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