02x02 - Episode 2

[bunniefuu]

Hello, I'm Dr Ford,
psych reg on call.

Hi, I'm Dr Hernandez. I've got
a patient I'd like you to see.

From these notes, it seems your
assessment of Rosie was very brief.

'He was in a rush.'

His phone kept going off. He just
asked a few questions, then he left.

Dr McAllister had asked me to attend
a Mental Health Act assessment.

If you don't come now,
I'm taking it higher.

You were on call. Rosie should
have been your priority.

I thought I could do both.

The hell you are!
Give me back my baby!

SHOUTING

What did you make
of Rosie's symptoms?

At that point, she wasn't
displaying any psychotic symptoms.

Do you hear or feel things
when there's nothing there?

What do you mean?
Prescribe lorazepam,

two milligrams when she gets
home and two before bed.

I'll write the prescription.

That way, you have the tablets
if you think you need them.

James, sorry to wake you,
but we've got a situation

with a patient, Rosie Newman.

Where the hell have you been?

I'm on the phone to AMHP, we're
waiting for you. Car trouble.

Can I check what time Rosie
took the lorazepam prescribed?

Well, I don't know. I didn't see
her physically take any tablets.

I don't know...

Oh! Rosie!

I tried... I tried,
I failed, I...

We'll just talk.

If Rosie's symptoms
were picked up earlier,

this entire tragedy
could have been avoided.

I trusted your
advice. Did you?

Because Rosie didn't
take the lorazepam.

If she had, none of this
would have happened.

I know this was
something to do with you.

And when they find out,

it'll be your career
that's over, not mine.

If this becomes about
your incompetence,

they will go over every inch
of your work and your life.

This could all
have been avoided.

Why was Dr Ford so late?

SIREN WAILS

BUSY CHATTER

Afternoon, everyone.

Thank you all for coming.

Look, we provide a vital
service to the community,

the value of which
is hard to quantify.

However, the increasing number
of departmental failings

and serious safety concerns
are becoming hard to ignore.

And now, due to the death
of a vulnerable patient

and the subsequent MIU investigation
into those individuals involved,

the Integrated Care Board
is seriously considering

closing us down. What? No.

MURMURING What about our jobs?

And all the patients?

All right, let me finish.

If we can demonstrate we've
learnt from this incident

and can function safely,
we can save the unit.

How are we meant to do that?
We keep reporting problems

and nothing happens. We need
proper funding to function safely.

MURMURING

Well, additional funding has
previously been made available,

and we're doing
our best... JEERING

We are doing our
best to secure more.

But in the meantime, we'll
be monitoring you closely

and assessing your clinical
skills over the coming weeks.

So, please, adhere to
protocol at all times.

As a first step, impromptu
resuscitation drills

will be carried out on
the wards, I'm afraid.

And we expect you to treat these
like real-life emergency situations.

Look, as your Chief
Medical Director,

I've fought hard to
keep this unit open.

And we'll keep fighting, yes?

Until closure is off the table.

Thank you.

CLASSICAL MUSIC PLAYING

DR FORD: Did someone bleep me?

You've got a visitor
in the relatives' room.

Any details?

Nope. Sorry.

Helpful (!)

Mr Newman.

I need answers.

How did you miss how unwell Rosie
was? Why did you let her go?

Rosie wasn't exhibiting
any severe symptoms...

You had a second chance to save
her life, and you let her run away.

How could you let that happen?

And now they're saying that
if she'd taken the lorazepam,

all of this would
have been avoided.

Why didn't you stress
how important that was?

Where were you?

INAUDIBLE

KNOCKING You let her...

Sorry, mate.

Do you want me to delay
your 1pm? No, no, no.

They're here, Kwame, erm...

That patient from earlier...

..could you ask management
to... handle that?

Right.

Yeah, sure.

Mr Newman, the Trust are
conducting an investigation...

An investigation'll take months.

I do not have months, I
just need answers now.

I cannot eat, can't sleep.
Alfie's crying all the time.

I'm off work.

My little girl, she asks me,
"When's Mummy coming back?"

What am I supposed
to say to that?

You should take a seat, I'll get
you a drink, tea or a coffee.

I don't want a f*cking coffee!
I want to know why my wife died.

You said that Rosie was psychotic,
but that does not happen overnight.

Why didn't anyone
else notice before?

It can come on gradually.

You said the community
midwives came to visit you.

Did they notice anything? How?

How could they? They
just came and they went.

When Rosie gave birth,
there were doctors,

there were midwives
on that ward 24-7.

They should have
noticed something.

But Rosie might not have had
any symptoms at that time.

Four days. She was sat on
that ward for four days.

They had four f*cking days!

Four days? Rosie was on the
postnatal ward for four days?

Yes.

Why? Was there a problem?

What do you mean, problem? It
just seems to be a long time.

So you're saying there
was something wrong? No.

I'm just asking.

If they told you
everything was normal...

Normal? How am I supposed
to know what's normal?

You're just talking
in circles...

CONVERSATION MUFFLED

..to the next professional,
and I'm sick of it!

Mr Newman, why don't we
go into my office...?

Why is he trying to blame
Rosie's death on the birth?

I didn't say that.

If you threaten our staff,
we'll have to ask you to leave.

HE SIGHS Fine. I'll go.

What did you say to upset him?

Nothing.

He said Rosie was on
the ward for four days.

I asked why.

Cos that doesn't
seem normal, does it?

That doesn't seem necessary.

Was there a problem
with the birth?

SHE EXHALES

We have a world-class
maternity unit, Dr Ford.

Nothing he said is
relevant to understanding

why his wife jumped off
a roof under your care.

I think we should revisit
compensating Mr Newman now,

before he does any more damage.

HE EXHALES

The board won't be happy.
What's the alternative?

We need to make sure the MIU
remain focused on Dr Ford.

OK.

OK.

Set up a meeting with them.

DOOR OPENS THEN CLOSES

FROM TV: 'Hypertension,
defined as blood pressure

'higher than 140 over 90,

'is far and away the
leading risk factor

'when it comes to
premature death.'

How are you finding the
aripiprazole, Samira?

Samira, your medication.
How are you finding it?

There's a doctor on the
telly just like you.

You need to come
quickly. It's Toni.

She's locked herself in the
toilet, and the baby's coming.

Toni! Toni, we need
you to come out.

Toni, open the door!

Open the door!

SHE CRIES We need
the master key.

What master key?

Just call Dr McAllister, quick.

Toni, open this door.

SHE CRIES OUT

Toni, we are trying to help you.

How did this happen?

Where's her one-to-one
nurse? I don't know.

Hi, Dr McAllister. Toni's
gone into labour...

Toni, stand back from the
door. Stand back from the door!

SHE CRIES OUT

SHE SHOUTS

Just out this way. Out this way.

Step right over here.

That's it. Everything's
gonna be OK.

Caitlyn, can I have a
pillow, please? Quickly.

Thank you.

TONI CRIES AND MOANS

Toni, stay calm.

We need to wait for
obstetrics. There's no time.

We shouldn't be doing this!

Toni, push.

SHE YELLS

Eric Sawers, Chief
Medical Director.

Good to meet you.

And this is my colleague.

Indira Sharma, I'm
Director of Communications.

Nice to meet you.

We appreciate you
organising this meeting.

Rosie Newman's
death was a tragedy,

and one that, as Medical Director,
I feel some responsibility for.

As a trust,

we're keen to prevent anything
like this ever happening again.

Thank you.

Our initial interview
with Dr Ford

highlighted a number of issues
with his management of Rosie.

We've also spoken
to key witnesses,

and there are a few details
we'd like to clarify.

I see. How long has
Dr Ford worked here?

He came to us midway through
last year from another hospital.

That's unusual for a
registrar. Do you know why?

He had a good reference,
so we didn't probe.

His former hospital should be
able to provide more details.

We'll contact them,
get his HR records.

How else can I help?

SHE GRUNTS

It's OK. It's OK.

That's it.

Calm down, Toni, it's OK.

What's wrong?

What is it, Toni?

The baby's stuck. The
shoulders aren't coming.

Toni, Toni, stop pushing.
Toni, stop pushing! Stop, Toni.

Listen. Stop pushing. Stop.
Toni, can you hear me?

What are you doing? You
need to stop pushing.

I'm looking up
shoulder dystocia.

You are not an obstetrician.
Maybe we should wait for them.

If we don't do anything,
they'll both die.

Toni, stop pushing!
Listen, stop pushing, Toni.

TONI CRIES OUT

It's OK, Toni. Toni, we're
gonna get your baby out.

Guys, I need you
to take a leg each,

and push her leg back
towards her chest like this.

Take that leg. I don't
know what I'm doing.

I know, it's all
right, we've got this.

It's all right, Toni. I
can feel the shoulders.

They're moving. Now you
can push. Toni, push.

OK.

GUSHING

Oh, my God, it's working.

That's it. You did
it, Toni, you did it.

What are you doing?

The baby was stuck.

Fast bleep the
neonatal resus team.

They want me dead. They
don't want you dead, Toni.

You were meant to bring her
over as soon as labour started.

As soon as anyone realised
what was happening,

the baby was already coming.
You're doing brilliantly.

Just keep breathing. Keep
breathing, slow breaths.

That's it. Slow breaths.

sh*t!

Is it dead? Resus
team here in ten.

That's too long.

Can we get the mother out of
here? She's losing too much blood.

sh*t. Help her with the baby.

Toni! Listen to me.
Can you hear me? Toni.

She's losing consciousness. Have
you got fluids, an ABG machine?

No. There's a bag of fluid in
there. You'll have to hold it up.

Toni, stay with us. Anything?

No. Stay with us, Toni.

Toni needs oxygen.

We don't have any.

We've got a weak heartbeat.

BABY CRIES

SHE EXHALES

She's losing too much blood, I
need to get her into theatre.

BABY CRIES

Stay calm. We're just
on our way to hospital.

I can't believe this.

Where was her one-to-one nurse?

I had to take her
off one-to-one.

We should go back to the ward.

She should have been under
constant supervision.

She wasn't due for four weeks.

I couldn't commit one nurse to
her for that amount of time.

She was always at risk of
a premature birth. I know!

You have no idea what this
department's up against.

What does that mean?

Just leave the ward
management to me.

And the MIU can't find out about
this. We saved their lives!

They won't think that. Trust me.
Couldn't have come at a worse time.

MACHINES BLEEPING

I can't control the bleeding.

Then you'll have to
do a hysterectomy.

We should have consented her
properly, explained the risks.

How?

She was lucid before
she went under.

She understood we were
taking her to theatre.

She won't be able to
have any more children.

Is that a bad thing?

Come on, let's open her up.

Yes, Mr Mansoor.

Get me two more units
of cross-matched blood.

Two more units? Yeah.

On it.

Get her legs down
and lie her flat.

'Well, that was a
total shitshow.'

Yep. I'm doing an
incident report.

OK, then.

Whoa, whoa, whoa, whoa, whoa.
You're reporting Dr McAllister?

Dr McAllister shouldn't have
taken Toni off one-to-one.

Yeah, but we're short-staffed,
Toni wasn't due for four weeks.

In her defence, we can't afford
to spare a nurse for that long.

Obstetrics were the
problem, not Kate.

If you report her, it
reflects badly on all of us.

It already reflects badly on us.

And Dr McAllister would
throw all of us under the bus

if her career depended on it.

No, she wouldn't.

Obstetrics are gonna
blame us anyway,

so we need to stick together, not
make things worse for ourselves.

They messed up, but
they're going to blame me.

Nobody will blame you.

If psychiatry had
alerted us earlier,

this wouldn't have happened.

You did your best in extremely
difficult circumstances.

Look, a patient like that is
unlikely to make a complaint,

but if this does
become a problem,

you should get your version
of events out there first.

That psychiatry
registrar, Dr Ford,

he made several mistakes.

Make sure the right
people know that.

Where did you get to with
Dr Ford's late arrival?

Well, Bernadette's right.

CCTV footage shows him entering
the staff car park just before 3am.

Now, there are roadworks
near his address,

but I checked, and whichever
route you take round them,

it's still less than


Right, well, speak
to police liaison,

let's get them to do
a licence plate check.

ANPR might have picked
his car up somewhere.

Oh, I meant to ask, do you and
Gina fancy coming over for dinner?

Ooh, dinner with the
boss? That's a big step.

Well, I need to make sure she's
good enough for you, don't I?

Put her through her paces,
pun absolutely intended.

Well, if you keep making
amazing medical jokes like that,

then absolutely not.

Look, she thinks I'm cool.

I'd like to keep it
that way. I'm kidding.

Relax, it'll be easy.

And Rubi will be there. OK,
well, let's do a restaurant.

It'll feel less like bringing
her home to meet the parents.

Er, surely you mean slightly
older much better looking sister?

PHONE RINGS Yeah.

Hello?

Hi, it's Dr Hernandez from QM.

I was hoping to be able to
meet with you at some point.

We're actually at QM. We
can come and see you now.

No, I'd prefer to meet
somewhere off-site.

'Maybe tomorrow?' OK.

I have some information

that might be relevant to your
investigation into Dr Ford.

Yo.

Ah. Can you sign
this for Samira?

Dr McAllister wants
her meds increased.

Thanks.

Yeah. Oh, OK.

Oh, and do you want me to hold that
bed for the one-three-six patient?

For the...

MC, lad with schizophrenia...

the guy who ran naked
into a thorn bush?

Oh, he's in A&E
waiting for transport.

Cool. I'll go get him. No.
We're doing things properly.

We're waiting for an ambulance,
even if it takes longer.

Guard that bed with your life
from the bed manager, Kwame,

with your life!

Aislene, I'm so sorry.

I've got half-an-hour's
escorted leave.

Will you take me
down to the shops?

I-I can't, I'm afraid.

Perhaps Kwame will
take you later.

'This is a reminder to
all staff and patients,

'smoking or vaping is not
permitted anywhere...'

It sounds like Dr Ford did
quite the heroic thing,

delivering Toni's baby in
such difficult circumstances.

Well, it was Dr Ford's fault that
we were in those circumstances.

We had an MDT and agreed that as
soon as Toni went into labour,

her nurse would bring her
over to the labour ward.

But, for whatever reason,

Dr Ford decided she didn't need
a one-to-one nurse any more.

That was Dr Ford's decision?

He was the most senior doctor
on the ward at the time.

His consultant wasn't
there till later.

I mean, Dr Ford would have seen
that Toni didn't have a one-to-one.

So, without the one-to-one,

nobody realised Toni was in
labour until it was too late,

which ultimately harmed Toni
and her baby unnecessarily.

Well, thank you. We'll
talk to Dr Ford about that.

While you're here,

I'd like to clarify a few
things about Rosie Newman,

if that's all right? Sure.

When you saw her,

did she say anything concerning
about her mental health?

No, no, that was her husband, but
I took his concerns seriously.

Postpartum patients can be
guarded about these things.

So you referred her to Dr Ford.

Yes, and after he agreed to
see her, he tried to cancel.

Why?

He wanted to do some
other assessment.

He only agreed to see her after
I threatened to escalate things.

Really? Yes.

It felt like an...
an inconvenience.

Rosie didn't take the lorazepam
as Dr Ford recommended.

If she had, it's likely she wouldn't
have deteriorated the way she did.

Well, I... I prescribed it
exactly as Dr Ford instructed.

I have no idea why
she didn't take it.

Mr Newman says Rosie was concerned
about breast-feeding on lorazepam.

Did she say anything
like that to you?

I said the risk of transfer
during breast-feeding was minimal.

Rosie seemed happy with that.

I was clear she needed
to take the medication.

Hm.

So another patient and her
baby have been seriously harmed

by Dr Ford's poor
decision-making?

That's what she said,
but I don't know.

Would a registrar really remove
a high-risk patient's one-to-one

without discussing it
with the consultant?

No, you're right. That is a
consultant-level decision.

So, why did Dr Hernandez feel
the need to arrange a meeting

just to tell us that? Dr
Ford's HR record has arrived.

And there's something
you're gonna wanna see.

What is it?

Well, they mention a
serious untoward incident

that took place before he left.

But... all the details
have been redacted.

Must have been some incident.

Some of the witness
statements mention the police.

If it was serious
enough to involve them,

then there might be
something in the press.

It's worth a trawl.
See what you can find.

Oh, and we should contact Dr Ford's
clinical supervisor, Dr McAllister.

If there's anything concerning
on his record, she might know.

Thanks, George.

Ideally, we'd have managed
the bleeding conservatively,

but the hysterectomy
was unavoidable.

Unavoidable? Yes!

Did you even try and
consent her for that? Mm-hm.

Anyway, she's doing really well
and should be ready for discharge

back to you in a day or so.

To the psych unit? Yes!

You're actually serious.
She hasn't met her child.

She doesn't know she's
had a hysterectomy.

Then tell her. She's a
lot better than she was.

She seems depressed. She's in no
fit state to be told that now.

One minute she's psychotic,
then she's depressed.

She can be both. Yeah,
I agree with Dr Ford.

The psych unit isn't suitable
for a post-op patient.

She needs time to recover
and to bond with her baby.

And we'll need to get child
and family services involved

before she can be transferred.
She'll be in hospital for weeks.

Well, that can't happen
on the postnatal ward.

Most post-op patients go home after
three or four days, a week at most.

Yeah, I get it. Ideally, she'd go
to a psychiatric mother-baby unit,

but it's hard to get a bed. Then
she'll have to go to Willow Ward.

You can arrange for her
to see the baby there.

Sorry, in what world does a newborn
belong on an acute psychiatric ward?

I don't know, maybe in the
world where psychiatrists think

they're qualified
to deliver babies?

OK. She'll go to the postnatal ward
until a mother-baby bed frees up.

We will provide one-to-one
psychiatric nursing.

If Arun has a problem with
that, he can take it up with me.

James, please document
that in the notes.

Hi.

Hi, can I get a log-in, please?

I need to write up some notes.

Shred that when you're
done. Thank you.

Are you aware of any incident

that might have caused Dr Ford
to leave his previous job?

No.

I understood he moved because of
this hospital's good reputation.

When Dr Asamoah called,

it took Dr Ford nearly
an hour to attend A&E.

Well, that's the first
I've heard of this.

Is Bernadette sure? Yes.

Is he usually late for work,
or for assessments on call?

No, never. No-one's ever
fed back anything like that.

You know, Dr Ford tried
to cancel Rosie's review

to attend the sectioning
of a ward patient,

but changed his
mind and did both.

Do you know why?

Er, because he's diligent
and determined to please.

He knew I was in a meeting,

and probably thought no-one
else could do the section.

So you didn't ask Dr Ford
to attend Toni's sectioning?

No.

And could you have left your
meeting to attend Toni's assessment?

Yes, and if James had come to me,
that's what I would have said,

but he is self-sufficient
and extremely competent,

so he probably thought it would
be easier to do it himself.

One last thing. Mm-hm.

We know Toni recently
gave birth on your ward

after her one-to-one
was removed.

Whose decision was that?

Um, unfortunately, that
was a management decision.

I insisted on a one-to-one,

but I was told that we
could only afford one

for the last week or
so of Toni's pregnancy.

Right.

'Rosie, is someone else
talking to you apart from me?'

'Who the f*ck are you
calling a failure?'

'I am not going to hurt you.

'Do you know who I
am? Do you remember?'

'I tried!' 'Rosie!'

Following our last interview,
we'd like to clarify a few things.

You said Dr McAllister
asked you to attend

the Mental Health
Act assessment.

Yes.

Nobody else was available.

She was just in a
management meeting.

If you'd come to her, she says
she'd have done the assessment

and told you to see Rosie,
like you should have done.

Well, that's not what I recall,
but perhaps I misunderstood.

You were on call.

Your priority was to
review on-call patients.

Precisely, which is why I wouldn't
have agreed to go to the assessment

if there was another option.
So Dr McAllister lied?

No, I'm saying...

there must have been
a misunderstanding.

The patient Toni Campbell-Brown
recently gave birth, didn't she?

Sorry, er...

I thought this interview
was about Rosie Newman.

And instead of following the
plan, you delivered her baby

on an acute psychiatric ward.

Who told you that? Dr Hernandez?

The baby nearly died.

And your patient
is now infertile.

Toni should never
have been on our ward,

but obstetrics
refused to take her.

Obstetrics were unaware

that the psych unit lacked the
clinical resources for an emergency.

If they'd have known,
they'd have taken Toni.

They're lying! They're lying.

Look, Toni wasn't our fault.

You should be speaking
with obstetrics.

Kathy, can you pull up
the CCTV image, please?

Dr Ford, is this your car?

Yeah.

The night Rosie Newman died,
Dr Asamoah called you at 2am.

And you said you came
in from home. Yes.

Why did it take you
so long to come in?

There's... There's roadworks.

They've been pulling
up Healey Street,

so keep changing the diversion.

You arrived nearly an hour
after Bernadette called.

Must have been...
quite the diversion.

If you'd arrived
within 30 minutes,

Rosie and Ed would have
still been in A&E majors.

You could have asked
Ed about the lorazepam,

and seen Rosie deteriorate
again, assaulting the officer.

You wouldn't have
removed her restraints,

she wouldn't have
been under-sedated,

and she'd still
probably be alive.

Kathy, next slide, please.

These are all the routes you
could have taken from home.

None add more than five
minutes to your journey,

even with roadworks.
Kathy, next image, please?

Police ANPR picked your car up
that night in these locations.

In fact, in the last 90 days,

your car's been picked up by
these same cameras several times.

I was at my girlfriend's.

Sometimes I stay
there when I'm on call

cos my flatmates are noisy,

so it's less stressful
to stay at hers, OK?

No. That's not OK.

Hospital guidelines stipulate that
doctors can be on call from home

only if it's within 30
minutes of the hospital.

Your girlfriend lives
nearly an hour away...

This is a waste of time.

You should be asking Dr Hernandez
what went wrong with Rosie's birth.

Why? What happened?

Rosie's husband told me Rosie
was on the postnatal ward

for four days.

You're only on the ward that long
if you've had serious complications.

And Mr Newman specifically said
there was a problem with the birth?

No, but it was... Well, then,
that's just supposition.

But we have Rosie's
maternity notes.

If there's a clinical reason
for her prolonged admission,

we can easily clarify that.

Why did you leave your last job?

Sorry, what's that
got to do with this?

Well, we received a heavily redacted
HR record from Oakwell Hospital,

referencing a serious
untoward incident.

Why is it redacted?

Because it wasn't relevant.

Kathy, next image, please.

"After swearing at
the female nurse,

"the mentally ill man
was placed in seclusion.

"However, a junior doctor,

"who remains anonymous
for legal reasons,

"terminated the seclusion

"because he felt the
punishment was too harsh.

"Shortly after, the
nurse was assaulted."

Does this article
refer to you, Dr Ford?

Yes, but that's
not what happened.

Well, then, tell us
your version of events.

Sure.

There was a culture on that ward of
nurses putting difficult patients

in seclusion because it was easier
than other de-escalation methods.

So you just felt your colleagues
were being lazy, you knew better.

No, I was trying to act in the
best interests of my patient,

I was advocating for him. But
your risk assessment was wrong.

And your colleague
ended up in ITU.

She never returned to work.

It echoes what
happened with Rosie.

You put your colleagues at risk,
and Precious Danso was assaulted.

Rosie, Toni, your
former colleague.

You need to be the
hero, delivering babies,

freeing patients at the risk
of other people's safety.

No. That's not true or fair.

I see a doctor who dislikes
the restriction of protocols,

a rule-breaker who thinks he
knows better than the police,

his colleagues, and puts
everyone around him at risk.

And you've proven this
time and time again.

Being a good doctor
requires teamwork,

excellent communication skills,
and the ability to prioritise.

You haven't demonstrated
any of these.

As such, we are proceeding

to a full fitness to
practise investigation.

HE SCOFFS, SIGHS

You've got this all wrong. Once
our investigation is complete,

we'll present our findings
to a tribunal panel,

who'll then decide whether you
can continue to practise medicine.

HE EXHALES

I think we're done.

CLASSICAL MUSIC PLAYING

Are you a real doctor?

Samira, we've been through this.

I am a real doctor, this is a
real hospital... Hi, Samira.

..and this is a real nurse.

Come on.

That increase in her
meds isn't working.

Who left this on?

Oh, maintenance
were here earlier.

They're useless. This is
an acute psychiatric ward.

They can't leave things suicidal
patients can use to k*ll themselves.

So call them back, get
them to come back here,

fix this now, properly, and
fix it today, all right?

I'll do it once I'm
finished. Where's Kate?

I haven't seen her all morning.

Why's MC not on the board?

He's in A&E waiting
for transport.

Since yesterday?
He's low priority.

Well, is he in the
one-three-six suite?

No, he's on a trolley in the
majors corridor with a one-to-one.

What's the point in
following protocol

if it doesn't f*cking work?

Yeah, hi, hi, yeah,

it's Dr James Ford
here from Willow Ward.

Yes, you have a patient that's
waiting to be brought across to us?

Yeah, I need two nurses
to walk him across now.

I don't care.

"Select product." I
am selecting product,

just give me the chocolate,
for God's sake! Norma?

They install all
these fancy machines

to stop us leaving the office,
and they never bloody work.

What is it?

Rosie Newman was on the
postnatal ward for four days.

Do the notes explain why? No.

They used forceps, but the
baby was successfully delivered

without any mention
of complications.

And the notes repeatedly say

both mother and baby were
doing well before discharge.

Who discharged her?

Her midwife, Maria Carter,

after a discussion
with Dr Hernandez.

SHE SIGHS

Where are you going?

Going to the cafe to get a
snack. Come on, walk and talk.

Susannah, please put this
on my desk. Yes, of course.

I called the ward to speak to
Maria, but she transferred from QM

to North Yorkshire
Hospital six weeks ago.

And shortly after that,
she was suspended.

Why?

Well, the Nursing and Midwifery
Registry were reluctant

to tell me the details, as it's
a highly sensitive investigation.

OK.

Yeah, but they did say it had
nothing to do with her time

on QM's maternity unit, so they
shared her contact details with me.

She very quickly sent an
email refusing to speak to us

unless it was done formally with
her RCM rep and lawyer present.

Great. You explained we're not
part of their investigation,

we just want a statement
about Rosie's presentation?

Yep. It made no
difference. Fine.

Set up a meeting as
soon as possible.

Ms Carter, thank you
for coming in to see us.

You didn't leave me much choice.

Two months ago,

you were Rosie Newman's
named midwife at QMUH.

Unfortunately, Rosie passed
away three weeks ago.

During a postnatal
psychotic episode,

she fell from a hospital roof.

I saw it in the news.

A complaint has been
made about a doctor

who failed to do an appropriate
psychiatric examination

before Rosie died.

So Dr Hernandez is being
investigated and she's blaming me?

Maria... Just because
I disagreed with her.

I said there was a problem

and that Rosie needed to
see a psychiatrist, but...

Maria... she asked me
to cancel the referral.

I strongly advise you
not to say anything else.

Are you saying Rosie was
referred to psychiatry

when she gave birth, six
weeks before her death?

My client is already
being investigated

by the nursing and
midwifery regulatory body.

It is not appropriate
for you to question her

about another ongoing
medical investigation.

Maria, what did you and Dr
Hernandez disagree about?

Was it Rosie's management? I'm
terminating this interview.

Let's go, Maria.

Maria, if you know of anything

that could help us understand
how Rosie became so unwell,

you should tell us.

Maria, let's go.

I've got nothing else to say.

I left these out for you,
why haven't you packed them?

We don't need them any more. Dad's
bought us loads of new stuff.

SIGHS

HORN HOOTS

Right, your dad's here.

SIGHS

TEXT ALERT

SIGHS

LAUGHTER, MUSIC PLAYING

Hello, mate. What are you doing?

You know your sister's
cooked a full-on feast.

Yeah. I've had a sh*t day. I'm
not in the mood for socialising.

There are literally
no nutrients in there.

What the f*ck? They
cost actual money.

It never ceases to amaze me
how unhealthy you doctors are.

No. Come on. You're
eating with us.

And I've invited someone
you might like. Come on.

LAUGHTER, CHATTER

No way! CHATTER FADES

James.

Are you a tech guy like Will?

No, James has a real job.
He's a... He's a psychiatrist.

Oh, cool. Did you, like, do a
special course or something?

SNIGGERING

Er, I went to medical
school. Oh, yeah.

My friend Tilly does that, but she
studied psychology, not medicine.

No, James is a medical doctor.
Tilly's a psychologist.

What's the difference?
Sorry. LAUGHTER

Until I met this guy, honestly, I
thought they were the same thing.

But he works on a ward with all
these completely mental people.

Patients.

Um... it's not really like that.

What's the craziest...? What's the
craziest patient you've ever had?

Um, probably a patient who
collected dead pigeons,

burnt them in butter and
took them to the Palace

as a present for the King.

James, that-that's disgusting.

She'd confused
that nursery rhyme,

"Four and twenty blackbirds
baked in a pie..."

See I told you, man,
he works in a madhouse.

TEXT ALERT

Right. Cab'll be here
in five minutes, guys.

Where you going? For a drink, then
to that new club on North Street.

You should come.

I told you.

So, Gina, how long have
you been an architect?

Five years. Wow!

It's hard work, but
I really enjoy it.

Do you design homes? I love all
those luxury property shows on TV.

It looks so glamorous. I do.

But mostly small, private homes,

so it's not glamorous at all.

She's being modest,
she's working

on a multi-million-pound
property deal right now.

Don't jinx it. If our
client wins the bid,

it'll be the biggest
job I've ever done.

I'd love to do
something creative.

There's plenty of
creativity in medicine.

No, there isn't.

Yes, there is. How?

You have to stick to
protocols, guidelines.

Your entire job is ensuring
everyone tows the party line,

or else they're out.

You've always wanted
to be a doctor.

No, you've always wanted
me to be a doctor.

Are you not enjoying uni?

Erm, shall we get
another bottle?

Hm. Yeah. Yeah?

Can we get another
bottle, please?

DANCE MUSIC PLAYS

Two? Did you just double-drop?
You can't take two!

LAUGHING

Mate, can I have
a whisky, please?

Actually, can you
make it three, mate?

CHATTER

Airam Street.

Cheers, mate.

Um...

It's really, really hot in here.

Can you open your window, too?

Yeah, sure.

Are you OK?

Oh...

My head's... My head's
pounding and my chest hurts.

Fizz, are you OK? Look at me.

Fizz?

Fizz?

Mate, can take us to A&E,
quickly! She's just drunk!

She's not.

Take us to North
Yorkshire. f*ck's sake.

QM's much nearer.
I'll take you there.

She'll be seen quicker
at North Yorkshire.

I dunno, mate, I don't
want her dying in my cab.

Look, mate, I'm a doctor, OK?

Just take us to North
Yorkshire A&E... please!

Fizz, Fizz, listen to me?
Can you hear me, yeah?

Fizz? Fizz?

RAPID CHATTER

Check airway, please.

Can we get some lines in?

We need to run some bloods and
do a tox screen, thank you.

What's her name?

What's her name? Oh, I just
know her as... as Fizz.

Patient's name is
Fizz. And what's yours?

Toby, Toby Tait.

Right, and what's
she taken, Toby?

Pills, I think, and... I
don't know if anything else.

What kind of pills?

I dunno.

Did you give her the drugs?

No! No, I... I...
I don't know her.

We only just met.

Right, just stand over there,
I'll get some more details

from you later.

Right, can I get
an update, please?

Fizz... Fizz, can you hear me?

Did you find any drugs on her?

MACHINES BEEP

Has she been sick? She
hasn't been sick, no.

Can we get that
ABG done, please?

BUZZING

BUZZER

I wasn't expecting you tonight.

I f*cked up.