1 00:00:00,200 --> 00:00:03,325 In the criminal justice system, the people are represented 2 00:00:03,360 --> 00:00:08,040 by two separate yet equally important groups - the police, who investigate crime, 3 00:00:08,075 --> 00:00:11,320 and the crown prosecutors, who prosecute the offenders. 4 00:00:11,355 --> 00:00:12,920 These are their stories. 5 00:00:17,600 --> 00:00:20,560 (HOSPITAL CHATTER) 6 00:00:28,800 --> 00:00:32,160 (RAISED VOICES) 7 00:00:44,840 --> 00:00:46,925 Taylor. Ricky Taylor. 8 00:00:46,960 --> 00:00:50,880 That's who you should have brought in. I didn't do nothing. 9 00:00:50,915 --> 00:00:52,480 Hold still, will you? 10 00:00:52,515 --> 00:00:53,525 (BEEPING) 11 00:00:53,560 --> 00:00:56,280 Adrenaline. And get a chest X-ray organised. 12 00:00:56,315 --> 00:00:58,080 I need a doctor here! 13 00:00:59,680 --> 00:01:02,560 Get the crash trolley. I need a line in, quick. 14 00:01:02,595 --> 00:01:04,960 Everything OK? Check her blood pressure. 15 00:01:09,920 --> 00:01:13,000 Charge to 150. I was waiting for chest X-rays. 16 00:01:13,035 --> 00:01:15,005 Back in a minute. 17 00:01:15,040 --> 00:01:18,005 Go ahead, Control. Listen to me. I just... 18 00:01:18,040 --> 00:01:21,525 Sir, it doesn't matter that you were here first. 19 00:01:21,560 --> 00:01:25,800 Someone has a knife sticking out of their head, they take priority. 20 00:01:25,835 --> 00:01:29,577 So just take a seat and you'll be called when they're ready. 21 00:01:29,612 --> 00:01:33,320 I've been here 40 minutes. I just need to know where she is. 22 00:01:33,355 --> 00:01:36,360 I've told you! I have to check with admissions! 23 00:01:36,395 --> 00:01:39,205 What about my prescription? Take a seat! 24 00:01:39,240 --> 00:01:43,205 This is ridiculous. Sir! Sir, you can't go through there. 25 00:01:43,240 --> 00:01:47,560 Sir! Sir, you can't go through there! Still no pulse. Adrenaline in. 26 00:01:47,595 --> 00:01:50,697 I'm sorry, you can't be in here. That's my daughter. 27 00:01:50,732 --> 00:01:53,765 Sir, you really need to wait outside. What's going on? 28 00:01:53,800 --> 00:01:57,360 Her condition's deteriorated. We're doing everything we can. 29 00:01:59,080 --> 00:02:01,080 Is she going to be alright? 30 00:02:03,480 --> 00:02:05,200 Dr Mills. 31 00:02:08,760 --> 00:02:10,360 Time to call it. 32 00:02:12,320 --> 00:02:14,800 Time of death is 23:17. 33 00:02:17,680 --> 00:02:19,160 I'm very sorry. 34 00:02:20,400 --> 00:02:22,165 What are you doing? 35 00:02:22,200 --> 00:02:25,560 I'm afraid your daughter had a total pulmonary collapse. 36 00:02:25,595 --> 00:02:29,000 So do something! Do CPR, use the paddles! 37 00:02:29,035 --> 00:02:31,040 We already tried. It didn't work. 38 00:02:31,075 --> 00:02:33,205 No. No, this is crazy! 39 00:02:33,240 --> 00:02:35,460 All she had was a sore throat. 40 00:02:35,495 --> 00:02:37,680 You don't die from a sore throat. 41 00:02:39,320 --> 00:02:41,480 You don't die from a sore throat. 42 00:02:44,960 --> 00:02:46,480 (CRIES) Suzy. 43 00:02:50,240 --> 00:02:52,700 So this girl comes in with flu... 44 00:02:52,735 --> 00:02:55,160 And four hours later she was dead. 45 00:02:56,360 --> 00:02:58,685 Right. People can die unexpectedly. 46 00:02:58,720 --> 00:03:02,640 There can be underlying conditions that aren't diagnosed properly. 47 00:03:02,675 --> 00:03:04,445 I know all that. 48 00:03:04,480 --> 00:03:08,000 But I've been doing this a long time, and I'm telling you, Nat, 49 00:03:08,035 --> 00:03:10,165 Suzanne Morton should not have died. 50 00:03:10,200 --> 00:03:13,000 If you say something's wrong, I believe you. 51 00:03:13,035 --> 00:03:14,925 I'm not sure what I can - 52 00:03:14,960 --> 00:03:18,920 This is the third unexplained death on my ward in the past six months. 53 00:03:18,955 --> 00:03:22,040 Each time the administration fobbed the family off. 54 00:03:22,075 --> 00:03:24,240 It all gets swept under the carpet. 55 00:03:24,275 --> 00:03:25,765 This is the third one. 56 00:03:25,800 --> 00:03:29,680 I mean one, maybe two a year with no obvious cause of death, 57 00:03:29,715 --> 00:03:32,600 that wouldn't be out of the question, but this, 58 00:03:32,635 --> 00:03:34,085 this isn't right. 59 00:03:34,120 --> 00:03:36,445 Let me get this straight, Sinead. 60 00:03:36,480 --> 00:03:40,720 You think someone on the ward is killing patients. 61 00:03:40,755 --> 00:03:42,200 Yes, I do. 62 00:04:25,720 --> 00:04:29,560 I can tell you how much her liver weighed and what she had for dinner. 63 00:04:29,595 --> 00:04:32,680 Why she died, who knows? Not even a theory? 64 00:04:32,715 --> 00:04:34,285 I don't do theories. 65 00:04:34,320 --> 00:04:37,365 She died because she stopped breathing. 66 00:04:37,400 --> 00:04:40,200 There was some congestion, fluid on the lungs. 67 00:04:40,235 --> 00:04:41,725 For cause of death, 68 00:04:41,760 --> 00:04:45,400 you'll have to wait for the tox screen and tissue samples. 69 00:04:45,435 --> 00:04:49,040 Could you rush those? Standard post-mortem, standard tests. 70 00:04:49,075 --> 00:04:51,040 They take the standard time. 71 00:04:51,075 --> 00:04:54,480 It's the NHS, not CSI. 72 00:04:56,400 --> 00:04:59,085 There was me thinking you were Gil Grissom. 73 00:04:59,120 --> 00:05:03,160 We've tried the dead. Let's see if we have any more luck with the living. 74 00:05:03,195 --> 00:05:05,560 Who's the head honcho at the emergency department? 75 00:05:05,595 --> 00:05:08,960 Dr Edward Austen, senior consultant. 76 00:05:08,995 --> 00:05:11,000 All right. 77 00:05:13,800 --> 00:05:18,920 So, you weren't in the emergency department when Suzanne Morton died? 78 00:05:18,955 --> 00:05:20,485 No, no, I wasn't. 79 00:05:20,520 --> 00:05:24,200 When I'm on call I grab 40 winks whenever the opportunity arises. 80 00:05:24,235 --> 00:05:26,165 Saturday tends to be a long shift. 81 00:05:26,200 --> 00:05:30,520 I thought consultants delegated that kind of thing and played golf. 82 00:05:30,555 --> 00:05:32,805 Ha! Sadly those days are long gone. 83 00:05:32,840 --> 00:05:35,780 It's all accountability, competition and choice, 84 00:05:35,815 --> 00:05:38,647 or slash and burn, depending on your point of view. 85 00:05:38,682 --> 00:05:41,480 Your staff don't page you with cardiac arrests? 86 00:05:41,515 --> 00:05:43,045 I wouldn't expect it. 87 00:05:43,080 --> 00:05:47,280 The crash team responds. Christine Mills is a very experienced registrar. 88 00:05:47,315 --> 00:05:49,320 Nothing I'd have done differently. 89 00:05:49,355 --> 00:05:52,240 Except the girl still died. 90 00:05:52,275 --> 00:05:53,885 Yes, she did. 91 00:05:53,920 --> 00:05:56,720 Which is obviously a tragedy for the family. 92 00:05:56,755 --> 00:05:59,637 But I'm not sure what you expect to find here. 93 00:05:59,672 --> 00:06:02,520 These things are regrettable, but hardly a crime. 94 00:06:02,555 --> 00:06:05,097 We understand there have been problems 95 00:06:05,132 --> 00:06:07,640 regarding other patients at the hospital. 96 00:06:07,675 --> 00:06:09,965 Who told you that? A source. 97 00:06:10,000 --> 00:06:12,285 I hate to tell you how to do your job, 98 00:06:12,320 --> 00:06:15,540 but unless your source makes these claims publicly, 99 00:06:15,575 --> 00:06:18,760 I'd hesitate to believe anything else they said. 100 00:06:18,795 --> 00:06:21,085 Do you know who admitted Suzanne Morton? 101 00:06:21,120 --> 00:06:24,440 It was a Dr Simonson. The nurses can help you find him. 102 00:06:26,720 --> 00:06:29,600 Yes, she was my last patient before I went off duty. 103 00:06:29,635 --> 00:06:31,165 Viral chest infection. 104 00:06:31,200 --> 00:06:34,280 Dramatised her symptoms a little, but they often do. 105 00:06:34,315 --> 00:06:36,680 I ordered a chest X-ray before I left. Why? 106 00:06:36,715 --> 00:06:39,325 We're investigating her death. 107 00:06:39,360 --> 00:06:42,360 Death? I guess she wasn't dramatising after all. 108 00:06:42,395 --> 00:06:45,125 She died? You look surprised. 109 00:06:45,160 --> 00:06:48,000 She had a chest infection. She wasn't that sick. 110 00:06:51,080 --> 00:06:53,605 What? You think it was my fault? 111 00:06:53,640 --> 00:06:57,320 You think I missed something? We've been asked to look into it. 112 00:06:57,355 --> 00:07:00,005 Who treated her after you left? I'm not sure. 113 00:07:00,040 --> 00:07:02,920 One of the registrars would have taken her charts. 114 00:07:07,160 --> 00:07:09,165 I'm only a first year. 115 00:07:09,200 --> 00:07:11,680 They don't let me do anything on my own. 116 00:07:11,715 --> 00:07:13,657 You should talk to Dr Mills. 117 00:07:13,692 --> 00:07:15,565 MILLS: It was pneumonia. 118 00:07:15,600 --> 00:07:19,160 The sputum examination and blood cultures were indicative, 119 00:07:19,195 --> 00:07:22,137 and the chest X-ray showed fluid on the lungs. 120 00:07:22,172 --> 00:07:25,080 So the first doctor who saw her got it wrong? No. 121 00:07:25,115 --> 00:07:27,685 Dr Simonson made a provisional diagnosis 122 00:07:27,720 --> 00:07:31,040 based on her symptoms and ordered the X-ray to confirm it. 123 00:07:31,075 --> 00:07:34,200 He did nothing wrong. But pneumonia can be treated. 124 00:07:34,235 --> 00:07:35,725 It doesn't kill people. 125 00:07:35,760 --> 00:07:38,485 It can if complicated by chemical pneumonitis. 126 00:07:38,520 --> 00:07:41,900 Which is? The lungs become inflamed by an irritant. 127 00:07:41,935 --> 00:07:45,245 The patient was feverish and lost consciousness. 128 00:07:45,280 --> 00:07:48,765 She must have aspirated some of her stomach contents. 129 00:07:48,800 --> 00:07:52,800 And it can happen that quickly? One minute OK, next minute dead? 130 00:07:52,835 --> 00:07:56,057 If the registrar who was treating her recognised it sooner, 131 00:07:56,092 --> 00:07:59,245 we might have saved her, but there's no way of knowing. 132 00:07:59,280 --> 00:08:03,600 You were the one treating her. No, you want to speak to Dr Grant. 133 00:08:03,635 --> 00:08:06,240 And I think he's at lunch. 134 00:08:11,480 --> 00:08:15,005 This is starting to feel like pass the parcel. 135 00:08:15,040 --> 00:08:17,960 If you see Mr Morton, please extend my condolences. 136 00:08:17,995 --> 00:08:20,240 You were treating Suzanne in the ER. 137 00:08:20,275 --> 00:08:22,245 Er, the ED. 138 00:08:22,280 --> 00:08:26,480 Only briefly. We were still waiting for her X-rays to come back. 139 00:08:26,515 --> 00:08:28,857 Sadly, by the time they did... 140 00:08:28,892 --> 00:08:31,165 So just exactly how ill was she? 141 00:08:31,200 --> 00:08:34,520 We were told it was a chest infection, possibly pneumonia, 142 00:08:34,555 --> 00:08:36,400 nothing immediately life-threatening. 143 00:08:36,435 --> 00:08:38,125 No, she was extremely ill. 144 00:08:38,160 --> 00:08:41,960 If we'd known what we were dealing with she'd have been moved to ITU. 145 00:08:41,995 --> 00:08:44,320 But sadly... (MICROWAVE BEEPS) 146 00:08:44,355 --> 00:08:46,600 Yeah, it's all pretty sad. 147 00:08:50,600 --> 00:08:53,680 If that's everything you need... Yes. 148 00:08:53,715 --> 00:08:55,200 Thanks for your help. 149 00:08:57,240 --> 00:08:58,845 What help? 150 00:08:58,880 --> 00:09:01,160 I was using the term loosely. 151 00:09:04,880 --> 00:09:08,885 So she had mild bronchitis, she had chemical pneumonitis, 152 00:09:08,920 --> 00:09:12,485 she was dramatising her symptoms, she should have been in ITU. 153 00:09:12,520 --> 00:09:16,480 The only thing that everyone agrees on is that no-one did anything wrong. 154 00:09:17,600 --> 00:09:21,020 Is it any clearer in the notes? Oh, yeah, as mud. 155 00:09:21,055 --> 00:09:24,440 Basically we could be dealing with another Dr Crippen 156 00:09:24,475 --> 00:09:26,085 and I would not have a clue. 157 00:09:26,120 --> 00:09:28,605 Judging from some of the handwriting, 158 00:09:28,640 --> 00:09:31,685 I'd say half these doctors were serial killers. 159 00:09:31,720 --> 00:09:35,800 Give me a shooting in an alley. At least I can spot a smoking gun. 160 00:09:35,835 --> 00:09:37,885 Look at this. 161 00:09:37,920 --> 00:09:43,240 There's a word crossed out here that looks like it says 'codename'. 162 00:09:43,275 --> 00:09:46,085 What, in the notes? No, on the chart. 163 00:09:46,120 --> 00:09:49,000 Are you allowed to cross something out on a chart? 164 00:09:49,035 --> 00:09:52,120 Isn't it an official record? I've no idea. 165 00:09:53,720 --> 00:09:57,160 I think we ought to arrange a rendezvous with Deep Throat. 166 00:09:58,360 --> 00:10:00,120 Hm. Not the porn film! 167 00:10:00,155 --> 00:10:01,805 (CHUCKLES) 168 00:10:01,840 --> 00:10:04,405 Any mistake should be clearly initialled. 169 00:10:04,440 --> 00:10:07,325 But if someone's in a rush, they might forget. 170 00:10:07,360 --> 00:10:10,640 Would you ever get staff going back to amend the charts, 171 00:10:10,675 --> 00:10:13,357 correct something if they've got it wrong? 172 00:10:13,392 --> 00:10:16,040 They'd be tampering with hospital records, 173 00:10:16,075 --> 00:10:18,045 which is definitely illegal. 174 00:10:18,080 --> 00:10:20,845 Could that be what's happened? It's possible. 175 00:10:20,880 --> 00:10:24,200 Someone crossed 'codeine' out and wrote 'paracetamol'. 176 00:10:24,235 --> 00:10:26,885 Not 'codename'. They're common painkillers. 177 00:10:26,920 --> 00:10:30,125 The prescribing doctor could have changed their mind. 178 00:10:30,160 --> 00:10:33,840 So if Suzanne Morton was given codeine rather than paracetamol 179 00:10:33,875 --> 00:10:36,125 what difference would that have made? 180 00:10:36,160 --> 00:10:39,445 There are situations where codeine's contra-indicated. 181 00:10:39,480 --> 00:10:43,200 Meaning? There's a good reason why you shouldn't prescribe it. 182 00:10:43,235 --> 00:10:45,680 But that would have been noted on admission. 183 00:10:47,080 --> 00:10:50,360 It should be at the beginning of her notes. It's not there? 184 00:10:50,395 --> 00:10:52,760 There's a report by the triage nurse. 185 00:10:54,600 --> 00:10:57,060 It stops halfway through. 186 00:10:57,095 --> 00:10:59,520 There's a page missing. 187 00:11:00,840 --> 00:11:04,640 Oh. Looks like we've just found our smoking gun. 188 00:11:13,920 --> 00:11:17,320 Do we have any idea who could have changed the name of the drug on this chart? 189 00:11:17,355 --> 00:11:20,257 Any of the staff could have had access, guv. 190 00:11:20,292 --> 00:11:23,125 The handwriting looks a lot like Dr Grant's. 191 00:11:23,160 --> 00:11:26,200 He was the registrar treating Suzanne Morton, so... 192 00:11:26,235 --> 00:11:28,605 Why don't we bring him in and push him a bit? 193 00:11:28,640 --> 00:11:31,980 No. I want to know what was in that missing patient history. 194 00:11:32,015 --> 00:11:35,320 We've got to be sure this is a cover-up, not a coincidence. 195 00:11:35,355 --> 00:11:37,960 Is that Suzanne's dad? Yeah. 196 00:11:37,995 --> 00:11:39,480 He's been in every day. 197 00:11:42,040 --> 00:11:44,240 Hi. Sorry to keep you waiting. 198 00:11:44,275 --> 00:11:46,440 Go in and have a little chat? 199 00:11:50,440 --> 00:11:52,205 Suzie was an anxious young woman 200 00:11:52,240 --> 00:11:54,485 with a history of serious depression. 201 00:11:54,520 --> 00:11:58,360 Sadly, we finally found a way of managing it effectively. 202 00:11:58,395 --> 00:11:59,965 Was she on medication? 203 00:12:00,000 --> 00:12:03,860 I referred her to an adolescent psychiatrist in her early teens, 204 00:12:03,895 --> 00:12:07,720 and over the past five years, she'd been on every antidepressant 205 00:12:07,755 --> 00:12:09,285 with very little success. 206 00:12:09,320 --> 00:12:12,520 As a last resort we tried her on phenelzine sulphate, 207 00:12:12,555 --> 00:12:14,165 and that really helped. 208 00:12:14,200 --> 00:12:16,780 And would this... phenelzine sulphate... 209 00:12:16,815 --> 00:12:19,360 Can you take that along with other drugs? 210 00:12:19,395 --> 00:12:21,845 Painkillers? You have to be careful. 211 00:12:21,880 --> 00:12:25,320 If you combine phenelzine with an opiate-based analgesic, 212 00:12:25,355 --> 00:12:27,565 then it would prove fatal. 213 00:12:27,600 --> 00:12:30,600 Opiate-based? Morphine, codeine, that type of thing. 214 00:12:33,360 --> 00:12:38,840 OK, the tox screen shows paracetamol, it shows aspirin 215 00:12:38,875 --> 00:12:40,445 and an antihistamine. 216 00:12:40,480 --> 00:12:43,400 What about phenelzine sulphate? Not on this test. 217 00:12:43,435 --> 00:12:45,845 But we know the girl was taking it. 218 00:12:45,880 --> 00:12:49,680 She may have been, but it would not show up on the standard test. 219 00:12:49,715 --> 00:12:51,957 Brilliant. Does that go for codeine? 220 00:12:51,992 --> 00:12:54,356 Depends how long she was taking it for. 221 00:12:54,391 --> 00:12:56,685 Why don't you order another tox screen 222 00:12:56,720 --> 00:13:01,600 that shows up whether phenelzine or codeine's in the girl's system, urgently? 223 00:13:01,635 --> 00:13:03,445 These tests don't come cheap. 224 00:13:03,480 --> 00:13:06,400 You may not have heard we've had some budget cuts. 225 00:13:06,435 --> 00:13:08,525 We'll have a whip round. 226 00:13:08,560 --> 00:13:11,360 Fine. But it won't be before tomorrow. 227 00:13:11,395 --> 00:13:13,125 And you're wasting your time. 228 00:13:13,160 --> 00:13:16,400 You'd have to be an idiot to take codeine with phenelzine. 229 00:13:16,435 --> 00:13:18,400 It could kill you. 230 00:13:19,520 --> 00:13:21,680 Deep breaths, son. Come on, let's go. 231 00:13:25,440 --> 00:13:29,680 It was a busy night. I wrote codeine but I gave her paracetamol. 232 00:13:29,715 --> 00:13:32,600 Why didn't you put your initials to the correction? 233 00:13:32,635 --> 00:13:34,680 It was busy. I must have forgotten. 234 00:13:34,715 --> 00:13:36,760 It was a simple mistake. 235 00:13:37,880 --> 00:13:42,560 Did you know that some of Suzanne Morton's patient history notes had gone missing? 236 00:13:42,595 --> 00:13:46,160 Notes go missing in the emergency department all the time. 237 00:13:47,280 --> 00:13:50,640 Anyway, the girl died of pneumonia-related complications 238 00:13:50,675 --> 00:13:53,005 that had nothing to do with her history. 239 00:13:53,040 --> 00:13:56,440 Not even the heavy duty antidepressants she was on? 240 00:13:56,475 --> 00:13:57,965 Sorry? 241 00:13:58,000 --> 00:14:01,720 She'd been taking phenelzine sulphate for the last six months. 242 00:14:01,755 --> 00:14:03,800 Surely that was on the history. 243 00:14:03,835 --> 00:14:06,565 Um, no. No, it wasn't. 244 00:14:06,600 --> 00:14:09,485 That is odd, because the triage nurse is pretty sure 245 00:14:09,520 --> 00:14:13,080 that she included a full history, including current medication. 246 00:14:13,115 --> 00:14:16,640 Either way, I wrote the wrong drug on the chart, that's all. 247 00:14:16,675 --> 00:14:19,040 Haven't you ever made a mistake? 248 00:14:19,075 --> 00:14:22,285 Yes, of course, Dr Grant. 249 00:14:22,320 --> 00:14:26,880 Difference is, when you make one, people end up dying. 250 00:14:28,440 --> 00:14:32,165 This is crazy! I didn't cause Suzanne Morton's death. 251 00:14:32,200 --> 00:14:36,285 Fine. We'll see if the tox screen agrees with you, shall we? 252 00:14:36,320 --> 00:14:40,440 I thought they'd already done the post-mortem. We decided to dig deeper. 253 00:14:45,040 --> 00:14:47,160 I thought he was going to throw up. 254 00:14:47,195 --> 00:14:49,245 Sounds like a guilty conscience. 255 00:14:49,280 --> 00:14:51,900 Even if the drugs show up on the tox screen, 256 00:14:51,935 --> 00:14:54,485 no-one witnessed Grant give her the injection. 257 00:14:54,520 --> 00:14:59,080 It makes sense, though. He messed up, she died, he panicked, tried to cover it up. 258 00:14:59,115 --> 00:15:02,480 Scratched out her name, tore a page out and hoped for the best. 259 00:15:02,515 --> 00:15:04,165 Not exactly a mastermind. 260 00:15:04,200 --> 00:15:07,880 Still, if we hadn't have gone looking no-one would have noticed. 261 00:15:07,915 --> 00:15:11,520 Makes you wonder what else he's got away with. Cheers. 262 00:15:14,720 --> 00:15:17,880 Positive for phenelzine, positive for codeine. OK. 263 00:15:17,915 --> 00:15:20,685 This is not a coincidence. Bring him in. 264 00:15:20,720 --> 00:15:24,880 So it's Dr Grant. We'd just like another chat with him. 265 00:15:24,915 --> 00:15:27,965 I should have known. What makes you say that? 266 00:15:28,000 --> 00:15:30,925 The nurses know when someone's out of their depth. 267 00:15:30,960 --> 00:15:34,480 Half the time he called in Dr Austen cos he hadn't a clue. 268 00:15:34,515 --> 00:15:36,960 Maybe he's on his rounds in CDU. 269 00:15:38,160 --> 00:15:40,480 Cathy. Yes. Do you have Dr Grant with you? 270 00:15:43,480 --> 00:15:45,365 OK. 271 00:15:45,400 --> 00:15:49,440 He didn't turn up for his shift and nobody's seen him since yesterday. 272 00:15:51,160 --> 00:15:54,365 Checked his flat, no sign, but his car is still outside. 273 00:15:54,400 --> 00:15:58,200 Got uniformed trying the neighbours but they're mostly at work. 274 00:15:58,235 --> 00:16:00,777 We've stationed officers at the hospital, 275 00:16:00,812 --> 00:16:03,285 but no-one's seen him since yesterday. 276 00:16:03,320 --> 00:16:06,100 Spoken to the family? Trying to track them down. 277 00:16:06,135 --> 00:16:08,880 If we didn't think he was guilty before, we do now. 278 00:16:08,915 --> 00:16:11,085 We've got a hit on Grant's credit card. 279 00:16:11,120 --> 00:16:14,360 He's bought a ticket at St Pancras International. Paris? 280 00:16:14,395 --> 00:16:17,000 Bruges. The next train's in 45 minutes. Come on. 281 00:16:26,280 --> 00:16:30,160 Exits are covered, but no platform announcement yet. 282 00:16:30,195 --> 00:16:31,880 He could be anywhere. Fan out. 283 00:16:39,400 --> 00:16:43,640 I wonder if you could help us. Do you recognise this man? 284 00:16:44,720 --> 00:16:46,360 Excuse me. 285 00:17:21,360 --> 00:17:23,845 All units, got eyeballs on the suspect. 286 00:17:23,880 --> 00:17:27,560 He's halfway down the concourse outside international arrivals 287 00:17:27,595 --> 00:17:29,405 in a blue cagoule with a holdall. 288 00:17:29,440 --> 00:17:34,480 Suspect is on the move. He's heading back along the concourse towards me. 289 00:17:34,515 --> 00:17:36,800 Suspect on the move. Excuse me, ladies. 290 00:17:54,320 --> 00:17:55,880 (HEAVY BREATHING) 291 00:18:03,760 --> 00:18:07,040 Dr Adrian Grant, this is DS Matt Devlin. 292 00:18:07,075 --> 00:18:08,560 I need you to open up. 293 00:18:09,640 --> 00:18:10,845 Right. 294 00:18:10,880 --> 00:18:14,760 Seriously, doc, either you come out or I'm coming in, yeah? 295 00:18:21,320 --> 00:18:22,925 Dr Adrian Grant, 296 00:18:22,960 --> 00:18:27,080 I'm arresting you on suspicion of the manslaughter of Suzanne Morton. 297 00:18:27,115 --> 00:18:29,720 (RECITES CAUTION) 298 00:18:37,400 --> 00:18:39,600 Hope you let him wash his hands first. 299 00:18:47,440 --> 00:18:50,560 I really don't think I want to say anything at this stage. 300 00:18:56,600 --> 00:19:00,740 I'd say trying to skip the country speaks volumes, wouldn't you? 301 00:19:00,775 --> 00:19:04,880 I panicked. I didn't know what else to do. They'd been too clever. 302 00:19:04,915 --> 00:19:07,445 Sorry - 'they'? Who's 'they', Dr Grant? 303 00:19:07,480 --> 00:19:10,445 Austen, Mills, the nurses, the whole lot of them, 304 00:19:10,480 --> 00:19:13,840 they're all in on it and they've lied to make me take the fall. 305 00:19:13,875 --> 00:19:17,400 So it's all one big conspiracy? Yes, yes, it is. 306 00:19:17,435 --> 00:19:19,837 And what, they put a gun to your head? 307 00:19:19,872 --> 00:19:22,240 Made you give Suzanne Morton the codeine? 308 00:19:22,275 --> 00:19:24,645 I didn't give her anything. 309 00:19:24,680 --> 00:19:26,800 It was Austen. He gave the injection. 310 00:19:26,835 --> 00:19:28,325 I just filled in the chart. 311 00:19:28,360 --> 00:19:31,400 I didn't know it was wrong, not till the girl had died. 312 00:19:31,435 --> 00:19:34,297 When you changed 'codeine' to 'paracetamol'. 313 00:19:34,332 --> 00:19:37,106 You're not listening. I didn't change anything. 314 00:19:37,141 --> 00:19:39,845 That was Christine. Christine Mills. I see. 315 00:19:39,880 --> 00:19:42,880 They really are all in on it. Yes. Yes, they are. 316 00:19:43,920 --> 00:19:44,960 Hm. 317 00:19:46,080 --> 00:19:48,485 Funny you never mentioned that before. 318 00:19:48,520 --> 00:19:51,320 Christine told me to keep quiet and it'd be OK. 319 00:19:51,355 --> 00:19:54,120 She said they'd tell the family it was pneumonia. 320 00:19:54,155 --> 00:19:56,125 You told Morton it was pneumonia. 321 00:19:56,160 --> 00:19:58,720 Didn't you speak to him the next day? Yes. 322 00:19:58,755 --> 00:20:01,245 But only because I had to go along with it. 323 00:20:01,280 --> 00:20:04,840 They gave me no choice. Let me get this straight. 324 00:20:04,875 --> 00:20:07,645 Dr Edward Austen just walks onto the ward 325 00:20:07,680 --> 00:20:10,960 and randomly gives your patient, Suzanne Morton, 326 00:20:10,995 --> 00:20:12,857 an injection of codeine. 327 00:20:12,892 --> 00:20:14,685 He's erratic sometimes. 328 00:20:14,720 --> 00:20:18,120 Ask anyone. Everyone in the hospital knows he's a drinker. 329 00:20:18,155 --> 00:20:21,520 And Dr Mills, is she a drinker too? No, of course not. 330 00:20:21,555 --> 00:20:24,045 But she'll do anything to protect Austen. 331 00:20:24,080 --> 00:20:27,440 She's got a thing for him. Has done for years. 332 00:20:30,280 --> 00:20:34,240 You've no idea what it's like. They all stick together. 333 00:20:35,320 --> 00:20:37,080 A code of silence. 334 00:20:38,680 --> 00:20:42,520 It's like dealing with the medical Mafia. Cosa Nostra and the NHS. 335 00:20:42,555 --> 00:20:44,440 I swear I'm telling the truth! 336 00:20:45,960 --> 00:20:49,840 So basically Dr Grant is going for the Shaggy defence. 337 00:20:49,875 --> 00:20:52,560 It wasn't me. Exactly. 338 00:20:52,595 --> 00:20:53,845 What? 339 00:20:53,880 --> 00:20:57,220 Young person's music, Matty. My girls keep me with it. 340 00:20:57,255 --> 00:21:00,560 You were doing really well till you said 'with it'. 341 00:21:00,595 --> 00:21:02,840 It still may not be enough to charge him. 342 00:21:02,875 --> 00:21:05,325 What? You are kidding, right? 343 00:21:05,360 --> 00:21:08,640 The only real evidence is his handwriting on the chart. 344 00:21:08,675 --> 00:21:11,080 And the drugs in Suzanne Morton's system. 345 00:21:11,115 --> 00:21:13,165 And the one-way ticket to Belgium. 346 00:21:13,200 --> 00:21:16,040 Come on, Alesha, if he's not guilty, why does he run? 347 00:21:18,040 --> 00:21:20,360 There's someone I think you should meet. 348 00:21:22,600 --> 00:21:26,320 Just flown in from Milan, wants to know why we're looking for him. 349 00:21:26,355 --> 00:21:29,360 And are we looking for him? I believe we are, yes. 350 00:21:29,395 --> 00:21:31,200 That's Dr Adrian Grant. 351 00:21:32,320 --> 00:21:36,480 If that's Adrian Grant... Then who the hell is he? 352 00:21:46,880 --> 00:21:49,445 I was at an MSF conference in Italy 353 00:21:49,480 --> 00:21:52,080 when I got this crazy phone call from my mum 354 00:21:52,115 --> 00:21:54,645 saying that the police were looking for me. 355 00:21:54,680 --> 00:21:57,920 And you've been working in Haiti for the last year? Yeah. 356 00:21:57,955 --> 00:21:59,725 And Burkina Faso before that. 357 00:21:59,760 --> 00:22:02,100 I joined the Medecins Sans Frontieres 358 00:22:02,135 --> 00:22:04,440 when I finished my foundation training. 359 00:22:04,475 --> 00:22:06,205 I wanted to do my bit. 360 00:22:06,240 --> 00:22:09,045 And you haven't worked in this country since? No. 361 00:22:09,080 --> 00:22:13,080 Try telling my mum. She's convinced I've been lying the last two years. 362 00:22:14,480 --> 00:22:16,840 Do you recognise this man? Yeah. 363 00:22:16,875 --> 00:22:18,960 Yeah, it's Ian. Ian Naylor. 364 00:22:22,520 --> 00:22:24,245 And how do you know Dr Naylor? 365 00:22:24,280 --> 00:22:26,960 We shared a flat together for a couple of months 366 00:22:26,995 --> 00:22:28,605 just before I went away. 367 00:22:28,640 --> 00:22:31,400 But Ian's not a doctor, he's a chiropodist. 368 00:22:34,680 --> 00:22:36,525 Ian Naylor and Adrian Grant 369 00:22:36,560 --> 00:22:39,085 were medical students together at Durham 370 00:22:39,120 --> 00:22:42,445 until Naylor failed his second-year exams and dropped out. 371 00:22:42,480 --> 00:22:46,000 They lost touch, but Grant was looking for a place two years back 372 00:22:46,035 --> 00:22:47,605 and Naylor had a room going. 373 00:22:47,640 --> 00:22:50,800 Naylor trained as a chiropodist but never practised. 374 00:22:50,835 --> 00:22:52,725 Can't blame him. All those feet. 375 00:22:52,760 --> 00:22:56,640 When Grant went to Africa he left some stuff in storage with Naylor - 376 00:22:56,675 --> 00:23:00,760 personal papers, medical qualifications, birth certificate. 377 00:23:00,795 --> 00:23:03,045 And Naylor just helped himself? Yeah. 378 00:23:03,080 --> 00:23:07,280 Borrowed the birth certificate, applied for a new passport and licence, 379 00:23:07,315 --> 00:23:10,685 then got a job at the Alderman with Grant's qualifications. 380 00:23:10,720 --> 00:23:14,760 Passing himself off as a doctor at a major London teaching hospital. 381 00:23:14,795 --> 00:23:16,285 Reassuring, isn't it? 382 00:23:16,320 --> 00:23:19,960 White coat, stethoscope, people believe anything you say. 383 00:23:19,995 --> 00:23:22,205 Bit like a wig and a gown. 384 00:23:22,240 --> 00:23:26,440 Too right. I've been getting away with it for years. 385 00:23:28,720 --> 00:23:32,240 The Prime Minister had his adenoids removed at the Alderman. 386 00:23:32,275 --> 00:23:35,520 He was very impressed by the staff's professionalism. 387 00:23:35,555 --> 00:23:37,485 That's come back to bite him. 388 00:23:37,520 --> 00:23:40,680 Well and truly. A rogue chiropodist stalking the wards. 389 00:23:40,715 --> 00:23:42,365 The stuff of PR nightmares. 390 00:23:42,400 --> 00:23:45,200 A lot of people would like this to go away ASAP. 391 00:23:45,235 --> 00:23:47,977 Have to wait for the medical negligence inquiry. 392 00:23:48,012 --> 00:23:50,720 So far we've got Naylor on at least ten counts. 393 00:23:50,755 --> 00:23:53,240 Fraud by false representation, forgery, 394 00:23:53,275 --> 00:23:55,445 false instruments, manslaughter. 395 00:23:55,480 --> 00:23:59,000 We've had the call from the defence. Robinson wants to meet. 396 00:23:59,035 --> 00:24:01,997 I'm expecting a straight guilty plea on the fraud. 397 00:24:02,032 --> 00:24:04,925 Take it. We can prosecute for the rest down the line. 398 00:24:04,960 --> 00:24:08,920 So long as we do. Naylor wasn't just playing doctor, he killed someone. 399 00:24:08,955 --> 00:24:12,000 When we can, we will. For now let's focus on the fraud. 400 00:24:12,035 --> 00:24:14,840 It's not like Naylor's got a foot to stand on. 401 00:24:14,875 --> 00:24:17,200 Foot. Chiropodist. No? 402 00:24:18,280 --> 00:24:21,080 My client will plead to two main counts of fraud. 403 00:24:21,115 --> 00:24:23,085 What about the other eight counts? 404 00:24:23,120 --> 00:24:27,160 A guilty plea would eliminate the need for a long, costly trial. 405 00:24:27,195 --> 00:24:28,725 Very cost conscious. 406 00:24:28,760 --> 00:24:31,320 And bearing in mind my clients mental state - 407 00:24:31,355 --> 00:24:33,045 What mental state is that? 408 00:24:33,080 --> 00:24:36,420 Mr Naylor's seeing an expert in delusional behaviour. 409 00:24:36,455 --> 00:24:39,967 She's helped him understand what triggered the events. 410 00:24:40,002 --> 00:24:43,445 Really? Some kind of deep-seated trauma, I presume. 411 00:24:43,480 --> 00:24:48,120 I had some emotional problems when I was a medical student. 412 00:24:48,155 --> 00:24:51,200 I now see that I had some kind of breakdown. 413 00:24:51,235 --> 00:24:52,925 Mr Naylor, in this case, 414 00:24:52,960 --> 00:24:55,605 your mental state can't be used as a defence. 415 00:24:55,640 --> 00:24:59,000 Can we agree to drop this groundless manslaughter charge? 416 00:24:59,035 --> 00:25:00,765 I'd hardly call it groundless. 417 00:25:00,800 --> 00:25:03,640 My Naylor has identified an alcoholic colleague 418 00:25:03,675 --> 00:25:06,245 as responsible for Suzanne Morton's death. 419 00:25:06,280 --> 00:25:10,840 No-one supports his allegations, leaving him holding the syringe. 420 00:25:10,875 --> 00:25:13,805 No! You're not pinning that girl's death on me. 421 00:25:13,840 --> 00:25:17,040 It was Austen. I don't care what his cronies have told you. 422 00:25:17,075 --> 00:25:18,645 Talk to the junior doctors. 423 00:25:18,680 --> 00:25:21,365 Simonson nearly lost a patient because of him. 424 00:25:21,400 --> 00:25:25,400 It was about six months ago. This guy, 25, basically healthy, 425 00:25:25,435 --> 00:25:28,085 walks in with the worst headache of his life. 426 00:25:28,120 --> 00:25:31,100 Slight soreness in the neck. But it was ambiguous. 427 00:25:31,135 --> 00:25:34,080 And Dr Austen treated him? He prescribed morphine. 428 00:25:34,115 --> 00:25:35,845 Probably the worst thing. 429 00:25:35,880 --> 00:25:40,040 It masks the symptoms of meningitis, which is what the guy had. 430 00:25:40,075 --> 00:25:43,040 Dr Mills found it in time and he was OK in the end, but - 431 00:25:43,075 --> 00:25:45,737 It could have ended very differently. 432 00:25:45,772 --> 00:25:48,400 I don't want to get anyone into trouble. 433 00:25:48,435 --> 00:25:50,285 It's just one of those things. 434 00:25:50,320 --> 00:25:53,880 Is that the only time Austen made a mistake like that? Yes. 435 00:25:53,915 --> 00:25:56,037 I mean, I don't know. 436 00:25:56,072 --> 00:25:58,125 People make mistakes. 437 00:25:58,160 --> 00:26:00,920 And Dr Austen is getting older. He gets tired. 438 00:26:00,955 --> 00:26:02,720 Especially since his accident. 439 00:26:04,400 --> 00:26:08,800 Naylor's sticking to his story but no-one will back him up about the drinking. 440 00:26:08,835 --> 00:26:11,857 Even with one confirmed incident of misdiagnosis, 441 00:26:11,892 --> 00:26:14,880 the general attitude is you win some, you lose some. 442 00:26:14,915 --> 00:26:16,645 Yeah, well, 443 00:26:16,680 --> 00:26:21,600 Dr Austen may well have been losing a few more than his share. 444 00:26:21,635 --> 00:26:24,280 What do you mean? We looked into those deaths. 445 00:26:24,315 --> 00:26:26,720 Naylor was attendant registrar for both, 446 00:26:26,755 --> 00:26:28,645 but the night Anna Jeffries died, 447 00:26:28,680 --> 00:26:30,840 he had an upset stomach and went home. 448 00:26:30,875 --> 00:26:32,397 Austen stepped in. 449 00:26:32,432 --> 00:26:33,885 And Carl Hobbs - 450 00:26:33,920 --> 00:26:37,085 his daughters reckon Naylor had a word with their dad 451 00:26:37,120 --> 00:26:41,000 and then handed over to 'some posh old bloke with grey hair'. Austen. 452 00:26:41,035 --> 00:26:43,485 So we got onto the Medical Negligence Team, 453 00:26:43,520 --> 00:26:46,485 who cross-reffed patients that they'd flagged up 454 00:26:46,520 --> 00:26:50,800 and it turns out that Austen's name comes up on another five files. 455 00:26:50,835 --> 00:26:55,080 So, what, Austen's been slowly losing his marbles and nobody's noticed? 456 00:26:55,115 --> 00:26:58,165 That is one explanation. However, there is another. 457 00:26:58,200 --> 00:27:02,440 Austen was done for drink driving several times in the late '80s, 458 00:27:02,475 --> 00:27:05,165 finally disqualified from driving in 1990, 459 00:27:05,200 --> 00:27:07,965 and his blood alcohol level was off the charts. 460 00:27:08,000 --> 00:27:11,800 The ward sister mentioned the car crash. He's been teetotal since. 461 00:27:11,835 --> 00:27:14,960 Could have fallen off the wagon. This sister's sharp. 462 00:27:14,995 --> 00:27:17,565 She'd notice someone smelling of booze. 463 00:27:17,600 --> 00:27:20,365 Although you'd be amazed what a person can hide. 464 00:27:20,400 --> 00:27:24,200 There was another crash. Austen came off his bike three years ago. 465 00:27:24,235 --> 00:27:27,040 Sister Logan said he was on painkillers to work. 466 00:27:27,075 --> 00:27:29,525 Simonson says Austen's never been the same. 467 00:27:29,560 --> 00:27:32,405 He was in pain, having trouble coping with work. 468 00:27:32,440 --> 00:27:36,200 Couple of Nurofen Plus taken in the right or the wrong state of mind, 469 00:27:36,235 --> 00:27:39,080 well, that's nearly as good as a stiff whisky. 470 00:27:39,115 --> 00:27:40,600 And a lot easier to hide. 471 00:27:43,760 --> 00:27:45,285 Very straightforward. 472 00:27:45,320 --> 00:27:49,520 Some hooligan in a van turned left without indicating, 473 00:27:49,555 --> 00:27:51,885 and Teddy took the brunt of it. 474 00:27:51,920 --> 00:27:55,880 I understand he was prescribed painkillers for his back injury. 475 00:27:55,915 --> 00:27:57,845 Of course. The man was in agony. 476 00:27:57,880 --> 00:28:01,240 Even with the codeine he was bed-bound for nearly a month. 477 00:28:01,275 --> 00:28:02,805 Do you prescribe codeine 478 00:28:02,840 --> 00:28:05,520 for a patient with a history of alcohol abuse? 479 00:28:05,555 --> 00:28:07,165 History of what? 480 00:28:07,200 --> 00:28:11,160 Dr Austen lost his licence after a string of drink-driving offences. 481 00:28:11,195 --> 00:28:14,880 That was years ago! Teddy sorted himself out after that. 482 00:28:14,915 --> 00:28:17,337 I wasn't going to withhold pain relief 483 00:28:17,372 --> 00:28:19,725 because he used to like a few drinks. 484 00:28:19,760 --> 00:28:22,720 Did Dr Austen ever ask for a repeat prescription? 485 00:28:22,755 --> 00:28:25,125 I can't discuss that. 486 00:28:25,160 --> 00:28:29,280 Well, might he have continued prescribing it for himself? 487 00:28:29,315 --> 00:28:31,045 You'd have to ask him. 488 00:28:31,080 --> 00:28:33,920 If he did, it would have been perfectly legal. 489 00:28:33,955 --> 00:28:36,445 The man's a doctor. 490 00:28:36,480 --> 00:28:40,005 Well, that's all right then. 491 00:28:40,040 --> 00:28:43,640 GMC guidelines say a doctor should avoid self-prescribing, 492 00:28:43,675 --> 00:28:46,125 but there aren't statutory restrictions. 493 00:28:46,160 --> 00:28:49,880 He can write as many as he likes. He'd still need to get them filled. 494 00:28:49,915 --> 00:28:51,485 The hospital pharmacy? 495 00:28:51,520 --> 00:28:54,880 If he has a drug problem, he's not getting them from there. 496 00:28:54,915 --> 00:28:56,965 And the staff? I got more of the same. 497 00:28:57,000 --> 00:29:01,060 Austen's highly competent, sometimes patients die, blah-blah. 498 00:29:01,095 --> 00:29:05,120 Pushed about medical errors, everyone clammed up. Not everyone. 499 00:29:06,160 --> 00:29:07,925 So you now want to question 500 00:29:07,960 --> 00:29:10,200 Mr Naylor as a potential witness? 501 00:29:10,235 --> 00:29:11,805 It's one simple question. 502 00:29:11,840 --> 00:29:13,805 My client would be happy to answer, 503 00:29:13,840 --> 00:29:16,920 assuming you're dropping the manslaughter charge. 504 00:29:16,955 --> 00:29:18,965 Let's not get ahead of ourselves. 505 00:29:19,000 --> 00:29:22,900 Then perhaps we should discuss my previous proposal about fraud. 506 00:29:22,935 --> 00:29:26,800 You realise I was the only one who saw Austen give the injection? 507 00:29:26,835 --> 00:29:30,040 I'm not here to bargain with you, Mr Naylor. 508 00:29:30,075 --> 00:29:31,685 Of course not. 509 00:29:31,720 --> 00:29:34,365 It's just easy to get confused about things. 510 00:29:34,400 --> 00:29:37,800 Especially with all these different charges hanging over me. 511 00:29:39,600 --> 00:29:43,840 At the moment, your entire defence against killing Suzanne Morton 512 00:29:43,875 --> 00:29:47,245 is based upon your accusation against Dr Austen. 513 00:29:47,280 --> 00:29:51,120 Withdraw that statement and you'll go back to being the prime suspect. 514 00:29:53,400 --> 00:29:55,440 But hey, it's up to you. 515 00:29:56,640 --> 00:30:01,120 Who knows, you might enjoy the extra time in prison. 516 00:30:08,120 --> 00:30:11,040 You could have dropped the manslaughter charge. 517 00:30:11,075 --> 00:30:12,725 Wasn't that what we agreed? 518 00:30:12,760 --> 00:30:16,000 Then we still thought Naylor was guilty. But now we don't. 519 00:30:16,035 --> 00:30:18,565 No. And now he's trying to blackmail us. 520 00:30:18,600 --> 00:30:21,440 Sometimes criminals can be less then ethical. 521 00:30:21,475 --> 00:30:24,085 Still, life's all about compromise. 522 00:30:24,120 --> 00:30:27,520 There was no need to compromise. Naylor was bluffing. 523 00:30:27,555 --> 00:30:30,920 The only thing linking Austen to Suzanne Morton's death 524 00:30:30,955 --> 00:30:32,685 is Naylor's statement. 525 00:30:32,720 --> 00:30:35,400 He won't go back on it. He's got too much to lose. 526 00:30:35,435 --> 00:30:37,085 Doesn't that worry you? 527 00:30:37,120 --> 00:30:40,280 He could be pointing the finger to save his own skin. 528 00:30:40,315 --> 00:30:43,440 He could be telling the truth. First time for everything. 529 00:30:43,475 --> 00:30:44,965 (KNOCK AT DOOR) 530 00:30:45,000 --> 00:30:48,000 Either way, could we lose the manslaughter charge 531 00:30:48,035 --> 00:30:50,640 before you end up in court with no evidence? 532 00:30:54,200 --> 00:30:57,840 Appalachian Mist. Autumn Sonata. They're all quite... 533 00:30:58,920 --> 00:31:01,000 Grey. Mm. 534 00:31:02,400 --> 00:31:04,165 Something you'd like to share? 535 00:31:04,200 --> 00:31:07,640 Naylor's pleading guilty to all counts relating to the fraud. 536 00:31:09,000 --> 00:31:11,925 Three years, which means he'll be out in 18 months. 537 00:31:11,960 --> 00:31:15,400 The going rate for impersonating a doctor? Apparently so. 538 00:31:15,435 --> 00:31:18,125 With a good sob story. This should cheer you up. 539 00:31:18,160 --> 00:31:23,200 Dr Austen gets regular prescriptions filled at 13 different places, 540 00:31:23,235 --> 00:31:25,285 all for codeine, all in his own name. 541 00:31:25,320 --> 00:31:29,040 One hell of a backache. He's got a nice little system going. 542 00:31:29,075 --> 00:31:32,285 Keeps them on rotation so no-one gets suspicious. 543 00:31:32,320 --> 00:31:35,520 Picks up only a month's worth from any one place at a time, 544 00:31:35,555 --> 00:31:37,285 but it's ramped up - 545 00:31:37,320 --> 00:31:41,280 in the last six months he's popping them in like Smarties. 546 00:31:41,315 --> 00:31:42,920 A wonder the man can stand up. 547 00:31:45,000 --> 00:31:48,060 This is insane. Edward Austen is not an addict! 548 00:31:48,095 --> 00:31:51,120 We have records from 13 different pharmacies 549 00:31:51,155 --> 00:31:52,765 dating back over three years 550 00:31:52,800 --> 00:31:55,085 which strongly suggest otherwise. 551 00:31:55,120 --> 00:31:57,920 We've already got what we need to prosecute Austen 552 00:31:57,955 --> 00:32:00,045 for gross negligence manslaughter. 553 00:32:00,080 --> 00:32:02,565 You need to start thinking about yourself. 554 00:32:02,600 --> 00:32:05,445 We know that Austen persuaded you to lie for him. 555 00:32:05,480 --> 00:32:10,000 At the least you're looking at a charge for perverting the course of justice. 556 00:32:10,035 --> 00:32:12,680 It wasn't like that. Then tell us what happened. 557 00:32:16,240 --> 00:32:18,840 I wasn't called until the girl arrested. 558 00:32:19,920 --> 00:32:23,600 When I looked through her notes I saw that she'd been on phenelzine 559 00:32:23,635 --> 00:32:25,685 and I confronted Dr Grant. 560 00:32:25,720 --> 00:32:32,480 Naylor. He said that he'd asked Dr Austen to take a look at her. 561 00:32:34,160 --> 00:32:37,760 And that he'd been the one to give her the codeine. 562 00:32:39,680 --> 00:32:41,325 So what did you do? 563 00:32:41,360 --> 00:32:43,680 Dr Austen was asleep in the on-call room. 564 00:32:43,715 --> 00:32:47,405 He was very groggy when I woke him. 565 00:32:47,440 --> 00:32:49,760 He had no idea he'd done anything wrong. 566 00:32:49,795 --> 00:32:52,845 He admitted giving the injection? 567 00:32:52,880 --> 00:32:56,365 I don't think he even noticed the phenelzine in her history. 568 00:32:56,400 --> 00:33:00,100 Any half-decent registrar would have flagged that up immediately. 569 00:33:00,135 --> 00:33:03,800 But he didn't have a half-decent registrar. He had Ian Naylor. 570 00:33:03,835 --> 00:33:06,880 I couldn't see him hung out to dry for one mistake. 571 00:33:10,720 --> 00:33:14,045 So I altered the chart and I removed the notes. 572 00:33:14,080 --> 00:33:17,000 So Austen told you to lie for him. He didn't have to. 573 00:33:17,035 --> 00:33:19,405 I wanted to help. 574 00:33:19,440 --> 00:33:21,565 But if I'd known about the addiction - 575 00:33:21,600 --> 00:33:24,640 You'd have thought twice about protecting a killer. 576 00:33:34,960 --> 00:33:38,600 When they searched Austen's house they found pills everywhere. 577 00:33:38,635 --> 00:33:41,125 Jacket pockets, behind radiators. 578 00:33:41,160 --> 00:33:43,365 He put a lot of them in aspirin bottles. 579 00:33:43,400 --> 00:33:47,040 His wife was oblivious. Her and the rest of the world. 580 00:33:47,075 --> 00:33:50,045 Medical degree from Oxford, trained at UCLH. 581 00:33:50,080 --> 00:33:53,780 One of the first registrars in his year to be made consultant. 582 00:33:53,815 --> 00:33:57,480 Alesha, I don't think you know Philip Nevins, Dr Austen's defence. 583 00:33:57,515 --> 00:34:01,080 Regular contributor to the Lancet and British Medical Journal 584 00:34:01,115 --> 00:34:02,677 on emergency medicine. 585 00:34:02,712 --> 00:34:04,205 Given the Halliwell Award 586 00:34:04,240 --> 00:34:07,160 for conspicuous services to health care in 2003. 587 00:34:07,195 --> 00:34:08,925 Does he walk on water too? 588 00:34:08,960 --> 00:34:11,725 He's a good man, Jacob, and a dedicated doctor. 589 00:34:11,760 --> 00:34:15,085 Not like the trash you usually spend your time prosecuting. 590 00:34:15,120 --> 00:34:19,140 The guy's two years off retirement and he's given his life to the NHS. 591 00:34:19,175 --> 00:34:23,160 Why destroy that? A patient died having been given the wrong drug. 592 00:34:23,195 --> 00:34:25,957 Manslaughter - drug administered by a consultant 593 00:34:25,992 --> 00:34:28,685 high on prescription medication at the time. 594 00:34:28,720 --> 00:34:33,000 Manslaughter, gross negligence. I guess we know where we stand. 595 00:34:33,035 --> 00:34:34,957 Guess so. 596 00:34:34,992 --> 00:34:36,845 (SIGHS) 597 00:34:36,880 --> 00:34:39,045 Suzanne Morton was still complaining 598 00:34:39,080 --> 00:34:41,565 about muscle pains when Dr Austen arrived. 599 00:34:41,600 --> 00:34:45,120 He examined her briefly, but he seemed tired and distracted. 600 00:34:45,155 --> 00:34:48,045 He only glanced over the patient history. 601 00:34:48,080 --> 00:34:51,520 He then administered an injection of codeine for the pain 602 00:34:51,555 --> 00:34:53,537 and left me to fill in the chart. 603 00:34:53,572 --> 00:34:55,520 Thank you. No further questions. 604 00:34:57,360 --> 00:35:01,160 Mr Naylor. That is your correct title, isn't it? 605 00:35:01,195 --> 00:35:03,725 Not Dr Naylor. 'Mister' is fine. 606 00:35:03,760 --> 00:35:06,840 Because you never qualified as a medical doctor. 607 00:35:06,875 --> 00:35:07,885 No. 608 00:35:07,920 --> 00:35:11,640 You're currently serving a three-year custodial sentence 609 00:35:11,675 --> 00:35:14,640 for fraud by false representation, are you not? 610 00:35:14,675 --> 00:35:16,165 That's correct. 611 00:35:16,200 --> 00:35:19,480 We're expected to believe the word of a convicted conman 612 00:35:19,515 --> 00:35:21,325 and professional fraudster. 613 00:35:21,360 --> 00:35:24,245 Dr Austen gave that patient the wrong medication. 614 00:35:24,280 --> 00:35:27,720 You stood by and let it happen. I didn't realise it was wrong. 615 00:35:27,755 --> 00:35:30,680 Of course you didn't, because you weren't a doctor. 616 00:35:30,715 --> 00:35:33,405 Given your complete lack of medical knowledge, 617 00:35:33,440 --> 00:35:36,920 you must have been a liability on the ward. That's not true. 618 00:35:36,955 --> 00:35:39,640 Who knows how many wrong prescriptions you made, 619 00:35:39,675 --> 00:35:41,325 how many misdiagnoses. 620 00:35:41,360 --> 00:35:43,165 My lord - I knew what I was doing. 621 00:35:43,200 --> 00:35:45,540 You thought you knew what you were doing. 622 00:35:45,575 --> 00:35:47,845 My lord, the witness is not on trial. 623 00:35:47,880 --> 00:35:51,720 I was as good as the other registrars. That was so frustrating. 624 00:35:51,755 --> 00:35:53,760 No further questions, my lord. 625 00:35:57,240 --> 00:35:58,765 If I may, my lord. 626 00:35:58,800 --> 00:36:02,325 My Naylor, you say it was frustrating. In what way? 627 00:36:02,360 --> 00:36:05,680 I knew I could treat the patients just as well as they could. 628 00:36:05,715 --> 00:36:08,640 But unlike them, I couldn't risk making a mistake. 629 00:36:09,840 --> 00:36:11,845 That's why I paged Austen. 630 00:36:11,880 --> 00:36:14,725 That's why I only ever did exactly what I was told, 631 00:36:14,760 --> 00:36:18,520 and I never prescribed a drug without checking with someone else. 632 00:36:18,555 --> 00:36:21,085 That's how I got away with it for so long. 633 00:36:21,120 --> 00:36:24,000 If I'd have messed up, I'd have lost everything. 634 00:36:27,000 --> 00:36:28,440 I wasn't that stupid. 635 00:36:34,200 --> 00:36:36,480 Dr Mills, you say Dr Austen admitted 636 00:36:36,515 --> 00:36:38,760 to having given the codeine injection. 637 00:36:38,795 --> 00:36:39,805 Yes. 638 00:36:39,840 --> 00:36:42,205 And what did he say when you asked him 639 00:36:42,240 --> 00:36:46,400 if he'd seen the reference to phenelzine sulphate in the patient's notes? 640 00:36:47,520 --> 00:36:49,925 I-I didn't ask him that question. 641 00:36:49,960 --> 00:36:54,060 So is it possible that, having asked for a second opinion, 642 00:36:54,095 --> 00:36:58,160 Mr Naylor simply gave a verbal summary of the patient history? 643 00:36:58,195 --> 00:37:00,165 Yes, it's possible. 644 00:37:00,200 --> 00:37:03,240 And is it also possible that he failed to realise 645 00:37:03,275 --> 00:37:06,077 the significance of the phenelzine sulphate, 646 00:37:06,112 --> 00:37:08,880 maybe even failed to mention it by name? 647 00:37:08,915 --> 00:37:10,605 I suppose so, yes. 648 00:37:10,640 --> 00:37:15,600 And you have worked closely with Dr Austen for the past eight years. 649 00:37:15,635 --> 00:37:17,565 Have you had reason to believe 650 00:37:17,600 --> 00:37:20,400 that he was suffering from any form of addiction? 651 00:37:20,435 --> 00:37:21,405 No. 652 00:37:21,440 --> 00:37:23,605 And this self-prescribed medication 653 00:37:23,640 --> 00:37:27,125 that m'learned friend has repeatedly drawn our attention to, 654 00:37:27,160 --> 00:37:31,240 these were painkillers for a genuine and serious injury, were they not? 655 00:37:31,275 --> 00:37:32,925 Yes. Yes, they were. 656 00:37:32,960 --> 00:37:36,480 And finally, Dr Mills, do you consider Dr Austen 657 00:37:36,515 --> 00:37:38,040 to be a good doctor? 658 00:37:39,760 --> 00:37:41,880 He's the best I've ever worked with. 659 00:37:43,800 --> 00:37:45,440 He's an inspiration. 660 00:37:52,280 --> 00:37:54,605 We were worried about the wrong witness. 661 00:37:54,640 --> 00:37:58,360 So what if Austen didn't read the history? He was still negligent. 662 00:37:58,395 --> 00:38:00,205 He prescribed without due care 663 00:38:00,240 --> 00:38:03,320 because his judgment was impaired by his addiction. 664 00:38:03,355 --> 00:38:06,365 I'm not sure the jury believes he has an addiction. 665 00:38:06,400 --> 00:38:09,880 My Suzy was 18. 18, with her whole life ahead of her. Security! 666 00:38:09,915 --> 00:38:12,005 And you took that away. Mr Morton - 667 00:38:12,040 --> 00:38:14,440 You put that needle in her arm, no-one else. 668 00:38:14,475 --> 00:38:16,405 And you won't admit you messed up. 669 00:38:16,440 --> 00:38:19,325 I'm truly sorry for what happened to your daughter. 670 00:38:19,360 --> 00:38:23,040 It wasn't my fault. There were a number of contributing factors. 671 00:38:23,075 --> 00:38:25,400 You have to understand. 672 00:38:27,240 --> 00:38:29,205 Get off me! 673 00:38:29,240 --> 00:38:32,560 You killed my Suzy, you murderer! 674 00:38:39,520 --> 00:38:43,080 You could see it when he talked to the dad. He knows he's to blame. 675 00:38:43,115 --> 00:38:45,560 He's hidden his addiction for three years. 676 00:38:45,595 --> 00:38:47,365 I'd say he's good at denial. 677 00:38:47,400 --> 00:38:49,725 Maybe this time. What about last time? 678 00:38:49,760 --> 00:38:53,000 When I asked Austen's doctor about the drink-driving, 679 00:38:53,035 --> 00:38:55,125 he said Teddy had sorted himself out. 680 00:38:55,160 --> 00:38:58,000 Not many people can give up drinking overnight. 681 00:38:58,035 --> 00:38:59,965 Maybe he had help, went into rehab. 682 00:39:00,000 --> 00:39:03,325 First step to recovery? Admitting you have an addiction. 683 00:39:03,360 --> 00:39:06,920 If Austen knew he was an addict when he started taking codeine, 684 00:39:06,955 --> 00:39:10,165 he knew the risks and what it could mean for his patients. 685 00:39:10,200 --> 00:39:14,440 In which case the crime happened before he even stepped onto the ward. 686 00:39:18,640 --> 00:39:21,360 Dr Austen, are you aware of an establishment 687 00:39:21,395 --> 00:39:23,977 called the Colson Clinic? 688 00:39:24,012 --> 00:39:26,525 I, erm, I don't know. 689 00:39:26,560 --> 00:39:30,280 You spent three months there in 1990, isn't that right? 690 00:39:30,315 --> 00:39:32,325 Yes, it is. 691 00:39:32,360 --> 00:39:35,740 Can you tell the court what kind of clinic it is? 692 00:39:35,775 --> 00:39:39,085 It's a centre for drug and alcohol rehabilitation. 693 00:39:39,120 --> 00:39:42,760 A centre that specifically caters for medical professionals 694 00:39:42,795 --> 00:39:44,325 with addiction problems. 695 00:39:44,360 --> 00:39:47,460 So you considered yourself to be an alcoholic. 696 00:39:47,495 --> 00:39:50,407 I considered myself to have a drink problem. 697 00:39:50,442 --> 00:39:53,285 Meaning that you couldn't control your drinking 698 00:39:53,320 --> 00:39:56,640 and needed professional help in order to stop. I suppose. 699 00:39:56,675 --> 00:39:59,805 I think that's what's meant by the term 'alcoholic'. 700 00:39:59,840 --> 00:40:04,320 Dr Austen, could you tell me the advice on prescribing codeine 701 00:40:04,355 --> 00:40:06,920 to patients with a history of alcohol abuse? 702 00:40:06,955 --> 00:40:08,760 It's generally avoided. 703 00:40:08,795 --> 00:40:10,600 Why is that? 704 00:40:11,720 --> 00:40:13,920 Actually, I have the information here. 705 00:40:13,955 --> 00:40:15,565 'Codeine is habit-forming 706 00:40:15,600 --> 00:40:18,060 and should not be prescribed to any patient 707 00:40:18,095 --> 00:40:20,520 with a history of drug or alcohol abuse 708 00:40:20,555 --> 00:40:22,617 due to high risk of addiction.' 709 00:40:22,652 --> 00:40:24,645 Does that sound about right? Yes. 710 00:40:24,680 --> 00:40:27,520 So, knowing you had a history of addiction, 711 00:40:27,555 --> 00:40:30,325 you chose to start taking a habit-forming drug. 712 00:40:30,360 --> 00:40:35,120 I hadn't had a drink for 17 years, I was in a great deal of pain. 713 00:40:36,200 --> 00:40:38,725 The benefits outweighed the risks. 714 00:40:38,760 --> 00:40:42,525 Yet, three years on, you are still taking that same drug. 715 00:40:42,560 --> 00:40:46,640 And we're not talking about a couple of headache pills here and there. 716 00:40:46,675 --> 00:40:50,085 You've been on doses way above the recommended guidelines. 717 00:40:50,120 --> 00:40:54,000 A closer equivalent would be half a bottle of vodka before work. 718 00:40:54,035 --> 00:40:55,717 It's hardly the same. 719 00:40:55,752 --> 00:40:57,365 Could you tell the court 720 00:40:57,400 --> 00:41:00,700 the common side effects of prolonged codeine use? 721 00:41:00,735 --> 00:41:04,000 They vary. But a patient may become distracted. 722 00:41:04,035 --> 00:41:06,400 Their responses dulled. 723 00:41:07,880 --> 00:41:12,160 They can experience fatigue or nausea, isn't that right? 724 00:41:12,195 --> 00:41:13,205 Mm-hm. 725 00:41:13,240 --> 00:41:16,760 It could affect someone's professional judgment. 726 00:41:16,795 --> 00:41:18,685 It might, but as I explained - 727 00:41:18,720 --> 00:41:22,120 They might read a document and miss crucial information. 728 00:41:22,155 --> 00:41:24,125 They might, but as I've explained - 729 00:41:24,160 --> 00:41:27,920 What's the correct dosage for diamorphine for a 50-year-old male? 730 00:41:27,955 --> 00:41:28,880 What? 731 00:41:30,120 --> 00:41:32,560 Er, yes. 732 00:41:32,595 --> 00:41:34,965 100mg. 733 00:41:35,000 --> 00:41:36,960 100? You're sure about that? 734 00:41:36,995 --> 00:41:38,365 Yes. 735 00:41:38,400 --> 00:41:40,645 No. Sorry. 736 00:41:40,680 --> 00:41:42,365 I meant ten. 10mg. 737 00:41:42,400 --> 00:41:45,640 Just like that, a 50-year-old male dies of an overdose. 738 00:41:45,675 --> 00:41:48,885 My lord - The dosage for a woman in her 20s? 739 00:41:48,920 --> 00:41:52,605 Or a ventilated newborn infant? I'd have to check. 740 00:41:52,640 --> 00:41:56,120 You can't think clearly under pressure anymore, can you? 741 00:41:56,155 --> 00:41:59,600 Which means that, because of your dependence on codeine, 742 00:41:59,635 --> 00:42:02,117 you are a danger, not only to yourself, 743 00:42:02,152 --> 00:42:04,565 but to every patient under your care. No! 744 00:42:04,600 --> 00:42:07,660 It was a mistake. It could have happened to anyone. 745 00:42:07,695 --> 00:42:10,720 Dr Austen, it happened because of your addiction. 746 00:42:10,755 --> 00:42:12,485 I am not an addict. 747 00:42:12,520 --> 00:42:16,520 I-I haven't taken any medication in-in months. 748 00:42:17,880 --> 00:42:21,520 Then you won't mind emptying your pockets. This is outrageous. 749 00:42:21,555 --> 00:42:24,680 I'm offering Dr Austen the chance to prove his point. 750 00:42:24,715 --> 00:42:27,520 No addiction, then no need for tablets. 751 00:42:30,800 --> 00:42:33,445 Very well, I'll allow it. 752 00:42:33,480 --> 00:42:37,800 Dr Austen, if you'd be so good as to place the contents of your pockets 753 00:42:37,835 --> 00:42:39,560 where we can see them. 754 00:43:20,040 --> 00:43:23,360 Dr Austen, can you confirm for the court 755 00:43:23,395 --> 00:43:26,680 that those are prescription codeine tablets? 756 00:43:26,715 --> 00:43:28,845 Yes. 757 00:43:28,880 --> 00:43:32,840 And can you tell the court how many of those tablets you've taken today. 758 00:43:35,480 --> 00:43:38,360 I'm not sure. I'm sorry, could you repeat that? 759 00:43:40,120 --> 00:43:42,405 I don't know how many I've taken today. 760 00:43:42,440 --> 00:43:46,680 Well, more than two, more than five? More than 20? 761 00:44:01,120 --> 00:44:03,600 I never meant to harm anyone. 762 00:44:17,640 --> 00:44:20,040 A guilty verdict after only 20 minutes? 763 00:44:20,075 --> 00:44:22,085 You must have done something right. 764 00:44:22,120 --> 00:44:24,885 They still only gave him a two-year suspended. 765 00:44:24,920 --> 00:44:29,040 Elderly judge nearing the end of his career. Hardly surprising. 766 00:44:29,075 --> 00:44:31,320 You could appeal the sentence. 767 00:44:31,355 --> 00:44:32,925 I don't think so. 768 00:44:32,960 --> 00:44:35,440 Not going soft in our old age, are we? 769 00:44:35,475 --> 00:44:37,840 No, just don't think I'd win. 770 00:44:43,200 --> 00:44:44,885 What? 771 00:44:44,920 --> 00:44:48,520 Thought I'd seen a glimmer of humanity. 772 00:44:48,555 --> 00:44:51,400 But no, my mistake. 773 00:45:07,600 --> 00:45:10,640 Sync and corrected by www.addic7ed.com 774 00:45:10,690 --> 00:45:15,240 Repair and Synchronization by Easy Subtitles Synchronizer 1.0.0.0