Law & Order UK Season 5 Episode 1 The Wrong Man
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00:00Those who prosecute the offenders, these are their stories.
00:30Let's get him up.
00:33Are you actually sure you haven't got any of that?
00:44Taylor, Ricky Taylor, that's who you should have thought in. I didn't do nothing.
00:49Just shut up more still, will ya?
00:53Adrenaline, carry on compression, and let's go to chest.
00:57I need a doctor here.
01:01Get the crash trolley. I need a lining quick as you can.
01:05But everything okay?
01:06Check her blood pressure.
01:13Charge to 150.
01:15I was waiting for chest X-rays.
01:17Back in a minute.
01:18Okay, mate.
01:19You're in control, Peter.
01:21You don't listen to me.
01:23Sir, it doesn't matter that you were here first.
01:27Someone has a knife sticking out of their heads.
01:30They take priority.
01:32So just take a seat and you'll be called as soon as they're ready.
01:37Seriously, I've been here 40 minutes. I just need to know where she is.
01:41I've already told you I have to check with the admissions desk.
01:45What about my prescription?
01:46Just take a seat.
01:49This is ridiculous.
01:50Sir!
01:51Sir, you can't go through there!
01:53Sir!
01:54Sir, you can't go through there!
01:56I was.
01:57I don't know going and took the gases again.
01:59But I'm sorry.
02:00You can't be in here.
02:01That's my daughter.
02:02Sir, you really need to wait outside.
02:05What's going on?
02:07Her condition's deteriorated.
02:08We're doing everything we can.
02:10Is she going to be all right?
02:13Is she going to be all right?
02:18Dr. Mills?
02:25Time to call it.
02:29The time of death is 23.17.
02:35I'm very sorry.
02:37What are you doing?
02:41I'm afraid your daughter had a total pulmonary collapse.
02:44So do something.
02:46Do CPR.
02:47Use the bottles.
02:48I'm sorry.
02:49We already tried.
02:50It didn't work.
02:51No.
02:52No, this is crazy.
02:54Of course, Chad was a sore throat.
02:57You don't die from a sore throat.
03:01You don't die from a sore throat.
03:03It's crazy.
03:15Sue.
03:16This girl comes in with flu.
03:18And four hours later, she was dead.
03:22Right.
03:23I know that people can die unexpectedly.
03:25There can be underlying conditions that aren't diagnosed properly.
03:29I know all that.
03:31But I've been doing this a long time.
03:33And I'm telling you, Nat.
03:35Suzanne Morton should not have died.
03:38All right.
03:39If you say something's wrong, I believe you.
03:40I'm not sure what I can do, but...
03:44This is the third unexplained death in my ward in the past six months.
03:48And each time the administration fobbed the family off,
03:51and it all just gets swept under the carpet.
03:55This is the third one.
03:57I mean, one...
03:59Maybe two a year was no obvious cause of death.
04:02That wouldn't be out of the question.
04:03But this...
04:06This isn't right.
04:07Okay, let me get this straight, Sinead.
04:10You think someone on the ward is killing patients?
04:15Yes, I do.
04:33I don't know.
04:35I don't know.
04:36I love it.
04:37I don't know.
04:38I'm sorry.
04:40Let me get this straight away.
04:41Thank you very much.
04:58Let me get this, sire.
05:00At this stage, I can tell you how much I live away than what she had for dinner.
05:14As to why she died, who knows?
05:16Not even a theory?
05:18I don't do theories.
05:20She died because she stopped breathing.
05:23There was some congestion, fluid on the lungs.
05:26But if you want a cause of death, you'll have to wait for the tox screen and the tissue samples.
05:32Any chance you could rush those through?
05:34Standard post-mortem, I ordered the standard tests.
05:38They take the standard time.
05:40It's the NHS, not CSI.
05:46There was me thinking you were Gil Grissom.
05:49All right, we've tried the dead.
05:52Let's see if we have any more luck with the living.
05:54Who's the head honcho at the emergency department?
05:58Er, Dr Edward Austin, senior consultant.
06:02All right.
06:07So, you weren't in the emergency department when Suzanne Morton died?
06:13No, no, I wasn't.
06:15When I'm on call, I tend to grab 40 winks whenever the opportunity arises.
06:19Saturday tends to be a long shift.
06:21Ah, I thought consultants delegated that kind of thing and spent their days playing golf.
06:27Huh.
06:28Sadly, those days are long gone.
06:31Now, it's all about accountability, competition and choice, or slash and burn, depending on your point of view.
06:37But your staff don't pay you when someone has a cardiac arrest.
06:40No, I wouldn't expect them to.
06:42The crash team responds immediately.
06:44In this case, Christine Mills is a very experienced registrar.
06:48Nothing I would have done differently.
06:49Except the girl still died.
06:54Yes, she did.
06:56Which is obviously a tragedy for the family.
06:59But I'm not sure what you expect to find here.
07:02These things are regrettable, but they're hardly a crime.
07:06Although we understand that there have been problems regarding other patients at the hospital.
07:11Who told you that?
07:14A source.
07:15Well, I hate to tell you how to do your job.
07:18But unless your source is prepared to make these claims publicly, I'd hesitate to believe anything else they had to tell you.
07:26Do you know who admitted Suzanne Morton?
07:28I believe it was a Dr. Simonson.
07:30The nurses can tell you where to find him.
07:35Yeah, she was my last patient before I went off duty.
07:39Viral chest infection.
07:41Dramatized her symptoms a little, but they often do.
07:44I ordered a chest x-ray before I left.
07:46Why?
07:46Uh, well, we're investigating her death.
07:50Death?
07:51Yeah, I guess she wasn't dramatizing after all, eh?
07:54She died?
07:55Mm-hmm.
07:56You look surprised.
07:58Well, she had a chest infection.
07:59She wasn't that sick.
08:04What?
08:06You think it was my fault?
08:08You think I missed something?
08:09We've just been asked to look into it.
08:11Who treated her after you left?
08:14I'm not sure.
08:15Well, one of the registrars would have taken her chance.
08:24I'm only a first year.
08:26They don't let me do anything on my own.
08:29You should talk to Dr. Mills.
08:32It was pneumonia.
08:34The sputum examination and blood cultures were indicative,
08:37and when the chest x-ray came back,
08:40it showed fluid on the lungs.
08:41So the first doctor who saw her got it wrong?
08:44No.
08:45Dr. Simonson made a provisional diagnosis based on her symptoms
08:50and ordered the x-ray to confirm it.
08:52He did nothing wrong.
08:54But pneumonia can be treated.
08:56I mean, it doesn't kill people.
08:57Well, it can do if it's complicated by chemical pneumonitis.
09:02Which is?
09:03It's when the lungs become inflamed by an irritant.
09:06The patient was feverish and lost consciousness.
09:09She must have aspirated some of the contents of her stomach.
09:14And it can happen that quickly?
09:15One minute she's okay, next minute she's dead.
09:19If the registrar who was treating her recognised it sooner,
09:22we might have been able to save her,
09:24but there's really no way of knowing.
09:26You weren't the one treating her?
09:28No, you want to speak to Dr. Grant.
09:32And I think he's at lunch.
09:35Well, this is starting to feel like parcel, parcel.
09:45If you see Mr. Morton, please extend my condolences.
09:49Right, so you were the one treating Suzanne in the ER?
09:52Uh, the ED.
09:55Only briefly, we were still waiting for her x-rays to come back.
09:59Sadly, by the time they did.
10:01So, just exactly how ill was she?
10:05Because we were told that it was a chest infection,
10:07possibly pneumonia,
10:09nothing that sounded immediately life-threatening.
10:11Oh, no, she was extremely ill.
10:13If we'd known what we were dealing with,
10:15she'd have been moved straight to ITU.
10:17But, sadly...
10:20Yeah.
10:22It's all pretty sad.
10:28If that's everything you need...
10:31Yes.
10:32Thanks for your help.
10:36What help?
10:38Oh, I was using the term loosely.
10:45So, she had mild bronchitis.
10:48She had chemical pneumonitis.
10:51She was dramatising her symptoms.
10:53She should have been in ITU.
10:55The only thing that everyone agrees on
10:57is that no-one did anything wrong.
10:59Yeah.
11:01Is it any clearer in the notes?
11:03Oh, yeah, as mud.
11:06Basically, we could be dealing with another Dr. Crippen,
11:09and I just would not have a clue.
11:11Although, look, judging from some of the handwriting,
11:13I'd say half these doctors were serial killers anyway.
11:16I don't know, mate.
11:18Give me a shooting in an alley any day of the week.
11:20At least I know how to spot a smoking gun.
11:23Look at this.
11:25There's a word crossed out here
11:27that looks like it says
11:29code name.
11:32What, in the notes?
11:34No, on the chart.
11:35Are you allowed to cross something out in the chart?
11:38I mean, isn't it an official record?
11:41I've no idea.
11:44I think we ought to arrange a rendezvous with Deep Throat.
11:51Not the porn film.
11:52Any mistake should be clearly initialed,
11:57but if someone's in a rush,
11:59they might forget.
12:01Would you ever get any staff
12:03going back later on to amend the charts,
12:05maybe correct something if they've got it wrong?
12:08Oh, if somebody did that,
12:09they'd be tampering with hospital records,
12:11which is definitely illegal.
12:13Could that be what's happened here?
12:15Possible, but it looks to me
12:17like someone just crossed code in out
12:18and wrote paracetamol.
12:20Right, not code name, then.
12:21See, they're common painkillers.
12:24The prescribing doctor
12:25could just have changed their mind.
12:28All right, so if Suzanne Morton
12:30was given codeine rather than paracetamol,
12:33what sort of difference to her
12:34would that have made?
12:35Well, there are certain situations
12:36where codeine's contraindicated.
12:40Meaning?
12:41There's a very good reason
12:42why he shouldn't prescribe it,
12:44but that would have been noted down
12:46when she was admitted.
12:49It should be at the beginning of her notes.
12:51It's not there.
12:53There's a report by the triage notes.
12:58It stops halfway through.
13:01There's a page missing.
13:05Ah.
13:07Looks like we've just found
13:08our smoking gun.
13:20Do you have any idea
13:22who could have changed
13:23the name of the drug on this child?
13:25Well, any of the staff
13:26could have had access.
13:28Gov, the handwriting on the page,
13:29including the word codeine,
13:31looks a lot like Dr. Grant's.
13:32He was indeed the registrar,
13:34treated Suzanne Morton, so...
13:35Well, why don't we bring him in
13:38and push him a bit?
13:39No.
13:40I want to know what was in
13:41that missing patient history.
13:42We've got to be sure
13:43this is a cover-up,
13:44not just a coincidence.
13:46Is that Suzanne's dad?
13:49Yeah.
13:50He's been in every day.
13:51Susie was an anxious young woman
14:07with a history of serious depression.
14:11Sad thing is,
14:12we finally found a way
14:13of managing it effectively.
14:15Is she on medication?
14:16I referred her
14:17to an adolescent psychiatrist
14:19in her early teens
14:20and over the past,
14:21what, five years,
14:23she'd been on pretty much
14:24every antidepressant going
14:26with very little success.
14:28So, as a last resort,
14:30we tried her on
14:31phenylsine sulfate
14:32and that really seemed to help.
14:34Right, and with this, um,
14:36phenylsine sulfate,
14:37can you take that
14:38along with other drugs,
14:40painkillers,
14:40that kind of thing?
14:41Right, you have to be careful.
14:42I mean, if you combine
14:44phenylsine
14:45with an opiate-based analgesic,
14:47then it would almost
14:48certainly prove fatal.
14:49When you say opiate-based?
14:51Morphine, codeine,
14:52that type of thing.
14:57OK, uh,
14:58the top screen shows
15:00paracetamol,
15:01it shows aspirin,
15:03and it shows antihistamol.
15:05And what about
15:05phenylsine sulfate?
15:07Not on this test.
15:08But we know that the girl
15:09was taking phenylsine sulfate.
15:11Well, she may have been,
15:13but it's not something
15:14that would show up
15:14on the standard test.
15:16Brilliant.
15:17Does that go for codeine, too?
15:19Depends how long
15:20she was taking it for.
15:22OK, well, why don't you
15:23order another top screen,
15:25one that actually shows up
15:26with a phenylsine
15:27or codeine's
15:28in the girl's system,
15:28and this time,
15:29can you please make it urgent?
15:30These tests
15:31don't come cheap, you know,
15:33and you may not have heard
15:34we've had some budget cuts.
15:36But then we'll have
15:37a whip round.
15:39Fine.
15:40It won't be before tomorrow.
15:43And you're wasting your time.
15:45You'd have to be an idiot
15:46to take codeine
15:47with phenylsine.
15:49It could kill you.
15:52Deep breath, sir.
15:53Come on.
15:54Let's go.
15:59It was a busy night.
16:01I wrote codeine
16:02without thinking,
16:02but I gave her
16:03paracetamol.
16:04paracetamol.
16:04So why didn't you
16:05put your initials
16:06to the correction?
16:08Like I say,
16:08it was busy.
16:09I must have forgotten.
16:11It was a simple mistake.
16:14Sure.
16:15And did you know
16:16that some of
16:17Suzanne Morton's
16:18patient history notes
16:19had gone missing?
16:20The notes go missing
16:22in the emergency
16:23department all the time.
16:27Anyway,
16:27the girl died
16:28of pneumonia-related
16:29complications
16:30that had nothing
16:31to do with her history.
16:33Not even the
16:34heavy-duty
16:35antidepressants
16:36that she was on
16:36at the time.
16:38Sorry?
16:39Suzanne Morton
16:40had been taking
16:41phenylsine sulphate
16:42for the last six months.
16:43Surely that was
16:44on the history.
16:47No.
16:47No, it wasn't.
16:49Oh, that is odd
16:50because we spoke
16:51to the triage nurse
16:52and she's pretty sure
16:53that she included
16:54a full history
16:55including all current
16:56medication.
16:57Either way,
16:58I wrote the wrong
16:58drug on the chart.
17:00But that's all.
17:02Now, haven't you
17:02ever made a mistake?
17:05Yes, of course.
17:07Talked about
17:08differences.
17:10When you make one,
17:12people end up dying.
17:15This is crazy.
17:17But I didn't cause
17:18Suzanne Morton's death.
17:20Fine.
17:22We'll see if the
17:23tox cream agrees with you.
17:24Shall we?
17:25I thought they'd already
17:26done the post-mortem.
17:27We decided to dig
17:28a little deeper.
17:35Should have seen his face.
17:36I thought he was
17:37going to throw up.
17:38Certainly sounds like
17:39a guilty conscience.
17:40Trouble is, Gov,
17:41even if the drugs
17:42show up on the tox cream,
17:44no one actually
17:44witnessed Grant
17:45give her the injection.
17:46Well, it makes sense
17:47though.
17:49He messed up,
17:49she died,
17:50he panicked,
17:51tried to cover it up.
17:52He scratched out
17:53her name,
17:54tore a page out
17:54of her notes
17:55and hoped for the best.
17:56We're not exactly
17:56dealing with a mastermind
17:58here.
17:58No, listen,
17:59still,
18:00if we hadn't have
18:00gone looking,
18:01no one would have
18:02noticed.
18:03It makes you wonder
18:03what else he's got
18:04away with.
18:06Cheers.
18:06positive for
18:12phenolzine,
18:13positive for
18:13coding.
18:14Okay,
18:15this is not a
18:16coincidence.
18:17Bring him in.
18:18So it's Dr.
18:19Grant.
18:20Oh,
18:21we'd just like to have
18:22another show.
18:23I should have known.
18:25What makes you say that?
18:27The nurses always know
18:28when someone's out of
18:29their depths.
18:30Half the time he had to
18:32call in Dr. Olsen
18:33because he hadn't a clue
18:34what was going on.
18:36Maybe he's on his
18:36vans in CDU.
18:39Kathy,
18:40yes.
18:41Do you have Dr.
18:41Grant with you?
18:46Okay.
18:49He didn't turn up for a
18:50shift and nobody's seen
18:51him since yesterday
18:52morning.
18:55Checked his flat,
18:56no sign,
18:57but his car is still
18:58outside.
18:59We've got uniform
19:00trying the neighbours,
19:01but the trouble is
19:01they're mostly still at
19:02work.
19:03We've stationed
19:03officers at the
19:05hospital.
19:05As far as we can tell,
19:07no one's seen him
19:08since he clocked off
19:09yesterday.
19:10Have you spoken to
19:10the family?
19:11Well,
19:11we're still trying to
19:12track him down.
19:13Well,
19:14if we didn't think he
19:14was guilty before,
19:15I think we do now.
19:16We've got a hit on
19:17Adrian Grant's credit
19:18card.
19:19He's just bought a
19:19ticket at St.
19:20Pancras International.
19:21So he's going to
19:22Paris?
19:23Bruges.
19:23The next train's in
19:2445 minutes.
19:25Come on.
19:25Right,
19:38they've covered all the
19:38main exits,
19:39just haven't made a
19:40platform announcement
19:40yet.
19:41So it could be
19:42anywhere.
19:42Right,
19:43let's fan out.
19:43excuse me.
20:01Let's fan out.
20:31All units have got
20:45eyeballs on the
20:46suspect.
20:46He's halfway down
20:47the concourse
20:48outside International
20:49Arrival.
20:50He's wearing a blue,
20:51a gold and a holdall.
20:53He's on the move.
20:55I repeat,
20:55suspect,
20:56it's on the move.
20:56He's heading back.
20:58I long the concourse
20:58forward with me.
20:59Repeat,
21:00suspect,
21:00it's on the move.
21:01sanctioned
21:04lies.
21:08Rebecca!
21:09You're
21:11a
21:13correction.
21:14Johnny!
21:15Gary!
21:24He's
21:25a
21:26begun!
21:26He's
21:27a
21:27course đã
21:28y
21:29Dr Adrian Grant, this is DS Matt Devlin, I need you to open up.
21:42Right, seriously doc, either you come out or I'm coming in, yeah?
21:52Dr Adrian Grant, I'm arresting you on suspicion of the manslaughter of Suzanne Morton.
22:02You do not have to say anything, but it may harm your defence.
22:06You do not mention, when questioned, something which you later rely on in court.
22:10Anything you do say may be given in evidence.
22:13I hope you let him wash his hands first.
22:22I really don't think I want to say anything at this stage.
22:38I'd say trying to skip the country speaks volumes, wouldn't you?
22:43You don't understand, I panicked. I didn't know what else to do, they'd been too clever.
22:48Sorry, they? Who's they, Dr Grant?
22:52Austin, Mills, the nurses, the whole lot of them.
22:55They're all in on it and they've lied to make me take the fall.
22:59So it's all one big conspiracy?
23:01Yes, yes it is.
23:03And what they, put a gun to your head, made you give Suzanne Morton the coding?
23:08No, I didn't give her anything.
23:11It was Austin, he gave the injection, I just filled him the chart.
23:16I didn't even know it was wrong, not till after the girl had died.
23:19And that's when you went back and changed the codeine to paracetamol?
23:22No, you're not listening to me. I didn't change anything.
23:26That was Christy, Christy Mills.
23:29Oh, I see. So they really are all in on it then, aren't they?
23:32Yes, yes they are.
23:34Funny why you never mentioned that before though, is it?
23:41Christine told me to keep quiet and it would be okay.
23:44She said they'd tell the family it was pneumonia.
23:46I thought it was you who told Mr Morton it was pneumonia.
23:49Didn't you speak to him the next day?
23:51Yes, yes I did, but only because I had to go along with it.
23:56They gave me no choice.
23:58Well, let me get this straight.
24:00Dr Edward Austin just walks onto the ward and randomly gives your patient,
24:06Suzanne Morton, an injection of codeine.
24:09He's erratic sometimes.
24:11Ask anyone, everyone in the hospital knows he's a drinker.
24:15And Dr Mills, is she a drinker too?
24:18No, of course not.
24:20But she'll do anything to protect Austin.
24:23She's got a thing for him, has done for years.
24:26You've no idea what it's like.
24:32They all stick together.
24:35It's like a code of silence.
24:38It's like dealing with the medical mafia.
24:43Cosa Nostra in the NHS.
24:45I swear, I'm telling the truth.
24:47So basically, Dr Grant, he's going for the shaggy defence.
24:54It wasn't me.
24:56Exactly.
24:57What?
24:58The other person's music, mainly.
25:01My girls keep me with it.
25:03Oh, you were doing really well.
25:06Tilly said with it.
25:07You know, it still may not be enough to charge him.
25:10What?
25:11You are kidding, right?
25:13Well, the only real evidence is his handwriting on the chart.
25:16And the drugs in the Suzanne Wharton system.
25:19Not to mention the one-way ticket to Belgium.
25:22Come on, Alicia.
25:23If he's not guilty, why does he run?
25:25Someone I think you should meet.
25:30He's just flown in from Milan and wants to know why we're looking for him.
25:38And are we looking for him?
25:40I believe we are, yes.
25:42That's Dr Adrian Grant.
25:45Well, if that's Adrian Grant, then who the hell is he?
26:02I was at an MSF conference in Italy when I got this crazy phone call from my mum saying
26:09that the police were looking for me.
26:12And you've been working in Haiti for the last year?
26:15Yeah.
26:16And Burkina Faso before that.
26:18See, I joined the Medicine Sans Frontieres when I finished my foundation training.
26:23I wanted to do my bid, you know.
26:25And you haven't worked in this country since?
26:28No.
26:29Well, they've tried telling my mum that.
26:31She's convinced I've been lying to her for the last two years.
26:36Do you recognise this man?
26:38Yeah.
26:39Yeah, it's Ian.
26:40Ian Naylor.
26:45And how do you know Dr Naylor?
26:48Then Ian shared a fact together for a couple of months just before he went away.
26:52But Ian's not a doctor.
26:55He's a shiropodist.
27:00Ian Naylor and Adrian Grant were medical students together at Durham
27:05until Naylor failed his second year exams and dropped out.
27:09Well, they lost touch, but Grant was looking for a place to live a couple of years back
27:13and he heard that Naylor had a room going.
27:15Apparently Naylor trained as a shiropodist.
27:17Seems he'd never actually practised them.
27:19Can't blame him, all those feet.
27:21Well, when Grant went off to Africa to save lives,
27:23he left some of his stuff in storage with Naylor,
27:26including his personal papers, his medical qualifications, his birth certificate, the lot.
27:31And Naylor just helped himself?
27:33Pretty much, yeah.
27:34Borrowed the birth certificate, applied for a new passport and driving licence,
27:38then got himself a job at the Alderman with grants qualifications.
27:42So this man's been passing himself off as a doctor at a major London teaching hospital for nearly two years?
27:48Reassuring, isn't it? Put on a white coat, stethoscope, people believe anything you say.
27:55Bit like a wig and a gown.
27:57Too right.
27:59I've been getting away with it for years.
28:06You realise the Prime Minister had his adenoids removed at the Alderman?
28:09Ah, I remember the press conference. He was very impressed by the staff's professionalism.
28:14Well, that's come back to bite him.
28:16Well then, truly, a rogue chiropodist stalking the wards.
28:19It's the stuff PR nightmares are made of.
28:21So as you can imagine, a lot of people would like this to go away.
28:24ASAP.
28:25They'll have to wait for the medical negligence inquiry.
28:29So far we've got Naylor on at least ten counts.
28:32Fraud by false representation, forgery, false instruments, not a mention of manslaughter.
28:37I take it we've had the call from the defence.
28:39Yeah, Robinson wants to meet.
28:41Given the evidence, I'm expecting a straight guilty plea on the fraud.
28:45Then take it, get things moving.
28:47We've always prosecuted for the rest further down the line.
28:49So long as we do. Naylor wasn't just playing, Doctor. We actually killed someone.
28:54And when we can nail him for it, we will. But for now, let's focus on the fraud.
28:57Not like our friend Naylor's got a foot to stand on.
29:02Foot, chiropodist, huh?
29:05My client is prepared to plead to two main counts of fraud.
29:08And what about the other eight counts on the indictment?
29:11Well, given the fact that a guilty plea would eliminate the need for a long and costly trial.
29:16Very cost-conscious.
29:17And bearing in mind my client's mental state.
29:21What mental state is that?
29:22Well, Mr. Naylor's seen an expert in delusional behaviour since his arrest.
29:27She's helped me to understand what triggered the events of the last two years.
29:31Really? Some kind of deep-seated trauma, I presume?
29:36I had some emotional problems when I was a medical student.
29:42I now see that I had some kind of breakdown.
29:44Unfortunately, Mr. Naylor, in this case, your mental state can't be used as a defence.
29:49Well, can we at least agree to drop this, er, groundless manslaughter charge?
29:53Well, I'd hardly call it groundless.
29:55Well, Mr. Naylor has already identified an alcoholic colleague as being responsible for Sir Sam Morton's death.
30:01Unfortunately, no-one else supports his allegations, which leaves your client holding the syringe, so to speak.
30:07Well, no. You're not pinning that girl's death on me. It was Austin. I don't care what his cronies have told you.
30:15Talk to the junior doctors. Well, talk to Simonson. He nearly lost a patient because of him.
30:20It was about six months ago. This guy, 25, basically healthy, walks in with the worst headache of his life.
30:29Slight soreness in the neck, but it was ambiguous.
30:32And Dr. Austin treated him?
30:34He prescribed him morphine, which is probably the worst thing he can do.
30:39It masks the symptoms of meningitis, which is what the guy had.
30:43But Dr. Mills found it in time, and he was okay in the end, but...
30:47But it could have ended very differently.
30:49I don't want to get anyone into trouble.
30:52It's just one of those things.
30:55Is that the only time Dr. Austin made a mistake like that?
30:58Yes. I mean, I don't know.
31:03People make mistakes, and Dr. Austin, he's getting older.
31:07He gets tired, especially since his accident.
31:12Naylor's sticking to his story about Austin, but no-one will back him up about the drinking.
31:17And even with the one confirmed incident of Austin misdiagnosing a patient, the general attitude appears to be you win some, you lose some.
31:26Yeah, well, Dr. Austin may well have been losing a few more than his share.
31:33What do you mean?
31:34Well, we looked into those deaths. Naylor was down as attendant registrar for both, but it turns out the night that Anna Jeffries died, he had an upset stomach.
31:43He went home, Austin stepped in, and then with the other one, Carl Hobbs, his daughters reckon that Naylor had a brief word with their dad and then handed over to, and I quote, some posh old bloke with grey hair.
31:55Austin.
31:56Yeah, so we got onto the medical negligence team who cross-reft patients that they'd flagged up, and, well, it turns out that Austin's name comes up on another five files.
32:08So, what? Austin's been slowly losing his marbles and nobody's noticed?
32:14That is one explanation, however, there is another, and that is that, um, Austin was done for drink driving several times in the late 80s, finally disqualified from driving in 1990, and his blood alcohol level was off the charts.
32:29The ward's sister mentioned a car crash, said he'd been teetotal ever since.
32:33He could have fallen off the wagon.
32:35Ah, this sister's pretty sharp. He thinks she'd noticed someone showing up late smelling a booze.
32:40Although you'd be amazed what a person can hide if they put their mind to it.
32:44There was another car crash. Austin came off his bike about three years ago.
32:48Sister Logan said he was on painkillers so he could keep working, but from what Simonson says, Austin's never been the same since.
32:54So, he was in pain. He was having trouble coping with work.
32:58A couple of Neurofen Plus taken in the right or the wrong state of mind.
33:03Well, that's nearly as good as a stiff whiskey.
33:06Mmm, and a lot easier to hide.
33:09It was very straightforward. Some hooligan in a van turned left without indicating, and Teddy took the brunt of it.
33:22I understand he was prescribed painkillers for his back injury.
33:27Of course he was. The man was in agony. Even with the codeine, he was bed-bound for nearly a month.
33:34Do you usually prescribe codeine for a patient with a history of alcohol abuse?
33:39History of what?
33:40Dr. Austin lost his license out of a string of drink-driving offenses.
33:45For heaven's sake, that was years ago. Teddy sorted himself out after that.
33:51I was hardly going to withhold pain relief because he used to like a few drinks.
33:56Did Dr. Austin ever ask for a repeat prescription?
33:59I can't discuss that.
34:02Well, Mighty have continued prescribing it for himself.
34:07You'd have to ask him. If he did, it would have been perfectly legal. The man's a doctor.
34:14Well, that's all right then.
34:18GMT guidelines say that doctors should avoid self-prescribing, but there aren't any statutory restrictions.
34:24So, basically, Austin can write himself as many private prescriptions as he likes.
34:30You still need to get them filled. Did you check with the hospital pharmacy?
34:33Yeah, if Austin has got some kind of drug problem, he's not getting anything there.
34:37And did you talk to any more of the staff?
34:39Yeah, and I got more of the same. Austin's highly competent.
34:42Sometimes patients die, blah, blah, blah. We start pushing about medical errors and everyone clowned up.
34:49Not everyone.
34:51So, you now want to question Mr. Naylor as a potential witness, not as a defendant?
34:57It's one simple question.
34:59Which I'm sure my client will be more than happy to answer, assuming you are dropping the manslaughter charge against him.
35:04Oh, let's not get ahead of ourselves.
35:06Well, in that case, perhaps we should discuss my previous proposal about fraud charges.
35:12You realised I was the only one who saw Austin give the injection?
35:16I am not here to bargain with you, Mr. Naylor.
35:20Of course not. It's just easy to get confused about things. Especially with all these different charges hanging over me.
35:32At the moment, your entire defence against killing Suzanne Morton is based upon your accusation against Dr. Austin.
35:41Withdraw that statement and you'll go back to being the prime suspect.
35:46But hey, it's up to you. Who knows? You might enjoy the extra time in prison.
36:07You could have just dropped the manslaughter charge. Wasn't that what we agreed in the first place?
36:11At that stage, we still thought Naylor was guilty.
36:14But now we don't.
36:16No. And now he's trying to blackmail us.
36:20Well, sometimes criminals can be less than ethical.
36:23Still, life's all about compromise.
36:26There was no need to compromise. Naylor was bluffing.
36:29I'm glad you're so sure, because at the moment the only thing linking Austin to Suzanne Morton's death is Naylor's statement.
36:36And he won't go back in it. He knows he's got too much to lose.
36:39Wasn't that worrying? For all we know, he could just be pointing the finger to save his own skin.
36:44Or he could be telling the truth. There's a first start for everything.
36:51Either way, we please lose the manslaughter charge before you end up in court with no evidence.
36:57Appalachian mist. Autumn sonata.
37:06They're all quite...
37:08Gray.
37:10Mm.
37:12Something you'd like to share?
37:14Naylor's pleading guilty to all counts relating to the fraud.
37:19Three years. Which means he'll be out in 18 months.
37:24That's the guy waiting for a person after the doctor, is it?
37:27Apparently so, if you come up with a good enough sob story.
37:29Well, this should cheer you up.
37:32Turns out Dr Austin gets regular prescriptions filled at 13 different places.
37:37All for coding, all in his own name.
37:40That's one hell of a bucket.
37:41Mm. That thing has got a nice little system going.
37:44That's for sure. Keeps them on rotation so no-one gets suspicious.
37:48Picks up only a month's worth of pills from any one place at a time.
37:51But it's ramped up over the years in the last six months.
37:54Seems as though he's popping them in like smarties.
37:59Wonder the man can stand up.
38:03This is insane. Edward Austin is not an addict.
38:08Well, we have records from 13 different pharmacies dating back over three years.
38:13Which strongly suggest otherwise.
38:16We've already got what we need to prosecute Austin for gross negligence manslaughter.
38:21Now, you need to start thinking about yourself.
38:25We know that Austin persuaded you to lie for him.
38:28At the very least, you're looking at a charge for perverting the course of justice.
38:33It wasn't like that.
38:35Then tell us what happened.
38:37I wasn't called until the girl arrested.
38:44When I looked through her notes, I saw that she'd been on phenylsine.
38:48And I confronted Dr. Grant.
38:51Naylor.
38:52He said that he'd asked Dr. Austin to take a look at her.
39:01And that he'd been the one to give her the cody.
39:06So, what did you do?
39:07Dr. Austin was asleep in the encore room.
39:10He was very groggy when I woke him.
39:13He had no idea he'd done anything wrong.
39:15He admitted to giving the injection.
39:16I don't think he even noticed the phenylsine in her history.
39:17I mean, any half-decent registrar would have flagged that up immediately.
39:21But he didn't have a half-decent registrar. He had Ian Naylor.
39:24I couldn't see him hung out to dry for one mistake.
39:29So, I altered the chart and I removed the notes.
39:30So, Austin told you to lie for him.
39:31He didn't have to.
39:32He didn't have to.
39:33I wanted to help.
39:34But if I'd known him, I didn't have to.
39:35I didn't have to.
39:36Any half-decent registrar.
39:37Any half-decent registrar would have flagged that up immediately.
39:38He didn't have a half-decent registrar.
39:39He had Ian Naylor.
39:40I couldn't see him hung out to dry for one mistake.
39:43So, I altered the chart and I removed the notes.
39:50So, Austin told you to lie for him.
39:52He didn't have to.
39:54I wanted to help.
39:57But if I'd known about the addiction...
40:00You'd have thought twice about protecting a killer.
40:13When they searched Austin's house, they found pills everywhere.
40:20Jacket pockets, behind radiators.
40:23He put a lot of them in aspirin bottles.
40:25Apparently, his wife was totally oblivious.
40:28Her and the rest of the world.
40:29Yeah.
40:30Medical degree from Oxford, trained at UCLH.
40:34Went on to become one of the first registrars in his year to be made consultant.
40:38Alicia, I don't think you know Philip Nevins, Dr Austin's defence.
40:42A regular contributor to the Lancet and the British Medical Journal on the subject of emergency medicine.
40:48Given the Halliwell Award for conspicuous services to healthcare in 2003.
40:54Does he walk on water too?
40:56He's a good man, Jacob, and a dedicated doctor.
40:59Not like the trash you usually spend your time prosecuting.
41:03Seriously, the old guy's two years off retirement and he's given his life to the NHS.
41:08Why do you want to destroy him?
41:10The patient died having been given the wrong drug.
41:14Manslaughter.
41:15The drug was administered by a consultant who was high on prescription medication at the time.
41:20Manslaughter, gross negligence.
41:23Well, I guess we know where we stand.
41:25Guess so.
41:27Susanne Morton was still complaining about muscle pains when Dr Austin arrived.
41:35He examined her briefly, but he seemed tired and distracted.
41:40And I noticed that he only glanced over the patient history.
41:44He then administered an injection of codeine for the pain and left me to fill in the chart.
41:51No further questions.
41:55Mr Naylor.
41:57That is your correct title, isn't it?
41:59Not Dr Naylor.
42:01Mr is fine.
42:02Because you never actually qualified as a medical doctor, did you?
42:06No.
42:07In fact, you're currently serving a three-year custodial sentence for fraud by false representation, are you not?
42:16That's correct.
42:17So we're expected to believe the word of a convicted con man and professional fraudster?
42:22Well, Dr Austin gave that patient the wrong medication.
42:25And you simply stood by and let it happen?
42:28At the time, I didn't realize it was wrong.
42:31Of course you didn't, because you weren't a doctor.
42:34In fact, given your complete lack of medical knowledge, Mr Naylor, you must have been an absolute liability on the war.
42:40But that's not true.
42:41Indeed.
42:42Who knows how many wrong prescriptions you made out?
42:44How many symptoms you misdiagnosed?
42:47My lord.
42:48I was careful.
42:49I knew what I was doing.
42:50You mean you thought you knew what you were doing?
42:53My lord, the witness is not on trial here.
42:55No, I was just as good as the other registrars.
42:58That's what was so frustrating.
43:01No further questions, my lord.
43:07If I may, my lord.
43:09Mr Naylor, you say it was frustrating.
43:12In what way?
43:13Well, I knew I could treat the patients just as well as they could.
43:17But unlike them, I couldn't risk making a mistake.
43:22That's why I paged Austin.
43:24That's why I only ever did exactly what I was told.
43:28And that's why I never prescribed a drug without checking with someone else first.
43:32Well, can't you see? That's how I got away with it for so long.
43:35If I'd have messed up, I'd have lost everything.
43:38Well, I wasn't that stupid.
43:43Dr. Mills, you say Dr. Austin admitted to having given the codeine injection.
43:57Yes.
43:58And what did he say when you asked him if he'd seen the reference to phenylsine sulfate in the patient's notes?
44:08I... I didn't ask him that question.
44:10So, is it possible that having asked for a second opinion, Mr Naylor simply gave a verbal summary of the patient history?
44:20Yes, it's possible.
44:23And is it also possible that he failed to realize the significance of the phenylsine sulfate?
44:30Maybe even failed to mention it by name?
44:33I suppose so, yes.
44:35And you have worked closely with Dr. Austin for the past eight years.
44:41Have you at any time had reason to believe that he was suffering from any form of addiction?
44:47No.
44:48And this self-prescribed medication that my learned friend has repeatedly drawn our attention to,
44:55these were painkillers for a genuine and serious injury, were they not?
45:00Yes.
45:01Yes, they were.
45:02And finally, Dr. Mills, do you consider Dr. Austin to be a good doctor?
45:11He's the best I've ever worked with.
45:13He's an inspiration.
45:14I guess we were worried about the wrong witness.
45:28So what if Austin didn't read the history himself? He was still negligent.
45:32He prescribed medication without due care and attention because his judgment was impaired by his addiction.
45:38I'm not sure the jury even believes he has an addiction.
45:41I'm not sure the jury even believes he has an addiction.
45:42My Susie was 18!
45:4418!
45:45The jury was a whole life ahead of her.
45:47And you took that away, Mr. Morton.
45:49You put that needle in her arm, no one else, and you won't even admit you messed up.
45:54Mr. Morton, I'm truly sorry for what happened to your daughter. It wasn't my fault.
45:59There were a number of contributing factors.
46:02You have to understand.
46:08Get off me!
46:10You killed my Susie, you murderer!
46:14You could see it when he talked to the dad. He knows he's to blame.
46:26I don't know. He's hidden his addiction for three years. I'd say he's pretty good at denial.
46:32Well, maybe this time around. What about last time?
46:35When I asked Austin's doctor about the drink driving, he said Teddy had sorted himself out.
46:41Now, not many people can give up drinking overnight.
46:45Maybe he had help, went into rehab.
46:47And what's the first step to recovery?
46:48Admitting you have an addiction.
46:50So, if Austin knew he was an addict when he started taking codeine, then he knew the risks,
46:56and he knew what it could mean for his patients.
46:59In which case, the crime happened before he even stepped onto the ward.
47:09Dr. Austin, are you aware of an establishment called the Coulson Clinic?
47:16I, um... I don't know.
47:20You spent three months there in 1990. Isn't that right?
47:23Yes, it is.
47:26Can you tell the court what kind of clinic it is?
47:29It's a center for drug and alcohol rehabilitation.
47:34A center that specifically caters for medical professionals with addiction problems.
47:40So, you considered yourself to be an alcoholic?
47:44I considered myself to have a drink problem.
47:47Meaning that you couldn't control your drinking and needed professional help in order to stop?
47:54I suppose so.
47:55Well, I think that's basically what's meant by the term alcoholic.
48:00Dr. Austin, could you tell me the advice on prescribing codeine to patients with a history of alcohol abuse?
48:07It's generally avoided.
48:10And why is that?
48:14Actually, I have the information here.
48:17Codeine is habit-forming and should not be prescribed to any patient with a history of drug or alcohol abuse due to the high risk of addiction.
48:27Does that sound about right?
48:28Yes.
48:29So, knowing you had a history of addiction, you chose to start taking a highly habit-forming drug.
48:36I hadn't had a drink for 17 years. I was in a great deal of pain.
48:43The benefits outweighed the risks.
48:46Yet, three years on, you are still taking that same drug.
48:50And, to be clear, we're not talking about a couple of headache pills here and there.
48:55You've been on doses way above the recommended guidelines.
48:59In fact, a closer equivalent would be downing half a bottle of vodka before you went to work.
49:05It's hardly the same.
49:07Could you tell the court the common side effects of prolonged codeine use?
49:12They vary.
49:13They vary.
49:14But a patient may become distracted.
49:18Their response is dulled.
49:21They can experience fatigue or nausea.
49:25Isn't that right?
49:27So, you could say that it would affect someone's professional judgment?
49:32It might, but as I explained...
49:34They might read a document, for example, and miss a crucial piece of information.
49:38They might, but as I've explained...
49:40Dr. Austin, can you tell me the correct dosage for diamorphine for a 50-year-old male patient?
49:45What?
49:49Er...
49:51Yes.
49:53100 milligrams.
49:54100?
49:55You're sure about that?
49:56Yes.
49:59No.
50:00Sorry.
50:01I meant 10.
50:0210 milligrams.
50:03Just like that.
50:04A 50-year-old male dies of an overdose.
50:07My lord...
50:08What about the dosage for a woman in her 20s, or a ventilated newborn infant?
50:13I...
50:14I'd have to check.
50:15Because you can't think clearly under pressure anymore, can you, Dr. Austin?
50:20Which means that because of your dependence on codeine, you are a danger not only to yourself, but to every patient who's come under your care.
50:28No.
50:29It was a mistake.
50:30It could have happened to anyone.
50:32No.
50:33Dr. Austin, it happened because of your addiction.
50:36I am not an addict.
50:40I...
50:41I haven't taken any medication in...
50:43in...
50:44in months.
50:46Then you won't mind emptying your pockets?
50:48My lord, this is outrageous.
50:49Not at all.
50:50I'm offering Dr. Austin the chance to prove his point.
50:54No addiction.
50:55Then no need for tablets.
51:01Very well.
51:02I'll allow it.
51:04Dr. Austin...
51:05If it would be so good as to place the contents of your pockets where we can see them.
51:35What are the rules of your mind?
51:36I'll allow it.
51:37You're right, I'll allow it.
51:38You're right, I'll allow it.
51:39I'll allow it.
51:40You're right.
51:41You're right.
51:42I'll allow it.
52:00Dr. Austin, can you...
52:03confirm for the court that those are prescription codeine tablets yes and can
52:12you tell the court how many of those tablets you've taken today I'm not sure
52:20sorry could you repeat that I don't know how many I've taken today well more than
52:29two more than five more than 20
52:33I never meant to harm anyone
52:59a guilty verdict after any 20 minutes he must have done something right but they still only
53:16gave him a two-year suspended elderly judge during the end of his career hardly surprising
53:23you could appeal the sentence I don't think so not being soft in our old age are we no just don't
53:33think I'd win what thought I'd seen a glimmer of humanity but no my mistake
53:51it was Stanley Kubrick's last ever movie starring Nicole Kidman and Tom Cruise eyes wide shut is
54:15our film at 10 45 next though it's the final tonight there is one last challenge in store
54:22for Joe McEldry and Cheryl Baker and it's your vote that counts next with the results from pop star to
54:29opera star
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