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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:01,480 --> 00:00:04,605 In the criminal justice system, the people are represented 2 00:00:04,640 --> 00:00:09,320 by two separate yet equally important groups - the police, who investigate crime, 3 00:00:09,355 --> 00:00:12,600 and the crown prosecutors, who prosecute the offenders. 4 00:00:12,635 --> 00:00:14,200 These are their stories. 5 00:00:46,120 --> 00:00:48,205 Taylor. Ricky Taylor. 6 00:00:48,240 --> 00:00:52,160 That's who you should have brought in. I didn't do nothing. 7 00:00:52,195 --> 00:00:53,760 Hold still, will you? 8 00:00:54,840 --> 00:00:57,560 Adrenaline. And get a chest X-ray organised. 9 00:00:57,595 --> 00:00:59,360 I need a doctor here! 10 00:01:00,960 --> 00:01:03,840 Get the crash trolley. I need a line in, quick. 11 00:01:03,875 --> 00:01:06,240 Everything OK? Check her blood pressure. 12 00:01:11,200 --> 00:01:14,280 Charge to 150. I was waiting for chest X-rays. 13 00:01:14,315 --> 00:01:16,285 Back in a minute. 14 00:01:16,320 --> 00:01:19,285 Go ahead, Control. Listen to me. I just... 15 00:01:19,320 --> 00:01:22,805 Sir, it doesn't matter that you were here first. 16 00:01:22,840 --> 00:01:27,080 Someone has a knife sticking out of their head, they take priority. 17 00:01:27,115 --> 00:01:30,857 So just take a seat and you'll be called when they're ready. 18 00:01:30,892 --> 00:01:34,600 I've been here 40 minutes. I just need to know where she is. 19 00:01:34,635 --> 00:01:37,640 I've told you! I have to check with admissions! 20 00:01:37,675 --> 00:01:40,485 What about my prescription? Take a seat! 21 00:01:40,520 --> 00:01:44,485 This is ridiculous. Sir! Sir, you can't go through there. 22 00:01:44,520 --> 00:01:48,840 Sir! Sir, you can't go through there! Still no pulse. Adrenaline in. 23 00:01:48,875 --> 00:01:51,977 I'm sorry, you can't be in here. That's my daughter. 24 00:01:52,012 --> 00:01:55,045 Sir, you really need to wait outside. What's going on? 25 00:01:55,080 --> 00:01:58,640 Her condition's deteriorated. We're doing everything we can. 26 00:02:00,360 --> 00:02:02,360 Is she going to be alright? 27 00:02:04,760 --> 00:02:06,480 Dr Mills. 28 00:02:10,040 --> 00:02:11,640 Time to call it. 29 00:02:13,600 --> 00:02:16,080 Time of death is 23:17. 30 00:02:18,960 --> 00:02:20,440 I'm very sorry. 31 00:02:21,680 --> 00:02:23,445 What are you doing? 32 00:02:23,480 --> 00:02:26,840 I'm afraid your daughter had a total pulmonary collapse. 33 00:02:26,875 --> 00:02:30,280 So do something! Do CPR, use the paddles! 34 00:02:30,315 --> 00:02:32,320 We already tried. It didn't work. 35 00:02:32,355 --> 00:02:34,485 No. No, this is crazy! 36 00:02:34,520 --> 00:02:36,740 All she had was a sore throat. 37 00:02:36,775 --> 00:02:38,960 You don't die from a sore throat. 38 00:02:40,600 --> 00:02:42,760 You don't die from a sore throat. 39 00:02:46,240 --> 00:02:47,760 Suzy. 40 00:02:51,520 --> 00:02:53,980 So this girl comes in with flu... 41 00:02:54,320 --> 00:02:56,440 And four hours later she was dead. 42 00:02:57,640 --> 00:02:59,965 Right. People can die unexpectedly. 43 00:03:00,000 --> 00:03:03,920 There can be underlying conditions that aren't diagnosed properly. 44 00:03:03,955 --> 00:03:05,725 I know all that. 45 00:03:05,760 --> 00:03:09,280 But I've been doing this a long time, and I'm telling you, Nat, 46 00:03:09,315 --> 00:03:11,445 Suzanne Morton should not have died. 47 00:03:11,480 --> 00:03:14,280 If you say something's wrong, I believe you. 48 00:03:14,315 --> 00:03:16,205 I'm not sure what I can - 49 00:03:16,240 --> 00:03:20,200 This is the third unexplained death on my ward in the past six months. 50 00:03:20,235 --> 00:03:23,320 Each time the administration fobbed the family off. 51 00:03:23,355 --> 00:03:25,520 It all gets swept under the carpet. 52 00:03:25,555 --> 00:03:27,045 This is the third one. 53 00:03:27,080 --> 00:03:30,960 I mean one, maybe two a year with no obvious cause of death, 54 00:03:30,995 --> 00:03:33,880 that wouldn't be out of the question, but this, 55 00:03:33,915 --> 00:03:35,365 this isn't right. 56 00:03:35,400 --> 00:03:37,725 Let me get this straight, Sinead. 57 00:03:37,760 --> 00:03:42,000 You think someone on the ward is killing patients. 58 00:03:42,035 --> 00:03:43,480 Yes, I do. 59 00:03:50,000 --> 00:03:56,000 Sync and corrected by www.addic7ed.com 60 00:04:27,000 --> 00:04:30,840 I can tell you how much her liver weighed and what she had for dinner. 61 00:04:30,875 --> 00:04:33,960 Why she died, who knows? Not even a theory? 62 00:04:33,995 --> 00:04:35,565 I don't do theories. 63 00:04:35,600 --> 00:04:38,645 She died because she stopped breathing. 64 00:04:38,680 --> 00:04:41,480 There was some congestion, fluid on the lungs. 65 00:04:41,515 --> 00:04:43,005 For cause of death, 66 00:04:43,040 --> 00:04:46,680 you'll have to wait for the tox screen and tissue samples. 67 00:04:46,715 --> 00:04:50,320 Could you rush those? Standard post-mortem, standard tests. 68 00:04:50,355 --> 00:04:52,320 They take the standard time. 69 00:04:52,355 --> 00:04:55,760 It's the NHS, not CSI. 70 00:04:57,680 --> 00:05:00,365 There was me thinking you were Gil Grissom. 71 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. 72 00:05:04,475 --> 00:05:06,840 Who's the head honcho at the emergency department? 73 00:05:06,875 --> 00:05:10,240 Dr Edward Austen, senior consultant. 74 00:05:10,275 --> 00:05:12,280 All right. 75 00:05:15,080 --> 00:05:20,200 So, you weren't in the emergency department when Suzanne Morton died? 76 00:05:20,235 --> 00:05:21,765 No, no, I wasn't. 77 00:05:21,800 --> 00:05:25,480 When I'm on call I grab 40 winks whenever the opportunity arises. 78 00:05:25,515 --> 00:05:27,445 Saturday tends to be a long shift. 79 00:05:27,480 --> 00:05:31,800 I thought consultants delegated that kind of thing and played golf. 80 00:05:31,835 --> 00:05:34,085 Ha! Sadly those days are long gone. 81 00:05:34,120 --> 00:05:37,060 It's all accountability, competition and choice, 82 00:05:37,095 --> 00:05:39,927 or slash and burn, depending on your point of view. 83 00:05:39,962 --> 00:05:42,760 Your staff don't page you with cardiac arrests? 84 00:05:42,795 --> 00:05:44,325 I wouldn't expect it. 85 00:05:44,360 --> 00:05:48,560 The crash team responds. Christine Mills is a very experienced registrar. 86 00:05:48,595 --> 00:05:50,600 Nothing I'd have done differently. 87 00:05:50,635 --> 00:05:53,520 Except the girl still died. 88 00:05:53,555 --> 00:05:55,165 Yes, she did. 89 00:05:55,200 --> 00:05:58,000 Which is obviously a tragedy for the family. 90 00:05:58,035 --> 00:06:00,917 But I'm not sure what you expect to find here. 91 00:06:00,952 --> 00:06:03,800 These things are regrettable, but hardly a crime. 92 00:06:03,835 --> 00:06:06,377 We understand there have been problems 93 00:06:06,412 --> 00:06:08,920 regarding other patients at the hospital. 94 00:06:08,955 --> 00:06:11,245 Who told you that? A source. 95 00:06:11,280 --> 00:06:13,565 I hate to tell you how to do your job, 96 00:06:13,600 --> 00:06:16,820 but unless your source makes these claims publicly, 97 00:06:16,855 --> 00:06:20,040 I'd hesitate to believe anything else they said. 98 00:06:20,075 --> 00:06:22,365 Do you know who admitted Suzanne Morton? 99 00:06:22,400 --> 00:06:25,720 It was a Dr Simonson. The nurses can help you find him. 100 00:06:28,000 --> 00:06:30,880 Yes, she was my last patient before I went off duty. 101 00:06:30,915 --> 00:06:32,445 Viral chest infection. 102 00:06:32,480 --> 00:06:35,560 Dramatised her symptoms a little, but they often do. 103 00:06:35,595 --> 00:06:37,960 I ordered a chest X-ray before I left. Why? 104 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. 106 00:06:43,675 --> 00:06:46,405 She died? You look surprised. 107 00:06:46,440 --> 00:06:49,280 She had a chest infection. She wasn't that sick. 108 00:06:52,360 --> 00:06:54,885 What? You think it was my fault? 109 00:06:54,920 --> 00:06:58,600 You think I missed something? We've been asked to look into it. 110 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. 112 00:07:08,440 --> 00:07:10,445 I'm only a first year. 113 00:07:10,480 --> 00:07:12,960 They don't let me do anything on my own. 114 00:07:12,995 --> 00:07:14,937 You should talk to Dr Mills. 115 00:07:14,972 --> 00:07:16,845 It was pneumonia. 116 00:07:16,880 --> 00:07:20,440 The sputum examination and blood cultures were indicative, 117 00:07:20,475 --> 00:07:23,417 and the chest X-ray showed fluid on the lungs. 118 00:07:23,452 --> 00:07:26,360 So the first doctor who saw her got it wrong? No. 119 00:07:26,395 --> 00:07:28,965 Dr Simonson made a provisional diagnosis 120 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. 122 00:07:35,515 --> 00:07:37,005 It doesn't kill people. 123 00:07:37,040 --> 00:07:39,765 It can if complicated by chemical pneumonitis. 124 00:07:39,800 --> 00:07:43,180 Which is? The lungs become inflamed by an irritant. 125 00:07:43,215 --> 00:07:46,525 The patient was feverish and lost consciousness. 126 00:07:46,560 --> 00:07:50,045 She must have aspirated some of her stomach contents. 127 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, 129 00:07:57,372 --> 00:08:00,525 we might have saved her, but there's no way of knowing. 130 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. 133 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. 135 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? 139 00:08:32,480 --> 00:08:35,800 We were told it was a chest infection, possibly pneumonia, 140 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... 144 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. 146 00:08:54,995 --> 00:08:56,480 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 154 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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