02x01 - Episode 1

[bunniefuu]

Afternoon, Doctor!
Hi, Aislene.

Hello, Charlie. Boss.

Spare any change, Doc?

On my wages, you're probably
richer than me, Charlie.

BABY BABBLES

Again, sorry for the wait,
but everything looks fine.

And you're sure
it's not infected?

I'm sure. You're
healing up nicely.

Just, erm... it feels so
uncomfortable down there.

Well, a little discomfort's
to be expected.

How's everything
else? Yeah, fine.

That's not quite true.

You've been struggling
to cope. Ed.

I'm doing my best.
She's not been sleeping.

I've been doing most of the
feeding. It's not been easy.

Rosie, tell the doctor.

Having a baby and a toddler...

..it's hard.

Rosie, why don't we have
a quick chat on our own?

SOFTLY: Yeah.

Mm-hm. Yep.

Come on, then.

CLASSICAL MUSIC PLAYS

MUSIC CONTINUES

BUTTONS BEEP, DOOR BUZZES

Yes, I realise that.

Did you bleep me? Mm.

They keep calling about Toni's
Mental Health Act assessment.

HE SIGHS, CHATTER ON PHONE

I called her. She's
not answering.

Fine. I'll pass that on.

SHE HANGS UP PHONE What's wrong?

SHE SIGHS

Toni's meant to be getting
sectioned right now,

but the team's at her house
waiting for Dr McAllister.

The AMHP's threatening
to cancel the whole thing

if she doesn't turn up ASAP.

Is she on her way? SHE SIGHS

She hasn't even left.

She's in her office
doing God knows what.

I don't have time for this.

PHONE BUZZES

Hello. Dr Ford,
psych reg on call.

'Hi, I'm Dr Hernandez
calling from MAU.'

Yeah, I've got a patient
I'd like you to see.

She's six weeks postpartum.

MOUTHS

'It'll just be a
straightforward review.'

Yeah. 'We're room 127.'

Uh-huh.

It shouldn't take too long. They
just need a bit of reassurance.

Sure, yeah, yeah.
I'll be right there.

The team's at Toni's flat right now
waiting for you so they can start.

The AMHP says they'll cancel
if you don't arrive soon.

No, they can't cancel. I've spent
ages trying to get Toni sectioned.

I'm about to start a
management meeting.

It's the bloody Trust again.
I've got so much on my plate.

She's out there psychotic,
pregnant, using crack.

If she isn't sectioned
today, anything could happen.

I know, and I wish
I could help, but...

You could, actually,
couldn't you?

They just need a
doctor who knows Toni.

Kate, I can't. I'm on call.
I've just accepted a referral.

Yeah, it's nearly five.
Get the SHO to see them.

HE SIGHS SOFTLY: I
really shouldn't.

It's a straightforward
assessment, James.

Toni's symptoms are obvious.
You'd get it done quickly.

I'm really sorry,

but I have to attend an urgent
Mental Health Act assessment.

'It's nearly five, so the on-call
SHO can see her after handover.'

I've already told the patient
and her husband you're coming.

I know, but my consultant needs
me to go do this assessment.

So do this first.
It won't take long.

This patient is acutely unwell. Is
your patient in imminent danger?

Well, obviously, not right now

because she's sitting
in my clinic room,

but beyond that, I can't say.

Is she exhibiting
any unusual symptoms?

'I can't assess that. I'm
not a psychiatrist, am I?'

BABY CRIES WITHIN 'Look,
this is time-sensitive.

'All right? They're waiting
for me, and they can't...'

Look, we all have time pressures.
You're the on-call psychiatrist.

'You can't refuse to come.'

HE SCOFFS I didn't refuse.

I-I told you, I'm having to
prioritise a higher-risk patient.

SHE SCOFFS Fine.

If you're choosing to downgrade
a referral you already accepted,

I'll document that in the notes.

Don't... Don't do that.

'You're not leaving me much
choice.' CAR LOCK BEEPS

OK, well, if you're
happy to wait with her,

then I'll review
her when I get back.

You could be hours.

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

I'm on my way.

PHONE BUZZES

Have you felt anxious or
worried for no good reason?

No.

Do you ever blame yourself
unnecessarily when things go wrong?

PHONE BUZZES No.

Er, she blames herself for
not being able to breast-feed.

It's making her really anxious.

Isn't that normal?

It can be.

I-I'm trying, but I just can't.

PHONE CONTINUES BUZZING

Could you turn that off?

No. No, I can't, I'm afraid.

Rosie, I'm going to
ask you some questions

to assess your mental state.

Some of these questions
might feel a little strange,

but we ask everybody
the same things.

PHONE BUZZES

Do you have any beliefs that
other people think aren't true?

No.

Are you preoccupied by anything?

No.

Have you had any thoughts
about harming yourself?

No.

How about harming other people?

No.

Do you ever feel like someone

is trying to remove
thoughts from your head...

..or trying to put thoughts into
your head without your control?

Do you ever feel like other
people can hear your thoughts?

No.

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

Erm... What do you mean?

Er, like...

hearing somebody talking to you when
there's nobody else in the room.

No. PHONE BUZZES

Er, sorry.

Well, you're clearly
sleep-deprived, erm,

but there's no explicit risks
that I'm concerned about.

And you have a supportive,
loving partner.

DOOR OPENS

DOOR CLOSES

So, you're... not too
concerned? Currently not, no.

But I'll refer her to
the Home Treatment Team

for a full assessment
tomorrow, just in case.

Prescribe lorazepam, two
milligrams for when she gets home,

another two before bed.

It'll contain anxiety,
help her to sleep.

They aren't safe in
breast-feeding patients.

They are fine for
short-term treatment,

and she's not
breast-feeding. PHONE BUZZES

You asked for my advice.
That's what it is.

Wait, you're not coming
in to explain the plan?

I can't, I really have to go.
Just tell her what I said.

Hello?

Yeah, yeah, yeah,
I'm on my way, yes.

So, that's it? We just go home, and
we wait for this home care team?

Dr Ford also suggested lorazepam to
help with your anxiety and sleep.

It's a sedative
similar to diazepam...

Is it safe to breast-feed?

There is a small risk of transfer
to the baby during breast-feeding.

Rosie, you have not
breast-fed for days.

I'm trying. I'll write
the prescription.

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

It's up to you.

I'll book you into my
clinic later on this week

and see how you're doing.

Thank you.

CROWD JEERS

Dr Ford.

What's going on? Kicked off
while we were waiting for you.

They're not happy
with us being here.

Sorry. Where's Dr McAllister?

Toni won't come into
hospital if she's not here.

She got caught in a meeting.

SHE SIGHS Right.

We need to get in there quickly,

ask the necessary
questions, then get out.

If her partner's in there, he
won't let us stay for long.

Who'll lead?

I'll do the intro, you can
assess her mental state.

All right. Come on.
Let's get this over with.

Amit Shafi. Section 12
doctor. Good to meet you.

CROWD YELLS

Just settle down.
Hey, settle down!

MAN: Did you hear me, man?

Hey, pack it in, or
I'll neck the lot of ya!

BOTTLES SMASH Hey!

Toni? Are you in there, love?

It's Michelle Dornaway
from the Adult Care Team.

I'm here with some
colleagues. We'd like to chat.

Antoinette? This is the police.

I'll count to three,

and if you don't answer,
we're coming in by force.

One...

..two...

CROWD JEERS

..three.

Police! Police!

What the f*ck did
you do to my door?

Down! Get down! Are
you gonna fix that?

What's going on?

Toni, we're worried
about your mental health.

We're here to assess

whether you need to come
into hospital under section.

The f*ck you are!
Take it easy.

Hey, hey!

Get the f*ck out
of my house! Mummy!

OFFICER: Drop the knife! If
you do not, I will be forced...

Drop it now! HE YELLS

TASER ZAPS, HE SCREAMS IN PAIN

TONI: Give me back my baby!

CROWD YELLS Give
me back my baby!

MAN MOANS Give me back my baby!

MAN YELLS No! No!

SOBBING: Oh, no,
stop. No! No! Oh!

Bernadette.

Oh, James, hey. Sorry
I missed handover.

We just did Toni's Mental
Health Act assessment.

It was... a nightmare.

Dr McAllister should've
sectioned her on the ward,

instead of letting
her abscond again.

She was giving Toni the
benefit of the doubt.

I asked her to pee in a
pot for a pregnancy test.

She gave me this.

I know, er, but she thinks...

SOFTLY: ..God impregnated her.

She even has pregnancy delusions,
pelvic pain, bloating, nausea.

This is her fifth
presentation this year.

A&E keep sending her home
without a test, so...

So you thought you'd challenge
her delusions with fact.

Yes! See?

Now I can send her home, and with
any luck, she won't come back.

Mm.

Hm.

Thank you, Miss O'Reilly.

She's showing signs of
raised intracranial pressure,

and she has a palpable
abdominal mass.

It's hard to know for
sure without imaging,

but I'd guess uterine
cancer with brain mets.

Causing the psychotic
symptoms. SIGHING: Yeah.

Recent on-set psychosis and
those physical changes at her age

should make you rule out
any physiological cause.

The pelvic pain and nausea are
real, not pregnancy delusions.

She's psychotic.

Doesn't mean she's
not telling the truth.

Don't worry.

You're not the first doctor
to dismiss her symptoms.

I need to get to the psych unit,

make sure Toni's section
paperwork's been uploaded.

Then I have a seclusion
review, then I'm going home.

But I'm on call tonight
if you need anything.

Don't forget to see
Toni on the ward.

She's coming down from crack,

so she might give the
night staff a tough time.

Sure.

PHONE BUZZES

PHONE BUZZES

HE EXHALES SLOWLY

Hello? James,
sorry to wake you.

We've a situation with a patient,
and I really need you to come in.

'I didn't know what else
to do.' sh*t, is it Toni?

No. Rosie? Rosie Newman?

What?

I... I just... saw her
a couple of hours ago.

ROSIE: 'I've had enough!
I've had enough!'

What the hell are you staring
at, you f*cking b*tch?

Wait till I get my hands on you!

She's really unwell, and I don't
know what to do. A&E won't help.

They keep saying she's my problem,
but she's really agitated.

'The police are making
it worse.' Police?

What, is she on a section 136?

Yes. 'Have A&E done,
er, done bloods?'

No, nobody wants to
go anywhere near her.

Keep her at A&E
until I get there.

'She needs to have
a baseline ECG.'

And... we need to rule
out a physiological cause.

OK, can you get here as quick as
you can? I'm really struggling...

Ah! SCREAMING

Bernadette?
SCREAMING FROM PHONE

BERNADETTE GROANS,
ROSIE SHRIEKS

Get her! Get her off! 'Hello?

'Bernadette, are you
there? Bernadette?'

You need to get here now! Yeah,
yeah, I'm... I'm on my way.

She had four milligrams of
lorazepam earlier, so...

..give her five milligrams
of haloperidol IM.

'And call the AMHP.'

I'll be there in, erm...

I'll be there within half
an hour. ENGINE STARTS

Yes. No, no, I understand that.
Hang on a second. He just walked in.

Where the hell have you been?

AMHP's on the phone.
We're all waiting for you.

Sorry, there was,
erm... car trouble.

Where is she? She
kicked off again.

We had to put her in the 136
suite. She hasn't had a physical.

She needed the physical.
That was the whole...

You still there? Great, yeah.

'You shouldn't have moved
her.' Look, my hands were tied.

Things escalated. There... There
was nothing else I could do.

POLICE RADIO CHATTER

'Foxtrot-six-three,
any updates? Over.'

Doctor's only just arrived.

'OK, I need you back
on the road ASAP.'

Copy that. Dr
Ford, reg on call.

We need to get going. Talk me
through what happened first.

We received a call at


saying his wife was trying
to drown their baby.

When we arrived, she was
distressed and very aggressive.

Mr Newman was locked in
the nursery with the baby.

Where is he now?

He's gone to paeds A&E
to get the baby checked.

Those restraints
really necessary?

She attacked a
doctor and bit me.

They're disproportionate
to her current state.

With respect, you
didn't see how she was.

She's calm now. She's
responding to the sedatives.

Could you let me in, please?

NUMBER PAD BEEPS, LOCK BUZZES

SOFTLY: Rosie?

DOOR SHUTS, LOCK BUZZES

Let's take this off, shall we?

SHE BREATHES UNSTEADILY

Rosie, I'm Dr Ford.
We met earlier.

I'm not going to hurt you.
I'm... just going to remove this.

It's OK, Rosie.
It's OK. SHE GASPS

Just want to know what happened.

I met you before...
in the other place.

I met you and Alfie, your baby.

No. No, there is no baby.

SHE BREATHES SHAKILY

WHISPERS: I tried...

WEAKLY: I tried, I
tried, and I failed.

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

SOBBING: I failed
to try. I failed.

SHE SOBS

Rosie, what do you
think you failed at?

Who the f*ck are you
calling a failure?

I tried, and it didn't work.

But I'll keep trying
until he's dead!

SHE BREATHES SHAKILY

I have to go. I-I-I have
an appointment, and I...

I-I need to leave.

SCREAMS: f*cking b*tch!
What did I tell you?

Give another five milligrams
of haloperidol now!

ROSIE SCREAMS

Er, should we add
some lorazepam?

No, no, no, no. She's
had the maximum dose.

ROSIE WAILS

OK, I've got her. Just
move your hand there. No!

DOOR BUZZES Yeah,
I've got her neck.

Injecting five milligrams
haloperidol into the deltoid now.

Yeah, got it, secure.
ROSIE CRIES OUT

We have other calls to attend.

Yeah, yeah. You can go.
We've got this under control.

PHONE RINGS
'Hello, reception?'

Hi, can I get someone
over across to 136 suite?

We've got a new patient
for Willow Ward.

'Sure.'

Shouldn't we wait for transport?
No. They'll take hours.

I want her in a secure ward
before the sedatives wear off.

HE SIGHS I don't get it.

I saw her this afternoon,
she seemed fine.

That's psychiatry
- unpredictable.

It's not this unpredictable.

Listen to his breathing,

and if there's any sign he seems
out of the ordinary to you,

just grab one of us, and
we'll review him. OK.

In the meantime,
I've booked an X-ray

to rule out water in the lungs.

Thank you. ALFIE CRIES

ALFIE COOS

How is he?

Er, yeah. Er, yeah, they
think he's gonna be all right.

But they're keeping him
overnight for observation now.

Er, how's Rosie? How's
Rosie? Is she OK?

She's calmed down. We're
moving her to a ward.

SOFTLY: OK.

Can I just check what time Rosie
took the lorazepam prescribed?

Erm, I don't know.

You don't know what
time that she-she...?

She did take it?
Well, I don't know.

I didn't see her physically
take any tablets.

But she could've done.
You can't be certain?

No. Why are you asking?

I'm just checking.

Where's Rosie? They've
already picked her up. Why?

No, I don't...

I need to go. I need to go.

I don't, no... No...
Are you OK, Rosie?

ROSIE GRUNTS Oh!

NURSE GROANS Rosie!

Are you OK? Yeah, yeah.
She just hit me and ran.

Where did she go? The
pharmaceutical building.

I'm calling security.

ALARM BLARES

Rosie!

Rosie. Rosie!

Please.

Don't... Don't move!

Rosie, come away from the edge.

SHE SOBS Please, Rosie...

SHE WHIMPERS That's it.

That's it, that's it,
Rosie. It's Dr Ford.

SHE SOBS

You know who I am? You remember?

WHIMPERING: I can't, I can't...

Please. Stay where you
are. I can't, I can't...

SOBBING: I can't,
I can't. I-I tried.

SHE BREATHES SHAKILY

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

You haven't... You
haven't failed. What...

What do you... What do you
think you've failed at?

Rosie. Rosie. Rosie, stop!

SHE SOBS

I know you're scared.

Please.

SHE SOBS I get scared, too.

That's right.

I get scared, too.

So, why don't we
come down, and...

..go inside, and-and...

..we'll just talk.

That's all, Rosie.
SHE SHUDDERS

We'll just talk. SHE EXHALES

Yeah?

We'll just talk...

THUD

NURSE SHRIEKS

SHE PANTS

If we have any more questions,
we'll be in touch, Dr Ford.

DOOR BUZZES

How the hell did this happen?

HE SIGHS

She was much more unwell
than you or I thought.

This has nothing to do with me.

I asked for your help, and you spent
about two seconds reviewing her.

That's not true. You couldn't
get away fast enough.

I-I don't wanna do this
now. I haven't slept.

And I've just been through
it all with the police.

Yeah, well, the coroner, the
Trust, they'll all have questions.

You said it was safe
to send her home.

She seemed OK when I saw her.

Then why did she throw herself
off a building a few hours later?

You didn't think
she was that unwell.

You said that yourself!
I was concerned.

That's why I called you.

I trusted your
advice. Did you?

Because Rosie didn't
take the lorazepam.

If she had, none of this
would have happened.

Don't you dare put the blame on me.
I prescribed it exactly as you said.

OK, could you take everyone
back to their lunch? Sure.

I've met doctors like you who think
they're God's gift to medicine

because they sailed through
their exams first time,

never stopping for a career break,
but you all trip up eventually.

This is on YOU, not on
me. It's on both of us.

Hey, hey, hey!

Not an appropriate time or
place to discuss this, OK?

I've got to get to a ward round.

DOOR BUZZES

DOOR SHUTS You OK?

No. Not really.

Well, go home, James.
Get some sleep.

I'll see you tomorrow.

DOOR BUZZES AND OPENS

Ready?

Just a sec.

Imagine being widowed this way,
with a toddler and a newborn.

It's unthinkable.

This isn't gonna be easy.

I know.

Can you tell us what happened
during Rosie's psychiatry review?

How did you find Dr
Ford? He was in a rush.

His phone kept going off.

He just asked a few
questions, then he left.

Dr Ford recommended a
sedative, lorazepam,

but Rosie didn't take it.

I mean, she was... she was anxious
about breast-feeding, but...

When we returned home
from the hospital,

Rosie went straight up to bed.

I assumed that she'd taken them.

But I should have
checked to be sure.

Did Dr Ford explain why
he prescribed lorazepam?

No. Dr Hernandez did.
He'd left by then.

Would you mind talking us through
what... what happened that night?

Erm...

ED EXHALES

I woke up around midnight.

Alfie was crying, but
it didn't sound right.

It was more like... gasping.

Rosie wasn't in bed. They
were both in the bathroom.

She was shushing him and crying,
holding him under the tap...

..as the bath filled up.

So...

..what did you do?

I grabbed Alfie.

We struggled, I don't
know how long for.

I think Rosie fell... Yeah.

So I locked me and
Alfie in the nursery.

You then called the police?

I came out of the nursery when
I heard her shouting at them.

They were all outside
on the front garden.

Rosie...

..she was screaming...

..biting.

INHALES SLOWLY

SOFTLY: It was awful.

I'm sorry.

I knew that she wasn't OK.

They should never, never have
sent her home from hospital.

She should have stayed
there, been seen properly,

and then made to take
the medication there.

How could something
like this happen?

I don't know.

But rest assured, we are gonna
get to the bottom of this.

You have my word.

TV: 'You know what my favourite
thing in the world to do is?

'It's singing. I love singing.

'Yeah! We can sing together.

'Why don't I teach you a song?'

'So, moving on to
Antoinette Campbell-Brown.'

Obviously, we've been here
before, but how has Toni been

since her sectioning, Kwame?

Yeah, she's stable, eating well,
tends to her personal hygiene.

Today, she attended music
therapy. I meant her mental state.

She's refusing her quetiapine.

And yet you say she's
well and stable.

Toni's refusing to come in.

What's she doing?
Staring at the TV.

Says it reminds her
of her new baby, Sam.

Oh, it's actually Samsung.
Named after the TV.

KWAME CHUCKLES

Her first baby was called Apple,
so that actually makes sense.

Well, at least she's
acknowledging the pregnancy now.

Does the patient need to
be here? Sorry, just, er...

explain to me how you can plan
for a patient you've never met?

Mr Mansoor gave me the
key details. Ah, fine.

I think we should schedule
Toni for an elective caesarean.

She's a healthy 32-year-old lady.
She doesn't need major surgery.

She can have a normal
vaginal delivery.

She's floridly psychotic and
can't follow instructions.

Just tell me how you plan to talk
her step-by-step through her labour?

Mr Mansoor delivered
Toni's first baby naturally

without any significant
complications.

What constitutes significant?

We just need to ensure that
the baby's delivered safely

and with no undue
harm done to Mum.

Yeah, it's not in her best
interests to have a caesarean.

She takes crack, right?

If she continues to
take crack on the ward,

she's at risk of a
placental abruption

and therefore a
premature delivery.

Then don't let her
use crack on the ward.

Sometimes these things
are beyond our control.

No, there's psychiatric
and physiological reasons

for an elective caesarean.

Her meds put her at risk of
endocrinological complications.

If she gives birth "naturally",
will likely be traumatic

and will end with an
emergency caesarean anyhow.

Now you're an expert in obstetrics?
Dr McAllister, surely you agree?

Erm, I think Sophia's right in
that, according to the notes,

Apple was delivered naturally
and there were no issues.

Fine.

She can't stay here, though.

If she goes into labour, we
don't have the equipment.

Do what we did last time.

Your nurses can escort
her, then we'll take over.

So after everything
that's happened,

the plan is to escort a
floridly psychotic woman,

in labour, across
to the hospital?

Well, at least she won't
be able to run away.

All right, so let's
keep her here.

We'll put her on one-to-one
obs, and with more medication,

she might improve enough to
follow birthing instructions.

She has four weeks left to go,

so hopefully, a bed on
a psych mother-baby unit

will become free before then.

And then the problem disappears.

Do not put that in the notes.

So, you really think
that birth plan's good?

I'm just trying
to keep the peace.

And after what happened
with Rosie Newman,

we can't afford another
fallout with Obstetrics.

There's something else.
Erm, the MIU contacted me.

They're starting an
investigation into Rosie's death,

and they want to speak to you.

So you need to get
your story straight.

When you saw Rosie
in Outpatients,

why didn't you spot
how unwell she was?

I... HE EXHALES

I was... I was in a rush. You'd
asked me to go and see Toni.

If you'd gone straight to
Toni's assessment, like I asked,

you wouldn't be in this
position, would you?

So tell the MIU you did
a thorough assessment

and Rosie wasn't exhibiting any
signs of a severe psychotic illness.

If she had, then a
doctor of your experience

would have spotted
them, wouldn't they?

So if this becomes
about your incompetence,

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

You don't want that, trust me.

DOOR BUZZES

SIRENS BLARE IN THE DISTANCE

JAMES: 'Do you ever
feel like someone

'is trying to remove
thoughts from your head?

'Or trying to put thoughts into
your head without your control?

'Do you feel like other people
can hear your thoughts?'

ROSIE: 'No.'

'Do you have any beliefs that
other people think aren't true?'

No.

Have you had any thoughts
about harming yourself?

BREATHES HEAVILY

EXHALES SLOWLY

He's always the same,
he's always the same.

Morning, mate. Morning.

Morning. You want
some breakfast?

Oh, no, no. I've already eaten.
How's the, er, house-hunting going?

Good, yeah. Yeah, yeah.

I've got a couple
lined up this week.

What have you got on today?

Same old. What, another
dose of the crazies?

SOFTLY: Sorry.

Oh, er, before I forget...

Dad wants to drive
over next weekend.

Er... I... I can't.
I'm on... on call.

See you later.

You don't know where
the MIU is, do you?

Yeah, yeah. Seventh floor.
Seventh floor, yeah?

GEORGE: We've
received a complaint

about Rosie Newman's
treatment prior to her death.

We receive several
complaints like this,

and we are duty-bound
to assess each one.

We just want to get
a clearer picture

of your involvement in her care.

OK. Erm... JAMES CLEARS THROAT

Er, I was on call when I received
a referral for Rosie around 4pm.

Dr Hernandez didn't think
the review would take long.

The couple just
needed reassurance.

What did you make
of Rosie's symptoms?

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

You did a full Mental
State Examination?

Yes. But you didn't document
the full details in her notes.

No, because there were
no positive findings.

Rosie was...

She was tired, but nothing
out of the ordinary

for someone with a newborn.

Did you assess
risk of harm? Yes.

The risk of harm to herself and
others was low at that point,

and plus, she had protective
factors, like a supportive partner.

And you asked specifically
about thoughts of self-harm?

Yes. Rosie didn't express
any desire to harm herself.

What was your
plan? Er... Erm...

I asked Dr Hernandez to prescribe
two milligrams of lorazepam then,

and then a further two
milligrams before bed.

I also referred Rosie to
the Home Treatment Team

for review the
following morning.

Dr Hernandez's statement says
you didn't feel it necessary

to explain the plan
to Rosie yourself.

No. Cos the plan was simple.

Did you consider Rosie might
have been masking her symptoms?

Well, she weren't... She was a
little guarded, yes, but, erm...

that's why I was so keen

for a further review from
the Home Treatment Team.

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

It was long enough to
ascertain the relevant details.

Ed Newman said your
phone kept going off,

disrupting the assessment
and distracting Rosie.

I was on call.

There's nothing I
could do about that.

He also said you were in a rush.

CHUCKLES NERVOUSLY

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

So there was a team
waiting for me there,

but I wasn't in a rush.

But you were on call.

Rosie should have
been your priority.

I thought I could do both.

You must have felt under
considerable pressure,

knowing you were holding up a
Mental Health Act assessment.

No. The team were happy to wait.

You reviewed Rosie in front
of her husband and baby.

Did you consider
seeing her alone?

I mean, yeah... if
I'd had more time,

then ideally, I
would have done, yes.

But you weren't in a rush.

No. Given the circumstances,

it seemed to be the most
efficient thing to do.

At 2am, Dr Asamoah called asking
you to come help with Rosie.

Yes, I came straight in.

How was Rosie when
you arrived? Calm.

I asked the police to
remove the restraints.

They'd gagged her and
bound her arms and legs.

It seemed excessive.

But they did that based on the
extremely agitated behaviour

they witnessed when
you weren't there.

Do you think your judgement was
clouded by the version of Rosie

you saw in Outpatients earlier?

A-Absolutely not, because I believed
she'd had four milligrams lorazepam

and five milligrams of haloperidol,
and therefore that had settled her.

Your assumption was wrong.

As a result, Rosie was under-sedated
when you saw her in A&E

and when she ran from the nurse.

Did it not occur to you to get a
collateral history from Mr Newman

before sending Rosie
to Willow Ward?

As soon as I realised that Rosie
hadn't taken the lorazepam,

I rushed back to give her some.

I had no idea that they
would've already tried

to take her across to the ward.

But you called the ward and
asked them to collect Rosie

before you went
to see Mr Newman.

Usually, they don't
come that quickly.

But it was your decision to
wheel Rosie over to psych,

rather than wait for transport.

Yeah, but we do
that all the time.

An ambulance takes forever.
It's a short distance.

Look, is this complaint
specifically about me?

If Rosie's symptoms
were picked up earlier,

this entire tragedy
could have been avoided.

You say your initial assessment
wasn't rushed, but...

I find that hard to believe
given what you've said.

You then had a second opportunity
to fully assess Rosie,

but you didn't manage
any of the risks.

If Rosie had taken the lorazepam,
none of this would have happened.

I agree.

But YOU didn't explain its
importance to Rosie or her husband.

I made it clear to Dr Hernandez.

She's the one who
prescribed the drug.

If Rosie didn't take
it, it's down to her.

In your opinion.

It's my opinion that the
care you provided Rosie

fell below the minimum
standard expected.

Therefore, we'll be looking
further into events that night

and in the run-up to her death.

Am I under investigation?
We'll look over everything

and decide whether a full fitness
to practise investigation is needed.

We'll inform you of our
decision in due course.

So, really, you think there
were about 50 of them?

You didn't hold 50
of them, did you? No.

You just held one.
Did it pinch you?

No. No, are you sure?

Did you have to
wear special gloves?

Erm, right, l-let's
go in. Quickly.

Is it plausible Rosie
didn't show any symptoms

during the first review?

More likely he missed them
because he was rushing

to attend the Mental
Health Act assessment.

He was on call.

He should have been firm
and told his consultant no.

I mean, that's not
always easy to do.

Failure to prioritise cos
you're scared of your boss

is not a defence, George.

CLASSICAL MUSIC
PLAYS, LIGHT CHATTER

SOFTLY: We were wondering if
there's somewhere we could go to...

Erm, yeah. Yeah.

'The police brought
Rosie to A&E.'

Within minutes, she was
shouting and screaming at me.

It was awful, so
I called Dr Ford.

He called the ward, asking for
someone to walk a patient over.

He didn't say how
unwell she was,

so I went to the


Yes, we walk patients across

but only when they've been
properly risk-assessed.

And you don't think
Dr Ford did that?

SHE SCOFFS

Rosie Newman assaulted me...

then I had to watch
her fall to her death,

so, no, I don't think he did.

HELEN: 'What drugs
was Rosie prescribed?'

She had haloperidol, erm,

but she kicked off again
and bit a police officer.

A&E were yelling at me to get
her out of the department.

I-I didn't know what to do.

Why was she still in Majors
and not in the 136 suite?

I'd seen a patient earlier

whose psychiatric symptoms were
masking an underlying cancer.

Rosie needed a proper
medical review,

an ECG, blood tests, to rule
out a physiological cause.

Dr Ford told me to
keep Rosie in A&E

until he arrived to
ensure that happened.

Erm...

So, you called Dr Ford at two...

..he arrives roughly


The haloperidol wore
off very quickly or...

..had no effect at all.

I heard what happened
to Rosie Newman.

What the hell are
you doing here?

I know this was
something to do with you.

You can't hide the
truth any more, Sophia.

And when they find out, it'll
be your career that's over...

not mine.

HELEN: 'Bernadette,
it's important

'we understand the
timeline accurately.'

Now that I think about it, probably
was probably closer to 2:40, 2:45

when Rosie lashed out again.

Dr Ford should have
been there by then.

You're aware that
the reg on call

must be within 30
minutes of the hospital?

What time did Dr Ford arrive?

Maybe just before three.

That's almost an hour
after you called him.

If he'd been on time,
he'd have seen for himself

why the police restrained
Rosie so forcefully.

Could have spoken to Ed Newman.

He'd have known she
was under-sedated.

ALFIE CRIES

IMOGEN: Where's
Mummy? I want Mummy!

ALFIE CRIES I want my mummy!

This could all
have been avoided.

Why was Dr Ford so late?