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Malpractice Season 2 Episode 2

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Transcript
00:00Hello, I'm Dr. Ford, sat at the Red Drunk Walk.
00:02Hi, I'm Dr. Hernandez. I've got a patient I'd like to see.
00:05In these notes, it seems your assessment of Rosie was very brief.
00:09He was in a rush. His phone kept going off. He just asked a few questions, then he left.
00:13Dr. McAllister had asked me to attend a Mental Health Act assessment.
00:16If 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.
00:22The 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 your salam and the two before bed.
00:38I'll write the prescription. That 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 with a patient.
00:45Rosie Newman? Where the hell have you been?
00:47I'm on the phone with Amp. We were all waiting for you.
00:49Car trouble.
00:50First check that 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!
00:57I tried. I tried. I failed. I...
01:00We 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? Because Rosie didn't take the lorazepam. If she had, none of this would have happened.
01:12I know this was something to do with you. And 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. Why was Dr. Ford so late?
01:30Yeah, I stare at me here.
01:32No but he bit didn't want to get their НСтise.
01:33And for her, so what are these points?
01:35Yeah?
01:37He's very drawn.
01:38...Yeah, great.
01:40Oh, thank you.
02:00Afternoon, everyone. Thank you all for coming.
02:04We provide a vital service to the community,
02:07the value of which is hard to quantify.
02:10However, the increasing number of departmental failings
02:13and serious safety concerns are becoming hard to ignore.
02:17Now, 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.
02:31What about our jobs and all the patients?
02:34All right, let me finish.
02:35If we can demonstrate we've learnt from this incident
02:38and can function safely, we can save the unit.
02:41How are we meant to do that?
02:43We've got three-point problems and nothing happens.
02:45We need proper funding to function safely.
02:49Well, additional funding has previously been made available
02:52and we're doing our best.
02:54We 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.
03:01So, please, adhere to protocol at all times.
03:04As a first step, impromptu resuscitation drills
03:07will be carried out on rewards, I'm afraid.
03:09And 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.
03:21And we'll keep fighting, yes, until closure is off the table.
03:44If someone believed me.
03:47Yeah, you've got a visitor and a relative room.
03:49Any details?
03:50Nope, sorry.
03:52Helpful.
04:00Mr Newman.
04:05I need answers.
04:14How did you miss how well Rosie was? Why did you let her go?
04:24Rosie wasn't exhibiting any severe...
04:26You had a second chance to save her life and you let her run away.
04:29How could you let that happen?
04:31And now they're saying that if she'd taken the lorazepam,
04:34all of this would have been avoided.
04:36Why didn't you stress how important that was?
04:40Where were you?
04:41Where were you?
04:44You...
04:45Sorry, mate.
04:48Do you want me to delay your 1P?
04:50No, no, no.
04:51Look, I hear that. Come on, mate.
04:52From...
04:54...patient from earlier.
04:56Could you ask management to handle that?
05:03Sure.
05:06Mr Newman, the Trust are conducting an investigation...
05:09The investigation will take months. I do not have months.
05:11I just need answers now.
05:12Cannot eat.
05:13Can't sleep.
05:14Alfie'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?
05:23Get you a drink.
05:24Tea or coffee?
05:25There were a fucking coffee.
05:26I want to know why my wife died.
05:28Now, 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, there 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?
06:01Yes.
06:02Why?
06:03Was there a problem?
06:04What do you mean problem?
06:05It just seems to be a long time.
06:06So you're saying there was something wrong?
06:07No.
06:08I'm just asking.
06:09If they told you everything was normal...
06:10Normal?
06:11How am I supposed to know?
06:12To the next professional, and I'm sick of it!
06:14Mr. Newman, why don't we go into my office?
06:15Why is he trying to blame Rosie's death on the birth?
06:17And it's her.
06:18If you threaten our staff, we'll have to ask you to leave.
06:19Fine, I'll go.
06:20What did you say to upset him?
06:21Nothing.
06:22He said Rosie was on the ward for four days.
06:23I asked why.
06:24Why?
06:25What did you say to upset him?
06:26Nothing.
06:27He said Rosie was on the ward for four days.
06:28I asked why.
06:29Why?
06:30Because that doesn't seem normal, does it?
06:31That doesn't seem normal, does it?
06:32That doesn't seem to be normal.
06:33But, as you said, you're going to say...
06:34I'm trying to blame Rosie's death on the birth.
06:35I'm trying to blame Rosie's death on the birth.
06:36And it's her.
06:37If you threaten our staff, we'll have to ask you to leave.
06:38Fine, I'll go.
06:40What did you say to upset him?
06:43Nothing.
06:45He said Rosie was on the ward for four days.
06:49I asked why.
06:52Because that doesn't seem normal, does it?
06:58it? That doesn't seem necessary. Was there a problem with the birth? We have a world-class
07:04maternity unit, Dr Ford. Nothing, he said, is relevant to understanding why his wife
07:10jumped off a roof under your care. I think we should revisit compensating Mr Newman now
07:21before he does any more damage. Board won't be happy. What's the alternative?
07:28We need to make sure the MIU remain focused on Dr Ford. Okay.
07:33Okay, set up a meeting with them.
07:44Hypertension defined as blood pressure higher than 140 over 90 is far away from the leading risk factor
07:51when it comes to premature deprivation. How are you finding there a proposal, Samara?
07:58Samara medication, how are you finding it? There's a doctor on the telly just like you.
08:09Can you just come quickly? It's Tony. She's locked us up in the toilet and the baby's coming.
08:12Tony! Tony, we need to smell. Tony, open the door. Open the door.
08:21We need the master key. What master key? Just call Dr McAllister quick.
08:24Tony, open this door. Tony, we are trying to help. How did this happen? Where's the one-to-one
08:30nurse? I don't know. Hi, Dr McAllister. Tony's known to labor.
08:33Tony! Tony, stand back to the door. Do you hear me?
08:35I just opened the door. Stand back.
08:36Oh, my God!
08:48Just out this way. Out this way. Step right over here.
08:53That's good, Tony. Everything's gonna be okay.
08:56Caitlin, have a pillow, please. Quickly. Thank you.
09:05Tony, stay calm. We need to wait for obstetrics.
09:09There's no time. We shouldn't be doing this.
09:12Tony, push.
09:24Eric Soares, Chief Medical Director. Good to meet you.
09:27And this is my colleague. Indira Sharma, Director of Communications.
09:31Nice to meet you. We appreciate you organizing this meeting.
09:36Rosie Newman's death was a tragedy. And one that is Medical Director, I feel some responsibility.
09:42As a trust, we're keen to prevent anything like this ever happening again.
09:45Thank you. Our initial interview with Dr. Ford highlighted a number of issues with his
09:51management of Rosie. We've also spoken to key witnesses, and there are a few details we'd like
09:56to clarify. I see. How long has Dr. Ford worked here? He came to us midway through last year from
10:03another hospital. It's unusual for a registrar. Do you know why? He had a good reference, so he didn't
10:09probe. His former hospital should be able to provide more details. We'll contact them and get
10:13his HR records. How else can I help?
10:18Tony, it's okay. That's it.
10:22Calm down, Tony. It's okay. What's wrong?
10:26All right, Tony. The baby's stuck. The shoulders aren't coming.
10:30What? Tony, Tony, stop pushing. Tony,
10:32Tony, Tony, stop pushing. Stop, Tony. Listen. Stop pushing. Stop.
10:36Tony, can you hear me? What are you doing?
10:38Your baby is stuck. You need to stop.
10:39I'm looking up shoulder dysglia. You are not an obstetrician. Maybe we should wait for them.
10:43If we don't do anything, they'll both die. Tony, stop pushing.
10:47Listen. Stop pushing, Tony.
10:49Don't touch me. It's okay, Tony.
10:51Tony, we're going to get your baby out. Guys,
10:53I need you to take a leg, each, and push the leg back towards the chest like this.
10:58Bernadette, take that leg. I don't know what I'm doing.
11:00No, I know. I know. It's all right. We've got this.
11:05It's all right, Tony. I can feel the shoulders.
11:08It's okay. Calm down.
11:08They're moving. Right, come push. Tony, push.
11:12Okay.
11:15That's it. You did it, Tony.
11:17What are you doing?
11:24The baby was stuck.
11:27Fast, please. The neonatal resource team.
11:28They want me dead. They want me dead.
11:30They don't want you dead, Tony.
11:31You were meant to bring her over as soon as they were starting.
11:34As soon as anyone realized what was happening, the baby was already coming.
11:37Keep breathing. Keep breathing.
11:40Slow breaths. That's it. Slow breaths.
11:45Is it dead?
11:45Resource team here in ten. That's too long.
11:50Can we get the mother out of here?
11:51She's losing too much blood.
11:52Shit.
11:54Help her with the baby.
11:56Tony, listen to me. Can you hear me?
11:58Tony? She's losing consciousness.
12:00Have you got fluids in an AVG machine?
12:02No.
12:03There's a bag of fluid in there. We'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. I need to get her into theater.
12:25I can't believe this.
12:40Thought I was a one-to-one nurse?
12:41I had to take her off one-to-one.
12:47We should go back to the ward.
12:52She 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.
12:57She was always at risk of a premature birth.
12:59I know. You 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.
13:10Who saved their lives?
13:12They won't think that, trust me.
13:13Couldn't have come at a worse time.
13:29I can't control the bleeding.
13:35Then you'll have to do a hysterectomy.
13:37We should have consented her properly, explained the risks.
13:41How?
13:42She was lucid before she went under.
13:43She understood we were taking her to theater.
13:47She won't be able to have any more children.
13:48Is that a bad thing?
13:51Come on, let's open her up.
13:53What, that was a total shit shot?
14:03Yeah, I'm doing an incident report.
14:05Good.
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, but with short staff, Tony wasn't due for four weeks.
14:19In the defense, we can't afford to spare a nurse for that long.
14:21Well, obstetrics 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 vote all of us under the bus
14:31if her career depended on it.
14:34No, she wouldn't.
14:36Obstetrics are going to blame us anyway,
14:37so we need to stick together and not make things worse for ourselves.
14:51They messed up, but they're going to blame me.
15:06Nobody will blame you.
15:09If psychiatry had alerted us earlier, this wouldn't have happened.
15:12You did your best in extremely difficult circumstances.
15:14Look, a patient like that is unlikely to make a complaint,
15:19but if this does become a problem,
15:21you should get your version of events out there first.
15:24That psychiatry registrar, Dr. Ford,
15:28he made several mistakes.
15:30Make sure the right people know that.
15:32Where 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 him.
15:50Whichever route you take around him,
15:51it's still less than 20 minutes to QM.
15:54Right, well, speak to police liaison.
15:56Let's get them to do a licence plate check.
15:59A.M.P.R. might have picked his car up somewhere.
16:02Oh, I meant to ask, do you and Gina fancy coming over for dinner?
16:07Dinner with a boss? It'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, pun absolutely intended.
16:16Well, if you keep making amazing medical jokes like that,
16:18then absolutely not.
16:20But she thinks I'm cool, I'd like to keep it that way.
16:22I'm kidding. Relax, it'll be easy and Ruby will be there.
16:25Okay, well, 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?
16:33Yeah. Hello?
16:36Hi, it's Dr. Hernandez from QM.
16:38I was hoping to be able to meet with you at some point.
16:41We're actually at QM. We can come and see you now.
16:44No, I'd prefer to meet somewhere off site.
16:46Maybe tomorrow?
16:47Okay.
16:48I have some information that might be relevant to your investigation into Dr. Ford.
16:52Can you sign this or Samira?
17:06Dr. McAllister wants her meds increase. Thanks.
17:08Yeah.
17:08Oh, and, uh, do you want me to hold that bed for the 136 patient?
17:14Well, the...
17:15MC, Laduus Schizophrenia.
17:19The guy who ran naked into a fawn bush.
17:20Oh, he's in A&E waiting for transport.
17:23All right, cool. I'll go get him.
17:24No, we're doing things properly.
17:25We're waiting for an ambulance.
17:26You, then it takes a long way.
17:28I've got that bed with your life and the bed manager,
17:30Kwame, with your life.
17:31No.
17:32Actually, I'm so sorry.
17:34I've got half an hour's escorted leave.
17:35Will you take me down to the shops?
17:38I... I can't, I'm afraid.
17:41Perhaps Kwame will take you later.
17:43It sounds like Dr. Ford did quite the heroic thing,
17:55delivering 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,
18:07her nurse would bring her over to the labour ward.
18:09But for whatever reason, Dr. Ford decided she didn't need
18:11a 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
18:25Tony was in labour until it was too late,
18:27which ultimately harmed Tony and her baby unnecessarily.
18:33Well, thank you. We'll talk to Dr. Ford about that.
18:38While you're here, I'd like to clarify a few things
18:41about Rosie Newman, if that's right.
18:43Sure.
18:44When you saw her, did she say anything concerning
18:47about her mental health?
18:48No. No, that was her husband.
18:50But I took his concerns seriously.
18:52Postpartum patients can be guarded about these things.
18:55So you referred her to Dr. Ford?
18:57Yes. And after he agreed to see her, he tried to cancel.
19:02Why?
19:03He wanted to do some other assessment.
19:05He only agreed to see her after I threatened to escalate things.
19:08Really?
19:09Yes.
19:10It felt like an inconvenience.
19:15Rosie didn't take the lorazepam, as Dr. Ford recommended.
19:18If she had, it's likely she wouldn't have deteriorated the way she did.
19:24Well, I prescribed it exactly as Dr. Ford instructed.
19:26I have no idea why she didn't take it.
19:28Ms. Newman says Rosie was concerned about breastfeeding on lorazepam.
19:32Did she say anything like that to you?
19:33I said the risk of transfer during breastfeeding was minimal. Rosie seemed happy with that.
19:40I was clear she needed to take the medication.
19:46So another patient and her baby have been seriously harmed by Dr. Ford's poor decision-making?
19:50That's what she said, but I don't know.
19:52Will the registrar really remove high-risk patients one-to-one without discussing it with a consultant?
19:57No, you're right. That 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. There's something you're going to want to see.
20:14Where's that?
20:15Well, they mention a serious untoward incident that took place before he left, but all the details have been redacted.
20:22Must have been some incident.
20:23Some of the witness statements mentioned the police.
20:30If it was serious enough to involve them, then there might be something in the press.
20:33Miss Arthur Troll. See 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.
20:44Thanks, George.
20:53Ideally, we'd have managed the bleeding conservatively, but the hysterectomy was unavoidable.
20:59Unavoidable?
21:00Yes.
21:01You can try and consent her for that.
21:02Mm-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.
21:09You're actually serious?
21:11She hasn't met a child. She didn't even know she's had a hysterectomy.
21:14Then tell her. She's a lot better than she was before the birth.
21:16She seems depressed. She'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 both.
21:21Yeah, I agree with Dr. Ford. The psych unit isn't suitable for a post-op patient.
21:25She needs time to recover and to bond with her baby.
21:28And 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 postnatal ward.
21:35Most post-op patients go home after three or four days. A week, at most.
21:39Yeah, I get it. Ideally, 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. You can arrange for her to see the baby there.
21:45Sorry. In what world does a newborn baby belong in an acute psychiatric ward?
21:49I don't know. Maybe in the world where psychiatrists think they're qualified to deliver babies.
21:53Okay, so she'll go to the postnatal ward until the mother-baby bed frees up.
21:57We will provide one-to-one psychiatric nursing. If Aaron has a problem with that,
22:00he can take it up with me. James, please document that in the notes.
22:03Hi. Hi, can I get her login, please? I need to write up some notes.
22:22Shred that when you're done. Thank you.
22:24Are you aware of any incident that might have caused Dr Ford to leave his previous job?
22:41No. I understood he moved because of this hospital's good reputation.
22:44When Dr Asamo 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. Is he usually late for work or for assessments on call?
22:57No. Never. No-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. Do you know why?
23:10Ah, 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.
23:19So 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?
23:32Yes. 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.
23:46One last thing.
23:47We know Tony recently gave birth in a 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.
24:07I was told to say no, I don't want to
24:16give him a kiss.
24:18I think it's fine.
24:19It's fine.
24:20It's fine.
24:22We have to keep my wife's in the background.
24:25We have to keep your wife's in the background,
24:27so I would keep her in the background.
24:31It's fine.
24:32I keep my wife's in the background with a mother.
24:35Rosie, there's someone else talking to you apart from me.
24:43You look back on you, God, I feel you.
24:44I'm going to hide you and I'll get scared to you.
24:46You know who I am, do you remember?
24:47I tried for you.
24:48I tried for you.
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.
24:58Yes.
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.
25:19Precisely, 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?
25:25No, I'm saying there must have been a misunderstanding.
25:28The patient, Tony Campbell Brown, recently gave birth, didn't she?
25:41Sorry, uh, the first interview was about Rosie Newman.
25:45And instead of following the plan, you delivered her baby on an acute psychiatric ward.
25:50He told you that?
25:52Dr. Hernandez?
25:53The baby nearly died.
25:55And your patient is now infertile.
25:57Tony should never have been on our ward in the first place, but obstetrics refused to take her.
26:01Our 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 Tony.
26:08They're lying.
26:09They're lying.
26:11Look, Tony wasn't our fault.
26:13You should be speaking with obstetrics.
26:17Kathy, 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.
26:32And 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, yeah, Healy Street, so keep changing the diversion.
26:42You 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.
27:06These 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.
27:23I always sit 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.
28:30After 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 because he felt the punishment was too harsh.
28:47Shortly after, the nurse was assaulted.
28:51Does this article refer to you, Dr. Ford?
28:54Yes, but that's not what happened.
28:56Well, then tell us your version of events.
29:00Sure.
29:03There was a culture on that ward of nurses putting difficult patients in seclusion because 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.
29:22She 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.
29:40I see a doctor who dislikes the restriction of protocols.
29:42A rule breaker who thinks he knows better than the police.
29:45His colleagues.
29:46And puts everyone around 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.
30:00You haven't demonstrated any of these.
30:04As 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.
30:18I 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.
31:00That increase in her meds isn't working.
31:07Who left this on?
31:09Oh, maintenance we were earlier.
31:10They're useless.
31:11Oh, well, this is an acute psychiatric ward.
31:12They can't leave things lying around.
31:13The suicide of patients can use to kill themselves.
31:15They're going back, going to come back here, fix this now, properly, and fix it today.
31:19All right?
31:20I'll do it once I'm finished.
31:22Where's Kate?
31:23I haven't seen her all morning.
31:24Why is MC not on the board?
31:28He's in A&E waiting for transport.
31:30Says 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's not fucking work.
31:40Yeah, hi, hi.
31:41Yeah, it's Dr James Ford here from Willowood.
31:44Yes, 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 my sake.
31:55Norma.
31:57They install all these fancy machines to stop us leaving the office and then have a bloody work.
32:02What is it?
32:04Rosie Newman was on a post-nate 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.
32:15And the notes repeatedly say both mother and baby were doing well before discharge.
32:24Who discharged her?
32:25Her midwife, Maria Carter, after a discussion with Dr Hernandez.
32:32Away you go.
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, go ahead.
32:39I called the ward to speak to Maria.
32:41She 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
32:52sensitive investigation.
32:54Okay.
32:54Yeah, but they did say it had nothing to do with her time on QM's maternity unit, so they
32:58shared her contact details with me.
33:00And she very quickly sent an email refusing to speak to us unless it was done formally with
33:05her RCM rep and lawyer present.
33:08Great.
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.
33:19Miss 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.
33:50I saw it in the news.
33:52A complaint has been made about a doctor who failed to do an appropriate psychiatric examination
33:56before 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.
34:27It 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.
34:37Maria.
34:37Maria, 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.
34:50I've got nothing else to say.
34:51I'll have these out for you.
35:02Why haven't you packed them?
35:03We don't need them anymore.
35:05Dad's bought us loads of new stuff.
35:07Aren't you dead, sir?
35:20I've got nothing else to say.
35:24I've got nothing else to say.
35:54Hello, mate.
36:03What are you doing?
36:04You know, your sister's cooked the front feast.
36:06Yeah, I'm not a shit day.
36:07I'm not really in the way for socialising here.
36:09Literally, my nutrients in there.
36:12what the fuck cost actual money
36:21it never ceases to amaze me how unhealthy you doctors are
36:23no come on get in with us and invite someone i think you might like
36:27come on
36:27james is a real job he's uh he's a psychiatrist
36:57oh did you like to do a special course or something
37:04uh i went to medical school oh yeah my friend tilly does that but she studied psychology
37:08not medicine james is a medical doctor till he's a psychologist what's the difference
37:13sorry i don't know until i met this guy honestly i thought they were the same thing but he works
37:18in a ward with all these completely mental patients um yes not really like that what's
37:24the craziest way what's the craziest patient you've ever had
37:31um probably a patient who collected dead pigeons burned them in butter and took them to the
37:41palace as a present for the king
37:43james that's that's disgusting
37:49she there confused that nasty rhyme
37:52four and twenty black bears bathing a pie
37:55i told you man he works in a madhouse
37:57right i will be here in five minutes guys
38:03where are you going off for a drink and then to that new club on north street
38:08you should come
38:11i told you
38:17so gina how long have you been an architect
38:21five years
38:23well it's hard work but i really enjoy it
38:25do you design homes
38:26i love all those luxury property shows on tv
38:29they look so glamorous
38:31i do but mostly small private homes so it's not glamorous at all
38:35she's being modest
38:35but she's working on a multi-million pound property deal right now
38:39don't jinx it
38:40if our client wins the bid it'll be the biggest job i've ever done
38:44love to do something creative
38:46there's plenty of creativity in medicine
38:49medicine
38:50yes there is
38:52how you have to stick to protocols guidelines
38:56your entire job is ensuring everyone goes to party line or else they're out
39:00you've always wanted to be a doctor
39:05no you've always wanted me to be a doctor
39:08are you not enjoying uni
39:14um should we get another bottle
39:17yeah
39:18yeah
39:19yeah
39:21come on the bottle please
39:26yeah
39:29yeah
39:30yeah
39:32yeah
39:33yeah
39:38yeah
39:39yeah
39:40yeah
39:41yeah
39:42yeah
39:43yeah
39:44yeah
39:45yeah
39:46yeah
39:47yeah
39:48yeah
39:49yeah
40:14yeah
40:16yeah
40:17Can I have a whiskey, please?
40:45I just can't make it three, mate.
41:15I just can't make it three, mate.
41:45I feel all right in your face.
41:58It's about you.
41:59It's about you.
41:59It's about you.
42:00It's about you.
42:01It's about you.
42:02It's about you.
42:03It's about you.
42:04It's about you.
42:05It's about you.
42:06It's about you.
42:07It's about you.
42:08It's about you.
42:09It's about you.
42:10It's about you.
42:11It's about you.
42:12It's about you.
42:13It's about you.
42:14It's about you.
42:15It's about you.
42:16It's about you.
42:17It's about you.
42:18It's about you.
42:19It's about you.
42:20It's about you.
42:21It's about you.
42:22It's about you.
42:23It's about you.
42:24It's about you.
42:25It's about you.
42:26It's about you.
42:27It's about you.
42:28It's really, really hot, Nick. Can you open your window, too?
42:32Sure.
42:34You okay?
42:40My head's pounding, pounding. My chest hurts.
42:44Fizz, you okay? Fizz?
42:50Fizz?
42:52Nick, can you take us to Wayne? Quickly!
42:55She's just drunk.
42:56She's not.
42:58Take us to North Yorkshire.
43:00For fuck's sake.
43:02QM's watching you, and I'll take you there.
43:04Should we see you quicker at North Yorkshire?
43:06I don't know, mate. I don't want to die in me cab.
43:08I'm a doctor, okay?
43:10Just take us to North Yorkshire, Ernie.
43:12Please!
43:14Fizz, Fizz, listen to me. Can you hear me, eh? Fizz?
43:16Fizz?
43:22Airway, please!
43:24Can we get on the line, you know?
43:26We need to run some bloods and do a tox cream.
43:30What's her name?
43:32What's her name?
43:34Oh, I just know her as Fizz.
43:36Patient's name is Fizz.
43:38And what's yours?
43:40Toby.
43:42Toby Tate.
43:44Right, and what's she taking, Toby?
43:46I don't know anything else.
43:47What kind of pills?
43:48I don't know.
43:50Did you give her the drugs?
43:52No.
43:54No, I don't know her.
43:56We only just met.
43:58Right, just stand over there.
44:00I'll get some more details from you later.
44:02Right, can I get an update, please?
44:04Fizz?
44:06Fizz, can you hear me?
44:08Did you find any drugs on her?
44:10A lung pill.
44:11Is she sick?
44:12Yes, she hasn't been sick.
44:14Can we get that ABG done, please?
44:20A lung pill.
44:21Can you hear me go, my name?
44:22I won't have an eyelighting.
44:23Can we get that ABG done, please?
44:24Fizz?
44:25Fizz!
44:26Fizz!
44:27Fizz!
44:28Fizz!
44:29Fizz!
44:30Fizz!
44:31Fizz!
44:33Fizz!
44:35Fizz!
44:37Fizz!
44:38Fizz!
44:39Fizz!
44:40Fizz!
44:41Fizz!
44:42Fizz!
44:43Fizz!
44:44Fizz!
44:45Fizz!
44:47Fizz!
44:48We'll see you next time.