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In the criminal justice system,
the people are represented
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00:00:04,640 --> 00:00:09,320
by two separate yet equally important
groups - the police, who investigate crime,
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00:00:09,355 --> 00:00:12,600
and the crown prosecutors,
who prosecute the offenders.
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00:00:12,635 --> 00:00:14,200
These are their stories.
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Taylor. Ricky Taylor.
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00:00:48,240 --> 00:00:52,160
That's who you should have brought
in. I didn't do nothing.
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Hold still, will you?
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00:00:54,840 --> 00:00:57,560
Adrenaline.
And get a chest X-ray organised.
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00:00:57,595 --> 00:00:59,360
I need a doctor here!
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00:01:00,960 --> 00:01:03,840
Get the crash trolley.
I need a line in, quick.
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00:01:03,875 --> 00:01:06,240
Everything OK?
Check her blood pressure.
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Charge to 150.
I was waiting for chest X-rays.
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Back in a minute.
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Go ahead, Control.
Listen to me. I just...
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Sir, it doesn't matter
that you were here first.
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Someone has a knife sticking out of
their head, they take priority.
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So just take a seat and you'll be
called when they're ready.
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I've been here 40 minutes.
I just need to know where she is.
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I've told you! I have to check
with admissions!
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What about my prescription?
Take a seat!
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This is ridiculous. Sir! Sir,
you can't go through there.
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Sir! Sir, you can't go through there!
Still no pulse. Adrenaline in.
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I'm sorry, you can't be in here.
That's my daughter.
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00:01:52,012 --> 00:01:55,045
Sir, you really need to
wait outside. What's going on?
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00:01:55,080 --> 00:01:58,640
Her condition's deteriorated.
We're doing everything we can.
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00:02:00,360 --> 00:02:02,360
Is she going to be alright?
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00:02:04,760 --> 00:02:06,480
Dr Mills.
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Time to call it.
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00:02:13,600 --> 00:02:16,080
Time of death is 23:17.
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I'm very sorry.
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What are you doing?
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I'm afraid your daughter had a total
pulmonary collapse.
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00:02:26,875 --> 00:02:30,280
So do something! Do CPR,
use the paddles!
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00:02:30,315 --> 00:02:32,320
We already tried. It didn't work.
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00:02:32,355 --> 00:02:34,485
No. No, this is crazy!
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All she had was a sore throat.
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You don't die from a sore throat.
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You don't die from a sore throat.
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Suzy.
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00:02:51,520 --> 00:02:53,980
So this girl comes in with flu...
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And four hours later she was dead.
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Right.
People can die unexpectedly.
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00:03:00,000 --> 00:03:03,920
There can be underlying conditions
that aren't diagnosed properly.
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00:03:03,955 --> 00:03:05,725
I know all that.
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But I've been doing this a long
time, and I'm telling you, Nat,
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00:03:09,315 --> 00:03:11,445
Suzanne Morton
should not have died.
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00:03:11,480 --> 00:03:14,280
If you say something's wrong,
I believe you.
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00:03:14,315 --> 00:03:16,205
I'm not sure what I can -
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00:03:16,240 --> 00:03:20,200
This is the third unexplained death
on my ward in the past six months.
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00:03:20,235 --> 00:03:23,320
Each time the administration
fobbed the family off.
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00:03:23,355 --> 00:03:25,520
It all gets swept under the carpet.
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00:03:25,555 --> 00:03:27,045
This is the third one.
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00:03:27,080 --> 00:03:30,960
I mean one, maybe two a year with
no obvious cause of death,
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00:03:30,995 --> 00:03:33,880
that wouldn't be out
of the question, but this,
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00:03:33,915 --> 00:03:35,365
this isn't right.
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00:03:35,400 --> 00:03:37,725
Let me get this straight, Sinead.
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00:03:37,760 --> 00:03:42,000
You think someone on the ward
is killing patients.
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00:03:42,035 --> 00:03:43,480
Yes, I do.
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00:03:50,000 --> 00:03:56,000
Sync and corrected by
www.addic7ed.com
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00:04:27,000 --> 00:04:30,840
I can tell you how much her liver
weighed and what she had for dinner.
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00:04:30,875 --> 00:04:33,960
Why she died, who knows?
Not even a theory?
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00:04:33,995 --> 00:04:35,565
I don't do theories.
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00:04:35,600 --> 00:04:38,645
She died because
she stopped breathing.
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00:04:38,680 --> 00:04:41,480
There was some congestion,
fluid on the lungs.
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00:04:41,515 --> 00:04:43,005
For cause of death,
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00:04:43,040 --> 00:04:46,680
you'll have to wait for the tox
screen and tissue samples.
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00:04:46,715 --> 00:04:50,320
Could you rush those? Standard
post-mortem, standard tests.
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00:04:50,355 --> 00:04:52,320
They take the standard time.
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00:04:52,355 --> 00:04:55,760
It's the NHS, not CSI.
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00:04:57,680 --> 00:05:00,365
There was me thinking
you were Gil Grissom.
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00:05:00,400 --> 00:05:04,440
We've tried the dead. Let's see if we
have any more luck with the living.
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00:05:04,475 --> 00:05:06,840
Who's the head honcho
at the emergency department?
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00:05:06,875 --> 00:05:10,240
Dr Edward Austen, senior consultant.
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00:05:10,275 --> 00:05:12,280
All right.
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00:05:15,080 --> 00:05:20,200
So, you weren't in the emergency
department when Suzanne Morton died?
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00:05:20,235 --> 00:05:21,765
No, no, I wasn't.
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00:05:21,800 --> 00:05:25,480
When I'm on call I grab 40 winks
whenever the opportunity arises.
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00:05:25,515 --> 00:05:27,445
Saturday tends to be a long shift.
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00:05:27,480 --> 00:05:31,800
I thought consultants delegated that
kind of thing and played golf.
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00:05:31,835 --> 00:05:34,085
Ha! Sadly those days are long gone.
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00:05:34,120 --> 00:05:37,060
It's all accountability,
competition and choice,
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00:05:37,095 --> 00:05:39,927
or slash and burn,
depending on your point of view.
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00:05:39,962 --> 00:05:42,760
Your staff don't page you
with cardiac arrests?
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00:05:42,795 --> 00:05:44,325
I wouldn't expect it.
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00:05:44,360 --> 00:05:48,560
The crash team responds. Christine
Mills is a very experienced registrar.
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00:05:48,595 --> 00:05:50,600
Nothing I'd have done differently.
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00:05:50,635 --> 00:05:53,520
Except the girl still died.
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00:05:53,555 --> 00:05:55,165
Yes, she did.
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00:05:55,200 --> 00:05:58,000
Which is obviously a tragedy
for the family.
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00:05:58,035 --> 00:06:00,917
But I'm not sure what you expect
to find here.
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00:06:00,952 --> 00:06:03,800
These things are regrettable,
but hardly a crime.
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00:06:03,835 --> 00:06:06,377
We understand
there have been problems
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00:06:06,412 --> 00:06:08,920
regarding other patients
at the hospital.
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00:06:08,955 --> 00:06:11,245
Who told you that?
A source.
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00:06:11,280 --> 00:06:13,565
I hate to tell you
how to do your job,
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00:06:13,600 --> 00:06:16,820
but unless your source makes these
claims publicly,
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00:06:16,855 --> 00:06:20,040
I'd hesitate to believe anything
else they said.
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00:06:20,075 --> 00:06:22,365
Do you know who admitted
Suzanne Morton?
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00:06:22,400 --> 00:06:25,720
It was a Dr Simonson.
The nurses can help you find him.
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00:06:28,000 --> 00:06:30,880
Yes, she was my last patient
before I went off duty.
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00:06:30,915 --> 00:06:32,445
Viral chest infection.
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00:06:32,480 --> 00:06:35,560
Dramatised her symptoms a little,
but they often do.
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00:06:35,595 --> 00:06:37,960
I ordered a chest X-ray
before I left. Why?
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00:06:37,995 --> 00:06:40,605
We're investigating her death.
105
00:06:40,640 --> 00:06:43,640
Death? I guess she wasn't
dramatising after all.
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00:06:43,675 --> 00:06:46,405
She died?
You look surprised.
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00:06:46,440 --> 00:06:49,280
She had a chest infection.
She wasn't that sick.
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00:06:52,360 --> 00:06:54,885
What? You think it was my fault?
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00:06:54,920 --> 00:06:58,600
You think I missed something?
We've been asked to look into it.
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00:06:58,635 --> 00:07:01,285
Who treated her after you left?
I'm not sure.
111
00:07:01,320 --> 00:07:04,200
One of the registrars
would have taken her charts.
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00:07:08,440 --> 00:07:10,445
I'm only a first year.
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00:07:10,480 --> 00:07:12,960
They don't let me do anything
on my own.
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00:07:12,995 --> 00:07:14,937
You should talk to Dr Mills.
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00:07:14,972 --> 00:07:16,845
It was pneumonia.
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00:07:16,880 --> 00:07:20,440
The sputum examination and blood
cultures were indicative,
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00:07:20,475 --> 00:07:23,417
and the chest X-ray
showed fluid on the lungs.
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00:07:23,452 --> 00:07:26,360
So the first doctor who saw her
got it wrong? No.
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00:07:26,395 --> 00:07:28,965
Dr Simonson made
a provisional diagnosis
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00:07:29,000 --> 00:07:32,320
based on her symptoms
and ordered the X-ray to confirm it.
121
00:07:32,355 --> 00:07:35,480
He did nothing wrong.
But pneumonia can be treated.
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00:07:35,515 --> 00:07:37,005
It doesn't kill people.
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00:07:37,040 --> 00:07:39,765
It can if complicated
by chemical pneumonitis.
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00:07:39,800 --> 00:07:43,180
Which is? The lungs become inflamed
by an irritant.
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00:07:43,215 --> 00:07:46,525
The patient was feverish
and lost consciousness.
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00:07:46,560 --> 00:07:50,045
She must have aspirated
some of her stomach contents.
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00:07:50,080 --> 00:07:54,080
And it can happen that quickly?
One minute OK, next minute dead?
128
00:07:54,115 --> 00:07:57,337
If the registrar who was treating
her recognised it sooner,
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00:07:57,372 --> 00:08:00,525
we might have saved her,
but there's no way of knowing.
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00:08:00,560 --> 00:08:04,880
You were the one treating her.
No, you want to speak to Dr Grant.
131
00:08:04,915 --> 00:08:07,520
And I think he's at lunch.
132
00:08:12,760 --> 00:08:16,285
This is starting to feel like
pass the parcel.
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00:08:16,320 --> 00:08:19,240
If you see Mr Morton,
please extend my condolences.
134
00:08:19,275 --> 00:08:21,520
You were treating Suzanne in the ER.
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00:08:21,555 --> 00:08:23,525
Er, the ED.
136
00:08:23,560 --> 00:08:27,760
Only briefly. We were still waiting
for her X-rays to come back.
137
00:08:27,795 --> 00:08:30,137
Sadly, by the time they did...
138
00:08:30,172 --> 00:08:32,445
So just exactly how ill was she?
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00:08:32,480 --> 00:08:35,800
We were told it was a chest
infection, possibly pneumonia,
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00:08:35,835 --> 00:08:37,680
nothing immediately life-threatening.
141
00:08:37,715 --> 00:08:39,405
No, she was extremely ill.
142
00:08:39,440 --> 00:08:43,240
If we'd known what we were dealing
with she'd have been moved to ITU.
143
00:08:43,275 --> 00:08:45,600
But sadly...
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00:08:45,635 --> 00:08:47,880
Yeah, it's all pretty sad.
145
00:08:51,880 --> 00:08:54,960
If that's everything you need...
Yes.
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Thanks for your help.
147
00:08:58,520 --> 00:09:00,125
What help?
148
00:09:00,160 --> 00:09:02,440
I was using the term loosely.
149
00:09:06,160 --> 00:09:10,165
So she had mild bronchitis,
she had chemical pneumonitis,
150
00:09:10,200 --> 00:09:13,765
she was dramatising her symptoms,
she should have been in ITU.
151
00:09:13,800 --> 00:09:17,760
The only thing that everyone agrees
on is that no-one did anything wrong.
152
00:09:18,880 --> 00:09:22,300
Is it any clearer in the notes?
Oh, yeah, as mud.
153
00:09:22,335 --> 00:09:25,720
Basically we could be dealing
with another Dr Crippen
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00:09:25,755 --> 00:09:27,365
and I would not have a clue.
155
00:09:27,400 --> 00:09:29,885
Judging from some of the handwriting,
156
00:09:29,920 --> 00:09:32,965
I'd say half these doctors
were serial killers.
157
00:09:33,000 --> 00:09:37,080
Give me a shooting in an alley.
At least I can spot a smoking gun.
158
00:09:37,115 --> 00:09:39,165
Look at this.
159
00:09:39,200 --> 00:09:44,520
There's a word crossed out here
that looks like it says 'codename'.
160
00:09:44,555 --> 00:09:47,365
What, in the notes?
No, on the chart.
161
00:09:47,400 --> 00:09:50,280
Are you allowed to cross something
out on a chart?
162
00:09:50,315 --> 00:09:53,400
Isn't it an official record?
I've no idea.
163
00:09:55,000 --> 00:09:58,440
I think we ought to arrange
a rendezvous with Deep Throat.
164
00:09:59,640 --> 00:10:01,400
Hm.
Not the porn film!
165
00:10:03,120 --> 00:10:05,685
Any mistake
should be clearly initialled.
166
00:10:05,720 --> 00:10:08,605
But if someone's in a rush,
they might forget.
167
00:10:08,640 --> 00:10:11,920
Would you ever get staff going back
to amend the charts,
168
00:10:11,955 --> 00:10:14,637
correct something
if they've got it wrong?
169
00:10:14,672 --> 00:10:17,320
They'd be tampering
with hospital records,
170
00:10:17,355 --> 00:10:19,325
which is definitely illegal.
171
00:10:19,360 --> 00:10:22,125
Could that be what's happened?
It's possible.
172
00:10:22,160 --> 00:10:25,480
Someone crossed 'codeine' out
and wrote 'paracetamol'.
173
00:10:25,515 --> 00:10:28,165
Not 'codename'.
They're common painkillers.
174
00:10:28,200 --> 00:10:31,405
The prescribing doctor
could have changed their mind.
175
00:10:31,440 --> 00:10:35,120
So if Suzanne Morton was given
codeine rather than paracetamol
176
00:10:35,155 --> 00:10:37,405
what difference would that have made?
177
00:10:37,440 --> 00:10:40,725
There are situations where codeine's
contra-indicated.
178
00:10:40,760 --> 00:10:44,480
Meaning? There's a good reason
why you shouldn't prescribe it.
179
00:10:44,515 --> 00:10:46,960
But that would have been noted
on admission.
180
00:10:48,360 --> 00:10:51,640
It should be at the beginning
of her notes. It's not there?
181
00:10:51,675 --> 00:10:54,040
There's a report
by the triage nurse.
182
00:10:55,880 --> 00:10:58,340
It stops halfway through.
183
00:10:58,375 --> 00:11:00,800
There's a page missing.
184
00:11:02,120 --> 00:11:05,920
Oh. Looks like we've just found
our smoking gun.
185
00:11:16,040 --> 00:11:19,440
Do we have any idea who could have
changed the name of the drug on this chart?
186
00:11:19,475 --> 00:11:22,377
Any of the staff
could have had access, guv.
187
00:11:22,412 --> 00:11:25,245
The handwriting looks
a lot like Dr Grant's.
188
00:11:25,280 --> 00:11:28,320
He was the registrar treating
Suzanne Morton, so...
189
00:11:28,355 --> 00:11:30,725
Why don't we bring him in
and push him a bit?
190
00:11:30,760 --> 00:11:34,100
No. I want to know what was in
that missing patient history.
191
00:11:34,135 --> 00:11:37,440
We've got to be sure this is
a cover-up, not a coincidence.
192
00:11:37,475 --> 00:11:40,080
Is that Suzanne's dad?
Yeah.
193
00:11:40,115 --> 00:11:41,600
He's been in every day.
194
00:11:44,160 --> 00:11:46,360
Hi. Sorry to keep you waiting.
195
00:11:46,395 --> 00:11:48,560
Go in and have a little chat?
196
00:11:52,560 --> 00:11:54,325
Suzie was an anxious young woman
197
00:11:54,360 --> 00:11:56,605
with a history
of serious depression.
198
00:11:56,640 --> 00:12:00,480
Sadly, we finally found a way of
managing it effectively.
199
00:12:00,515 --> 00:12:02,085
Was she on medication?
200
00:12:02,120 --> 00:12:05,980
I referred her to an adolescent
psychiatrist in her early teens,
201
00:12:06,015 --> 00:12:09,840
and over the past five years,
she'd been on every antidepressant
202
00:12:09,875 --> 00:12:11,405
with very little success.
203
00:12:11,440 --> 00:12:14,640
As a last resort we tried her
on phenelzine sulphate,
204
00:12:14,675 --> 00:12:16,285
and that really helped.
205
00:12:16,320 --> 00:12:18,900
And would this...
phenelzine sulphate...
206
00:12:18,935 --> 00:12:21,480
Can you take that along with
other drugs?
207
00:12:21,515 --> 00:12:23,965
Painkillers?
You have to be careful.
208
00:12:24,000 --> 00:12:27,440
If you combine phenelzine
with an opiate-based analgesic,
209
00:12:27,475 --> 00:12:29,685
then it would prove fatal.
210
00:12:29,720 --> 00:12:32,720
Opiate-based? Morphine, codeine,
that type of thing.
211
00:12:35,480 --> 00:12:40,960
OK, the tox screen shows
paracetamol, it shows aspirin
212
00:12:40,995 --> 00:12:42,565
and an antihistamine.
213
00:12:42,600 --> 00:12:45,520
What about phenelzine sulphate?
Not on this test.
214
00:12:45,555 --> 00:12:47,965
But we know the girl was taking it.
215
00:12:48,000 --> 00:12:51,800
She may have been, but it would not
show up on the standard test.
216
00:12:51,835 --> 00:12:54,077
Brilliant.
Does that go for codeine?
217
00:12:54,112 --> 00:12:56,476
Depends how long
she was taking it for.
218
00:12:56,511 --> 00:12:58,805
Why don't you order another
tox screen
219
00:12:58,840 --> 00:13:03,720
that shows up whether phenelzine or
codeine's in the girl's system, urgently?
220
00:13:03,755 --> 00:13:05,565
These tests don't come cheap.
221
00:13:05,600 --> 00:13:08,520
You may not have heard
we've had some budget cuts.
222
00:13:08,555 --> 00:13:10,645
We'll have a whip round.
223
00:13:10,680 --> 00:13:13,480
Fine. But it won't be
before tomorrow.
224
00:13:13,515 --> 00:13:15,245
And you're wasting your time.
225
00:13:15,280 --> 00:13:18,520
You'd have to be an idiot to take
codeine with phenelzine.
226
00:13:18,555 --> 00:13:20,520
It could kill you.
227
00:13:21,640 --> 00:13:23,800
Deep breaths, son.
Come on, let's go.
228
00:13:27,560 --> 00:13:31,800
It was a busy night. I wrote codeine
but I gave her paracetamol.
229
00:13:31,835 --> 00:13:34,720
Why didn't you put your initials
to the correction?
230
00:13:34,755 --> 00:13:36,800
It was busy. I must have forgotten.
231
00:13:36,835 --> 00:13:38,880
It was a simple mistake.
232
00:13:40,000 --> 00:13:44,680
Did you know that some of Suzanne Morton's
patient history notes had gone missing?
233
00:13:44,715 --> 00:13:48,280
Notes go missing in the emergency
department all the time.
234
00:13:49,400 --> 00:13:52,760
Anyway, the girl died of
pneumonia-related complications
235
00:13:52,795 --> 00:13:55,125
that had nothing to do
with her history.
236
00:13:55,160 --> 00:13:58,560
Not even the heavy duty
antidepressants she was on?
237
00:13:58,595 --> 00:14:00,085
Sorry?
238
00:14:00,120 --> 00:14:03,840
She'd been taking phenelzine
sulphate for the last six months.
239
00:14:03,875 --> 00:14:05,920
Surely that was on the history.
240
00:14:05,955 --> 00:14:08,685
Um, no. No, it wasn't.
241
00:14:08,720 --> 00:14:11,605
That is odd, because the triage
nurse is pretty sure
242
00:14:11,640 --> 00:14:15,200
that she included a full history,
including current medication.
243
00:14:15,235 --> 00:14:18,760
Either way, I wrote the wrong drug
on the chart, that's all.
244
00:14:18,795 --> 00:14:21,160
Haven't you ever made a mistake?
245
00:14:21,195 --> 00:14:24,405
Yes, of course, Dr Grant.
246
00:14:24,440 --> 00:14:29,000
Difference is, when you make one,
people end up dying.
247
00:14:30,560 --> 00:14:34,285
This is crazy! I didn't cause
Suzanne Morton's death.
248
00:14:34,320 --> 00:14:38,405
Fine. We'll see if the tox screen
agrees with you, shall we?
249
00:14:38,440 --> 00:14:42,560
I thought they'd already done the
post-mortem. We decided to dig deeper.
250
00:14:47,160 --> 00:14:49,280
I thought he was going to throw up.
251
00:14:49,315 --> 00:14:51,365
Sounds like a guilty conscience.
252
00:14:51,400 --> 00:14:54,020
Even if the drugs show up
on the tox screen,
253
00:14:54,055 --> 00:14:56,605
no-one witnessed Grant give her
the injection.
254
00:14:56,640 --> 00:15:01,200
It makes sense, though. He messed up, she
died, he panicked, tried to cover it up.
255
00:15:01,235 --> 00:15:04,600
Scratched out her name, tore a page
out and hoped for the best.
256
00:15:04,635 --> 00:15:06,285
Not exactly a mastermind.
257
00:15:06,320 --> 00:15:10,000
Still, if we hadn't have gone looking
no-one would have noticed.
258
00:15:10,035 --> 00:15:13,640
Makes you wonder what else
he's got away with. Cheers.
259
00:15:16,840 --> 00:15:20,000
Positive for phenelzine,
positive for codeine. OK.
260
00:15:20,035 --> 00:15:22,805
This is not a coincidence.
Bring him in.
261
00:15:22,840 --> 00:15:27,000
So it's Dr Grant. We'd just like
another chat with him.
262
00:15:27,035 --> 00:15:30,085
I should have known.
What makes you say that?
263
00:15:30,120 --> 00:15:33,045
The nurses know
when someone's out of their depth.
264
00:15:33,080 --> 00:15:36,600
Half the time he called in Dr Austen
cos he hadn't a clue.
265
00:15:36,635 --> 00:15:39,080
Maybe he's on his rounds in CDU.
266
00:15:40,280 --> 00:15:42,600
Cathy. Yes. Do you have
Dr Grant with you?
267
00:15:45,600 --> 00:15:47,485
OK.
268
00:15:47,520 --> 00:15:51,560
He didn't turn up for his shift and
nobody's seen him since yesterday.
269
00:15:53,280 --> 00:15:56,485
Checked his flat, no sign,
but his car is still outside.
270
00:15:56,520 --> 00:16:00,320
Got uniformed trying the neighbours
but they're mostly at work.
271
00:16:00,355 --> 00:16:02,897
We've stationed officers
at the hospital,
272
00:16:02,932 --> 00:16:05,405
but no-one's seen him since
yesterday.
273
00:16:05,440 --> 00:16:08,220
Spoken to the family?
Trying to track them down.
274
00:16:08,255 --> 00:16:11,000
If we didn't think he was guilty
before, we do now.
275
00:16:11,035 --> 00:16:13,205
We've got a hit on Grant's
credit card.
276
00:16:13,240 --> 00:16:16,480
He's bought a ticket at St Pancras
International. Paris?
277
00:16:16,515 --> 00:16:19,120
Bruges. The next train's
in 45 minutes. Come on.
278
00:16:28,400 --> 00:16:32,280
Exits are covered,
but no platform announcement yet.
279
00:16:32,315 --> 00:16:34,000
He could be anywhere. Fan out.
280
00:16:41,520 --> 00:16:45,760
I wonder if you could help us.
Do you recognise this man?
281
00:16:46,840 --> 00:16:48,480
Excuse me.
282
00:17:23,480 --> 00:17:25,965
All units, got eyeballs
on the suspect.
283
00:17:26,000 --> 00:17:29,680
He's halfway down the concourse
outside international arrivals
284
00:17:29,715 --> 00:17:31,525
in a blue cagoule with a holdall.
285
00:17:31,560 --> 00:17:36,600
Suspect is on the move. He's heading
back along the concourse towards me.
286
00:17:36,635 --> 00:17:38,920
Suspect on the move.
Excuse me, ladies.
287
00:18:05,880 --> 00:18:09,160
Dr Adrian Grant,
this is DS Matt Devlin.
288
00:18:09,195 --> 00:18:10,680
I need you to open up.
289
00:18:11,760 --> 00:18:12,965
Right.
290
00:18:13,000 --> 00:18:16,880
Seriously, doc, either you come out
or I'm coming in, yeah?
291
00:18:23,440 --> 00:18:25,045
Dr Adrian Grant,
292
00:18:25,080 --> 00:18:29,200
I'm arresting you on suspicion of
the manslaughter of Suzanne Morton.
293
00:18:39,520 --> 00:18:41,720
Hope you let him
wash his hands first.
294
00:18:49,560 --> 00:18:52,680
I really don't think I want to say
anything at this stage.
295
00:18:58,720 --> 00:19:02,860
I'd say trying to skip the country
speaks volumes, wouldn't you?
296
00:19:03,200 --> 00:19:07,000
I panicked. I didn't know what else
to do. They'd been too clever.
297
00:19:07,035 --> 00:19:09,565
Sorry - 'they'?
Who's 'they', Dr Grant?
298
00:19:09,600 --> 00:19:12,565
Austen, Mills, the nurses,
the whole lot of them,
299
00:19:12,600 --> 00:19:15,960
they're all in on it and they've
lied to make me take the fall.
300
00:19:15,995 --> 00:19:19,520
So it's all one big conspiracy?
Yes, yes, it is.
301
00:19:19,555 --> 00:19:21,957
And what, they put a gun
to your head?
302
00:19:21,992 --> 00:19:24,360
Made you give Suzanne Morton
the codeine?
303
00:19:24,395 --> 00:19:26,765
I didn't give her anything.
304
00:19:26,800 --> 00:19:28,920
It was Austen.
He gave the injection.
305
00:19:28,955 --> 00:19:30,445
I just filled in the chart.
306
00:19:30,480 --> 00:19:33,520
I didn't know it was wrong,
not till the girl had died.
307
00:19:33,555 --> 00:19:36,417
When you changed
'codeine' to 'paracetamol'.
308
00:19:36,452 --> 00:19:39,226
You're not listening.
I didn't change anything.
309
00:19:39,261 --> 00:19:41,965
That was Christine. Christine Mills.
I see.
310
00:19:42,000 --> 00:19:45,000
They really are all in on it.
Yes. Yes, they are.
311
00:19:46,040 --> 00:19:47,080
Hm.
312
00:19:48,200 --> 00:19:50,605
Funny you never mentioned
that before.
313
00:19:50,640 --> 00:19:53,440
Christine told me to keep quiet
and it'd be OK.
314
00:19:53,475 --> 00:19:56,240
She said they'd tell the family
it was pneumonia.
315
00:19:56,275 --> 00:19:58,245
You told Morton it was pneumonia.
316
00:19:58,280 --> 00:20:00,840
Didn't you speak to him
the next day? Yes.
317
00:20:00,875 --> 00:20:03,365
But only because I had to
go along with it.
318
00:20:03,400 --> 00:20:06,960
They gave me no choice.
Let me get this straight.
319
00:20:06,995 --> 00:20:09,765
Dr Edward Austen
just walks onto the ward
320
00:20:09,800 --> 00:20:13,080
and randomly gives your patient,
Suzanne Morton,
321
00:20:13,115 --> 00:20:14,977
an injection of codeine.
322
00:20:15,012 --> 00:20:16,805
He's erratic sometimes.
323
00:20:16,840 --> 00:20:20,240
Ask anyone. Everyone in the hospital
knows he's a drinker.
324
00:20:20,275 --> 00:20:23,640
And Dr Mills, is she a drinker too?
No, of course not.
325
00:20:23,675 --> 00:20:26,165
But she'll do anything
to protect Austen.
326
00:20:26,200 --> 00:20:29,560
She's got a thing for him.
Has done for years.
327
00:20:32,400 --> 00:20:36,360
You've no idea what it's like.
They all stick together.
328
00:20:37,440 --> 00:20:39,200
A code of silence.
329
00:20:40,800 --> 00:20:44,640
It's like dealing with the medical
Mafia. Cosa Nostra and the NHS.
330
00:20:44,675 --> 00:20:46,560
I swear I'm telling the truth!
331
00:20:48,080 --> 00:20:51,960
So basically Dr Grant
is going for the Shaggy defence.
332
00:20:51,995 --> 00:20:54,680
It wasn't me.
Exactly.
333
00:20:54,715 --> 00:20:55,965
What?
334
00:20:56,000 --> 00:20:59,340
Young person's music, Matty.
My girls keep me with it.
335
00:20:59,375 --> 00:21:02,680
You were doing really well
till you said 'with it'.
336
00:21:02,715 --> 00:21:04,960
It still may not be enough
to charge him.
337
00:21:04,995 --> 00:21:07,445
What? You are kidding, right?
338
00:21:07,480 --> 00:21:10,760
The only real evidence is
his handwriting on the chart.
339
00:21:10,795 --> 00:21:13,200
And the drugs in Suzanne
Morton's system.
340
00:21:13,235 --> 00:21:15,285
And the one-way ticket to Belgium.
341
00:21:15,320 --> 00:21:18,160
Come on, Alesha, if he's not guilty,
why does he run?
342
00:21:20,160 --> 00:21:22,480
There's someone
I think you should meet.
343
00:21:24,720 --> 00:21:28,440
Just flown in from Milan, wants to
know why we're looking for him.
344
00:21:28,475 --> 00:21:31,480
And are we looking for him?
I believe we are, yes.
345
00:21:31,515 --> 00:21:33,320
That's Dr Adrian Grant.
346
00:21:34,440 --> 00:21:38,600
If that's Adrian Grant...
Then who the hell is he?
347
00:21:50,120 --> 00:21:52,685
I was at an MSF conference in Italy
348
00:21:52,720 --> 00:21:55,320
when I got this crazy phone call
from my mum
349
00:21:55,355 --> 00:21:57,885
saying that the police
were looking for me.
350
00:21:57,920 --> 00:22:01,160
And you've been working in Haiti
for the last year? Yeah.
351
00:22:01,195 --> 00:22:02,965
And Burkina Faso before that.
352
00:22:03,000 --> 00:22:05,340
I joined the Medecins
Sans Frontieres
353
00:22:05,375 --> 00:22:07,680
when I finished
my foundation training.
354
00:22:07,715 --> 00:22:09,445
I wanted to do my bit.
355
00:22:09,480 --> 00:22:12,285
And you haven't worked in
this country since? No.
356
00:22:12,320 --> 00:22:16,320
Try telling my mum. She's convinced
I've been lying the last two years.
357
00:22:17,720 --> 00:22:20,080
Do you recognise this man?
Yeah.
358
00:22:20,115 --> 00:22:22,200
Yeah, it's Ian. Ian Naylor.
359
00:22:25,760 --> 00:22:27,485
And how do you know Dr Naylor?
360
00:22:27,520 --> 00:22:30,200
We shared a flat together
for a couple of months
361
00:22:30,235 --> 00:22:31,845
just before I went away.
362
00:22:31,880 --> 00:22:34,640
But Ian's not a doctor,
he's a chiropodist.
363
00:22:37,920 --> 00:22:39,765
Ian Naylor and Adrian Grant
364
00:22:39,800 --> 00:22:42,325
were medical students together
at Durham
365
00:22:42,360 --> 00:22:45,685
until Naylor failed his second-year
exams and dropped out.
366
00:22:45,720 --> 00:22:49,240
They lost touch, but Grant was
looking for a place two years back
367
00:22:49,275 --> 00:22:50,845
and Naylor had a room going.
368
00:22:50,880 --> 00:22:54,040
Naylor trained as a chiropodist
but never practised.
369
00:22:54,075 --> 00:22:55,965
Can't blame him. All those feet.
370
00:22:56,000 --> 00:22:59,880
When Grant went to Africa he left
some stuff in storage with Naylor -
371
00:22:59,915 --> 00:23:04,000
personal papers, medical
qualifications, birth certificate.
372
00:23:04,035 --> 00:23:06,285
And Naylor just helped himself?
Yeah.
373
00:23:06,320 --> 00:23:10,520
Borrowed the birth certificate,
applied for a new passport and licence,
374
00:23:10,555 --> 00:23:13,925
then got a job at the Alderman
with Grant's qualifications.
375
00:23:13,960 --> 00:23:18,000
Passing himself off as a doctor
at a major London teaching hospital.
376
00:23:18,035 --> 00:23:19,525
Reassuring, isn't it?
377
00:23:19,560 --> 00:23:23,200
White coat, stethoscope, people
believe anything you say.
378
00:23:23,235 --> 00:23:25,445
Bit like a wig and a gown.
379
00:23:25,480 --> 00:23:29,680
Too right. I've been getting away
with it for years.
380
00:23:31,960 --> 00:23:35,480
The Prime Minister had his adenoids
removed at the Alderman.
381
00:23:35,515 --> 00:23:38,760
He was very impressed by
the staff's professionalism.
382
00:23:38,795 --> 00:23:40,725
That's come back to bite him.
383
00:23:40,760 --> 00:23:43,920
Well and truly. A rogue chiropodist
stalking the wards.
384
00:23:43,955 --> 00:23:45,605
The stuff of PR nightmares.
385
00:23:45,640 --> 00:23:48,440
A lot of people would like this
to go away ASAP.
386
00:23:48,475 --> 00:23:51,217
Have to wait for the medical
negligence inquiry.
387
00:23:51,252 --> 00:23:53,960
So far we've got Naylor
on at least ten counts.
388
00:23:53,995 --> 00:23:56,480
Fraud by false representation,
forgery,
389
00:23:56,515 --> 00:23:58,685
false instruments, manslaughter.
390
00:23:58,720 --> 00:24:02,240
We've had the call from the defence.
Robinson wants to meet.
391
00:24:02,275 --> 00:24:05,237
I'm expecting a straight guilty plea
on the fraud.
392
00:24:05,272 --> 00:24:08,165
Take it. We can prosecute
for the rest down the line.
393
00:24:08,200 --> 00:24:12,160
So long as we do. Naylor wasn't just
playing doctor, he killed someone.
394
00:24:12,195 --> 00:24:15,240
When we can, we will.
For now let's focus on the fraud.
395
00:24:15,275 --> 00:24:18,080
It's not like Naylor's
got a foot to stand on.
396
00:24:18,115 --> 00:24:20,440
Foot. Chiropodist. No?
397
00:24:21,520 --> 00:24:24,320
My client will plead
to two main counts of fraud.
398
00:24:24,355 --> 00:24:26,325
What about the other eight counts?
399
00:24:26,360 --> 00:24:30,400
A guilty plea would eliminate
the need for a long, costly trial.
400
00:24:30,435 --> 00:24:31,965
Very cost conscious.
401
00:24:32,000 --> 00:24:34,560
And bearing in mind my clients
mental state -
402
00:24:34,595 --> 00:24:36,285
What mental state is that?
403
00:24:36,320 --> 00:24:39,660
Mr Naylor's seeing an expert
in delusional behaviour.
404
00:24:39,695 --> 00:24:43,207
She's helped him understand
what triggered the events.
405
00:24:43,242 --> 00:24:46,685
Really? Some kind of deep-seated
trauma, I presume.
406
00:24:46,720 --> 00:24:51,360
I had some emotional problems
when I was a medical student.
407
00:24:51,395 --> 00:24:54,440
I now see that I had
some kind of breakdown.
408
00:24:54,475 --> 00:24:56,165
Mr Naylor, in this case,
409
00:24:56,200 --> 00:24:58,845
your mental state can't be used
as a defence.
410
00:24:58,880 --> 00:25:02,240
Can we agree to drop this groundless
manslaughter charge?
411
00:25:02,275 --> 00:25:04,005
I'd hardly call it groundless.
412
00:25:04,040 --> 00:25:06,880
My Naylor has identified
an alcoholic colleague
413
00:25:06,915 --> 00:25:09,485
as responsible for
Suzanne Morton's death.
414
00:25:09,520 --> 00:25:14,080
No-one supports his allegations,
leaving him holding the syringe.
415
00:25:14,115 --> 00:25:17,045
No! You're not pinning that girl's
death on me.
416
00:25:17,080 --> 00:25:20,280
It was Austen. I don't care what his
cronies have told you.
417
00:25:20,315 --> 00:25:21,885
Talk to the junior doctors.
418
00:25:21,920 --> 00:25:24,605
Simonson nearly lost a patient
because of him.
419
00:25:24,640 --> 00:25:28,640
It was about six months ago.
This guy, 25, basically healthy,
420
00:25:28,675 --> 00:25:31,325
walks in with the worst headache
of his life.
421
00:25:31,360 --> 00:25:34,340
Slight soreness in the neck.
But it was ambiguous.
422
00:25:34,375 --> 00:25:37,320
And Dr Austen treated him?
He prescribed morphine.
423
00:25:37,355 --> 00:25:39,085
Probably the worst thing.
424
00:25:39,120 --> 00:25:43,280
It masks the symptoms of meningitis,
which is what the guy had.
425
00:25:43,315 --> 00:25:46,280
Dr Mills found it in time
and he was OK in the end, but -
426
00:25:46,315 --> 00:25:48,977
It could have ended
very differently.
427
00:25:49,012 --> 00:25:51,640
I don't want to get anyone
into trouble.
428
00:25:51,675 --> 00:25:53,525
It's just one of those things.
429
00:25:53,560 --> 00:25:57,120
Is that the only time Austen
made a mistake like that? Yes.
430
00:25:57,155 --> 00:25:59,277
I mean, I don't know.
431
00:25:59,312 --> 00:26:01,365
People make mistakes.
432
00:26:01,400 --> 00:26:04,160
And Dr Austen is getting older.
He gets tired.
433
00:26:04,195 --> 00:26:05,960
Especially since his accident.
434
00:26:07,640 --> 00:26:12,040
Naylor's sticking to his story but no-one
will back him up about the drinking.
435
00:26:12,075 --> 00:26:15,097
Even with one confirmed incident
of misdiagnosis,
436
00:26:15,132 --> 00:26:18,120
the general attitude is
you win some, you lose some.
437
00:26:18,155 --> 00:26:19,885
Yeah, well,
438
00:26:19,920 --> 00:26:24,840
Dr Austen may well have been losing
a few more than his share.
439
00:26:24,875 --> 00:26:27,520
What do you mean?
We looked into those deaths.
440
00:26:27,555 --> 00:26:29,960
Naylor was attendant registrar
for both,
441
00:26:29,995 --> 00:26:31,885
but the night Anna Jeffries died,
442
00:26:31,920 --> 00:26:34,080
he had an upset stomach
and went home.
443
00:26:34,115 --> 00:26:35,637
Austen stepped in.
444
00:26:35,672 --> 00:26:37,125
And Carl Hobbs -
445
00:26:37,160 --> 00:26:40,325
his daughters reckon Naylor had
a word with their dad
446
00:26:40,360 --> 00:26:44,240
and then handed over to 'some posh
old bloke with grey hair'. Austen.
447
00:26:44,275 --> 00:26:46,725
So we got onto the Medical
Negligence Team,
448
00:26:46,760 --> 00:26:49,725
who cross-reffed patients
that they'd flagged up
449
00:26:49,760 --> 00:26:54,040
and it turns out that Austen's name
comes up on another five files.
450
00:26:54,075 --> 00:26:58,320
So, what, Austen's been slowly losing
his marbles and nobody's noticed?
451
00:26:58,355 --> 00:27:01,405
That is one explanation.
However, there is another.
452
00:27:01,440 --> 00:27:05,680
Austen was done for drink driving
several times in the late '80s,
453
00:27:05,715 --> 00:27:08,405
finally disqualified from driving
in 1990,
454
00:27:08,440 --> 00:27:11,205
and his blood alcohol level
was off the charts.
455
00:27:11,240 --> 00:27:15,040
The ward sister mentioned the car
crash. He's been teetotal since.
456
00:27:15,075 --> 00:27:18,200
Could have fallen off the wagon.
This sister's sharp.
457
00:27:18,235 --> 00:27:20,805
She'd notice someone
smelling of booze.
458
00:27:20,840 --> 00:27:23,605
Although you'd be amazed
what a person can hide.
459
00:27:23,640 --> 00:27:27,440
There was another crash. Austen came
off his bike three years ago.
460
00:27:27,475 --> 00:27:30,280
Sister Logan said he was on
painkillers to work.
461
00:27:30,315 --> 00:27:32,765
Simonson says Austen's never been
the same.
462
00:27:32,800 --> 00:27:35,645
He was in pain,
having trouble coping with work.
463
00:27:35,680 --> 00:27:39,440
Couple of Nurofen Plus taken in the
right or the wrong state of mind,
464
00:27:39,475 --> 00:27:42,320
well, that's nearly as good as
a stiff whisky.
465
00:27:42,355 --> 00:27:43,840
And a lot easier to hide.
466
00:27:47,000 --> 00:27:48,525
Very straightforward.
467
00:27:48,560 --> 00:27:52,760
Some hooligan in a van turned left
without indicating,
468
00:27:52,795 --> 00:27:55,125
and Teddy took the brunt of it.
469
00:27:55,160 --> 00:27:59,120
I understand he was prescribed
painkillers for his back injury.
470
00:27:59,155 --> 00:28:01,085
Of course. The man was in agony.
471
00:28:01,120 --> 00:28:04,480
Even with the codeine he was
bed-bound for nearly a month.
472
00:28:04,515 --> 00:28:06,045
Do you prescribe codeine
473
00:28:06,080 --> 00:28:08,760
for a patient with a history
of alcohol abuse?
474
00:28:08,795 --> 00:28:10,405
History of what?
475
00:28:10,440 --> 00:28:14,400
Dr Austen lost his licence after
a string of drink-driving offences.
476
00:28:14,435 --> 00:28:18,120
That was years ago! Teddy sorted
himself out after that.
477
00:28:18,155 --> 00:28:20,577
I wasn't going to withhold
pain relief
478
00:28:20,612 --> 00:28:22,965
because he used to like
a few drinks.
479
00:28:23,000 --> 00:28:25,960
Did Dr Austen ever ask for
a repeat prescription?
480
00:28:25,995 --> 00:28:28,365
I can't discuss that.
481
00:28:28,400 --> 00:28:32,520
Well, might he have continued
prescribing it for himself?
482
00:28:32,555 --> 00:28:34,285
You'd have to ask him.
483
00:28:34,320 --> 00:28:37,160
If he did, it would have been
perfectly legal.
484
00:28:37,195 --> 00:28:39,685
The man's a doctor.
485
00:28:39,720 --> 00:28:43,245
Well, that's all right then.
486
00:28:43,280 --> 00:28:46,880
GMC guidelines say a doctor
should avoid self-prescribing,
487
00:28:46,915 --> 00:28:49,365
but there aren't statutory
restrictions.
488
00:28:49,400 --> 00:28:53,120
He can write as many as he likes.
He'd still need to get them filled.
489
00:28:53,155 --> 00:28:54,725
The hospital pharmacy?
490
00:28:54,760 --> 00:28:58,120
If he has a drug problem,
he's not getting them from there.
491
00:28:58,155 --> 00:29:00,205
And the staff?
I got more of the same.
492
00:29:00,240 --> 00:29:04,300
Austen's highly competent, sometimes
patients die, blah-blah.
493
00:29:04,335 --> 00:29:08,360
Pushed about medical errors,
everyone clammed up. Not everyone.
494
00:29:09,400 --> 00:29:11,165
So you now want to question
495
00:29:11,200 --> 00:29:13,440
Mr Naylor as a potential witness?
496
00:29:13,475 --> 00:29:15,045
It's one simple question.
497
00:29:15,080 --> 00:29:17,045
My client would be happy to answer,
498
00:29:17,080 --> 00:29:20,160
assuming you're dropping
the manslaughter charge.
499
00:29:20,195 --> 00:29:22,205
Let's not get ahead of ourselves.
500
00:29:22,240 --> 00:29:26,140
Then perhaps we should discuss my
previous proposal about fraud.
501
00:29:26,175 --> 00:29:30,040
You realise I was the only one who
saw Austen give the injection?
502
00:29:30,075 --> 00:29:33,280
I'm not here to bargain with you,
Mr Naylor.
503
00:29:33,315 --> 00:29:34,925
Of course not.
504
00:29:34,960 --> 00:29:37,605
It's just easy to get confused
about things.
505
00:29:37,640 --> 00:29:41,040
Especially with all these different
charges hanging over me.
506
00:29:42,840 --> 00:29:47,080
At the moment, your entire defence
against killing Suzanne Morton
507
00:29:47,115 --> 00:29:50,485
is based upon your accusation against
Dr Austen.
508
00:29:50,520 --> 00:29:54,360
Withdraw that statement and you'll go
back to being the prime suspect.
509
00:29:56,640 --> 00:29:58,680
But hey, it's up to you.
510
00:29:59,880 --> 00:30:04,360
Who knows, you might enjoy
the extra time in prison.
511
00:30:11,360 --> 00:30:14,280
You could have dropped
the manslaughter charge.
512
00:30:14,315 --> 00:30:15,965
Wasn't that what we agreed?
513
00:30:16,000 --> 00:30:19,240
Then we still thought Naylor was
guilty. But now we don't.
514
00:30:19,275 --> 00:30:21,805
No. And now he's trying to
blackmail us.
515
00:30:21,840 --> 00:30:24,680
Sometimes criminals
can be less then ethical.
516
00:30:24,715 --> 00:30:27,325
Still, life's all about compromise.
517
00:30:27,360 --> 00:30:30,760
There was no need to compromise.
Naylor was bluffing.
518
00:30:30,795 --> 00:30:34,160
The only thing linking Austen to
Suzanne Morton's death
519
00:30:34,195 --> 00:30:35,925
is Naylor's statement.
520
00:30:35,960 --> 00:30:38,640
He won't go back on it.
He's got too much to lose.
521
00:30:38,675 --> 00:30:40,325
Doesn't that worry you?
522
00:30:40,360 --> 00:30:43,520
He could be pointing the finger
to save his own skin.
523
00:30:43,555 --> 00:30:46,680
He could be telling the truth.
First time for everything.
524
00:30:48,240 --> 00:30:51,240
Either way, could we lose
the manslaughter charge
525
00:30:51,275 --> 00:30:53,880
before you end up in court
with no evidence?
526
00:30:57,440 --> 00:31:01,080
Appalachian Mist. Autumn Sonata.
They're all quite...
527
00:31:02,160 --> 00:31:04,240
Grey.
Mm.
528
00:31:05,640 --> 00:31:07,405
Something you'd like to share?
529
00:31:07,440 --> 00:31:10,880
Naylor's pleading guilty to all
counts relating to the fraud.
530
00:31:12,240 --> 00:31:15,165
Three years, which means
he'll be out in 18 months.
531
00:31:15,200 --> 00:31:18,640
The going rate for impersonating
a doctor? Apparently so.
532
00:31:18,675 --> 00:31:21,365
With a good sob story.
This should cheer you up.
533
00:31:21,400 --> 00:31:26,440
Dr Austen gets regular prescriptions
filled at 13 different places,
534
00:31:26,475 --> 00:31:28,525
all for codeine,
all in his own name.
535
00:31:28,560 --> 00:31:32,280
One hell of a backache.
He's got a nice little system going.
536
00:31:32,315 --> 00:31:35,525
Keeps them on rotation
so no-one gets suspicious.
537
00:31:35,560 --> 00:31:38,760
Picks up only a month's worth
from any one place at a time,
538
00:31:38,795 --> 00:31:40,525
but it's ramped up -
539
00:31:40,560 --> 00:31:44,520
in the last six months
he's popping them in like Smarties.
540
00:31:44,555 --> 00:31:46,160
A wonder the man can stand up.
541
00:31:48,240 --> 00:31:51,300
This is insane.
Edward Austen is not an addict!
542
00:31:51,760 --> 00:31:54,360
We have records
from 13 different pharmacies
543
00:31:54,395 --> 00:31:56,005
dating back over three years
544
00:31:56,040 --> 00:31:58,325
which strongly suggest otherwise.
545
00:31:58,360 --> 00:32:01,160
We've already got what we need to
prosecute Austen
546
00:32:01,195 --> 00:32:03,285
for gross negligence manslaughter.
547
00:32:03,320 --> 00:32:05,805
You need to start thinking
about yourself.
548
00:32:05,840 --> 00:32:08,685
We know that Austen persuaded you
to lie for him.
549
00:32:08,720 --> 00:32:13,240
At the least you're looking at a charge
for perverting the course of justice.
550
00:32:13,275 --> 00:32:15,920
It wasn't like that.
Then tell us what happened.
551
00:32:19,480 --> 00:32:22,080
I wasn't called
until the girl arrested.
552
00:32:23,160 --> 00:32:26,840
When I looked through her notes I
saw that she'd been on phenelzine
553
00:32:26,875 --> 00:32:28,925
and I confronted Dr Grant.
554
00:32:28,960 --> 00:32:35,720
Naylor. He said that he'd asked
Dr Austen to take a look at her.
555
00:32:37,400 --> 00:32:41,000
And that he'd been the one
to give her the codeine.
556
00:32:42,920 --> 00:32:44,565
So what did you do?
557
00:32:44,600 --> 00:32:46,920
Dr Austen was asleep
in the on-call room.
558
00:32:46,955 --> 00:32:50,645
He was very groggy when I woke him.
559
00:32:50,680 --> 00:32:53,000
He had no idea
he'd done anything wrong.
560
00:32:53,035 --> 00:32:56,085
He admitted giving the injection?
561
00:32:56,120 --> 00:32:59,605
I don't think he even noticed
the phenelzine in her history.
562
00:32:59,640 --> 00:33:03,340
Any half-decent registrar would have
flagged that up immediately.
563
00:33:03,375 --> 00:33:07,040
But he didn't have a half-decent
registrar. He had Ian Naylor.
564
00:33:07,075 --> 00:33:10,120
I couldn't see him hung out to dry
for one mistake.
565
00:33:13,960 --> 00:33:17,285
So I altered the chart
and I removed the notes.
566
00:33:17,320 --> 00:33:20,240
So Austen told you to lie for him.
He didn't have to.
567
00:33:20,275 --> 00:33:22,645
I wanted to help.
568
00:33:22,680 --> 00:33:24,805
But if I'd known about
the addiction -
569
00:33:24,840 --> 00:33:27,880
You'd have thought twice
about protecting a killer.
570
00:33:39,200 --> 00:33:42,840
When they searched Austen's house
they found pills everywhere.
571
00:33:42,875 --> 00:33:45,365
Jacket pockets, behind radiators.
572
00:33:45,400 --> 00:33:47,605
He put a lot of them
in aspirin bottles.
573
00:33:47,640 --> 00:33:51,280
His wife was oblivious.
Her and the rest of the world.
574
00:33:51,315 --> 00:33:54,285
Medical degree from Oxford,
trained at UCLH.
575
00:33:54,320 --> 00:33:58,020
One of the first registrars
in his year to be made consultant.
576
00:33:58,055 --> 00:34:01,720
Alesha, I don't think you know
Philip Nevins, Dr Austen's defence.
577
00:34:01,755 --> 00:34:05,320
Regular contributor to the Lancet
and British Medical Journal
578
00:34:05,355 --> 00:34:06,917
on emergency medicine.
579
00:34:06,952 --> 00:34:08,445
Given the Halliwell Award
580
00:34:08,480 --> 00:34:11,400
for conspicuous services
to health care in 2003.
581
00:34:11,435 --> 00:34:13,165
Does he walk on water too?
582
00:34:13,200 --> 00:34:15,965
He's a good man, Jacob,
and a dedicated doctor.
583
00:34:16,000 --> 00:34:19,325
Not like the trash you usually spend
your time prosecuting.
584
00:34:19,360 --> 00:34:23,380
The guy's two years off retirement
and he's given his life to the NHS.
585
00:34:23,415 --> 00:34:27,400
Why destroy that? A patient died
having been given the wrong drug.
586
00:34:27,435 --> 00:34:30,197
Manslaughter -
drug administered by a consultant
587
00:34:30,232 --> 00:34:32,925
high on prescription medication
at the time.
588
00:34:32,960 --> 00:34:37,240
Manslaughter, gross negligence.
I guess we know where we stand.
589
00:34:37,275 --> 00:34:39,197
Guess so.
590
00:34:41,120 --> 00:34:43,285
Suzanne Morton was still complaining
591
00:34:43,320 --> 00:34:45,805
about muscle pains
when Dr Austen arrived.
592
00:34:45,840 --> 00:34:49,360
He examined her briefly,
but he seemed tired and distracted.
593
00:34:49,395 --> 00:34:52,285
He only glanced over
the patient history.
594
00:34:52,320 --> 00:34:55,760
He then administered an injection
of codeine for the pain
595
00:34:55,795 --> 00:34:57,777
and left me to fill in the chart.
596
00:34:57,812 --> 00:34:59,760
Thank you. No further questions.
597
00:35:01,600 --> 00:35:05,400
Mr Naylor. That is your correct
title, isn't it?
598
00:35:05,435 --> 00:35:07,965
Not Dr Naylor.
'Mister' is fine.
599
00:35:08,000 --> 00:35:11,080
Because you never qualified
as a medical doctor.
600
00:35:11,115 --> 00:35:12,125
No.
601
00:35:12,160 --> 00:35:15,880
You're currently serving
a three-year custodial sentence
602
00:35:15,915 --> 00:35:18,880
for fraud by false representation,
are you not?
603
00:35:18,915 --> 00:35:20,405
That's correct.
604
00:35:20,440 --> 00:35:23,720
We're expected to believe
the word of a convicted conman
605
00:35:23,755 --> 00:35:25,565
and professional fraudster.
606
00:35:25,600 --> 00:35:28,485
Dr Austen gave that patient
the wrong medication.
607
00:35:28,520 --> 00:35:31,960
You stood by and let it happen.
I didn't realise it was wrong.
608
00:35:31,995 --> 00:35:34,920
Of course you didn't,
because you weren't a doctor.
609
00:35:34,955 --> 00:35:37,645
Given your complete lack of
medical knowledge,
610
00:35:37,680 --> 00:35:41,160
you must have been a liability
on the ward. That's not true.
611
00:35:41,195 --> 00:35:43,880
Who knows how many wrong
prescriptions you made,
612
00:35:43,915 --> 00:35:45,565
how many misdiagnoses.
613
00:35:45,600 --> 00:35:47,405
My lord -
I knew what I was doing.
614
00:35:47,440 --> 00:35:49,780
You thought you knew
what you were doing.
615
00:35:49,815 --> 00:35:52,085
My lord, the witness is not
on trial.
616
00:35:52,120 --> 00:35:55,960
I was as good as the other
registrars. That was so frustrating.
617
00:35:55,995 --> 00:35:58,000
No further questions, my lord.
618
00:36:01,480 --> 00:36:03,005
If I may, my lord.
619
00:36:03,040 --> 00:36:06,565
My Naylor, you say it was
frustrating. In what way?
620
00:36:06,600 --> 00:36:09,920
I knew I could treat the patients
just as well as they could.
621
00:36:09,955 --> 00:36:12,880
But unlike them, I couldn't risk
making a mistake.
622
00:36:14,080 --> 00:36:16,085
That's why I paged Austen.
623
00:36:16,120 --> 00:36:18,965
That's why I only ever did
exactly what I was told,
624
00:36:19,000 --> 00:36:22,760
and I never prescribed a drug
without checking with someone else.
625
00:36:22,795 --> 00:36:25,325
That's how I got away with it
for so long.
626
00:36:25,360 --> 00:36:28,240
If I'd have messed up,
I'd have lost everything.
627
00:36:31,240 --> 00:36:32,680
I wasn't that stupid.
628
00:36:38,440 --> 00:36:40,720
Dr Mills, you say Dr Austen admitted
629
00:36:40,755 --> 00:36:43,000
to having given the codeine
injection.
630
00:36:43,035 --> 00:36:44,045
Yes.
631
00:36:44,080 --> 00:36:46,445
And what did he say
when you asked him
632
00:36:46,480 --> 00:36:50,640
if he'd seen the reference to phenelzine
sulphate in the patient's notes?
633
00:36:51,760 --> 00:36:54,165
I-I didn't ask him that question.
634
00:36:54,200 --> 00:36:58,300
So is it possible that, having asked
for a second opinion,
635
00:36:58,335 --> 00:37:02,400
Mr Naylor simply gave a verbal
summary of the patient history?
636
00:37:02,435 --> 00:37:04,405
Yes, it's possible.
637
00:37:04,440 --> 00:37:07,480
And is it also possible
that he failed to realise
638
00:37:07,515 --> 00:37:10,317
the significance
of the phenelzine sulphate,
639
00:37:10,352 --> 00:37:13,120
maybe even failed to mention it
by name?
640
00:37:13,155 --> 00:37:14,845
I suppose so, yes.
641
00:37:14,880 --> 00:37:19,840
And you have worked closely with
Dr Austen for the past eight years.
642
00:37:19,875 --> 00:37:21,805
Have you had reason to believe
643
00:37:21,840 --> 00:37:24,640
that he was suffering
from any form of addiction?
644
00:37:24,675 --> 00:37:25,645
No.
645
00:37:25,680 --> 00:37:27,845
And this self-prescribed medication
646
00:37:27,880 --> 00:37:31,365
that m'learned friend has repeatedly
drawn our attention to,
647
00:37:31,400 --> 00:37:35,480
these were painkillers for a genuine
and serious injury, were they not?
648
00:37:35,515 --> 00:37:37,165
Yes. Yes, they were.
649
00:37:37,200 --> 00:37:40,720
And finally, Dr Mills,
do you consider Dr Austen
650
00:37:40,755 --> 00:37:42,280
to be a good doctor?
651
00:37:44,000 --> 00:37:46,120
He's the best I've ever worked with.
652
00:37:48,040 --> 00:37:49,680
He's an inspiration.
653
00:37:56,520 --> 00:37:58,845
We were worried about
the wrong witness.
654
00:37:58,880 --> 00:38:02,600
So what if Austen didn't read the
history? He was still negligent.
655
00:38:02,635 --> 00:38:04,445
He prescribed without due care
656
00:38:04,480 --> 00:38:07,560
because his judgment was impaired
by his addiction.
657
00:38:07,595 --> 00:38:10,605
I'm not sure the jury believes
he has an addiction.
658
00:38:10,640 --> 00:38:14,120
My Suzy was 18. 18, with her whole
life ahead of her. Security!
659
00:38:14,155 --> 00:38:16,245
And you took that away.
Mr Morton -
660
00:38:16,280 --> 00:38:18,680
You put that needle in her arm,
no-one else.
661
00:38:18,715 --> 00:38:20,645
And you won't admit you messed up.
662
00:38:20,680 --> 00:38:23,565
I'm truly sorry for what happened to
your daughter.
663
00:38:23,600 --> 00:38:27,280
It wasn't my fault. There were
a number of contributing factors.
664
00:38:27,315 --> 00:38:29,640
You have to understand.
665
00:38:31,480 --> 00:38:33,445
Get off me!
666
00:38:33,480 --> 00:38:36,800
You killed my Suzy, you murderer!
667
00:38:43,760 --> 00:38:47,320
You could see it when he talked to
the dad. He knows he's to blame.
668
00:38:47,355 --> 00:38:49,800
He's hidden his addiction
for three years.
669
00:38:49,835 --> 00:38:51,605
I'd say he's good at denial.
670
00:38:51,640 --> 00:38:53,965
Maybe this time.
What about last time?
671
00:38:54,000 --> 00:38:57,240
When I asked Austen's doctor
about the drink-driving,
672
00:38:57,275 --> 00:38:59,365
he said
Teddy had sorted himself out.
673
00:38:59,400 --> 00:39:02,240
Not many people can
give up drinking overnight.
674
00:39:02,275 --> 00:39:04,205
Maybe he had help, went into rehab.
675
00:39:04,240 --> 00:39:07,565
First step to recovery?
Admitting you have an addiction.
676
00:39:07,600 --> 00:39:11,160
If Austen knew he was an addict
when he started taking codeine,
677
00:39:11,195 --> 00:39:14,405
he knew the risks and what it could
mean for his patients.
678
00:39:14,440 --> 00:39:18,680
In which case the crime happened
before he even stepped onto the ward.
679
00:39:22,880 --> 00:39:25,600
Dr Austen, are you aware
of an establishment
680
00:39:25,635 --> 00:39:28,217
called the Colson Clinic?
681
00:39:28,252 --> 00:39:30,765
I, erm, I don't know.
682
00:39:30,800 --> 00:39:34,520
You spent three months there
in 1990, isn't that right?
683
00:39:34,555 --> 00:39:36,565
Yes, it is.
684
00:39:36,600 --> 00:39:39,980
Can you tell the court
what kind of clinic it is?
685
00:39:40,015 --> 00:39:43,325
It's a centre for drug and alcohol
rehabilitation.
686
00:39:43,360 --> 00:39:47,000
A centre that specifically caters for
medical professionals
687
00:39:47,035 --> 00:39:48,565
with addiction problems.
688
00:39:48,600 --> 00:39:51,700
So you considered yourself to be
an alcoholic.
689
00:39:51,735 --> 00:39:54,647
I considered myself
to have a drink problem.
690
00:39:54,682 --> 00:39:57,525
Meaning that you couldn't control
your drinking
691
00:39:57,560 --> 00:40:00,880
and needed professional help
in order to stop. I suppose.
692
00:40:00,915 --> 00:40:04,045
I think that's what's meant by
the term 'alcoholic'.
693
00:40:04,080 --> 00:40:08,560
Dr Austen, could you tell me the
advice on prescribing codeine
694
00:40:08,595 --> 00:40:11,160
to patients with a history
of alcohol abuse?
695
00:40:11,195 --> 00:40:13,000
It's generally avoided.
696
00:40:13,035 --> 00:40:14,840
Why is that?
697
00:40:15,960 --> 00:40:18,160
Actually, I have the information
here.
698
00:40:18,195 --> 00:40:19,805
'Codeine is habit-forming
699
00:40:19,840 --> 00:40:22,300
and should not be prescribed
to any patient
700
00:40:22,335 --> 00:40:24,760
with a history
of drug or alcohol abuse
701
00:40:24,795 --> 00:40:26,857
due to high risk of addiction.'
702
00:40:26,892 --> 00:40:28,885
Does that sound about right?
Yes.
703
00:40:28,920 --> 00:40:31,760
So, knowing you had a history
of addiction,
704
00:40:31,795 --> 00:40:34,565
you chose to start taking
a habit-forming drug.
705
00:40:34,600 --> 00:40:39,360
I hadn't had a drink for 17 years,
I was in a great deal of pain.
706
00:40:40,440 --> 00:40:42,965
The benefits outweighed the risks.
707
00:40:43,000 --> 00:40:46,765
Yet, three years on, you are still
taking that same drug.
708
00:40:46,800 --> 00:40:50,880
And we're not talking about a couple
of headache pills here and there.
709
00:40:50,915 --> 00:40:54,325
You've been on doses way above
the recommended guidelines.
710
00:40:54,360 --> 00:40:58,240
A closer equivalent would be half
a bottle of vodka before work.
711
00:40:58,275 --> 00:40:59,957
It's hardly the same.
712
00:40:59,992 --> 00:41:01,605
Could you tell the court
713
00:41:01,640 --> 00:41:04,940
the common side effects of prolonged
codeine use?
714
00:41:04,975 --> 00:41:08,240
They vary. But a patient
may become distracted.
715
00:41:08,275 --> 00:41:10,640
Their responses dulled.
716
00:41:12,120 --> 00:41:16,400
They can experience fatigue
or nausea, isn't that right?
717
00:41:16,435 --> 00:41:17,445
Mm-hm.
718
00:41:17,480 --> 00:41:21,000
It could affect someone's
professional judgment.
719
00:41:21,035 --> 00:41:22,925
It might, but as I explained -
720
00:41:22,960 --> 00:41:26,360
They might read a document
and miss crucial information.
721
00:41:26,395 --> 00:41:28,365
They might, but as I've explained -
722
00:41:28,400 --> 00:41:32,160
What's the correct dosage for
diamorphine for a 50-year-old male?
723
00:41:32,195 --> 00:41:33,120
What?
724
00:41:34,360 --> 00:41:36,800
Er, yes.
725
00:41:37,400 --> 00:41:39,205
100mg.
726
00:41:39,240 --> 00:41:41,200
100? You're sure about that?
727
00:41:41,235 --> 00:41:42,605
Yes.
728
00:41:42,640 --> 00:41:44,885
No. Sorry.
729
00:41:44,920 --> 00:41:46,605
I meant ten. 10mg.
730
00:41:46,640 --> 00:41:49,880
Just like that, a 50-year-old male
dies of an overdose.
731
00:41:49,915 --> 00:41:53,125
My lord -
The dosage for a woman in her 20s?
732
00:41:53,160 --> 00:41:56,845
Or a ventilated newborn infant?
I'd have to check.
733
00:41:56,880 --> 00:42:00,360
You can't think clearly
under pressure anymore, can you?
734
00:42:00,395 --> 00:42:03,840
Which means that, because of your
dependence on codeine,
735
00:42:03,875 --> 00:42:06,357
you are a danger,
not only to yourself,
736
00:42:06,392 --> 00:42:08,805
but to every patient under your care.
No!
737
00:42:08,840 --> 00:42:11,900
It was a mistake.
It could have happened to anyone.
738
00:42:11,935 --> 00:42:14,960
Dr Austen, it happened because of
your addiction.
739
00:42:14,995 --> 00:42:16,725
I am not an addict.
740
00:42:16,760 --> 00:42:20,760
I-I haven't taken any medication
in-in months.
741
00:42:22,120 --> 00:42:25,760
Then you won't mind emptying
your pockets. This is outrageous.
742
00:42:25,795 --> 00:42:28,920
I'm offering Dr Austen the chance
to prove his point.
743
00:42:28,955 --> 00:42:31,760
No addiction,
then no need for tablets.
744
00:42:35,040 --> 00:42:37,685
Very well, I'll allow it.
745
00:42:37,720 --> 00:42:42,040
Dr Austen, if you'd be so good as to
place the contents of your pockets
746
00:42:42,075 --> 00:42:43,800
where we can see them.
747
00:43:24,280 --> 00:43:27,600
Dr Austen, can you confirm
for the court
748
00:43:27,635 --> 00:43:30,920
that those are prescription
codeine tablets?
749
00:43:30,955 --> 00:43:33,085
Yes.
750
00:43:33,120 --> 00:43:37,080
And can you tell the court how many
of those tablets you've taken today.
751
00:43:39,720 --> 00:43:42,600
I'm not sure.
I'm sorry, could you repeat that?
752
00:43:44,360 --> 00:43:46,645
I don't know how many
I've taken today.
753
00:43:46,680 --> 00:43:50,920
Well, more than two, more than five?
More than 20?
754
00:44:05,360 --> 00:44:07,840
I never meant to harm anyone.
755
00:44:21,880 --> 00:44:24,280
A guilty verdict
after only 20 minutes?
756
00:44:24,315 --> 00:44:26,325
You must have done something right.
757
00:44:26,360 --> 00:44:29,125
They still only gave him
a two-year suspended.
758
00:44:29,160 --> 00:44:33,280
Elderly judge nearing the end of
his career. Hardly surprising.
759
00:44:33,315 --> 00:44:35,560
You could appeal the sentence.
760
00:44:35,595 --> 00:44:37,165
I don't think so.
761
00:44:37,200 --> 00:44:39,680
Not going soft in our old age,
are we?
762
00:44:39,715 --> 00:44:42,080
No, just don't think I'd win.
763
00:44:47,440 --> 00:44:49,125
What?
764
00:44:49,160 --> 00:44:52,760
Thought I'd seen
a glimmer of humanity.
765
00:44:52,795 --> 00:44:55,640
But no, my mistake.
766
00:45:00,000 --> 00:45:06,000
Sync and corrected by
www.addic7ed.com
64033
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