mr Newman. 83 00:04:05,960 --> 00:04:06,960 I need answers. 84 00:04:16,960 --> 00:04:19,960 How did you miss how unwell Rosie was? Why did you let her go? 85 00:04:23,960 --> 00:04:26,960 Rosie wasn't exhibiting any severe symptoms... 86 00:04:26,960 --> 00:04:28,960 You had a second chance to save her life, and you let her run away. 87 00:04:28,960 --> 00:04:31,960 How could you let that happen? 88 00:04:31,960 --> 00:04:34,960 And now they're saying that if she'd taken the lorazepam, 89 00:04:34,960 --> 00:04:36,960 all of this would have been avoided. 90 00:04:36,960 --> 00:04:40,800 Why didn't you stress how important that was? 91 00:04:40,800 --> 00:04:41,960 Where were you? 92 00:04:41,960 --> 00:04:43,960 INAUDIBLE 93 00:04:43,960 --> 00:04:45,800 KNOCKING You let her... 94 00:04:47,960 --> 00:04:48,960 Sorry, mate. 95 00:04:48,960 --> 00:04:50,960 Do you want me to delay your 1pm? No, no, no. 96 00:04:50,960 --> 00:04:52,960 They're here, Kwame, erm... 97 00:04:53,960 --> 00:04:54,960 That patient from earlier... 98 00:04:56,480 --> 00:04:59,640 ..could you ask management to... handle that? 99 00:05:01,960 --> 00:05:02,960 Right. 100 00:05:02,960 --> 00:05:04,480 Yeah, sure. 101 00:05:05,960 --> 00:05:08,800 Mr Newman, the Trust are conducting an investigation... 102 00:05:08,800 --> 00:05:09,960 An investigation'll take months. 103 00:05:09,960 --> 00:05:12,960 I do not have months, I just need answers now. 104 00:05:12,960 --> 00:05:15,960 I cannot eat, can't sleep. Alfie's crying all the time. 105 00:05:15,960 --> 00:05:16,960 I'm off work. 106 00:05:16,960 --> 00:05:19,960 My little girl, she asks me, "When's Mummy coming back?" 107 00:05:19,960 --> 00:05:22,960 What am I supposed to say to that? 108 00:05:22,960 --> 00:05:25,960 You should take a seat, I'll get you a drink, tea or a coffee. 109 00:05:25,960 --> 00:05:29,960 I don't want a fucking coffee! I want to know why my wife died. 110 00:05:29,960 --> 00:05:32,960 You said that Rosie was psychotic, but that does not happen overnight. 111 00:05:32,960 --> 00:05:34,960 Why didn't anyone else notice before? 112 00:05:34,960 --> 00:05:35,960 It can come on gradually. 113 00:05:35,960 --> 00:05:37,960 You said the community midwives came to visit you. 114 00:05:37,960 --> 00:05:38,960 Did they notice anything? How? 115 00:05:38,960 --> 00:05:40,960 How could they? They just came and they went. 116 00:05:40,960 --> 00:05:42,960 When Rosie gave birth, there were doctors, 117 00:05:42,960 --> 00:05:44,960 there were midwives on that ward 24-7. 118 00:05:44,960 --> 00:05:46,960 They should have noticed something. 119 00:05:46,960 --> 00:05:48,960 But Rosie might not have had any symptoms at that time. 120 00:05:48,960 --> 00:05:51,960 Four days. She was sat on that ward for four days. 121 00:05:51,960 --> 00:05:53,960 They had four fucking days! 122 00:05:58,960 --> 00:06:02,640 Four days? Rosie was on the postnatal ward for four days? 123 00:06:02,640 --> 00:06:03,960 Yes. 124 00:06:04,960 --> 00:06:06,960 Why? Was there a problem? 125 00:06:07,960 --> 00:06:10,960 What do you mean, problem? It just seems to be a long time. 126 00:06:10,960 --> 00:06:13,960 So you're saying there was something wrong? No. 127 00:06:13,960 --> 00:06:14,960 I'm just asking. 128 00:06:14,960 --> 00:06:16,960 If they told you everything was normal... 129 00:06:16,960 --> 00:06:18,960 Normal? How am I supposed to know what's normal? 130 00:06:18,960 --> 00:06:20,960 You're just talking in circles... 131 00:06:20,960 --> 00:06:21,960 CONVERSATION MUFFLED 132 00:06:23,960 --> 00:06:26,320 ..to the next professional, and I'm sick of it! 133 00:06:26,320 --> 00:06:27,960 Mr Newman, why don't we go into my office...? 134 00:06:27,960 --> 00:06:31,320 Why is he trying to blame Rosie's death on the birth? 135 00:06:31,320 --> 00:06:32,640 I didn't say that. 136 00:06:32,640 --> 00:06:34,960 If you threaten our staff, we'll have to ask you to leave. 137 00:06:34,960 --> 00:06:36,960 HE SIGHS Fine. I'll go. 138 00:06:41,960 --> 00:06:44,640 What did you say to upset him? 139 00:06:44,640 --> 00:06:46,960 Nothing. 140 00:06:46,960 --> 00:06:49,800 He said Rosie was on the ward for four days. 141 00:06:50,960 --> 00:06:52,320 I asked why. 142 00:06:56,960 --> 00:06:58,960 Cos that doesn't seem normal, does it? 143 00:06:58,960 --> 00:07:00,000 That doesn't seem necessary. 144 00:07:00,000 --> 00:07:01,960 Was there a problem with the birth? 145 00:07:01,960 --> 00:07:02,960 SHE EXHALES 146 00:07:02,960 --> 00:07:05,960 We have a world-class maternity unit, Dr Ford. 147 00:07:05,960 --> 00:07:09,800 Nothing he said is relevant to understanding 148 00:07:09,800 --> 00:07:12,960 why his wife jumped off a roof under your care. 149 00:07:18,960 --> 00:07:21,960 I think we should revisit compensating Mr Newman now, 150 00:07:21,960 --> 00:07:22,960 before he does any more damage. 151 00:07:22,960 --> 00:07:23,960 HE EXHALES 152 00:07:25,000 --> 00:07:27,960 The board won't be happy. What's the alternative? 153 00:07:27,960 --> 00:07:30,960 We need to make sure the MIU remain focused on Dr Ford. 154 00:07:30,960 --> 00:07:31,960 OK. 155 00:07:33,960 --> 00:07:34,960 OK. 156 00:07:34,960 --> 00:07:36,960 Set up a meeting with them. 157 00:07:36,960 --> 00:07:39,960 DOOR OPENS THEN CLOSES 158 00:07:43,960 --> 00:07:47,000 FROM TV: 'Hypertension, defined as blood pressure 159 00:07:47,000 --> 00:07:48,960 'higher than 140 over 90, 160 00:07:48,960 --> 00:07:51,960 'is far and away the leading risk factor 161 00:07:51,960 --> 00:07:54,480 'when it comes to premature death.' 162 00:07:54,480 --> 00:07:57,320 How are you finding the aripiprazole, Samira? 163 00:07:58,320 --> 00:08:00,960 Samira, your medication. How are you finding it? 164 00:08:00,960 --> 00:08:02,960 There's a doctor on the telly just like you. 165 00:08:09,160 --> 00:08:10,960 You need to come quickly. It's Toni. 166 00:08:10,960 --> 00:08:13,960 She's locked herself in the toilet, and the baby's coming. 167 00:08:13,960 --> 00:08:16,960 Toni! Toni, we need you to come out. 168 00:08:16,960 --> 00:08:18,640 Toni, open the door! 169 00:08:18,640 --> 00:08:19,960 Open the door! 170 00:08:19,960 --> 00:08:21,960 SHE CRIES We need the master key. 171 00:08:21,960 --> 00:08:22,960 What master key? 172 00:08:22,960 --> 00:08:24,960 Just call Dr McAllister, quick. 173 00:08:24,960 --> 00:08:26,960 Toni, open this door. 174 00:08:26,960 --> 00:08:27,960 SHE CRIES OUT 175 00:08:27,960 --> 00:08:29,960 Toni, we are trying to help you. 176 00:08:29,960 --> 00:08:30,960 How did this happen? 177 00:08:30,960 --> 00:08:32,320 Where's her one-to-one nurse? I don't know. 178 00:08:32,320 --> 00:08:34,640 Hi, Dr McAllister. Toni's gone into labour... 179 00:08:34,640 --> 00:08:38,160 Toni, stand back from the door. Stand back from the door! 180 00:08:41,960 --> 00:08:43,960 SHE CRIES OUT 181 00:08:46,960 --> 00:08:48,960 SHE SHOUTS 182 00:08:49,960 --> 00:08:52,320 Just out this way. Out this way. 183 00:08:52,320 --> 00:08:53,960 Step right over here. 184 00:08:53,960 --> 00:08:55,960 That's it. Everything's gonna be OK. 185 00:08:55,960 --> 00:08:58,800 Caitlyn, can I have a pillow, please? Quickly. 186 00:08:58,800 --> 00:08:59,960 Thank you. 187 00:08:59,960 --> 00:09:02,800 TONI CRIES AND MOANS 188 00:09:05,160 --> 00:09:07,640 Toni, stay calm. 189 00:09:07,640 --> 00:09:10,640 We need to wait for obstetrics. There's no time. 190 00:09:10,640 --> 00:09:12,800 We shouldn't be doing this! 191 00:09:12,800 --> 00:09:14,960 Toni, push. 192 00:09:14,960 --> 00:09:16,960 SHE YELLS 193 00:09:24,960 --> 00:09:26,960 Eric Sawers, Chief Medical Director. 194 00:09:26,960 --> 00:09:27,960 Good to meet you. 195 00:09:27,960 --> 00:09:28,960 And this is my colleague. 196 00:09:28,960 --> 00:09:31,320 Indira Sharma, I'm Director of Communications. 197 00:09:31,320 --> 00:09:32,960 Nice to meet you. 198 00:09:32,960 --> 00:09:35,960 We appreciate you organising this meeting. 199 00:09:35,960 --> 00:09:38,960 Rosie Newman's death was a tragedy, 200 00:09:38,960 --> 00:09:41,960 and one that, as Medical Director, I feel some responsibility for. 201 00:09:41,960 --> 00:09:42,960 As a trust, 202 00:09:42,960 --> 00:09:45,960 we're keen to prevent anything like this ever happening again. 203 00:09:45,960 --> 00:09:46,960 Thank you. 204 00:09:46,960 --> 00:09:49,640 Our initial interview with Dr Ford 205 00:09:49,640 --> 00:09:52,960 highlighted a number of issues with his management of Rosie. 206 00:09:52,960 --> 00:09:54,960 We've also spoken to key witnesses, 207 00:09:54,960 --> 00:09:57,160 and there are a few details we'd like to clarify. 208 00:09:57,160 --> 00:09:59,960 I see. How long has Dr Ford worked here? 209 00:09:59,960 --> 00:10:04,960 He came to us midway through last year from another hospital. 210 00:10:04,960 --> 00:10:07,960 That's unusual for a registrar. Do you know why? 211 00:10:07,960 --> 00:10:09,960 He had a good reference, so we didn't probe. 212 00:10:09,960 --> 00:10:12,960 His former hospital should be able to provide more details. 213 00:10:12,960 --> 00:10:14,960 We'll contact them, get his HR records. 214 00:10:14,960 --> 00:10:15,960 How else can I help? 215 00:10:18,960 --> 00:10:20,160 SHE GRUNTS 216 00:10:20,160 --> 00:10:21,960 It's OK. It's OK. 217 00:10:21,960 --> 00:10:22,960 That's it. 218 00:10:22,960 --> 00:10:23,960 Calm down, Toni, it's OK. 219 00:10:23,960 --> 00:10:25,960 What's wrong? 220 00:10:26,960 --> 00:10:27,960 What is it, Toni? 221 00:10:27,960 --> 00:10:30,960 The baby's stuck. The shoulders aren't coming. 222 00:10:30,960 --> 00:10:34,960 Toni, Toni, stop pushing. Toni, stop pushing! Stop, Toni. 223 00:10:34,960 --> 00:10:37,320 Listen. Stop pushing. Stop. Toni, can you hear me? 224 00:10:37,320 --> 00:10:39,640 What are you doing? You need to stop pushing. 225 00:10:39,640 --> 00:10:41,960 I'm looking up shoulder dystocia. 226 00:10:41,960 --> 00:10:43,960 You are not an obstetrician. Maybe we should wait for them. 227 00:10:43,960 --> 00:10:45,960 If we don't do anything, they'll both die. 228 00:10:45,960 --> 00:10:49,960 Toni, stop pushing! Listen, stop pushing, Toni. 229 00:10:49,960 --> 00:10:51,320 TONI CRIES OUT 230 00:10:51,320 --> 00:10:53,800 It's OK, Toni. Toni, we're gonna get your baby out. 231 00:10:53,800 --> 00:10:56,800 Guys, I need you to take a leg each, 232 00:10:56,800 --> 00:10:58,960 and push her leg back towards her chest like this. 233 00:10:58,960 --> 00:11:00,960 Take that leg. I don't know what I'm doing. 234 00:11:00,960 --> 00:11:02,160 I know, it's all right, we've got this. 235 00:11:06,480 --> 00:11:08,960 It's all right, Toni. I can feel the shoulders. 236 00:11:08,960 --> 00:11:11,960 They're moving. Now you can push. Toni, push. 237 00:11:11,960 --> 00:11:13,160 OK. 238 00:11:13,160 --> 00:11:14,960 GUSHING 239 00:11:14,960 --> 00:11:15,960 Oh, my God, it's working. 240 00:11:15,960 --> 00:11:18,960 That's it. You did it, Toni, you did it. 241 00:11:21,960 --> 00:11:22,960 What are you doing? 242 00:11:24,960 --> 00:11:25,960 The baby was stuck. 243 00:11:27,160 --> 00:11:28,960 Fast bleep the neonatal resus team. 244 00:11:28,960 --> 00:11:30,960 They want me dead. They don't want you dead, Toni. 245 00:11:30,960 --> 00:11:33,960 You were meant to bring her over as soon as labour started. 246 00:11:33,960 --> 00:11:35,960 As soon as anyone realised what was happening, 247 00:11:35,960 --> 00:11:38,960 the baby was already coming. You're doing brilliantly. 248 00:11:38,960 --> 00:11:41,960 Just keep breathing. Keep breathing, slow breaths. 249 00:11:41,960 --> 00:11:43,320 That's it. Slow breaths. 250 00:11:43,320 --> 00:11:44,960 Shit! 251 00:11:44,960 --> 00:11:47,960 Is it dead? Resus team here in ten. 252 00:11:47,960 --> 00:11:49,160 That's too long. 253 00:11:50,960 --> 00:11:52,960 Can we get the mother out of here? She's losing too much blood. 254 00:11:52,960 --> 00:11:55,960 Shit. Help her with the baby. 255 00:11:55,960 --> 00:11:59,960 Toni! Listen to me. Can you hear me? Toni. 256 00:11:59,960 --> 00:12:02,480 She's losing consciousness. Have you got fluids, an ABG machine? 257 00:12:02,480 --> 00:12:05,960 No. There's a bag of fluid in there. You'll have to hold it up. 258 00:12:05,960 --> 00:12:07,800 Toni, stay with us. Anything? 259 00:12:07,800 --> 00:12:09,960 No. Stay with us, Toni. 260 00:12:09,960 --> 00:12:10,960 Toni needs oxygen. 261 00:12:10,960 --> 00:12:12,960 We don't have any. 262 00:12:15,960 --> 00:12:17,960 We've got a weak heartbeat. 263 00:12:17,960 --> 00:12:18,960 BABY CRIES 264 00:12:18,960 --> 00:12:20,960 SHE EXHALES 265 00:12:23,000 --> 00:12:25,960 She's losing too much blood, I need to get her into theatre. 266 00:12:25,960 --> 00:12:26,960 BABY CRIES 267 00:12:27,960 --> 00:12:30,160 Stay calm. We're just on our way to hospital. 268 00:12:37,960 --> 00:12:39,960 I can't believe this. 269 00:12:40,960 --> 00:12:41,960 Where was her one-to-one nurse? 270 00:12:42,960 --> 00:12:44,960 I had to take her off one-to-one. 271 00:12:47,960 --> 00:12:48,960 We should go back to the ward. 272 00:12:52,320 --> 00:12:54,480 She should have been under constant supervision. 273 00:12:54,480 --> 00:12:55,960 She wasn't due for four weeks. 274 00:12:55,960 --> 00:12:57,960 I couldn't commit one nurse to her for that amount of time. 275 00:12:57,960 --> 00:13:00,160 She was always at risk of a premature birth. I know! 276 00:13:00,160 --> 00:13:02,960 You have no idea what this department's up against. 277 00:13:04,960 --> 00:13:06,000 What does that mean? 278 00:13:06,000 --> 00:13:08,480 Just leave the ward management to me. 279 00:13:09,960 --> 00:13:12,640 And the MIU can't find out about this. We saved their lives! 280 00:13:12,640 --> 00:13:15,960 They won't think that. Trust me. Couldn't have come at a worse time. 281 00:13:24,960 --> 00:13:26,160 MACHINES BLEEPING 282 00:13:34,960 --> 00:13:35,960 I can't control the bleeding. 283 00:13:35,960 --> 00:13:37,960 Then you'll have to do a hysterectomy. 284 00:13:37,960 --> 00:13:40,960 We should have consented her properly, explained the risks. 285 00:13:40,960 --> 00:13:41,960 How? 286 00:13:41,960 --> 00:13:43,640 She was lucid before she went under. 287 00:13:43,640 --> 00:13:45,960 She understood we were taking her to theatre. 288 00:13:46,960 --> 00:13:48,960 She won't be able to have any more children. 289 00:13:48,960 --> 00:13:49,960 Is that a bad thing? 290 00:13:51,640 --> 00:13:53,960 Come on, let's open her up. 291 00:13:53,960 --> 00:13:55,960 Yes, Mr Mansoor. 292 00:13:55,960 --> 00:13:57,960 Get me two more units of cross-matched blood. 293 00:13:57,960 --> 00:13:58,960 Two more units? Yeah. 294 00:13:58,960 --> 00:13:59,960 On it. 295 00:13:59,960 --> 00:14:01,960 Get her legs down and lie her flat. 296 00:14:01,960 --> 00:14:03,960 'Well, that was a total shitshow.' 297 00:14:03,960 --> 00:14:06,640 Yep. I'm doing an incident report. 298 00:14:06,640 --> 00:14:07,800 OK, then. 299 00:14:09,800 --> 00:14:12,960 Whoa, whoa, whoa, whoa, whoa. You're reporting Dr McAllister? 300 00:14:12,960 --> 00:14:14,960 Dr McAllister shouldn't have taken Toni off one-to-one. 301 00:14:14,960 --> 00:14:18,960 Yeah, but we're short-staffed, Toni wasn't due for four weeks. 302 00:14:18,960 --> 00:14:21,960 In her defence, we can't afford to spare a nurse for that long. 303 00:14:21,960 --> 00:14:24,960 Obstetrics were the problem, not Kate. 304 00:14:24,960 --> 00:14:27,960 If you report her, it reflects badly on all of us. 305 00:14:27,960 --> 00:14:29,640 It already reflects badly on us. 306 00:14:29,640 --> 00:14:31,960 And Dr McAllister would throw all of us under the bus 307 00:14:31,960 --> 00:14:33,000 if her career depended on it. 308 00:14:34,480 --> 00:14:35,960 No, she wouldn't. 309 00:14:35,960 --> 00:14:37,960 Obstetrics are gonna blame us anyway, 310 00:14:37,960 --> 00:14:41,960 so we need to stick together, not make things worse for ourselves. 311 00:15:04,960 --> 00:15:07,000 They messed up, but they're going to blame me. 312 00:15:07,000 --> 00:15:08,960 Nobody will blame you. 313 00:15:08,960 --> 00:15:10,960 If psychiatry had alerted us earlier, 314 00:15:10,960 --> 00:15:12,640 this wouldn't have happened. 315 00:15:12,640 --> 00:15:15,000 You did your best in extremely difficult circumstances. 316 00:15:16,160 --> 00:15:19,960 Look, a patient like that is unlikely to make a complaint, 317 00:15:19,960 --> 00:15:21,000 but if this does become a problem, 318 00:15:21,000 --> 00:15:24,480 you should get your version of events out there first. 319 00:15:24,480 --> 00:15:28,000 That psychiatry registrar, Dr Ford, 320 00:15:28,000 --> 00:15:30,160 he made several mistakes. 321 00:15:30,160 --> 00:15:32,960 Make sure the right people know that. 322 00:15:40,320 --> 00:15:42,960 Where did you get to with Dr Ford's late arrival? 323 00:15:42,960 --> 00:15:43,960 Well, Bernadette's right. 324 00:15:43,960 --> 00:15:47,960 CCTV footage shows him entering the staff car park just before 3am. 325 00:15:47,960 --> 00:15:49,960 Now, there are roadworks near his address, 326 00:15:49,960 --> 00:15:52,640 but I checked, and whichever route you take round them, 327 00:15:52,640 --> 00:15:54,960 it's still less than 20 minutes to QM. 328 00:15:54,960 --> 00:15:56,960 Right, well, speak to police liaison, 329 00:15:56,960 --> 00:15:59,960 let's get them to do a licence plate check. 330 00:15:59,960 --> 00:16:02,960 ANPR might have picked his car up somewhere. 331 00:16:02,960 --> 00:16:06,320 Oh, I meant to ask, do you and Gina fancy coming over for dinner? 332 00:16:06,320 --> 00:16:09,960 Ooh, dinner with the boss? That's a big step. 333 00:16:09,960 --> 00:16:12,960 Well, I need to make sure she's good enough for you, don't I? 334 00:16:12,960 --> 00:16:16,000 Put her through her paces, pun absolutely intended. 335 00:16:16,000 --> 00:16:18,960 Well, if you keep making amazing medical jokes like that, 336 00:16:18,960 --> 00:16:19,960 then absolutely not. 337 00:16:19,960 --> 00:16:21,960 Look, she thinks I'm cool. 338 00:16:21,960 --> 00:16:23,960 I'd like to keep it that way. I'm kidding. 339 00:16:23,960 --> 00:16:24,960 Relax, it'll be easy. 340 00:16:24,960 --> 00:16:27,480 And Rubi will be there. OK, well, let's do a restaurant. 341 00:16:27,480 --> 00:16:29,960 It'll feel less like bringing her home to meet the parents. 342 00:16:29,960 --> 00:16:33,960 Er, surely you mean slightly older much better looking sister? 343 00:16:33,960 --> 00:16:34,960 PHONE RINGS Yeah. 344 00:16:34,960 --> 00:16:36,960 Hello? 345 00:16:36,960 --> 00:16:39,160 Hi, it's Dr Hernandez from QM. 346 00:16:39,160 --> 00:16:42,000 I was hoping to be able to meet with you at some point. 347 00:16:42,000 --> 00:16:44,960 We're actually at QM. We can come and see you now. 348 00:16:44,960 --> 00:16:46,960 No, I'd prefer to meet somewhere off-site. 349 00:16:46,960 --> 00:16:48,960 'Maybe tomorrow?' OK. 350 00:16:48,960 --> 00:16:50,000 I have some information 351 00:16:50,000 --> 00:16:52,960 that might be relevant to your investigation into Dr Ford. 352 00:17:01,960 --> 00:17:02,960 Yo. 353 00:17:03,960 --> 00:17:06,480 Ah. Can you sign this for Samira? 354 00:17:06,480 --> 00:17:07,960 Dr McAllister wants her meds increased. 355 00:17:07,960 --> 00:17:09,160 Thanks. 356 00:17:09,160 --> 00:17:10,960 Yeah. Oh, OK. 357 00:17:10,960 --> 00:17:14,960 Oh, and do you want me to hold that bed for the one-three-six patient? 358 00:17:14,960 --> 00:17:15,960 For the... 359 00:17:15,960 --> 00:17:18,960 MC, lad with schizophrenia... 360 00:17:18,960 --> 00:17:20,960 the guy who ran naked into a thorn bush? 361 00:17:20,960 --> 00:17:23,960 Oh, he's in A&E waiting for transport. 362 00:17:23,960 --> 00:17:25,960 Cool. I'll go get him. No. We're doing things properly. 363 00:17:25,960 --> 00:17:28,320 We're waiting for an ambulance, even if it takes longer. 364 00:17:28,320 --> 00:17:30,960 Guard that bed with your life from the bed manager, Kwame, 365 00:17:30,960 --> 00:17:32,320 with your life! 366 00:17:32,320 --> 00:17:33,960 Aislene, I'm so sorry. 367 00:17:33,960 --> 00:17:35,960 I've got half-an-hour's escorted leave. 368 00:17:35,960 --> 00:17:37,960 Will you take me down to the shops? 369 00:17:37,960 --> 00:17:41,480 I-I can't, I'm afraid. 370 00:17:41,480 --> 00:17:43,960 Perhaps Kwame will take you later. 371 00:17:45,960 --> 00:17:48,960 'This is a reminder to all staff and patients, 372 00:17:48,960 --> 00:17:51,960 'smoking or vaping is not permitted anywhere...' 373 00:17:52,960 --> 00:17:55,960 It sounds like Dr Ford did quite the heroic thing, 374 00:17:55,960 --> 00:17:58,960 delivering Toni's baby in such difficult circumstances. 375 00:17:58,960 --> 00:18:02,960 Well, it was Dr Ford's fault that we were in those circumstances. 376 00:18:02,960 --> 00:18:07,320 We had an MDT and agreed that as soon as Toni went into labour, 377 00:18:07,320 --> 00:18:09,960 her nurse would bring her over to the labour ward. 378 00:18:09,960 --> 00:18:10,960 But, for whatever reason, 379 00:18:10,960 --> 00:18:12,960 Dr Ford decided she didn't need a one-to-one nurse any more. 380 00:18:12,960 --> 00:18:14,000 That was Dr Ford's decision? 381 00:18:14,000 --> 00:18:16,960 He was the most senior doctor on the ward at the time. 382 00:18:16,960 --> 00:18:18,960 His consultant wasn't there till later. 383 00:18:18,960 --> 00:18:21,960 I mean, Dr Ford would have seen that Toni didn't have a one-to-one. 384 00:18:23,160 --> 00:18:24,960 So, without the one-to-one, 385 00:18:24,960 --> 00:18:27,160 nobody realised Toni was in labour until it was too late, 386 00:18:27,160 --> 00:18:30,960 which ultimately harmed Toni and her baby unnecessarily. 387 00:18:32,960 --> 00:18:37,960 Well, thank you. We'll talk to Dr Ford about that. 388 00:18:38,960 --> 00:18:39,960 While you're here, 389 00:18:39,960 --> 00:18:42,000 I'd like to clarify a few things about Rosie Newman, 390 00:18:42,000 --> 00:18:44,480 if that's all right? Sure. 391 00:18:44,480 --> 00:18:45,960 When you saw her, 392 00:18:45,960 --> 00:18:48,960 did she say anything concerning about her mental health? 393 00:18:48,960 --> 00:18:52,960 No, no, that was her husband, but I took his concerns seriously. 394 00:18:52,960 --> 00:18:55,960 Postpartum patients can be guarded about these things. 395 00:18:55,960 --> 00:18:57,960 So you referred her to Dr Ford. 396 00:18:57,960 --> 00:19:01,960 Yes, and after he agreed to see her, he tried to cancel. 397 00:19:01,960 --> 00:19:02,960 Why? 398 00:19:02,960 --> 00:19:05,320 He wanted to do some other assessment. 399 00:19:05,320 --> 00:19:08,960 He only agreed to see her after I threatened to escalate things. 400 00:19:08,960 --> 00:19:10,960 Really? Yes. 401 00:19:10,960 --> 00:19:13,960 It felt like an... an inconvenience. 402 00:19:15,320 --> 00:19:18,960 Rosie didn't take the lorazepam as Dr Ford recommended. 403 00:19:18,960 --> 00:19:22,960 If she had, it's likely she wouldn't have deteriorated the way she did. 404 00:19:23,960 --> 00:19:26,960 Well, I... I prescribed it exactly as Dr Ford instructed. 405 00:19:26,960 --> 00:19:28,960 I have no idea why she didn't take it. 406 00:19:28,960 --> 00:19:32,320 Mr Newman says Rosie was concerned about breast-feeding on lorazepam. 407 00:19:32,320 --> 00:19:33,960 Did she say anything like that to you? 408 00:19:33,960 --> 00:19:37,960 I said the risk of transfer during breast-feeding was minimal. 409 00:19:37,960 --> 00:19:39,320 Rosie seemed happy with that. 410 00:19:40,320 --> 00:19:42,960 I was clear she needed to take the medication. 411 00:19:44,960 --> 00:19:46,000 Hm. 412 00:19:46,000 --> 00:19:48,960 So another patient and her baby have been seriously harmed 413 00:19:48,960 --> 00:19:51,000 by Dr Ford's poor decision-making? 414 00:19:51,000 --> 00:19:52,960 That's what she said, but I don't know. 415 00:19:52,960 --> 00:19:55,960 Would a registrar really remove a high-risk patient's one-to-one 416 00:19:55,960 --> 00:19:57,960 without discussing it with the consultant? 417 00:19:57,960 --> 00:20:00,960 No, you're right. That is a consultant-level decision. 418 00:20:00,960 --> 00:20:03,800 So, why did Dr Hernandez feel the need to arrange a meeting 419 00:20:03,800 --> 00:20:05,960 just to tell us that? Dr Ford's HR record has arrived. 420 00:20:05,960 --> 00:20:07,960 And there's something you're gonna wanna see. 421 00:20:14,960 --> 00:20:15,960 What is it? 422 00:20:15,960 --> 00:20:17,960 Well, they mention a serious untoward incident 423 00:20:17,960 --> 00:20:19,960 that took place before he left. 424 00:20:19,960 --> 00:20:22,960 But... all the details have been redacted. 425 00:20:22,960 --> 00:20:24,960 Must have been some incident. 426 00:20:27,960 --> 00:20:30,000 Some of the witness statements mention the police. 427 00:20:30,000 --> 00:20:31,960 If it was serious enough to involve them, 428 00:20:31,960 --> 00:20:33,960 then there might be something in the press. 429 00:20:33,960 --> 00:20:35,960 It's worth a trawl. See what you can find. 430 00:20:36,960 --> 00:20:40,960 Oh, and we should contact Dr Ford's clinical supervisor, Dr McAllister. 431 00:20:40,960 --> 00:20:42,960 If there's anything concerning on his record, she might know. 432 00:20:42,960 --> 00:20:45,000 Thanks, George. 433 00:20:55,960 --> 00:20:57,960 Ideally, we'd have managed the bleeding conservatively, 434 00:20:57,960 --> 00:20:59,960 but the hysterectomy was unavoidable. 435 00:20:59,960 --> 00:21:01,800 Unavoidable? Yes! 436 00:21:01,800 --> 00:21:03,960 Did you even try and consent her for that? Mm-hm. 437 00:21:03,960 --> 00:21:06,960 Anyway, she's doing really well and should be ready for discharge 438 00:21:06,960 --> 00:21:08,640 back to you in a day or so. 439 00:21:08,640 --> 00:21:09,960 To the psych unit? Yes! 440 00:21:09,960 --> 00:21:12,960 You're actually serious. She hasn't met her child. 441 00:21:12,960 --> 00:21:14,960 She doesn't know she's had a hysterectomy. 442 00:21:14,960 --> 00:21:16,960 Then tell her. She's a lot better than she was. 443 00:21:16,960 --> 00:21:18,960 She seems depressed. She's in no fit state to be told that now. 444 00:21:18,960 --> 00:21:20,960 One minute she's psychotic, then she's depressed. 445 00:21:20,960 --> 00:21:22,960 She can be both. Yeah, I agree with Dr Ford. 446 00:21:22,960 --> 00:21:25,960 The psych unit isn't suitable for a post-op patient. 447 00:21:25,960 --> 00:21:28,960 She needs time to recover and to bond with her baby. 448 00:21:28,960 --> 00:21:31,640 And we'll need to get child and family services involved 449 00:21:31,640 --> 00:21:33,960 before she can be transferred. She'll be in hospital for weeks. 450 00:21:33,960 --> 00:21:35,960 Well, that can't happen on the postnatal ward. 451 00:21:35,960 --> 00:21:38,960 Most post-op patients go home after three or four days, a week at most. 452 00:21:38,960 --> 00:21:41,960 Yeah, I get it. Ideally, she'd go to a psychiatric mother-baby unit, 453 00:21:41,960 --> 00:21:44,960 but it's hard to get a bed. Then she'll have to go to Willow Ward. 454 00:21:44,960 --> 00:21:46,800 You can arrange for her to see the baby there. 455 00:21:46,800 --> 00:21:49,960 Sorry, in what world does a newborn belong on an acute psychiatric ward? 456 00:21:49,960 --> 00:21:51,960 I don't know, maybe in the world where psychiatrists think 457 00:21:51,960 --> 00:21:53,640 they're qualified to deliver babies? 458 00:21:53,640 --> 00:21:57,640 OK. She'll go to the postnatal ward until a mother-baby bed frees up. 459 00:21:57,640 --> 00:21:59,960 We will provide one-to-one psychiatric nursing. 460 00:21:59,960 --> 00:22:01,960 If Arun has a problem with that, he can take it up with me. 461 00:22:01,960 --> 00:22:03,960 James, please document that in the notes. 462 00:22:12,800 --> 00:22:14,160 Hi. 463 00:22:14,160 --> 00:22:16,160 Hi, can I get a log-in, please? 464 00:22:16,160 --> 00:22:17,960 I need to write up some notes. 465 00:22:22,160 --> 00:22:24,960 Shred that when you're done. Thank you. 466 00:22:35,960 --> 00:22:37,960 Are you aware of any incident 467 00:22:37,960 --> 00:22:40,960 that might have caused Dr Ford to leave his previous job? 468 00:22:40,960 --> 00:22:41,960 No. 469 00:22:41,960 --> 00:22:44,960 I understood he moved because of this hospital's good reputation. 470 00:22:44,960 --> 00:22:46,960 When Dr Asamoah called, 471 00:22:46,960 --> 00:22:49,960 it took Dr Ford nearly an hour to attend A&E. 472 00:22:51,800 --> 00:22:53,000 Well, that's the first I've heard of this. 473 00:22:53,000 --> 00:22:54,960 Is Bernadette sure? Yes. 474 00:22:54,960 --> 00:22:57,480 Is he usually late for work, or for assessments on call? 475 00:22:57,480 --> 00:23:00,800 No, never. No-one's ever fed back anything like that. 476 00:23:01,960 --> 00:23:03,960 You know, Dr Ford tried to cancel Rosie's review 477 00:23:03,960 --> 00:23:05,960 to attend the sectioning of a ward patient, 478 00:23:05,960 --> 00:23:08,480 but changed his mind and did both. 479 00:23:08,480 --> 00:23:09,960 Do you know why? 480 00:23:09,960 --> 00:23:13,960 Er, because he's diligent and determined to please. 481 00:23:13,960 --> 00:23:14,960 He knew I was in a meeting, 482 00:23:14,960 --> 00:23:17,960 and probably thought no-one else could do the section. 483 00:23:19,960 --> 00:23:23,960 So you didn't ask Dr Ford to attend Toni's sectioning? 484 00:23:26,000 --> 00:23:27,640 No. 485 00:23:28,960 --> 00:23:33,960 And could you have left your meeting to attend Toni's assessment? 486 00:23:33,960 --> 00:23:37,480 Yes, and if James had come to me, that's what I would have said, 487 00:23:37,480 --> 00:23:41,960 but he is self-sufficient and extremely competent, 488 00:23:41,960 --> 00:23:43,960 so he probably thought it would be easier to do it himself. 489 00:23:45,960 --> 00:23:47,960 One last thing. Mm-hm. 490 00:23:47,960 --> 00:23:50,640 We know Toni recently gave birth on your ward 491 00:23:50,640 --> 00:23:52,960 after her one-to-one was removed. 492 00:23:52,960 --> 00:23:54,000 Whose decision was that? 493 00:23:55,960 --> 00:23:58,960 Um, unfortunately, that was a management decision. 494 00:23:58,960 --> 00:24:00,320 I insisted on a one-to-one, 495 00:24:00,320 --> 00:24:02,640 but I was told that we could only afford one 496 00:24:02,640 --> 00:24:05,800 for the last week or so of Toni's pregnancy. 497 00:24:07,000 --> 00:24:08,480 Right. 498 00:24:40,800 --> 00:24:42,960 'Rosie, is someone else talking to you apart from me?' 499 00:24:42,960 --> 00:24:44,960 'Who the fuck are you calling a failure?' 500 00:24:44,960 --> 00:24:46,480 'I am not going to hurt you. 501 00:24:46,480 --> 00:24:47,960 'Do you know who I am? Do you remember?' 502 00:24:47,960 --> 00:24:49,480 'I tried!' 'Rosie!' 503 00:24:49,480 --> 00:24:53,960 Following our last interview, we'd like to clarify a few things. 504 00:24:53,960 --> 00:24:55,960 You said Dr McAllister asked you to attend 505 00:24:55,960 --> 00:24:57,960 the Mental Health Act assessment. 506 00:24:57,960 --> 00:24:59,960 Yes. 507 00:25:00,960 --> 00:25:02,960 Nobody else was available. 508 00:25:02,960 --> 00:25:04,960 She was just in a management meeting. 509 00:25:04,960 --> 00:25:06,960 If you'd come to her, she says she'd have done the assessment 510 00:25:06,960 --> 00:25:10,480 and told you to see Rosie, like you should have done. 511 00:25:11,960 --> 00:25:15,960 Well, that's not what I recall, but perhaps I misunderstood. 512 00:25:15,960 --> 00:25:17,960 You were on call. 513 00:25:17,960 --> 00:25:19,960 Your priority was to review on-call patients. 514 00:25:19,960 --> 00:25:22,800 Precisely, which is why I wouldn't have agreed to go to the assessment 515 00:25:22,800 --> 00:25:24,960 if there was another option. So Dr McAllister lied? 516 00:25:24,960 --> 00:25:26,960 No, I'm saying... 517 00:25:26,960 --> 00:25:29,480 there must have been a misunderstanding. 518 00:25:35,960 --> 00:25:40,480 The patient Toni Campbell-Brown recently gave birth, didn't she? 519 00:25:41,960 --> 00:25:42,960 Sorry, er... 520 00:25:42,960 --> 00:25:45,000 I thought this interview was about Rosie Newman. 521 00:25:45,000 --> 00:25:48,640 And instead of following the plan, you delivered her baby 522 00:25:48,640 --> 00:25:50,320 on an acute psychiatric ward. 523 00:25:51,960 --> 00:25:53,960 Who told you that? Dr Hernandez? 524 00:25:53,960 --> 00:25:55,960 The baby nearly died. 525 00:25:55,960 --> 00:25:56,960 And your patient is now infertile. 526 00:25:56,960 --> 00:25:59,000 Toni should never have been on our ward, 527 00:25:59,000 --> 00:26:00,960 but obstetrics refused to take her. 528 00:26:00,960 --> 00:26:02,960 Obstetrics were unaware 529 00:26:02,960 --> 00:26:06,960 that the psych unit lacked the clinical resources for an emergency. 530 00:26:06,960 --> 00:26:08,960 If they'd have known, they'd have taken Toni. 531 00:26:08,960 --> 00:26:10,160 They're lying! They're lying. 532 00:26:10,160 --> 00:26:13,960 Look, Toni wasn't our fault. 533 00:26:13,960 --> 00:26:15,960 You should be speaking with obstetrics. 534 00:26:17,960 --> 00:26:20,960 Kathy, can you pull up the CCTV image, please? 535 00:26:22,160 --> 00:26:24,960 Dr Ford, is this your car? 536 00:26:26,960 --> 00:26:28,160 Yeah. 537 00:26:28,160 --> 00:26:31,960 The night Rosie Newman died, Dr Asamoah called you at 2am. 538 00:26:31,960 --> 00:26:34,960 And you said you came in from home. Yes. 539 00:26:34,960 --> 00:26:36,960 Why did it take you so long to come in? 540 00:26:36,960 --> 00:26:37,960 There's... There's roadworks. 541 00:26:37,960 --> 00:26:39,960 They've been pulling up Healey Street, 542 00:26:39,960 --> 00:26:41,960 so keep changing the diversion. 543 00:26:41,960 --> 00:26:45,480 You arrived nearly an hour after Bernadette called. 544 00:26:45,480 --> 00:26:47,960 Must have been... quite the diversion. 545 00:26:47,960 --> 00:26:49,960 If you'd arrived within 30 minutes, 546 00:26:49,960 --> 00:26:52,960 Rosie and Ed would have still been in A&E majors. 547 00:26:52,960 --> 00:26:54,960 You could have asked Ed about the lorazepam, 548 00:26:54,960 --> 00:26:57,960 and seen Rosie deteriorate again, assaulting the officer. 549 00:26:57,960 --> 00:26:59,960 You wouldn't have removed her restraints, 550 00:26:59,960 --> 00:27:01,960 she wouldn't have been under-sedated, 551 00:27:01,960 --> 00:27:02,960 and she'd still probably be alive. 552 00:27:05,640 --> 00:27:07,800 Kathy, next slide, please. 553 00:27:07,800 --> 00:27:09,960 These are all the routes you could have taken from home. 554 00:27:09,960 --> 00:27:12,960 None add more than five minutes to your journey, 555 00:27:12,960 --> 00:27:14,960 even with roadworks. Kathy, next image, please? 556 00:27:14,960 --> 00:27:18,960 Police ANPR picked your car up that night in these locations. 557 00:27:18,960 --> 00:27:19,960 In fact, in the last 90 days, 558 00:27:19,960 --> 00:27:23,960 your car's been picked up by these same cameras several times. 559 00:27:28,960 --> 00:27:31,800 I was at my girlfriend's. 560 00:27:31,800 --> 00:27:33,960 Sometimes I stay there when I'm on call 561 00:27:33,960 --> 00:27:35,960 cos my flatmates are noisy, 562 00:27:35,960 --> 00:27:38,960 so it's less stressful to stay at hers, OK? 563 00:27:38,960 --> 00:27:40,960 No. That's not OK. 564 00:27:40,960 --> 00:27:44,960 Hospital guidelines stipulate that doctors can be on call from home 565 00:27:44,960 --> 00:27:47,000 only if it's within 30 minutes of the hospital. 566 00:27:47,000 --> 00:27:48,960 Your girlfriend lives nearly an hour away... 567 00:27:48,960 --> 00:27:49,960 This is a waste of time. 568 00:27:49,960 --> 00:27:53,960 You should be asking Dr Hernandez what went wrong with Rosie's birth. 569 00:27:53,960 --> 00:27:54,960 Why? What happened? 570 00:27:54,960 --> 00:27:56,960 Rosie's husband told me Rosie was on the postnatal ward 571 00:27:56,960 --> 00:27:57,960 for four days. 572 00:27:57,960 --> 00:28:00,960 You're only on the ward that long if you've had serious complications. 573 00:28:00,960 --> 00:28:03,960 And Mr Newman specifically said there was a problem with the birth? 574 00:28:03,960 --> 00:28:06,960 No, but it was... Well, then, that's just supposition. 575 00:28:06,960 --> 00:28:07,960 But we have Rosie's maternity notes. 576 00:28:07,960 --> 00:28:10,960 If there's a clinical reason for her prolonged admission, 577 00:28:10,960 --> 00:28:12,320 we can easily clarify that. 578 00:28:12,320 --> 00:28:14,000 Why did you leave your last job? 579 00:28:14,000 --> 00:28:16,960 Sorry, what's that got to do with this? 580 00:28:16,960 --> 00:28:20,320 Well, we received a heavily redacted HR record from Oakwell Hospital, 581 00:28:20,320 --> 00:28:23,960 referencing a serious untoward incident. 582 00:28:23,960 --> 00:28:25,480 Why is it redacted? 583 00:28:25,480 --> 00:28:26,960 Because it wasn't relevant. 584 00:28:29,960 --> 00:28:31,960 Kathy, next image, please. 585 00:28:32,960 --> 00:28:35,160 "After swearing at the female nurse, 586 00:28:35,160 --> 00:28:37,960 "the mentally ill man was placed in seclusion. 587 00:28:37,960 --> 00:28:39,960 "However, a junior doctor, 588 00:28:39,960 --> 00:28:41,960 "who remains anonymous for legal reasons, 589 00:28:41,960 --> 00:28:43,960 "terminated the seclusion 590 00:28:43,960 --> 00:28:46,960 "because he felt the punishment was too harsh. 591 00:28:46,960 --> 00:28:49,960 "Shortly after, the nurse was assaulted." 592 00:28:50,960 --> 00:28:53,960 Does this article refer to you, Dr Ford? 593 00:28:53,960 --> 00:28:56,320 Yes, but that's not what happened. 594 00:28:56,320 --> 00:29:00,640 Well, then, tell us your version of events. 595 00:29:00,640 --> 00:29:01,960 Sure. 596 00:29:02,960 --> 00:29:06,480 There was a culture on that ward of nurses putting difficult patients 597 00:29:06,480 --> 00:29:09,960 in seclusion because it was easier than other de-escalation methods. 598 00:29:09,960 --> 00:29:13,320 So you just felt your colleagues were being lazy, you knew better. 599 00:29:13,320 --> 00:29:16,960 No, I was trying to act in the best interests of my patient, 600 00:29:16,960 --> 00:29:20,960 I was advocating for him. But your risk assessment was wrong. 601 00:29:20,960 --> 00:29:22,960 And your colleague ended up in ITU. 602 00:29:22,960 --> 00:29:24,960 She never returned to work. 603 00:29:24,960 --> 00:29:26,960 It echoes what happened with Rosie. 604 00:29:26,960 --> 00:29:30,640 You put your colleagues at risk, and Precious Danso was assaulted. 605 00:29:30,640 --> 00:29:33,480 Rosie, Toni, your former colleague. 606 00:29:33,480 --> 00:29:35,960 You need to be the hero, delivering babies, 607 00:29:35,960 --> 00:29:37,960 freeing patients at the risk of other people's safety. 608 00:29:37,960 --> 00:29:39,960 No. That's not true or fair. 609 00:29:39,960 --> 00:29:42,960 I see a doctor who dislikes the restriction of protocols, 610 00:29:42,960 --> 00:29:45,800 a rule-breaker who thinks he knows better than the police, 611 00:29:45,800 --> 00:29:48,960 his colleagues, and puts everyone around him at risk. 612 00:29:48,960 --> 00:29:50,960 And you've proven this time and time again. 613 00:29:50,960 --> 00:29:55,960 Being a good doctor requires teamwork, 614 00:29:55,960 --> 00:30:00,800 excellent communication skills, and the ability to prioritise. 615 00:30:00,800 --> 00:30:02,960 You haven't demonstrated any of these. 616 00:30:04,320 --> 00:30:05,960 As such, we are proceeding 617 00:30:05,960 --> 00:30:07,960 to a full fitness to practise investigation. 618 00:30:07,960 --> 00:30:09,960 HE SCOFFS, SIGHS 619 00:30:09,960 --> 00:30:12,960 You've got this all wrong. Once our investigation is complete, 620 00:30:12,960 --> 00:30:14,960 we'll present our findings to a tribunal panel, 621 00:30:14,960 --> 00:30:17,960 who'll then decide whether you can continue to practise medicine. 622 00:30:17,960 --> 00:30:18,960 HE EXHALES 623 00:30:21,960 --> 00:30:23,640 I think we're done. 624 00:30:33,960 --> 00:30:36,960 CLASSICAL MUSIC PLAYING 625 00:30:50,960 --> 00:30:52,640 Are you a real doctor? 626 00:30:53,960 --> 00:30:54,960 Samira, we've been through this. 627 00:30:54,960 --> 00:30:57,800 I am a real doctor, this is a real hospital... Hi, Samira. 628 00:30:57,800 --> 00:30:58,960 ..and this is a real nurse. 629 00:31:00,640 --> 00:31:01,960 Come on. 630 00:31:05,960 --> 00:31:07,960 That increase in her meds isn't working. 631 00:31:07,960 --> 00:31:08,960 Who left this on? 632 00:31:08,960 --> 00:31:10,960 Oh, maintenance were here earlier. 633 00:31:10,960 --> 00:31:12,960 They're useless. This is an acute psychiatric ward. 634 00:31:12,960 --> 00:31:15,800 They can't leave things suicidal patients can use to kill themselves. 635 00:31:15,800 --> 00:31:17,320 So call them back, get them to come back here, 636 00:31:17,320 --> 00:31:20,960 fix this now, properly, and fix it today, all right? 637 00:31:20,960 --> 00:31:22,960 I'll do it once I'm finished. Where's Kate? 638 00:31:22,960 --> 00:31:24,960 I haven't seen her all morning. 639 00:31:26,960 --> 00:31:28,960 Why's MC not on the board? 640 00:31:28,960 --> 00:31:29,960 He's in A&E waiting for transport. 641 00:31:29,960 --> 00:31:31,960 Since yesterday? He's low priority. 642 00:31:31,960 --> 00:31:33,960 Well, is he in the one-three-six suite? 643 00:31:33,960 --> 00:31:36,960 No, he's on a trolley in the majors corridor with a one-to-one. 644 00:31:36,960 --> 00:31:38,960 What's the point in following protocol 645 00:31:38,960 --> 00:31:40,960 if it doesn't fucking work? 646 00:31:40,960 --> 00:31:41,960 Yeah, hi, hi, yeah, 647 00:31:41,960 --> 00:31:43,960 it's Dr James Ford here from Willow Ward. 648 00:31:43,960 --> 00:31:46,960 Yes, you have a patient that's waiting to be brought across to us? 649 00:31:46,960 --> 00:31:48,960 Yeah, I need two nurses to walk him across now. 650 00:31:48,960 --> 00:31:50,480 I don't care. 651 00:31:51,960 --> 00:31:54,640 "Select product." I am selecting product, 652 00:31:54,640 --> 00:31:57,960 just give me the chocolate, for God's sake! Norma? 653 00:31:57,960 --> 00:31:59,960 They install all these fancy machines 654 00:31:59,960 --> 00:32:02,960 to stop us leaving the office, and they never bloody work. 655 00:32:02,960 --> 00:32:03,960 What is it? 656 00:32:03,960 --> 00:32:06,960 Rosie Newman was on the postnatal ward for four days. 657 00:32:08,960 --> 00:32:11,320 Do the notes explain why? No. 658 00:32:11,320 --> 00:32:13,960 They used forceps, but the baby was successfully delivered 659 00:32:13,960 --> 00:32:16,160 without any mention of complications. 660 00:32:16,160 --> 00:32:17,960 And the notes repeatedly say 661 00:32:17,960 --> 00:32:21,960 both mother and baby were doing well before discharge. 662 00:32:24,000 --> 00:32:25,960 Who discharged her? 663 00:32:25,960 --> 00:32:27,960 Her midwife, Maria Carter, 664 00:32:27,960 --> 00:32:29,960 after a discussion with Dr Hernandez. 665 00:32:31,160 --> 00:32:32,960 SHE SIGHS 666 00:32:32,960 --> 00:32:33,960 Where are you going? 667 00:32:33,960 --> 00:32:35,960 Going to the cafe to get a snack. Come on, walk and talk. 668 00:32:35,960 --> 00:32:38,320 Susannah, please put this on my desk. Yes, of course. 669 00:32:39,960 --> 00:32:42,800 I called the ward to speak to Maria, but she transferred from QM 670 00:32:42,800 --> 00:32:44,960 to North Yorkshire Hospital six weeks ago. 671 00:32:44,960 --> 00:32:47,320 And shortly after that, she was suspended. 672 00:32:47,320 --> 00:32:48,960 Why? 673 00:32:48,960 --> 00:32:50,960 Well, the Nursing and Midwifery Registry were reluctant 674 00:32:50,960 --> 00:32:53,960 to tell me the details, as it's a highly sensitive investigation. 675 00:32:53,960 --> 00:32:54,960 OK. 676 00:32:54,960 --> 00:32:57,960 Yeah, but they did say it had nothing to do with her time 677 00:32:57,960 --> 00:33:00,960 on QM's maternity unit, so they shared her contact details with me. 678 00:33:00,960 --> 00:33:03,960 She very quickly sent an email refusing to speak to us 679 00:33:03,960 --> 00:33:09,640 unless it was done formally with her RCM rep and lawyer present. 680 00:33:09,640 --> 00:33:12,640 Great. You explained we're not part of their investigation, 681 00:33:12,640 --> 00:33:14,960 we just want a statement about Rosie's presentation? 682 00:33:14,960 --> 00:33:17,960 Yep. It made no difference. Fine. 683 00:33:17,960 --> 00:33:19,960 Set up a meeting as soon as possible. 684 00:33:30,960 --> 00:33:33,000 Ms Carter, thank you for coming in to see us. 685 00:33:33,000 --> 00:33:34,960 You didn't leave me much choice. 686 00:33:36,960 --> 00:33:37,960 Two months ago, 687 00:33:37,960 --> 00:33:40,960 you were Rosie Newman's named midwife at QMUH. 688 00:33:41,960 --> 00:33:44,960 Unfortunately, Rosie passed away three weeks ago. 689 00:33:44,960 --> 00:33:46,960 During a postnatal psychotic episode, 690 00:33:46,960 --> 00:33:48,960 she fell from a hospital roof. 691 00:33:50,960 --> 00:33:51,960 I saw it in the news. 692 00:33:51,960 --> 00:33:53,960 A complaint has been made about a doctor 693 00:33:53,960 --> 00:33:56,960 who failed to do an appropriate psychiatric examination 694 00:33:56,960 --> 00:33:58,960 before Rosie died. 695 00:33:59,960 --> 00:34:03,960 So Dr Hernandez is being investigated and she's blaming me? 696 00:34:03,960 --> 00:34:06,960 Maria... Just because I disagreed with her. 697 00:34:06,960 --> 00:34:07,960 I said there was a problem 698 00:34:07,960 --> 00:34:10,960 and that Rosie needed to see a psychiatrist, but... 699 00:34:10,960 --> 00:34:13,960 Maria... ..she asked me to cancel the referral. 700 00:34:13,960 --> 00:34:15,960 I strongly advise you not to say anything else. 701 00:34:15,960 --> 00:34:17,960 Are you saying Rosie was referred to psychiatry 702 00:34:17,960 --> 00:34:21,960 when she gave birth, six weeks before her death? 703 00:34:21,960 --> 00:34:24,640 My client is already being investigated 704 00:34:24,640 --> 00:34:26,960 by the nursing and midwifery regulatory body. 705 00:34:26,960 --> 00:34:29,960 It is not appropriate for you to question her 706 00:34:29,960 --> 00:34:31,960 about another ongoing medical investigation. 707 00:34:31,960 --> 00:34:33,960 Maria, what did you and Dr Hernandez disagree about? 708 00:34:33,960 --> 00:34:36,960 Was it Rosie's management? I'm terminating this interview. 709 00:34:36,960 --> 00:34:38,800 Let's go, Maria. 710 00:34:38,800 --> 00:34:39,960 Maria, if you know of anything 711 00:34:39,960 --> 00:34:42,960 that could help us understand how Rosie became so unwell, 712 00:34:42,960 --> 00:34:44,960 you should tell us. 713 00:34:44,960 --> 00:34:45,960 Maria, let's go. 714 00:34:49,960 --> 00:34:51,960 I've got nothing else to say. 715 00:35:01,000 --> 00:35:03,960 I left these out for you, why haven't you packed them? 716 00:35:03,960 --> 00:35:07,960 We don't need them any more. Dad's bought us loads of new stuff. 717 00:35:11,160 --> 00:35:12,960 SIGHS 718 00:35:16,960 --> 00:35:18,480 HORN HOOTS 719 00:35:19,320 --> 00:35:20,960 Right, your dad's here. 720 00:35:24,960 --> 00:35:26,320 SIGHS 721 00:35:26,320 --> 00:35:27,960 TEXT ALERT 722 00:35:41,800 --> 00:35:42,960 SIGHS 723 00:35:43,960 --> 00:35:46,960 LAUGHTER, MUSIC PLAYING 724 00:36:01,960 --> 00:36:04,960 Hello, mate. What are you doing? 725 00:36:04,960 --> 00:36:06,800 You know your sister's cooked a full-on feast. 726 00:36:06,800 --> 00:36:08,960 Yeah. I've had a shit day. I'm not in the mood for socialising. 727 00:36:08,960 --> 00:36:10,960 There are literally no nutrients in there. 728 00:36:18,960 --> 00:36:21,640 What the fuck? They cost actual money. 729 00:36:21,640 --> 00:36:23,960 It never ceases to amaze me how unhealthy you doctors are. 730 00:36:23,960 --> 00:36:25,960 No. Come on. You're eating with us. 731 00:36:25,960 --> 00:36:27,960 And I've invited someone you might like. Come on. 732 00:36:32,960 --> 00:36:35,960 LAUGHTER, CHATTER 733 00:36:40,320 --> 00:36:42,960 No way! CHATTER FADES 734 00:36:49,960 --> 00:36:50,960 James. 735 00:36:50,960 --> 00:36:53,000 Are you a tech guy like Will? 736 00:36:53,000 --> 00:36:56,960 No, James has a real job. He's a... He's a psychiatrist. 737 00:36:56,960 --> 00:36:59,960 Oh, cool. Did you, like, do a special course or something? 738 00:36:59,960 --> 00:37:01,960 SNIGGERING 739 00:37:03,960 --> 00:37:05,960 Er, I went to medical school. Oh, yeah. 740 00:37:05,960 --> 00:37:09,960 My friend Tilly does that, but she studied psychology, not medicine. 741 00:37:09,960 --> 00:37:12,960 No, James is a medical doctor. Tilly's a psychologist. 742 00:37:12,960 --> 00:37:14,960 What's the difference? Sorry. LAUGHTER 743 00:37:14,960 --> 00:37:17,960 Until I met this guy, honestly, I thought they were the same thing. 744 00:37:17,960 --> 00:37:20,960 But he works on a ward with all these completely mental people. 745 00:37:20,960 --> 00:37:22,480 Patients. 746 00:37:22,480 --> 00:37:24,960 Um... it's not really like that. 747 00:37:24,960 --> 00:37:29,160 What's the craziest...? What's the craziest patient you've ever had? 748 00:37:37,160 --> 00:37:39,960 Um, probably a patient who collected dead pigeons, 749 00:37:39,960 --> 00:37:42,160 burnt them in butter and took them to the Palace 750 00:37:42,160 --> 00:37:43,960 as a present for the King. 751 00:37:47,640 --> 00:37:49,960 James, that-that's disgusting. 752 00:37:49,960 --> 00:37:52,960 She'd confused that nursery rhyme, 753 00:37:52,960 --> 00:37:56,000 "Four and twenty blackbirds baked in a pie..." 754 00:37:56,000 --> 00:37:59,800 See I told you, man, he works in a madhouse. 755 00:37:59,800 --> 00:38:01,960 TEXT ALERT 756 00:38:01,960 --> 00:38:03,960 Right. Cab'll be here in five minutes, guys. 757 00:38:05,960 --> 00:38:08,480 Where you going? For a drink, then to that new club on North Street. 758 00:38:09,960 --> 00:38:10,960 You should come. 759 00:38:16,960 --> 00:38:17,960 I told you. 760 00:38:19,960 --> 00:38:22,960 So, Gina, how long have you been an architect? 761 00:38:22,960 --> 00:38:24,000 Five years. Wow! 762 00:38:24,000 --> 00:38:25,960 It's hard work, but I really enjoy it. 763 00:38:25,960 --> 00:38:29,960 Do you design homes? I love all those luxury property shows on TV. 764 00:38:29,960 --> 00:38:31,960 It looks so glamorous. I do. 765 00:38:31,960 --> 00:38:33,960 But mostly small, private homes, 766 00:38:33,960 --> 00:38:35,480 so it's not glamorous at all. 767 00:38:35,480 --> 00:38:36,960 She's being modest, she's working 768 00:38:36,960 --> 00:38:39,960 on a multi-million-pound property deal right now. 769 00:38:39,960 --> 00:38:42,960 Don't jinx it. If our client wins the bid, 770 00:38:42,960 --> 00:38:44,960 it'll be the biggest job I've ever done. 771 00:38:44,960 --> 00:38:47,000 I'd love to do something creative. 772 00:38:47,000 --> 00:38:48,960 There's plenty of creativity in medicine. 773 00:38:48,960 --> 00:38:50,960 No, there isn't. 774 00:38:52,160 --> 00:38:53,960 Yes, there is. How? 775 00:38:53,960 --> 00:38:56,960 You have to stick to protocols, guidelines. 776 00:38:56,960 --> 00:38:59,960 Your entire job is ensuring everyone tows the party line, 777 00:38:59,960 --> 00:39:01,640 or else they're out. 778 00:39:03,960 --> 00:39:05,960 You've always wanted to be a doctor. 779 00:39:05,960 --> 00:39:08,960 No, you've always wanted me to be a doctor. 780 00:39:12,960 --> 00:39:14,960 Are you not enjoying uni? 781 00:39:15,960 --> 00:39:17,960 Erm, shall we get another bottle? 782 00:39:17,960 --> 00:39:20,960 Hm. Yeah. Yeah? 783 00:39:22,160 --> 00:39:24,160 Can we get another bottle, please? 784 00:39:25,960 --> 00:39:27,960 DANCE MUSIC PLAYS 785 00:39:42,960 --> 00:39:45,800 Two? Did you just double-drop? You can't take two! 786 00:39:45,800 --> 00:39:46,960 LAUGHING 787 00:40:43,960 --> 00:40:45,960 Mate, can I have a whisky, please? 788 00:40:47,960 --> 00:40:49,320 Actually, can you make it three, mate? 789 00:41:56,960 --> 00:41:58,960 CHATTER 790 00:42:09,960 --> 00:42:10,960 Airam Street. 791 00:42:12,960 --> 00:42:13,960 Cheers, mate. 792 00:42:27,960 --> 00:42:28,960 Um... 793 00:42:28,960 --> 00:42:31,320 It's really, really hot in here. 794 00:42:31,320 --> 00:42:33,320 Can you open your window, too? 795 00:42:33,320 --> 00:42:34,960 Yeah, sure. 796 00:42:36,480 --> 00:42:37,960 Are you OK? 797 00:42:39,320 --> 00:42:40,640 Oh... 798 00:42:41,960 --> 00:42:44,640 My head's... My head's pounding and my chest hurts. 799 00:42:44,640 --> 00:42:46,000 Fizz, are you OK? Look at me. 800 00:42:46,000 --> 00:42:47,960 Fizz? 801 00:42:50,960 --> 00:42:52,960 Fizz? 802 00:42:53,960 --> 00:42:56,960 Mate, can take us to A&E, quickly! She's just drunk! 803 00:42:56,960 --> 00:42:58,320 She's not. 804 00:42:59,960 --> 00:43:02,160 Take us to North Yorkshire. Fuck's sake. 805 00:43:02,160 --> 00:43:03,960 QM's much nearer. I'll take you there. 806 00:43:03,960 --> 00:43:05,960 She'll be seen quicker at North Yorkshire. 807 00:43:05,960 --> 00:43:07,960 I dunno, mate, I don't want her dying in my cab. 808 00:43:07,960 --> 00:43:09,160 Look, mate, I'm a doctor, OK? 809 00:43:09,160 --> 00:43:12,960 Just take us to North Yorkshire A&E... please! 810 00:43:13,960 --> 00:43:15,960 Fizz, Fizz, listen to me? Can you hear me, yeah? 811 00:43:15,960 --> 00:43:17,320 Fizz? Fizz? 812 00:43:19,960 --> 00:43:21,800 RAPID CHATTER 813 00:43:22,960 --> 00:43:24,960 Check airway, please. 814 00:43:26,160 --> 00:43:27,960 Can we get some lines in? 815 00:43:27,960 --> 00:43:30,960 We need to run some bloods and do a tox screen, thank you. 816 00:43:30,960 --> 00:43:32,160 What's her name? 817 00:43:33,960 --> 00:43:36,960 What's her name? Oh, I just know her as... as Fizz. 818 00:43:36,960 --> 00:43:39,960 Patient's name is Fizz. And what's yours? 819 00:43:40,960 --> 00:43:42,960 Toby, Toby Tait. 820 00:43:42,960 --> 00:43:44,800 Right, and what's she taken, Toby? 821 00:43:44,800 --> 00:43:47,960 Pills, I think, and... I don't know if anything else. 822 00:43:47,960 --> 00:43:49,960 What kind of pills? 823 00:43:49,960 --> 00:43:50,960 I dunno. 824 00:43:50,960 --> 00:43:52,800 Did you give her the drugs? 825 00:43:53,960 --> 00:43:56,960 No! No, I... I... I don't know her. 826 00:43:56,960 --> 00:43:58,480 We only just met. 827 00:43:59,960 --> 00:44:01,960 Right, just stand over there, I'll get some more details 828 00:44:01,960 --> 00:44:02,960 from you later. 829 00:44:02,960 --> 00:44:04,960 Right, can I get an update, please? 830 00:44:04,960 --> 00:44:07,960 Fizz... Fizz, can you hear me? 831 00:44:07,960 --> 00:44:09,960 Did you find any drugs on her? 832 00:44:09,960 --> 00:44:11,960 MACHINES BEEP 833 00:44:11,960 --> 00:44:14,960 Has she been sick? She hasn't been sick, no. 834 00:44:23,800 --> 00:44:24,960 Can we get that ABG done, please? 835 00:44:27,320 --> 00:44:29,000 BUZZING 836 00:44:37,960 --> 00:44:39,160 BUZZER 837 00:44:59,960 --> 00:45:01,960 I wasn't expecting you tonight. 838 00:45:05,960 --> 00:45:07,480 I fucked up. 839 00:45:09,960 --> 00:45:11,960 Subtitles by accessibility@itv.com 65801

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