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Malpractice Season 2 Episode 3

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Transcript
00:00James, sorry to wait for you, but we've got a situation you're hating.
00:02Rosie Newman?
00:03We need to get here now!
00:06Rosie!
00:07Please don't, don't move!
00:10From these notes, it seems your assessment of Rosie was very brief.
00:14Dr. McAllister had asked me to attend a mental health act assessment.
00:18Police!
00:19So you didn't ask Dr. Ford to attend Tony's sectioning?
00:23No.
00:24Rosie was under-sedated when you saw her in a knee.
00:27I was clear she needed to take the medication.
00:29You arrived nearly an hour after Bernadette called.
00:33I always sent my girlfriend's, okay?
00:35You're aware that the Reg on call must be within 30 minutes of the hospital?
00:40Four days. She was sat on that wall for four days.
00:43This is a waste of time.
00:44You should be asking Dr. Hernandez what went wrong with Rosie's birth.
00:47Rosie needed to see a psychiatrist, but she asked me to cancel the referral.
00:52Mr. Manzor delivered Tony's first baby naturally without any significant complications.
00:59There's no time. She's having a baby now.
01:02What are you doing?
01:03Dr. Ford. He made several mistakes.
01:06Make sure the right people met that.
01:08Due to the death of a vulnerable patient, the Integrated Care Board is seriously considering closing us down.
01:14What?
01:17My head's pounding down in my chest. It hurts.
01:20Take us away, Annie. Quickly.
01:25I wasn't expecting you tonight.
01:31We were sharing a cab together.
01:33And she must have overdosed because she was getting more and more ill.
01:40And I just panicked and I took her to North Yorkshire instead of QM because of the investigation.
01:44Have you taken drugs?
01:45No. Of course not.
01:47Did you give her any drugs?
01:48I had one in my pocket and she took it.
01:51For God's sake, James.
01:54Please tell me you didn't tell me your name.
01:56Of course I didn't.
01:57You're under investigation.
01:58Why are you going out with a bunch of pill-popping mates?
02:00Because I'm stressed out my fucking mind.
02:03And I know I should have taken her to QM instead of North Yorkshire.
02:06And I know it sounds bad.
02:08No, it doesn't just sound bad, James.
02:09It sounds career-ending.
02:14Let me call North Yorkshire.
02:15I'll see if she's okay.
02:16What are you going to say?
02:17Hi, I'm the doctor from earlier who dumped a drugged-out woman in A&E and legged it.
02:21How's that sound?
02:22Idiot!
02:27And did anything else happen between you?
02:36No.
02:38Nothing.
02:40Sort of.
02:48Well, you got her to hospital, so...
02:51did the right thing.
02:57I've got a friend who works in North Yorkshire, A&E.
03:04So I can call him.
03:17Thanks, John.
03:18Yeah, I owe you one.
03:27Okay.
03:28Yeah, speak soon.
03:33So, she is stable.
03:40No.
03:42You're welcome.
03:42I'll be late.
03:52What?
03:52It doesn't matter.
03:53You can do what you want.
03:54You're the boss.
03:55Precisely.
03:57I'm kind of going to be sick of all this...
04:00sneaking around.
04:02Well...
04:02We don't really have a choice, because if anyone found out, I would lose my job.
04:09You'd get another one.
04:10That was true.
04:11I heard that the NHS are really desperate for excellent doctors.
04:15Yeah.
04:18And you're on an investigation, so...
04:22None of this can come out.
04:25Unless there's a treatment that will be so well.
04:33Look at all.
04:35Bye.
04:37Falls geben to the back.
04:43Meanwhile, you go to the hospital.
04:49Let it go.
04:50And you're dead.
04:51Bye.
04:51Bye.
04:52Bye.
04:52Bye.
04:52Bye.
04:53Bye.
04:54Bye.
04:54Bye.
04:55Bye.
04:55Bye.
04:55Bye.
04:55We appreciate you coming in at such short notice, Dr. Hernandez.
05:04Happy to help.
05:06We have a couple of things around Rosie Newman's delivery at QM we were hoping you could clear up.
05:12Well, I didn't deliver Rosie's baby, so probably not the best person to ask,
05:16but I'll do my best to answer your questions.
05:20Rosie was on the postnatal ward for four days, but it's not clear why from the notes.
05:24But without the notes in front of me, it's hard to comment.
05:28Well, fortunately, we have those.
05:40Yes, I remember we were worried she had an infection,
05:43so we wanted to treat her and ensure she was fit to go home.
05:48No mystery.
05:49You said previously you had no concerns about Rosie Newman's mental state
05:55until Mr. Newman brought it up in clinic.
05:58Sounds right.
05:59Well, Maria Carter, Rosie's midwife, claims she was concerned about Rosie's mental state
06:03during the four days on the postnatal ward.
06:05Really?
06:07So you never said that to me?
06:08Did you document that in the notes?
06:10No, but Maria said she referred Rosie to psychiatry.
06:14A referral she also said you told her to cancel.
06:16Well, that's obviously a lie.
06:23You do know she's been suspended?
06:25We're aware she's under investigation for an unrelated incident.
06:28Because she's difficult.
06:30She's an experienced midwife,
06:32but she thinks she knows better than everyone else, the doctors included.
06:35She didn't listen and frequently made poor choices against doctors' advice.
06:41She put patients at risk.
06:42OK.
06:45We requested information from psychiatry and switchboard
06:47about any referrals made from obstetrics
06:49during the four days Rosie was on your ward.
06:53I'm sure we'll get to the bottom of it.
06:56Even if Maria made a referral to psychiatry,
07:00she never told me anything about it.
07:07I mean, Maria said Sophia told her to cancel the referral.
07:19So either she's lying or Sophia is.
07:23Well, they both have good reasons to lie.
07:25As does Dr. Ford.
07:26The switchboard and psychiatry info has arrived.
07:30They've sent call logs, copies of the handover book,
07:32and on-call letter.
07:33Great.
07:35OK, you two go over all of that.
07:37We need to find out if anyone made calls about Rosie.
07:51Hi.
07:51Dr. Ford from psychiatry.
07:56Tony was on my ward before birth.
07:58Hi, I'm Deepa, one of the midwives over at Stanford.
08:00Nice to meet you.
08:01So I'm so late.
08:02It's fine.
08:03I have Tony's notes and copies have been sent to the mother-baby unit.
08:06So we're good to go.
08:07Great.
08:13Sorry to keep you, Tony.
08:14We'll be up soon.
08:16Hi, Tony.
08:17How you doing?
08:18You OK?
08:18You OK?
08:19If he starts crying while we're travelling,
08:23you can soothe Sam by touching him through here.
08:27Do you want to have a go?
08:31Tony, it's all right for you to touch Sam.
08:33He's your baby.
08:34Tony has shown some nervousness about being around a baby alone,
08:48given what happened last time.
08:50What do you mean?
08:51The skull fracture from her first baby, Apple,
08:54from when Tony dropped her in the postnatal ward.
08:57I'm sure it was documented by the midwife, Alison Masters.
09:01Here it is.
09:02It was a tiny linear fracture,
09:06and the baby recovered well,
09:07but there was already bruising from the forceps delivery.
09:11Of course, yeah, Apple.
09:12I just forgot.
09:14Don't worry.
09:15We'll do lots of work around detachment while she's with us.
09:19She'll get there.
09:21Good to go.
09:22Yep.
09:22Hiya.
09:39Hi.
09:40I'm looking for one of your midwives.
09:41Alison Masters.
09:47Yes?
09:47I'm Dr. Ford from psychiatry.
09:50My team's been looking after Tony Campbell Brown.
09:53She wasn't allocated to me.
09:55I know, but you were her midwife for her first birth a couple of years ago, right?
10:00Maybe, but that's quite a long time ago.
10:15Do you remember her ever, um, dropping her baby while she was here at QM?
10:22Stanford MBU, they seem to think that she dropped her baby.
10:25You shouldn't be asking me about this.
10:27She did.
10:27Tony dropped her baby a lot, didn't she?
10:29Please, leave me alone.
10:31Whatever you're trying to do, I don't want to be involved.
10:34I don't want to end up like Maria.
10:37What?
10:38Who's Maria?
10:38Is she another midwife?
10:40What are you doing?
10:44We just discharged your patient.
10:46There's absolutely no reason for you to be here.
10:47Why didn't you tell us that Tony's first baby had a forceps delivery and skull fracture?
10:50What?
10:51Did Tony really drop a baby or was it the forceps delivery?
10:53Either way, you said there were no complications.
10:55I don't have time for this.
10:58Who's Maria?
10:58Who is she?
10:59Why was that midwife scared of ending up like her?
11:02Get off my ward now.
11:06What the hell do you think you're doing?
11:28During the four days Rosie was on the postnatal ward, switchboard put seven calls through from obstetrics to psychiatry.
11:36By matching the call of with the dates and names in the handover book, I eliminated all the calls except these two.
11:42Made from the postnatal ward to psychiatry the same day Rosie was discharged.
11:46Well, there's no mention of any referral in the handover book that day.
11:51Because the referral was cancelled?
11:54Yes, so the first call could be Maria making the referral and the second is her cancelling half hour later.
12:00But unless Maria tells us what she said in those calls, it's still just her word against Sophia's.
12:06Well, there's also the registrar that was on call during that shift.
12:10A locum doctor.
12:11Yeah.
12:12Ava Lowell.
12:13She could confirm the calls, what was said.
12:16What are the chances of a locum doctor remembering a phone call from two months ago?
12:20That's worth a shot.
12:22If she confirms Maria rang about Rosie, then it's very likely Sophia was like.
12:27Then we just have to work out why.
12:43Okay, keep it down.
12:59Hey, he's watching from there.
13:01Yeah.
13:01Yeah.
13:01Yeah.
13:01Yeah.
13:01Yeah.
13:02Yeah.
13:02Yeah.
13:03Yeah.
13:04Yeah.
13:05Yeah.
13:06Yeah.
13:07Yeah.
13:09Yeah.
13:10Yeah.
13:11Yeah.
13:12Yeah.
13:13Hi, I'm here to see Dr. Lowell.
13:22Yes, of course.
13:23One moment, please.
13:26Hello, doctor.
13:27I've got a gentleman reception for you.
13:31I write all my referrals in here, so if it's happened, it'll be in here somewhere.
13:36Ah, Rosie Newman.
13:37I've got a phone call for you prior to discharge from the postnatal ward, referred by...
13:43I didn't write down the name of the referrer, but someone called a little while after to
13:48cancel.
13:48I've written here.
13:49I've written here, fine to go home.
13:50Oh, who counseled?
13:51Was it the same person?
13:52Honestly, I don't remember.
13:53Do the names Maria Carter or Sofia Hernandez mean anything to you?
13:56Sorry.
13:57Yeah.
13:58But if it helps, there's only a doctor that makes a referral, but it could also be a midwife.
14:03So Maria did make those calls?
14:06Not necessarily.
14:07We assumed she did, but she never actually said that.
14:10Her lawyer interrupted her before she had a chance to answer the question.
14:13Dr. Lau couldn't remember who made the calls or whether it was the same person, but she
14:17did say most referrals come from doctors.
14:21So what?
14:22You think Maria made the referral and then Sofia cancelled it?
14:25Yeah.
14:26And given what subsequently happened, Dr. Hernandez has every reason to lie about that.
14:30Okay, but why?
14:31She's a reg under pressure to free up beds and Maria's just a midwife and she didn't
14:38believe her.
14:39That's not enough.
14:40If we knew why Rosie was on the ward for four days, that'd help.
14:43We've got all Rosie's maternity nuts.
14:46Right.
14:47We need to go back over the entries for those four days again really carefully.
14:51Doctors, nurses, midwives, physios, everything.
14:54There's got to be something in there.
14:56Divide up the days and get back to me.
14:59Great.
15:00James, have you got a minute?
15:11What is it?
15:12Aisling's complaining again about stomach pain and...
15:15She would do anything to get your attention, bro.
15:18I don't know how you put up with it.
15:19She's got borderline personality disorder, so she'll be attached to you before you know
15:22it.
15:23James, this time I think she might be telling the truth.
15:26She hasn't had any breakfast, refusing her meds.
15:28That's definitely serious then.
15:29You know how much she loves her benzos.
15:30James, please.
15:31She'll keep asking until you see her.
15:34Is it a sharp stabbing pain or is it more of a dull ache?
15:38Sharp stabbing.
15:39Just let me know if you feel any pain at any time.
15:54No, Schnee.
15:55You can't do that.
15:59Sorry, Dr. Ford.
16:01Do you actually have any pain anywhere?
16:05No, Schnee.
16:06No, Schnee.
16:07No, Schnee.
16:08No, Schnee.
16:09Okay.
16:10No, Schnee.
16:12No, Schnee.
16:18Come on.
16:27Eric.
16:38Marla's really looking forward to Bethan's party.
16:40She's tried on a million different sparkly outfits.
16:43Well, Sarah's gone totally overboard with the plans.
16:46You'd think it was a wedding.
16:47Not a birthday party for a ten-year-old.
16:50How's the investigation going?
16:53Very well.
16:55Been impressed with the MIU so far.
16:58It's just, um,
17:00the doctor they're investigating,
17:03Dr Ford,
17:05he was being very aggressive
17:06with Sophia earlier today.
17:09Really?
17:10Yes.
17:11I'd go so far as to say he was harassing them.
17:15What do we know about him?
17:17We've got some background stuff on him,
17:18but I can step that up.
17:20I'll also have a word with Kate.
17:22See how she finds him as a trainee.
17:25I'd appreciate that.
17:34I thought I was mistaken.
17:38I thought I'd put your words...
17:42I thought I would put that.
17:42I thought I would let her do it.
17:43I thought I'd do it.
17:43I thought I could do it...
17:44I stopped thinking.
18:02Like, I thought...
18:03I'd say I should do it.
18:04You're home early.
18:24How was work?
18:29Who was that?
18:31Uh, Dr. Munro.
18:34That's one of my tutors.
18:38That's normal, is it?
18:40A tutor calling to see a student at home?
18:51He was here because I'm thinking of quitting med school.
18:56And he was trying to persuade me not to.
18:58Well, I mean, if it's the uni, we can move you.
19:01There's lots of different medical schools.
19:04I just wonder whether there are other things I could do with my life.
19:10It's not...
19:11Is there something going on with him?
19:18That's the reason you suddenly want to quit medicine?
19:20No, Mum.
19:22I'm quitting because I'm not enjoying it.
19:24I never have.
19:26It's got nothing to do with Ben.
19:29Ben?
19:30Ruby, he's your tutor.
19:32It's not a big deal.
19:33Of course it is.
19:34It's a total and utter abuse of power.
19:37Him preying on you.
19:38He's not preying on me, Mum.
19:40We're both adults.
19:41No.
19:42He's an adult.
19:43You're his student.
19:44You're so patronising!
19:50Ruby.
19:53Look.
19:54For God's sake.
19:56Do not throw away your future because of this man.
20:02Believe me, you'll regret it.
20:05It's my life, Mum.
20:06Not yours.
20:31What are you doing here?
20:34Do not speak to the MIU again.
20:36Or anyone at QM.
20:38I haven't.
20:39They called me.
20:43Why?
20:45They're getting close, aren't they?
20:48Keep your mouth shut, Maria.
20:51Otherwise, I will make your life significantly worse than it already is.
20:57Believe me.
20:58Fizz has been off work six since I'm nine out.
21:16Did you two, did you hook up?
21:24No.
21:26You left together?
21:27No.
21:28We, er, we left at the same time.
21:31We, we didn't.
21:33To leave together.
21:34Did you see her get a taxi?
21:36She was fine when I last saw her.
21:42You're worried about her?
21:43You should, you should give her a call.
21:44No, I did.
21:46She's not answering.
21:49No.
21:49It's okay.
21:50Huh?
21:51Oh.
21:52No.
21:53, no.
21:53No.
21:54Ah.
22:02No.
22:02No.
23:03What have we got?
23:19Claire Martin, 31-year-old pre-mip.
23:21A BP, sky high.
23:23I thought the ops machine wasn't working, so I got another one, but the reading's still really high.
23:26Hi, Claire. My name's Dr Hernandez. I'm one of the on-call obstetric doctors.
23:34How long has she been like this?
23:42I don't know. I went out to get the other machine. She was like this when I returned.
23:45Right, Claire. I'm just going to examine you.
23:49That's it.
23:49She's wet herself.
23:54Has she? Must have happened when I stepped out. We're really short-staffed tonight. I'm looking after three other women.
23:59Does she have a history of epilepsy?
24:01What? No, don't think so.
24:03Claire, do you have a history of epilepsy?
24:05No.
24:05I'm worried you might have had a seizure.
24:08What?
24:09Have you heard of pre-eclampsia? It causes high blood pressure and it can lead to seizures if it isn't managed. I think you're eclampting.
24:14I'm just exhausted from all the pushing.
24:17We need to move her to the labour ward and get that blood pressure down.
24:19She needs IV libetalol and a magnesium sulphate infusion.
24:22Can't we just do that here?
24:24How long have you been qualified?
24:27Claire, we're going to move you to the labour ward.
24:30I want to give birth here naturally. It's all in my birth plan. You said I could do that.
24:34There's no time to explain, but it is in your best interest and your baby's.
24:37Why? What's wrong with him?
24:38Nothing yet, but if we don't get him out quickly, there might be.
24:41Call the porters. We're taking you straight to theatre.
24:43What?
24:44You're not going to do a vaginal delivery?
24:45There's no time. She needs a C-section.
24:47But she wants to give birth naturally. You don't even know if she had a seizure.
24:50Claire, I need to consent you for an emergency caesarean section.
24:54No. At least if I could do it normally, I don't want a caesarean.
24:57Your blood pressure is really high.
24:59I think you've been having seizures, and every time that happens,
25:02your baby is starved of oxygen and you could die.
25:05The quickest way of stopping these seizures is to get your baby out via a C-section, okay?
25:12Okay.
25:12Okay, let's go.
25:14Right, I'm going to explain to you the intended benefits to secure the delivery of your baby
25:18and presented via a cut in your abdomen.
25:20There are serious or frequently occurring risks.
25:22Infection is 6 in 100, hemorrhage is 5 in 1,000, fetal acerations 2 in 100.
25:27Your anaesthesia risk will be discussed by an anaesthetist.
25:34Doing it out.
25:42Apply some pressure.
25:43Claire, you're just going to feel some pressure.
25:45We're nearly there. You're going to meet your baby very soon.
25:47Okay.
25:50Okay, baby's out.
26:01Come and cut the cord.
26:03Yeah.
26:05Clamping.
26:06Cord cut.
26:09Okay.
26:09Why don't you deliver the placenta?
26:12There we go.
26:13Here we are.
26:25Nice sleep.
26:29There you go, Claire.
26:31You've got a gorgeous little boy, Claire.
26:34Welcome.
26:35We've been through the notes and the one thing that keeps coming up is an infection.
26:56Go on.
26:56On day one, Rosie mentions symptoms of infection.
27:00Fever, pain, swelling.
27:02Blood tests were ordered, but that's where it gets interesting.
27:06They're not in the notes.
27:06Right.
27:10Remind me what, um, Sophia said in her interview about the infection.
27:14She said we were worried she had an infection.
27:17We wanted to treat her and ensure she was fit and well to go home.
27:19We were worried.
27:21But you're both saying it was Rosie bringing up infection.
27:23It's the same on day three and four.
27:25Show me those notes again.
27:26If Rosie didn't have an infection, why keep her in for four days?
27:31One of her results must have been positive.
27:33And Sophia mentioned treatment.
27:34I mean, what were they treating?
27:37Right, Cathy, get on to QM's lab.
27:39I want the results of every single blood test Rosie had during those four days.
27:43I want copies of drug charts and any investigations ordered.
27:47Okay.
27:48All right.
27:49Hey.
27:50Good job.
27:56Sorry, sorry.
28:11Sorry, everyone.
28:14We had five deliveries overnight.
28:17Three on the birthing unit, two on the labour ward.
28:19Start with Claire Martin.
28:2231-year-old, prime-ip, 41 weeks.
28:25Initially due to deliver out of the birthing unit with Ellie.
28:28But after suspected seizures began, we moved her to theatre and delivered her baby by C-section.
28:34Both mum and baby are doing well.
28:37Right, next up is Jodie Law.
28:41Hang on.
28:42You witnessed a seizure?
28:44No.
28:46But when Ellie called me in to review, Claire, there were obvious signs of seizure activity.
28:50Diminished pupillary responses, brisk tendon reflexes.
28:54She'd wet the bed and her BP was 170 over 110.
28:57Okay.
28:58So why didn't you try conservative management first?
29:04The seizure was unwitnessed.
29:07Neither Ellie nor the patient could say how long seizures had been going on for.
29:11I thought it was best not to hang about and get the baby out quickly.
29:14Like I said, both mother and baby are doing really well.
29:16From my understanding, when you arrived, the patient had already started to push.
29:22The most appropriate course of action was to lower blood pressure, set up the magnesium infusion,
29:27and proceed with an assisted forceps or von Toos delivery.
29:31Why didn't you do that?
29:32Because she panicked.
29:35Ellie says the patient wanted a vaginal delivery.
29:38She was terrified of going to theatre.
29:40But you told her the baby would die if she didn't have a caesarean, which is categorically not true.
29:46With all due respect, Ellie didn't know how to work the OBS machine.
29:50That's a lie.
29:50The risk to the baby and mum was high, and the outcome is most important.
29:56Healthy mum, healthy baby.
29:57I made what I thought was the correct clinical decision at the time.
30:02But you didn't make the right decision, Sophia.
30:04You forced a patient to have major surgery that she didn't want and didn't need,
30:10and you've cost this department thousands of pounds by doing an expensive, unnecessary procedure.
30:16I delivered the baby safely.
30:17I mean, if this woman wants to give birth again at QM, she'll probably demand another caesarean.
30:24That's what you've saddled us with.
30:25Aaron, at the next M&M meeting, can you make it quite clear that it's your trainee
30:30that's driving up the C-section rate this month and not having her mistakes affecting my outcomes?
30:36Emma, everyone knows that you're due to the spell that.
30:38I think all the theatre's starting to lose.
30:41Oh.
30:42Look, Sophia, you've improved over the past few months,
30:45but if you're still not confident making important, out-of-hours decisions,
30:50we need to consider more senior support for you on call.
30:54I just thought, given what happened with Rosie Newman and Tony Campbell-Brown,
30:59we shouldn't be taking unnecessary risks with our patients, that's all.
31:03This department isn't under scrutiny, Sophia.
31:06You are.
31:07There's a difference.
31:07If anything like this ever happens again, just give one of us a call.
31:13That's what we're here for.
31:15Right.
31:16Who's next?
31:17Uh, yeah.
31:22Sorry, sorry, sorry.
31:24How's, um, yeah?
31:25Uh, Dr. Ford, uh, Dr. Soares will be joining us for your supervision today.
31:33I've spoken to the deanery, and given what's going on,
31:37and with you being so close to becoming a consultant,
31:39it would be a shame for you to fall at the last hurdle, so to speak, so...
31:43The idea being, uh, Dr. Soares will be joining us for your weekly supervisions
31:48and reporting directly back to the deanery on how you're doing.
31:54I, uh, I thought supervisions were meant to be protected training time.
31:58Oh, they are.
32:00They are, they are.
32:01Just do what you usually do.
32:03Pretend I'm not here.
32:08This week I thought we could talk about Tony Campbell-Brown.
32:10She's a patient with bipolar disorder who gave birth only nine days ago.
32:15I thought we could talk about her first and second births
32:19and what we could learn about both as a team.
32:24How so?
32:28I was recently told that while at QM,
32:32Tony's first baby suffered a skull fracture.
32:35Well, there's nothing in the notes about a skull fracture, James.
32:42Also, Tony is quite a complicated case physically,
32:46and really the purpose of these supervisions
32:49is to focus on more complex psychiatry.
32:52So in light of that,
32:53why don't we discuss someone like...
32:57...soneroscience, for example.
32:58OK.
33:05Samira says he's a 23-year-old patient
33:08with schizoaffective disorder.
33:10...
33:24...
33:24...
33:28...
33:30...
33:31...
33:31...
33:32...
33:40Not knocking anymore?
33:41Rosie's blood test results came through from the lab.
33:50These are all normal?
33:51Every single marker of infection is normal.
33:53So she didn't have an infection?
33:55No.
33:58So Rosie keeps bringing up infection, not the medical staff.
34:03Despite their reassurances, she queries the results incessantly.
34:07She was pathologically anxious about infection.
34:11It was the first sign that something mentally wasn't right,
34:13and all of the medical staff on that ward dismissed it.
34:18Except Maria.
34:20We need to talk to her again, contact her directly,
34:23not through the lawyer, and explain where we're at.
34:25And we should also speak to the trust urgently.
34:28I mean, Maria told Dr. Hernandez about Rosie's concerns,
34:32but she never considered it might be something else.
34:34Thanks.
34:53Oh, uh, James.
34:55Dr. McAllister was looking for you.
34:56Where is she? In her office?
34:58Ah, I think she's outside. Want a break or something.
35:00Oh, thanks.
35:11Kate.
35:14Looking for me?
35:16Yeah. Um...
35:18Can we go somewhere private?
35:19A bullying complaint has been made against you.
35:33What?
35:33Yeah.
35:36By who?
35:37Sofia Hernandez.
35:39Apparently you stormed onto the postnatal ward and had a go at some midwife,
35:43and then when she tried to intervene you, what, you grabbed her? Is that true?
35:47No. No, um...
35:54No, I went to the ward, I spoke with the midwife, I asked her some questions,
35:59she didn't answer me, so I asked...
36:02Sofia some questions, she didn't answer me, and then, um...
36:07And yeah, I kind of grabbed her, but obviously she knew that I didn't mean it.
36:12I didn't mean it.
36:14Fuck.
36:17Is this about Tony's baby and the skull fracture?
36:19I just wanted to know what happened.
36:20They...
36:22They're going to use this to get rid of me, aren't they? Aren't they?
36:24Because it's Rosie first, now it's Tony, and now it's this, and...
36:27James, James, just calm down. It's not happening.
36:30You just need to do some mandatory training on bullying.
36:33Under my supervision.
36:35And Eric's?
36:36Yeah.
36:39Yeah.
36:42So, I've been thinking, um...
36:49What with everything going on, and now the dean and we're getting involved,
36:53I think perhaps we should cool it.
36:55Just until this investigation's over.
37:04I don't have anyone else, Kate.
37:09I need you.
37:10Yeah.
37:11You've got me.
37:16Just more as your clinical supervisor than your girlfriend or whatever.
37:25Hey.
37:41Hey, come on.
37:47It's for your benefit, okay?
37:52Come on.
37:55Come on.
37:56Come on.
37:57Come on.
37:57Come on.
38:25I don't know.
38:55I don't know.
39:25There's tape around her neck.
39:29I can't get it off.
39:32It's too tight.
39:33Somebody get the resource trolley and call 999.
39:36Pressures.
39:37Pressures.
39:38Hold her arm down.
39:40She's not a dead holder.
39:41How did she get it too tight?
39:42Where did she get this from?
39:44Fuck.
39:47I can't find lickage, guys.
39:48I'm looking at some scissors or a knife or anything.
39:50I don't know where that is.
39:51She's fine to me, Kwame.
39:53I turned that fucking alarm off.
39:57What's going on?
40:01There, maybe?
40:03Try there.
40:04Try there.
40:11Turn the alarm off.
40:12No.
40:15All right.
40:16You're looking for fun.
40:17All right.
40:17All right.
40:17All right.
40:30All right.
40:31OK, they'll be there.
40:46Bernadette?
40:49Can you do a physical before the ambulance gets here?
40:54Natalie, can you hear me?
40:56I just need to check you over.
41:01Thank you for meeting us so quickly.
41:08Not at all.
41:10I'm keen to hear how the investigation into Dr Ford's going.
41:14Actually, it's not Dr Ford we'd like to discuss.
41:18During the course of our investigation,
41:20we've become aware of some concerning issues about Dr Hernandez.
41:27What kind of issue?
41:28Rosie Newman repeatedly reported symptoms of a non-existent infection when she was on a postnatal ward.
41:33We think this was the first sign of Rosie's emerging mental illness, which Dr Hernandez dismissed.
41:41Really?
41:42We believe Dr Hernandez then went on to cancel a referral to psychiatry before discharging her against the midwife's advice.
41:50You sure?
41:51We spoke to Maria Carter, Rosie's midwife.
41:54What she said was worrying and points to a wider issue we've started to notice regarding Dr Hernandez's attitude towards certain departments and members of staff.
42:03It's something we'd like to explore further.
42:06Are you aware Maria Carter is currently under investigation?
42:10Yes, but we don't know why.
42:12Unfortunately, owing to the criminal nature of the inquiry, I'm not at liberty to disclose the details, but the charges against her are very serious and you shouldn't consider her a reliable or credible source of information.
42:24Okay.
42:25If failings within psychiatry contributed to the mismanagement of Rosie, then I'm happy for you to look into that.
42:34But unless there's a formal complaint about Dr Hernandez, I fear you're wasting your time.
42:39You need to keep Rosie Newman at the heart of your investigation.
42:43Please don't lose sight of her or the loss to her family.
42:47We haven't.
42:49Let's not forget, Dr Ford failed to spot the signs of Rosie Newman's psychosis during his initial review, which ultimately led to her death.
42:58It's our opinion that he is unreliable, unprofessional and a liability to this trust, and more importantly, to its patients.
43:05Why did you do that, Ashley? You were doing so well.
43:29We asked you, as a trust, to look at Dr Ford's fitness practice.
43:33That's our primary concern, as it should be yours.
43:37I think it's best you stick to the job you were brought in to do.
43:50That was horrific.
43:52Yeah.
43:56Never stops.
44:03Hello, this is Willow Ward.
44:08Yeah, we've literally just had a bed come free.
44:12Right, see you shortly.
44:16We've got a new admission coming in.
44:22Hi.
44:24What's that, Asimoma? Willow Ward? What have you got for me?
44:25Thirty-three-year-old female, currently manic, following an overdose.
44:29Be ready.
44:30Coming.
44:34We had to sedate her quite heavily for the journey.
44:37Lovely.
44:39Oh, and she likes to be called Fizz.
44:44Oh, and she likes to be called Fizz.
44:49Oh, and she likes to be called Fizz.