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00:00Hello, I'm Dr. Ford, sat in the Junkwalks.
00:02Hi, I'm Dr. Hernandez.
00:04I've got a patient I'd like to see.
00:06From these notes, it seems your assessment of Rosie was very brief.
00:09He was in a rush. His phone kept going off.
00:11He just asked a few questions, then he left.
00:13Dr. McAllister had asked me to attend a Mental Health Act assessment.
00:17If you don't come now, I'm taking it higher.
00:18You were on call. Rosie should have been your priority.
00:21I thought I could do both.
00:23The hell you are!
00:27What did you make of Rosie's symptoms?
00:29At that point, she wasn't displaying any psychotic symptoms.
00:32Do you hear or feel things when there's nothing there?
00:35What do you mean?
00:36Prescribe lorazepam, two milligrams for one shoot.
00:38Tell them another two before bed.
00:39I'll write the prescription.
00:40That way you have the tablets.
00:41If you think you need them, it's up to you.
00:42James, sorry to wake you, but we've got a situation waiting with a patient.
00:45Rosie Newman?
00:46What the hell have you been?
00:47I'm on the phone with the aunt. We were all waiting for you.
00:49Car trouble.
00:50Let's check what time Rosie took the lorazepam prescribed.
00:52Well, I don't know. I didn't see her physically take any tablets.
00:55I don't know.
00:56Rosie!
00:57They tried.
00:58They tried.
00:59They tried.
01:00They failed.
01:01We just told you.
01:02If Rosie's symptoms were picked up earlier, this entire tragedy could have been avoided.
01:07I trusted your advice.
01:08Did you?
01:09Because Rosie didn't take the lorazepam.
01:10If she had, none of this would have happened.
01:12I know this was something to do with you.
01:14And when they find out, it'll be your career that's over, not mine.
01:18If this becomes about your incompetence, they will go over every inch of your work and your life.
01:23This could all have been avoided.
01:25Why was Dr. Ford so late?
01:27Are you expecting an estimate for them?
01:31They're so lucky.
01:32They're so lucky.
01:33They're so lucky.
01:34Why would this be a movie?
01:36Do you have a movie?
01:37We wanted to talk to you at the stage.
01:38We want to talk to you at the stage.
01:39Why would it be just a movie?
01:40What is it?
01:41Wow, honey.
01:42I love you so much.
01:43I know.
01:44It's a movie.
01:45I like to say.
01:46It's a movie.
01:47I look at the movie.
01:48Afternoon, everyone.
02:01Thank you all for coming.
02:04We provide a vital service to the community,
02:06the value of which is hard to quantify.
02:09However, the increasing number of departmental failings
02:12and serious safety concerns are becoming hard to ignore.
02:16And now, due to the death of a vulnerable patient
02:20and the subsequent MIU investigation into those individuals involved,
02:25the Integrated Care Board is seriously considering closing us down.
02:29What? No.
02:30What about our jobs and all the patients?
02:33All right, let me finish.
02:35If we can demonstrate we've learned from this incident
02:37and can function safely, we can save the unit.
02:40How are we meant to do that?
02:42We keep reporting problems and nothing happens.
02:44We need proper funding to function safely.
02:46Yes.
02:47Yes.
02:47Yes.
02:47Yes.
02:47Yes.
02:47Yes.
02:47Yes.
02:48Yes.
02:48Yes.
02:48Yes.
02:48Yes.
02:49Yes.
02:49Yes.
02:49Yes.
02:49Well, additional funding has previously been made available
02:52and we're doing our best, we are doing our best to secure more.
02:56But in the meantime, we'll be monitoring you closely
02:58and assessing your clinical skills over the coming weeks.
03:00So please adhere to protocol at all times.
03:04As a first step, impromptu resuscitation drills will be carried out on rewards,
03:09I'm afraid, I'm afraid, and we expect you to treat these like real-life emergency situations.
03:14Look, as your chief medical director, I've fought hard to keep this unit open.
03:20And we'll keep fighting, yes, until closure is off the table.
03:24Yes.
03:26Yes.
03:27Yes.
03:28Yes.
03:29Yes.
03:30Yes.
03:31Yes.
03:32Yes.
03:33Yes.
03:34Yes.
03:35Yes.
03:36Yes.
03:37Yes.
03:38Yes.
03:39Yes.
03:40Yes.
03:41Yes.
03:42Yes.
03:43Yes.
03:44Yes.
03:45Yes.
03:46Yes.
03:47Yes.
03:48Yes.
03:49Yes.
03:50Yes.
03:51Yes.
03:52Yes.
03:53Yes.
03:54Yes.
03:55Yes.
03:56Yes.
03:57Yes.
03:58Yes.
03:59Yes.
04:00Yes.
04:01Yes.
04:02Yes.
04:03I need answers.
04:16How did you miss how old well Rosie was?
04:18Why did you let her go?
04:24Rosie wasn't exhibiting any severe...
04:26You had a second chance to save her life,
04:27and you let her run away.
04:29How could you let that happen?
04:30And now, they're saying that if she'd taken the lorazepam,
04:34all of this would have been avoided.
04:37Why didn't you stress how important that was?
04:40Where were you?
04:43You let her...
04:45Sorry, mate.
04:49Do you want me to delay your 1p?
04:50No, no, no. I hear that. Come on, mate.
04:52I think you should have been earlier.
04:56Could you ask management to handle that?
05:00I don't know.
05:03Sure.
05:06Mr Newman, the trust are conducting an investigation.
05:08An investigation will take months.
05:10I do not have months.
05:11I just need answers now.
05:12Cannot eat, can't sleep.
05:13Alfie's crying all the time.
05:15I'm off work.
05:16My little girl, she asked me,
05:17when's mummy coming back?
05:20What am I supposed to say to that?
05:22Shall we take a seat?
05:23I can give you a drink.
05:24Tea or coffee?
05:25There were a fucking coffee.
05:26I want to know why my wife died.
05:29Now, you said that Rosie was psychotic,
05:30but that does not happen overnight.
05:32Why didn't anyone else notice before?
05:34We can't come on gradually.
05:35You said that the community midwives came out to visit you.
05:37Did they notice?
05:38How? How could they?
05:39They just came and they went.
05:40When Rosie gave birth,
05:41there were doctors,
05:42there were midwives on that ward 24-7.
05:45They should have noticed something.
05:46Rosie might not have had any symptoms at that time.
05:49Four days.
05:50She was sat on that ward for four days.
05:51They had four fucking days.
05:58Four days?
05:59Rosie was on the postnatal ward for four days?
06:02Yes.
06:04Why?
06:05Was there a problem?
06:07What do you mean, problem?
06:09It just seems to be a long time.
06:10So you're saying there was something wrong?
06:12No.
06:13I'm just asking.
06:15If they told you everything was normal...
06:16Normal?
06:16How am I supposed to know?
06:17Normal.
06:18To the next professional,
06:25and I'm sick of it!
06:26Mr Newman,
06:27why don't we go into my office?
06:28Why is he trying to blame Rosie's death on the birth?
06:31And it's her.
06:32If you threaten our staff,
06:33we'll have to ask you to leave.
06:35Fine, I'll go.
06:42What did you say to upset him?
06:44Nothing.
06:46He said Rosie was on the ward.
06:48For four days.
06:50I asked why.
06:56Because that doesn't seem normal, does it?
06:58That doesn't seem necessary.
07:00Was there a problem with the birth?
07:02We have a world-class maternity unit, Dr Ford.
07:06Nothing, he said, is relevant to understanding
07:08why his wife jumped off a roof under your care.
07:19I think we should revisit compensating Mr Newman now,
07:21before he does any more damage.
07:25Board won't be happy.
07:26What's the alternative?
07:27We need to make sure the MIU remain focused on Dr Ford.
07:30We need to make sure it.
07:31Okay.
07:33Okay.
07:35Set up a meeting with them.
07:44Hypertension, defined as blood pressure,
07:47higher than 140 over 90,
07:48is far away from the leading risk factor
07:51when it comes to financial deprivation.
07:54How are you finding the operasol, Samaria?
07:58Samaria medication, how are you finding it?
08:00There's a doctor on the telly just like you.
08:02Can you just come quickly?
08:10It's Tony.
08:11She's locked herself in the toilet and the baby's coming.
08:13Tony!
08:14Tony, we need to smell.
08:16Tony, open the door.
08:18Open the door.
08:20We need the master key.
08:22What master key?
08:23Just call Dr McAllister quick.
08:24Tony, open this door.
08:28Tony, we are trying to help.
08:29How did this happen?
08:30Where's the one-to-one nurse?
08:31I don't know.
08:31Hi, Dr McAllister.
08:32Tony, stand back to the door.
08:35Do you hear me?
08:35Just open the safe.
08:36Stand back.
08:47My God!
08:49Just out this way.
08:51Out this way.
08:52Step right over here.
08:54That's good, Tony.
08:54Everything's gonna be okay.
08:56Okay, we can have a pillow, please.
08:57Quickly.
08:59Tony, stay calm.
09:07We need to wait for obstetrics.
09:09There's no time.
09:10We shouldn't be doing this.
09:12Tony, push.
09:13Eric Sawes, Chief Medical Director.
09:26Good to meet you.
09:28And this is my colleague.
09:29Indira Sharma, Director of Communications.
09:31Nice to meet you.
09:33We appreciate you organising this meeting.
09:34Rosie Newman's death was a tragedy.
09:39And one that, as Medical Director, I feel some responsibility for.
09:42As a trust, we're keen to prevent anything like this ever happening again.
09:47Our initial interview with Dr Ford highlighted a number of issues with his management of Rosie.
09:52We've also spoken to key witnesses, and there are a few details we'd like to clarify.
09:57I see.
09:58How long has Dr Ford worked here?
10:00He came to us midway through last year from another hospital.
10:04It's unusual for a registrar.
10:06Do you know why?
10:07He had a good reference, so he didn't probe.
10:09His former hospital should be able to provide more details.
10:12We'll contact them, get his HR records.
10:14How else can I help?
10:19Tony, it's okay.
10:21That's it.
10:22Come on now, Tony.
10:23It's okay.
10:24What's wrong?
10:26All right, Tony.
10:28The baby's stuck.
10:29The shoulders aren't coming.
10:30What?
10:31Tony, Tony, stop pushing.
10:32Tony, Tony, stop pushing.
10:33Stop, Tony.
10:34Listen, stop pushing.
10:35Stop.
10:36Tony, can you hear me?
10:37What are you doing?
10:38Your baby is stuck.
10:39You need to stop.
10:39We're working on shoulder dyslexia.
10:41You are not an obstetrician.
10:42Maybe we should wait for them.
10:43If we don't do anything, they'll both die.
10:46Tony, stop pushing.
10:47Listen.
10:48Stop pushing, Tony.
10:49Don't touch me.
10:50It's okay, Tony.
10:51Tony, we're going to get your baby out.
10:53Guys, I need you to take a leg, each, and push the leg back.
10:57She wants her chest like this.
10:58Benedict, take that leg.
10:59I don't know what I'm doing.
11:00No, I know, I know.
11:01It's all right.
11:01We've got this.
11:05It's all right, Tony.
11:06I can feel the shoulders.
11:08I can feel the shoulders.
11:08They're moving.
11:09I can push.
11:10Tony, push.
11:12Okay.
11:14Push on the target.
11:15That's it.
11:16You did it, Tony.
11:18You did it.
11:22What are you doing?
11:24The baby was stuck.
11:27Fast, leave the neonatal resource.
11:28They want me dead.
11:29They want me dead.
11:30They don't want you dead, Tony.
11:31You were meant to bring her over as soon as labor started.
11:34As soon as anyone realized what was happening, the baby was already coming.
11:37Keep breathing.
11:38Keep breathing.
11:40Slow breaths.
11:41That's it.
11:42Slow breaths.
11:44Is it dead?
11:46Resource team here in ten.
11:47That's too long.
11:50Can we get the mother out of here?
11:51She's losing too much blood.
11:53Shit.
11:54Help her with the baby.
11:56Tony, listen to me.
11:57Can you hear me?
11:58Tony?
11:59She's losing consciousness.
12:00Have you got fluids in an ABG machine?
12:02No.
12:03There's a bag of fluid in there.
12:04We'll have to hold it up.
12:05Tony, stay with us.
12:07Anything?
12:07Stay with us, Tony.
12:09Tony needs oxygen.
12:11We don't have any.
12:15We've got a weak heartbeat.
12:23She's losing too much blood.
12:24I need to get her into theater.
12:25I can't believe this.
12:40We're at her one-to-one nurse.
12:42I had to take her off one-to-one.
12:47We should go back to the ward.
12:48She should have been under constant supervision.
12:54She wasn't due for four weeks and we're understaffed.
12:55I couldn't commit one nurse to her for that amount of time.
12:58She was always at risk of a premature birth.
12:59I know.
13:00You have no idea what this department's up against.
13:05What does that mean?
13:06Just leave the ward management to me.
13:09And the MIU can't find out about this.
13:11You saved our lives.
13:12They won't think that, trust me.
13:13Couldn't have come at a worse time.
13:15I can't control the bleeding.
13:35Then you'll have to do a hysterectomy.
13:37We should have consented her properly.
13:40Explain the risks.
13:41How?
13:42She was lucid before she went under.
13:43She understood we were taking her to theatre.
13:47She won't be able to have any more children.
13:48Is that a bad thing?
13:51Come on.
13:52Let's open her up.
13:54Yes, Mr. Manso.
13:55Give me two more sheets.
13:56Cross-match blood.
13:57More units, yeah?
13:59Get legs down, fly in her flat.
14:01Well, that was a total shit show.
14:03Yeah.
14:04I'm doing an instant report.
14:06Good.
14:09Whoa, whoa, whoa, whoa.
14:10You're reporting Dr. McAllister?
14:13Dr. McAllister shouldn't have taken Tony off one-to-one.
14:15Yeah.
14:16But with short staff, Tony wasn't due for four weeks.
14:19In her defense, we can't afford to spare a nurse for that long.
14:22Obstetrics were the problem.
14:24Not Kate.
14:25Report her, it reflects badly on all of us.
14:27It already reflects badly on us.
14:29And Dr. McAllister would throw all of us under the bus if her career depended on it.
14:34No, she wouldn't.
14:34But obstetrics are going to blame us anyway, so we need to stick together and not make things worse for ourselves.
14:41They messed up, but they're going to blame me.
15:07Nobody will blame you.
15:09If psychiatry had alerted us earlier, this wouldn't have happened.
15:12You did your best in extremely difficult circumstances.
15:16Look, a patient like that is unlikely to make a complaint, but if this does become a problem,
15:21you should get your version of events out there first.
15:24That psychiatry registrar, Dr. Ford, he made several mistakes.
15:29Make sure the right people know that.
15:40Where did you get to with Dr. Ford's late arrival?
15:42Well, Bernadette's right.
15:44CCTV footage shows him entering the staff car park just before 3am.
15:48Now, our road works near his address, but I checked on whichever route you take around them.
15:52It's still less than 20 minutes to QM.
15:53Right, well, speak to police liaison.
15:57Let's get them to do a licence plate check.
16:00ANPR might have picked his car up somewhere.
16:02Oh, I meant to ask.
16:04Do you and Gina fancy coming over for dinner?
16:07Dinner with a boss?
16:08It's a big step.
16:09Well, I need to make sure she's good enough for you, don't I?
16:12Put her through her paces.
16:13Pun absolutely intended.
16:16Well, if you keep making amazing medical jokes like that, then absolutely not.
16:20But she thinks I'm cool.
16:21I'd like to keep it that way.
16:22I'm kidding.
16:23Relax, it will be easy and Ruby will be there.
16:25Okay.
16:26Well, let's do a restaurant.
16:27It'll feel less like bringing her home to meet the parents.
16:29Uh, surely you mean slightly older, much better-looking sister?
16:34Yeah.
16:35Hello?
16:36Hi, it's Dr. Hernandez from QM.
16:39I was hoping to be able to meet with you at some point.
16:42We're actually at QM.
16:43We can come and see you now.
16:44No, I'd prefer to meet somewhere off-site.
16:46Maybe tomorrow?
16:48Okay.
16:48I have some information that might be relevant to your investigation into Dr. Ford.
17:01Yep.
17:04Can you sign this for Samira?
17:06Dr. McAllister wants her meds increase.
17:07Thanks.
17:08Yeah.
17:08Oh, and, uh, do you want me to hold that bed for the 136 patient?
17:14Well, the...
17:16MC, Laduus Schizophrenia, the guy who ran naked into a fawn bush.
17:20Oh, he's in A&E waiting for transport.
17:23All right, cool.
17:23I'll go get him.
17:24No, we're doing things properly.
17:25We're waiting for an ambulance.
17:26You, it never takes long.
17:28God, that bed with your life and the bed manager, Kwame, with your life.
17:31Actually, I'm so sorry.
17:34I've got half an hour's escorted leave.
17:36Will you take me down to the shops?
17:38I can't, I'm afraid.
17:41Perhaps Kwame will take you later.
17:46Is there a reminder to all staff and patients smoking or vaping is not permitted anywhere else?
17:52Sounds like Dr. Ford did quite the heroic thing, delivering Tony's baby in such difficult circumstances.
17:58Well, it was Dr. Ford's fault that we were in those circumstances.
18:02We had an MDT and agreed that as soon as Tony went into labour, her nurse would bring her over to the labour ward.
18:09But for whatever reason, Dr. Ford decided she didn't need a one-to-one nurse anymore.
18:13And that was Dr. Ford's decision?
18:14He was the most senior doctor on the ward at the time.
18:16His consultant wasn't there till later.
18:18I mean, Dr. Ford would have seen that Tony didn't have a one-to-one.
18:23So without the one-to-one, nobody realised Tony was in labour until it was too late,
18:27which ultimately harmed Tony and her baby unnecessarily.
18:32Well, thank you.
18:33We'll talk to Dr. Ford about that.
18:38While you're here, I'd like to clarify a few things about Rosie Newman, if that's all right.
18:43Sure.
18:44When you saw her, did she say anything concerning about her mental health?
18:48No.
18:49No, that was her husband.
18:50But I took his concerns seriously.
18:52Postpartum patients can be guarded about these things.
18:55And so you referred her to Dr. Ford?
18:57Yes.
18:58And after he agreed to see her, he tried to cancel.
19:02Why?
19:02He wanted to do some other assessment.
19:05He only agreed to see her after I threatened to escalate things.
19:09Really?
19:10Yes.
19:10It felt like an inconvenience.
19:15Rosie didn't take dilarazepam, as Dr. Ford recommended.
19:18If she had, it's likely she wouldn't have deteriorated the way she did.
19:23Well, I prescribed it exactly as Dr. Ford instructed.
19:26I have no idea why she didn't take it.
19:28Mr. Newman says Rosie was concerned about breastfeeding on herazepam.
19:32Did she say anything like that to you?
19:34I said the risk of transfer during breastfeeding was minimal.
19:37Rosie seemed happy with that.
19:39I was clear she needed to take the medication.
19:44Hmm.
19:46So another patient and her baby have been seriously harmed by Dr. Ford's poor decision-making.
19:51That's what she said, but I don't know.
19:53Will the registrar really remove our high-risk patients one-to-one without discussing it with a consultant?
19:57No, you're right.
19:58That is a consultant-level decision.
20:00So why did Dr. Hernandez feel the need to arrange a meeting just to tell us that?
20:04Dr. Ford's HR record has arrived.
20:06There's something you're going to want to see.
20:14What is it?
20:15Well, they mention a serious untoward incident that took place before he left,
20:19but all the details have been redacted.
20:22Must have been some incident.
20:27Some of the witness statements mention the police.
20:30If it was serious enough to involve them, then there might be something in the press.
20:33It's worth a trawl.
20:34See what you can find.
20:36Oh, and we should contact Dr. Ford's clinical supervisor, Dr. McAllister.
20:40If there's anything concerning on his record, she might know.
20:43Thanks, George.
20:55Ideally, we'd have managed the bleeding conservatively, but the hysterectomy was unavoidable.
20:59Unavoidable?
21:01Yes.
21:01Could you even try and consent her for that?
21:03Mm-hmm.
21:04Anyway, she's doing really well and should be ready for discharge back to you in a day or so.
21:08To the psych unit?
21:09Yes.
21:10You're actually serious?
21:12She hasn't met a child.
21:12She doesn't even know she's had a hysterectomy.
21:14Then tell her.
21:15She's a lot better than she was before the birth.
21:16She seems depressed.
21:17She's in no fit state to be told that now.
21:19So one minute she's psychotic, the next she's depressed.
21:21She can be biased.
21:21Yeah, I agree with Dr. Ford.
21:23The psych unit isn't suitable for a post-op patient.
21:25She needs time to recover and to bond with her baby.
21:29And we'll need to get child and family services involved before she can be transferred anywhere.
21:32So she'll be in hospital for weeks.
21:33Well, that can't happen on the post-natal ward.
21:35Most post-op patients go home after three or four days.
21:38A week at most.
21:39Yeah, I get it.
21:39Ideally, she'd go to a psychiatric mother-baby unit, but it's hard to get her bed.
21:42Then she'll have to go to Willow Ward.
21:44You can arrange for her to see the baby there.
21:46Sorry.
21:47In what world does a newborn baby belong on an acute psychiatric ward?
21:49I don't know.
21:50Maybe in the world where psychiatrists think they're qualified to deliver babies.
21:53Okay.
21:53So she'll go to the post-natal ward until a mother-baby bed frees up.
21:57We will provide one-to-one psychiatric nursing.
21:59If Aaron has a problem with that, he can take it up with me.
22:01James, please document that in the notes.
22:12Hi.
22:14Hi, can I get a login, please?
22:16I need to write up some notes.
22:22Shred that when you're done.
22:31Are you aware of any incident that might have caused Dr Ford to leave his previous job?
22:41No.
22:41I understood he moved because of this hospital's good reputation.
22:45When Dr Asselmo called, it took Dr Ford nearly an hour to attend A&E.
22:51That's the first I've heard of this, is Bernadette Shaw?
22:53Yes.
22:54Is he usually late for work or for assessments on call?
22:57No.
22:58Never.
22:58No one's ever fed back anything like that.
23:01You know, Dr Ford tried to cancel Rosie's review to attend the sectioning of a ward patient,
23:05but changed his mind and did both.
23:08Do you know why?
23:10Uh, because he's diligent and determined to please.
23:13He knew I was in a meeting and probably thought no one else could do the section.
23:16So you didn't ask Dr Ford to attend Tony's sectioning?
23:26No.
23:29And could you have left your meeting to attend Tony's assessment?
23:34Yes, and if James had come to me, that's what I would have said,
23:37but he is self-sufficient and extremely competent,
23:41so he probably thought it would be easier to do it himself.
23:45One last thing.
23:47Mm-hmm.
23:47We know Tony recently gave birth on your ward after her one-to-one was removed.
23:52Whose decision was that?
23:55Unfortunately, that was a management decision.
23:58I insisted on a one-to-one, but I was told that we could only afford one
24:02for the last week or so of Tony's pregnancy.
24:07Right.
24:07Right.
24:16Ozzy, there's someone else talking to you apart from me.
24:29Ozzy, there's someone else talking to you apart from me.
24:42Who the fuck are you, Colin? I feel you.
24:44I'm trying to hide you out.
24:45I'm scared too.
24:46You know what I am.
24:47Do you remember?
24:47I'm trying.
24:48I'm trying to hide you out.
24:48Rosie.
24:48I'm trying to hide you out.
24:50Following our last interview, we'd like to clarify a few things.
24:53You said Dr. McAllister asked you to attend the Mental Health Act assessment.
24:57Yes.
25:01Nobody else was available.
25:02She was just in a management meeting.
25:05If you'd come to her, she says she'd have done the assessment and told you to see Rosie,
25:08like you should have done.
25:11Well, that's not what I recall, but perhaps I misunderstood.
25:15You were on call.
25:17Your priority was to review on-call patients.
25:19Besides, though, which is why I wouldn't have agreed to go to the Mental Health Act assessment
25:22if there was another option.
25:23So you're saying Dr. McAllister lied to us.
25:25You know what I'm saying? There must have been a misunderstanding.
25:35The patient, Toni Campbell Brown, recently gave birth, didn't she?
25:41Sir, I thought this interview was about Rosie Newman.
25:45And instead of following the plan, you delivered her baby on an acute psychiatric ward?
25:51Who told you that? Dr. Hernandez?
25:53The baby nearly died.
25:55And your patient is now infertile?
25:57Toni should never have been on our ward in the first place, but obstetrics refused to take her.
26:01Well, obstetrics were unaware that the psyche in it lacked the clinical resources for an emergency.
26:06If they'd have known, they'd have taken Toni.
26:08They're lying.
26:09They're lying.
26:10Look, Toni wasn't our fault.
26:13He should be speaking with obstetrics.
26:15Kathy, can you pull up the CCTV image, please?
26:22Dr. Ford, is this your car?
26:26Yeah.
26:27The night Rosie Newman died, Dr. SMO called you at 2 a.m.
26:31And you said you came in from home?
26:33Yes.
26:34Why'd it take you so long to come in?
26:36There's roadworks there.
26:38They've been pulling up Healy Street.
26:39So I keep changing the diversion.
26:41You arrived nearly an hour after Bernadette called.
26:45Must have been quite the diversion.
26:47If you'd arrived within 30 minutes, Rosie and Ed would have still been in A&E majors.
26:52You could have asked Ed about the lorazepam and seen Rosie deteriorate again, assaulting the officer.
26:58You wouldn't have removed her restraints.
26:59She wouldn't have been under-sedated and she'd still probably be alive.
27:05Kathy, next slide, please.
27:07These are all the routes you could have taken from home.
27:10None add more than five minutes to your journey, even with roadworks.
27:13Kathy, next image, please.
27:14Police A&PR picked your car up that night in these locations.
27:18In fact, in the last 90 days, your car's been picked up by these same cameras several times.
27:28I was at my girlfriend's.
27:31Sometimes I stay there when I'm on call because my flatmates are noisy, so it's less stressful to stay at hers, okay?
27:38No.
27:39That's not okay.
27:40Hospital guidelines stipulate that doctors can be on call from home only if it's within 30 minutes of the hospital.
27:47Your girlfriend lives nearly an hour away.
27:49This is a waste of time.
27:50You should be asking Dr. Hernandez what went wrong with Rosie's birth.
27:53Why?
27:54What happened?
27:54Well, Rosie's husband told me Rosie was on the postnatal ward for four days.
27:58You're only on the ward for that long if you've had serious complications.
28:00And Mr. Newman specifically said there was a problem with the birth.
28:03No, but it was...
28:04Well, then that's just supposition, but we have Rosie's maternity notes.
28:08If there's a clinical reason for her prolonged admission, we can easily clarify that.
28:12Why did you leave your last job?
28:14Sorry, what's that got to do with this?
28:16Well, we received a heavily redacted HR record from Oakwell Hospital referencing a serious untoward incident.
28:24Why is it redacted?
28:25Because it wasn't relevant.
28:29Cathy, next image, please.
28:33After swearing at the female nurse, the mentally ill man was placed in seclusion.
28:37However, a junior doctor who remains anonymous for legal reasons terminated the seclusion
28:43because he felt the punishment was too harsh.
28:47Shortly after, the nurse was assaulted.
28:51Does this article refer to you, Dr. Ford?
28:52Yes, but that's not what happened.
28:56Well, then tell us your version of events.
29:00Sure.
29:02There was a culture on that ward of nurses putting difficult patients in seclusion
29:06because it was easier than other de-escalation methods.
29:09So you just felt your colleagues were being lazy?
29:12You knew better.
29:13No, I was trying to act in the best interests of my patient.
29:16I was advocating for him.
29:18But your risk assessment was wrong.
29:20And your colleague ended up in ITU.
29:23She never returned to work.
29:25It echoes what happened with Rosie.
29:27You put your colleagues at risk and Precious Dancer was assaulted.
29:30Rosie, Tony, your former colleague, you need to be the hero.
29:34Delivering babies, freeing patients at the risk of other people's safety.
29:38Well, that's not true or fair.
29:39I see a doctor who dislikes the restriction of protocols.
29:42A rule breaker who thinks he knows better than the police, his colleagues, and puts everyone
29:47around him at risk.
29:48You've proven this time and time again.
29:51Being a good doctor requires teamwork, excellent communication skills, and the ability to prioritise.
29:59You haven't demonstrated any of these.
30:03As such, we are proceeding to a full fitness to practice investigation.
30:09You've got this all wrong.
30:10Once our investigation is complete, we'll present our findings to a tribunal panel.
30:14We'll then decide whether you can continue to practice medicine.
30:17I think we're done.
30:22I think we're done.
30:22Are you a real doctor?
30:51Samira, we've been through this.
30:54I am a real doctor.
30:56This is a real hospital.
30:57Hi, Samira.
30:57And this is a real nurse.
31:00Come on.
31:05That increase in her meds isn't working.
31:07Who left this on?
31:09Oh, maintenance where you're earlier.
31:10They're useless.
31:11Well, this is an acute psychiatric ward.
31:12They can't leave things lying around.
31:13The suicidal patients can use to kill themselves.
31:15They're going to come back here and fix this now properly and fix it today, all right?
31:20I'll do it once I'm finished.
31:21Where's Kate?
31:23I haven't seen her all morning.
31:26Why is MC not on the board?
31:28He's in A&E waiting for transport.
31:30Since yesterday.
31:30He's low priority.
31:32Was he in the 136 suite?
31:33No.
31:34He's on a trolley in the major's corridor with a one-to-one.
31:37What's the point of following a protocol?
31:38It doesn't fucking work.
31:40Hi, hi.
31:41It's Dr James Ford here from Willowood.
31:43Yes, you have a patient that's waiting to be brought across to us?
31:46Yeah, I need two nurses to walk him across now.
31:48I don't care.
31:51Select product.
31:53I am selecting product.
31:54Just give me a bit of chocolate for God's sake.
31:57They install all these fancy machines to stop us leaving the office and then have a bloody work.
32:02What is it?
32:03Rosie Newman was on the postnatal ward for four days.
32:08Do the notes explain why?
32:10No.
32:11They used forceps, but the baby was successfully delivered without any mention of complications.
32:16And the notes repeatedly say both mother and baby were doing well before discharge.
32:24Who discharged her?
32:25Her midwife, Maria Carter.
32:27After a discussion with Dr Hernandez.
32:29Where are you going?
32:33Going to the cafe to get a snack.
32:35Come on, walk and talk.
32:35Susanna, please put this on my desk.
32:37Yes, of course.
32:39I called the ward to speak to Maria, but she transferred from QM to North Yorkshire Hospital six weeks ago.
32:44And shortly after that, she was suspended.
32:47Why?
32:48Well, the nursing and midwifery registry were reluctant to tell me the details, as it's a highly sensitive investigation.
32:54Okay.
32:54Yeah, but they did say it had nothing to do with her time on QM's maternity unit,
32:58so they shared her contact details with me.
33:00And she very quickly sent an email refusing to speak to us unless it was done formally with her RTM rep and lawyer presentable.
33:09Great.
33:10You explained we're not part of their investigation.
33:12We just want a statement about Rosie's presentation.
33:14Yeah, it made no difference.
33:16Fine.
33:17Set up a meeting as soon as possible.
33:28Miss Carter, thank you for coming in to see us.
33:33Didn't leave me much choice.
33:36Two months ago, you were Rosie Newman's named midwife at QMUH.
33:42Unfortunately, Rosie passed away three weeks ago.
33:44During a postnatal psychotic episode, she fell from a hospital roof.
33:48I saw it in the news.
33:52A complaint has been made about a doctor who failed to do an appropriate psychiatric examination before Rosie died.
33:59So, Dr Hernandez is being investigated and she's blaming me.
34:04Maria.
34:04Just because I disagreed with her.
34:06I said there was a problem and that Rosie needed to see a psychiatrist.
34:11But she asked me to cancel the referral.
34:13I strongly advise you not to say anything else.
34:16Are you saying Rosie was referred to psychiatry when she gave birth?
34:19Six weeks before her death?
34:21My client is already being investigated by the nursing and midwifery regulatory body.
34:26It is not appropriate for you to question her about another ongoing medical investigation.
34:31Maria.
34:32What did you and Dr Hernandez disagree about?
34:34Was it Rosie's management?
34:35I'm terminating this interview.
34:37Let's go, Maria.
34:38Maria, if you know of anything that could help us understand how Rosie became so unwell,
34:42you should tell us.
34:44Maria, let's go.
34:49I've got nothing else to say.
35:00I left these out for you.
35:02Why haven't you packed them?
35:03We don't need them anymore.
35:05Dad's brought us loads of new stuff.
35:12Right, your dad's here.
35:20Right, your dad's here.
35:20Right, your dad's here.
35:24asked her.
35:28Bye.
35:43What the fuckédie?
35:45No!
35:45I'll call her.
35:46Oh, I'll call her.
35:47Oh.
35:47Alright.
35:48Oh, I'll email her.
35:48No, please.
35:49Come on.
35:50No, please.
35:51I'll take it.
35:52Hello, mate.
36:03What are you doing?
36:04Your sister's cooked the front feast.
36:06Yeah, I had a shit day.
36:07I'm not really in the room for socialising here.
36:09I'm literally in there.
36:10I'm literally in there.
36:18What the fuck?
36:20It cost actual money.
36:21It never ceases to amaze me how unhealthy you doctors are.
36:24No, come on, get in with us.
36:25And invite someone I think you might like.
36:27Come on.
36:49James.
36:49James.
36:50James.
36:50James.
36:50James.
36:50James.
36:50James.
36:50James.
36:50James.
36:50James.
36:50James.
36:51Are you a tech guy like Will?
36:54James is a real job.
36:55James is a psychiatrist.
36:56Oh, cool.
36:58Did you like to do a special course or something?
37:03I went to medical school.
37:05Oh, yeah.
37:06My friend Tilly does that.
37:07But she studied psychology, not medicine.
37:09James is a medical doctor.
37:11Tilly's a psychologist.
37:12What's the difference?
37:13Sorry.
37:14I know, right?
37:14Until I met this guy, honestly, I thought they were the same thing.
37:17But he works in a ward with all these completely mental patients.
37:20Um, yes, I don't really like that.
37:22Um, yes, I don't really like that.
37:24What's the craziest, wait, what's the craziest patient you've ever had?
37:28Um, probably a patient who collected dead pigeons, burned them in butter and took them to the palace as a present for the king.
37:43James, that's disgusting.
37:50She, uh, confused that and asked for me, Ryan.
37:53Four and twenty blackbirds bathed in a pie.
37:55I told you, man.
37:56He works in a madhouse.
37:57Right, I will be here in five minutes, guys.
38:05Where are you going?
38:06Off for a drink and then to that new club on North Street.
38:10You should come.
38:11I told you.
38:19So, Gina, how long have you been an architect?
38:22Five years.
38:23Wow.
38:24It's hard work, but I really enjoy it.
38:25Do you design homes?
38:27I love all those luxury property shows on TV.
38:30They look so glamorous.
38:31I do, but mostly small private homes, so it's not glamorous at all.
38:35She's being modest.
38:36She's working on a multi-million pound property deal right now.
38:39Don't jinx it.
38:41If our client wins the bid, it'll be the biggest job I've ever done.
38:44I'd love to do something creative.
38:47There's plenty of creativity in medicine.
38:49No, there isn't.
38:51Yes, there is.
38:52How?
38:53You have to stick to protocols, guidelines.
38:56Your entire job is ensuring everyone goes party line or else they're out.
39:03You've always wanted to be a doctor.
39:05Now, you've always wanted me to be a doctor.
39:12Are you not enjoying uni?
39:15Um, shall we get another bottle?
39:17Mm, yeah.
39:19Yeah?
39:22Get another bottle, please.
39:23Oh, you're going to stick me now.
39:51Oh, you're gonna stick everyone.
39:53Oh, you're going to stick them out.
40:00Oh, you're going to be a doctor.
40:00You're going to have fun right now.
40:03Oh, Ted.
40:03Oh.
40:05Oh, Ted.
40:05Oh, Ted.
40:06Oh, Ted.
40:06Oh, Ted.
40:07Oh, Ted.
40:08Oh, Ted.
40:13Oh, Ted.
40:15Oh, my God.
40:45I'll just keep making three, mate.
41:15I'll just keep making three, mate.
41:45I'll just keep making three, mate.
42:15I'll just keep making three, mate.
42:29You think I'm really up, Nick? Can you open your window too?
42:33Sure.
42:35You okay?
42:38Yeah.
42:40My head's pounding, pounding my chest. It hurts.
42:44Fizz, you okay? You okay? Fizz?
42:47Yeah. Fizz?
42:51Fizz?
42:53Nick, can you take us away in here? Quickly!
42:56She's just drunk. She's not!
42:58Take us to North Yorkshire.
43:01For fuck's sake.
43:02QM's much to the inn and I'll take you there.
43:03You should be seen quicker at North Yorkshire.
43:05I don't know, mate. I don't want to die in my cab.
43:06Look, mate, I'm a doctor, okay?
43:08Just take us to North Yorkshire and E!
43:11Please!
43:13Fizz, Fizz, listen to me. Can you hear me there?
43:15Fizz? Fizz?
43:23Airway, please!
43:25Can we get some wine dinner? We need to run some bloods and do a tox screen. Thank you.
43:30Open up your eyes!
43:31What's her name?
43:33What's her name?
43:34Oh, I just know her as Fizz.
43:36Patient's name is Fizz.
43:38And what's yours?
43:40Toby.
43:41Toby Tate.
43:42Right, and what's she taking, Toby?
43:44The pills, I think.
43:45And I don't know if anything else.
43:47What kind of pills?
43:48I don't know.
43:49Did you give her the drugs?
43:51No.
43:52No, I don't know her. We only just met.
43:57Right, just stand over there. I'll get some more details from you later.
44:01Right, can I get an update, please?
44:03Fizz?
44:04Fizz?
44:05Fizz?
44:06Fizz, can you hear me?
44:07We've got her on social oxygen here.
44:08Did you find any drugs on her?
44:09No.
44:10She's been sick?
44:12Yeah, she hadn't been sick.
44:14Here we go.
44:15Get the drugs off, then.
44:17Get her access on her.
44:19Can I get that ABG done, please?
44:24Please.
44:54I wasn't expecting you tonight.
45:05I fucked up.
45:24I just need that.
45:27I'm so sincere.
45:29Transcription by CastingWords