Malpractice (2023) s01e01 Episode Script

1
That's for you.
Thank you.
Hello, hello, hello, hi.
Hi, Lu.
OK, so we have
an ascitic tap to do.
Do you wanna watch?
Well, can I do it?
How many times do
I have to tell you?
Oh, I know, see one, do one,
teach one. Exactly.
Right, the tap is in bay seven,
if you wanna grab the equipment
and meet me there. Yeah.
You are way too keen.
Oh, piss off.
And so the pressure in your belly
will decrease,
and you'll feel a lot better.
OK, and then we're just gonna let
that drain away there. Thank you.
So you're gonna give him
enough albumin to prevent?
Erm, hyp hypervolemia.
Bingo. I'd say by the size of him,
he's gonna drain about 20 litres.
20 litres?
That's like carrying triplets.
You know he's got
a bottle of vodka in his bag.
I don't know why we bother
treating patients like him.
Because it's our job.
And we're not here to judge.
Well, OK, then I want first dibs on
tapping him next time he turns up.
Deal.
I know, but unless I get
the CT report,
I can't discharge him.
I need the bed, OK?
Thank you.
Thank you, I appreciate that.
What is it? I'm at work.
Jesus, how has this happened again?
I'm not doing it.
Sorry, Mam, I can't help you
with this. Erm
You're gonna have to find
someone else, thank you, bye.
Sorry, I didn't mean to interrupt.
It's fine.
Can I help you with anything?
Have you seen Dr Harris?
Oh, you've just missed him.
He went to go pick up his kid.
But you can get him on his phone
for the rest of his shift. OK.
Anything else?
Erm, no, no, that's fine, thank you.
Oscar.
What are you still doing here?
Your shift finished ages ago.
Yeah, I know.
But it was busy and I thought
you could use the help.
Go home, Oscar,
you're on an early tomorrow.
Look, honestly, I-I can stay,
if you want me to.
We don't need you. There's only
one overdose that's coming in,
and Ramya's gonna help me with it.
Oh, but it's nearly my home time.
Can't we hand it over to
the nightshift?
Er, I'll pretend I didn't hear that.
Oh, I was really hoping
for a quiet hour.
Er, touch wood, Ramya,
don't say the Q-word.
Oscar. Stop.
Sorry, sorry.
I'm gonna go for my break. Ramya,
bleep me if that overdose comes in
and you are gonna come with me,
cos I need you to get
the heck out of here. Urgh.
Come on, you're in early tomorrow,
let's go.
Oh, what are you doing smoking,
Edwards? I thought you'd quit?
I have quit.
I just smoke when I'm at work.
How's work going?
Same-same. How about you?
Busy.
Through here.
OK, we're in here, watch your backs.
Watch your backs, watch your backs.
Right, bay five, this way, please,
thank you.
Watch yourself, watch yourself.
OK, guys, I need you on that side.
Feng, Luke, ready on three,
we're gonna lift.
One, two, three, lift. Go.
This is 23-year-old Edith Owusu.
Found unconscious at home, following
an accidental opioid overdose.
Was anyone with her?
No, but we found needles
and drug paraphernalia beside her.
We gave two doses of 400 micrograms
of naloxone IM
and she's responding well.
Thank you. OK, Edith, darling,
can you hear me?
I'm Dr Lucinda Edwards,
I'm gonna be looking after you, OK?
Can you tell me
what it is that you've taken?
Can we get another dose
of naloxone ready, please?
I'm gonna have a listen
to your chest, OK, love? Reception?
Finish that?
Reception, reception!
Lucinda, we need to go.
What's happening?
Come on, we need to go now.
No, but I-I can't leave her.
Lucinda, we need to go now. Come on.
OK, Feng, I need you to call
Dr Harris, get Ramya, OK,
and stay with her,
I'm gonna be back as soon as I can.
What's happened?
Are the police here? Wait!
What's happened?
You know the protocol,
wait for the police.
I can't wait. Wait for the police,
you know we have to!
Don't go in there!
Get your hands off me!
Lucinda! What are you doing?
Sir. Sir, stop.
Stay still!
Sir, I need you to calm down.
Who are you?
I'm a doctor, I'm
Get back! Lucinda, come back now.
Just come back.
No, don't. Look at them,
look at them,
they are gonna stay back,
they're not going to go anywhere.
They are not gonna do anything,
believe me. Sir
Help him. I can help him,
but you've got a gun in my face.
Sir, what's your friend's name?
No names, just help him.
OK, I want to help him,
but I can't help him,
cos you've got a gun in your hand,
so, please,
put that down and I will help him.
Look, my name is Dr Lucinda Edwards,
I'm in charge here.
Help him, then.
I will help him.
I will be the first to help him,
but I need you to put the gun down,
please.
Listen.
Help him now.
I want to help you.
We all want to help you.
I'm gonna count to three.
I wanna keep your friend safe.
One two
I just want to help you, please.
Don't make me count three.
Put it down.
He's going for the car park!
Follow emergency CCTV,
get a full description
to the police, get on it now.
Hello, can you hear me?
Right, Brian, I need you down
this end, we're gonna lift him.
So, everyone, on three.
We're gonna lift, you ready?
Ready.
Ready? One, two, three.
Watch your back. OK, I need
as many hands on deck here, please.
There's no beds.
We need to move someone.
Lucinda.
Lucinda.
No, let me just think for a second.
Erm,
let's move the overdose to majors.
Right, no,
we can move one of the others.
We can move the sepsis, or the MI.
They're not well enough.
What are we doing?
Lucinda, what are we doing?
Lucinda, what we doing?
Lucinda?
Fine, I'm gonna go with
the overdose to majors.
No, we need you here. OK?
Ramya can go with the overdose.
She's stable.
She'll be fine with Ramya.
This boy's bleeding out,
for God's sake, Lucinda!
What are you gonna do,
prioritise a junkie over a child?
Lucinda, what we doing?
Come on.
Ramya, you're gonna stay with
this patient
and you're gonna go to majors.
OK.
We're gonna swap her out
for the shooting.
I'm gonna brief you as we go.
OK.
Right, you fast bleep
the trauma team.
Where's Dr Harris?
I dunno, I'm gonna call him.
OK. Back. Now, come over here,
quick as you can.
Can you move?
Can you get out of the way?
Lucinda, what are you doing?
We need to go. Now, Lucinda!
Lucinda!
Yeah, I'm checking the notes! Right.
Hey, whoa, whoa, whoa, whoa.
Stop, stop, stop, stop.
In, in, in. OK.
Erm, Lucinda, I've never treated
an opioid overdose before.
It is very straightforward, OK?
You're gonna wait here,
you're gonna give her
800 microgram doses
Listen to me, you're gonna give her
800 microgram doses of naloxone
until her breathing stabilises.
OK, 800 micrograms of naloxone.
OK, do you want to repeat
the plan back to me?
Erm, no, no, it's fine, I got it.
You've got this?
Yep. Good, let me know
when she improves. Go.
OK.
Go.
'Hi, this is Dr Leo Harris, please,
leave me a message after the tone."
Leo, for fuck's sake, will you pick
up your phone? We need you in here.
OK, we need to give this to her now.
Thank you.
Shit. His abdomen's rigid.
The surgeons are on their way.
They'll assess him,
and then we can take him to theatre.
There's not enough time.
You can't feel his carotid pulse.
Right, I'm gonna have to clamp
his aorta and stabilise him.
Prep for an emergency thoracotomy.
Edith, Edith, can you hear me?
EDITH MOANS
OK.
Thanks, Lucinda.
Theatre's prepped.
We'll take it from here.
You two, hurry up.
He's gonna make it.
Well done, you.
Good.
Well done, you.
Rammy, why aren't you with
the overdose?
Well, you said to let to let
you know when she improved.
Shit.
What's happened?
She's gone into respiratory arrest.
Edith, darling, can you hear me?
Sweetie, can you hear me?
She's unresponsive.
How much naloxone did you give her?
800 micrograms, like you said.
How many doses?
What do you mean?
How many doses?
One!
I told you to repeat the dose
if she didn't stabilise.
We're all good, we're OK, Edith,
we're all good.
OK, here we go, here we go.
Here we go.
Sats are dropping.
Right. Right, starting compressions.
Put out the arrest call.
Go, go. Starting compressions.
Three, four, five, six
Three, four
Oh, shit. How long?
Half an hour.
I think we should call it.
Hey, hey, that's it, that's enough.
That's enough.
SHE PANTS It's over.
Time of death, 10:11.
This is all your fault.
How could you be so stupid?
Stupid!
Do you want to know which one?
What's this?
A big boy.
It is a big boy.
And then that's a foot,
goes in there.
Oh, toe!
I keep telling you, you'll be fine.
I don't need no help.
You did nothing wrong.
Yeah, but it's not that simple.
It is an official complaint,
and I was a senior doctor in charge.
So the buck stops with me.
Yeah, but you saved that boy's life.
Yeah,
but Edith still shouldn't have died.
Well, once they hear
what you did do
they'll say you're a hero.
Your mummy's a hero, isn't she?
Is she?
No! No!
No?
No!
I'll just take stick his hair on.
Right, I'm gonna go.
Lucinda.
George, oh, my God!
Come here.
What are you doing here?
Oh, erm
I work here now as an investigator.
No way!
So, you're not practising medicine
any more?
I'm assigned to your case.
Really?
Yeah.
All right, yeah, cool.
I'm sure you'll be fine, though.
That's reassuring.
Well, anyway, yeah, we should
probably get going. We should.
Your rep's already here.
Great.
OK.
Thank you for coming in
this morning, Dr Edwards.
My name is Dr Norma Callahan,
I'm the head of the West Yorkshire
Medical Investigation Unit.
Dr George Adjei,
investigating doctor.
Kathy Miller, medical secretary.
This is a release form.
If you could just fill that out,
it'll give us permission
to access your personnel records.
It's standard procedure.
Yeah, that's fine.
Yeah?
Yep.
Cheers.
Thank you.
As you're aware,
following Edith Owusu's death
earlier this month, her father,
Sir Anthony Owusu,
has lodged a complaint about the
treatment she received in the RH.
As the most senior doctor present,
the responsibility for her care
fell to you. Mm.
Which is why
we're interviewing you today.
We receive several complaints
like this every year.
And we are duty-bound
to fully assess each one.
In preparation for this interview,
we've collected written statements
from A&E staff on duty
the night of Edith's death.
Today is just about getting
a clearer picture of what happened,
your decision-making.
Yeah, that's fine by me.
Let's go over the events of
the night Edith Owusu died.
Mm-hmm. Erm
Yes, A&E bleeped me just after nine
about Edith's arrival.
And I went to resus.
I was treating her when the alarms
went off and Beth came in to
Matron Beth Relph?
Er, yes, and, erm
What happened next?
So we went into reception,
and that's when I saw the boy
and the gunmen.
We've read written statements
about your conduct.
You were very brave.
No, any doctor
would have done the same.
How was Edith when you left
to go to reception?
Er, she was stable.
She'd responded well to the naloxone
given by the paramedics,
so it felt safe to leave her,
temporarily.
And when you returned to resus
with the gunshot patient,
you had a dilemma.
Yes. Erm
He needed a bed,
and Edith had taken the last one.
The other resus patients were
Well, they were critically unwell.
Erm
Edith was more stable at that point,
so I decided to move her to majors.
Sounds like
a straightforward decision.
However, a number of witnesses state
you struggled to make this decision.
That while you were deciding
what to do,
Edith's condition
deteriorated in resus.
Well, that wasn't my assessment
of the situation.
Dr Ramya Morgan states
she tried to alert you
to Edith's deterioration,
but that you were distracted,
checking Edith's paperwork.
I don't recollect Dr Morgan
saying anything like that.
I'm wondering
whether during this delay,
an opportunity to give Edith
another dose of naloxone was missed.
We're talking about seconds.
I mean, a minute or two at most.
Jesus.
Edith received more naloxone
as soon as she got to majors.
Surely, any delay
would potentially contribute
to the overall worsening
of her condition?
If you were struggling,
why didn't you?
Why didn't you ask Dr Harris
to help you? I mean, he was
Yes, he was the consultant
on duty that night.
Yes, he was,
and his shift finished at 9pm,
and Edith came in shortly after.
Pardon me, sorry, Dr Morgan said
she wanted to discuss a patient
with Dr Harris at 8:30,
but you told her
that Dr Harris had already left.
OK, so he left half an hour early
to pick up his son.
It wasn't a big deal, OK?
People with families, we
we look out for one another,
and we cover for each other,
that's
We're like a family on the ward.
And
I called him, and he came back
as soon as he could.
OK, Kathy, can we pull up
the resus record, please? Yep.
Someone changed
the presenting complaint
from accidental
to deliberate overdose.
Do you know who would
have done that?
Erm, yeah, that was me.
Why were you so sure
it was deliberate?
Erm, she
had been treated for addiction
and she had a history of depression.
With a previous suicide attempt.
Edith's father states her addiction
had been successfully treated
last year
and that she hadn't expressed
suicidal ideation for a long time.
Because suicidal ideation
is very different from intent.
Edith's actions were consistent
with intent.
And, besides, acknowledging
her mental health history
felt important.
You have to understand
that if I had coded
her overdose as accidental,
she never would have fit
the criteria
for psychiatric review prior
to her discharge, do you understand?
That's That's true.
OK.
OK. Let's move on
to what happened in majors.
Erm, I gave Dr Morgan
a management plan for Edith,
and I stayed in resus
to look after the shooting.
And what were your instructions?
I told her to give her
800 micrograms of naloxone
and stay with Edith,
so she could repeat the dose
if her breathing rate dropped.
The whole point is
that she had to stay
and wait for her breathing
to stabilise.
Dr Morgan states you only told her
to give one dose of naloxone
and to let you know when
Edith improved. No.
No, no, that's not true.
Because breathing can improve,
but not be stable.
Dr Morgan clearly doesn't understand
the difference.
Why didn't you write the plan
in the notes?
There wouldn't have been
any confusion then.
Because there wasn't enough time.
There wasn't enough time. OK.
Dr Morgan's statement mentions
a drain you didn't allow to fit
earlier in the shift, because you
didn't think that she was competent.
No, I didn't.
Yet you felt she was sufficiently
competent to manage an overdose?
Draining ascites
is technically difficult.
Writing naloxone on a drug chart
and waiting is not.
Dr Morgan states
she expressly told you
that she had never before managed
an opioid overdose.
Did that not concern you?
No.
Because my instructions were clear.
That's how doctors learn in A&E.
Junior doctors,
that's how they learn.
OK, but if that's the case,
why did Dr Morgan
only give one dose?
She didn't wait with Edith
long enough.
So when her breathing rate dropped,
Dr Morgan wasn't there.
So Edith did not receive
more naloxone.
So either she didn't understand
the instructions,
or your instructions weren't clear.
My instructions were clear.
The only thing that's clear to me,
Dr Edwards, is that Edith Owusu
did not receive enough naloxone
to prevent her death.
So whether that was due to a delay
in her receiving more doses
a miscommunication
in her treatment plan
or an unavoidable consequence
of circumstance
can only now be clarified by looking
more closely at events that night.
That will do us for today.
Sorry, what does that mean?
Well, we'll go over everything
and decide
whether a full fitness-to-practice
investigation is needed.
And when can I expect to
hear from you?
We'll notify you in writing
before the end of the week.
Thank you.
Thank you.
If the shooting hadn't come in
Edith Owusu would still be alive.
She'd still be alive
if she'd received more naloxone.
Well Lucinda dithered over
her decision to move Edith.
A decision a doctor of
her experience and capability
should be comfortable making.
She shouldn't have left Edith
with Dr Morgan,
a doctor several grades her junior,
who just wasn't competent
to manage a serious overdose.
And her instructions were wrong,
or, at best, unclear.
You know we're gonna have to look
into this further, don't you?
Are you gonna be comfortable
with that, given your connection?
Medicine's a small world.
I knew that when I took the job.
I can be objective.
Can you?
Yes.
What is a full fitness-to-practice
investigation?
Don't be alarmed.
They just have to be thorough.
It might not even get to that.
So you think that went OK?
I've seen far worse, believe me.
I think you'll be fine.
Erm
This one.
She's my favourite.
Yeah, look at her long tail. Ohh!
PHONE VIBRATES
Mummy!
Mm-hm?
And this one, it missed the table!
Mm-hmm.
And this one turns into a boat.
What's there? Right there?
Hm?
No, Abbie, you've got loads of toys
in there. Look at these ones.
Play with that one.
Yeah, look,
where's your fishing rod gone?
For fuck's sake, Abbie.
Jesus Christ, what did you do
that for? Tom!
Tom! Tom!
What?
She just
What is it?
Look, can you just?
Just look after her, please.
Just do this, do this, please.
What?
You frightened the life out of me.
Relax.
Morning.
Yeah, morning.
Everything all right?
Just some boring life admin
I have to deal with.
I can't believe Dr Harris
is making me
add this fucking reflection
to my portfolio.
You know Edith's death
is gonna be on my record forever?
Yeah, but I'd say
you got let off pretty lightly.
I mean, you could have been
referred to the MIU.
Yeah. True.
Or maybe I should reflect on
Lucinda assaulting me.
Did you? Did you put
that in your MIU statement?
No. But I should have done.
The bitch deserves it.
Mm.
Well, if I were you,
I'd keep that to myself. Why?
Lucinda's being investigated,
not me.
Yeah, but you were the one
looking after the patient, right?
So what if they come after you,
as well?
Look, come on, you need Dr Harris
to sign you off for this rotation,
and Lucinda is his little protege.
But she was clearly in the wrong.
So what? He's not going back you up
over her, is he?
Look,
you've got a couple of months
Hey, I need one of you to carry out
an urgent lumbar puncture.
Big four.
I'd rather not.
I've just got a ton
of other jobs to do already,
and I've never done one before,
so
I can do it,
if you need it doing now?
No, Dr Morgan should do it.
It'll look great for
your e-portfolio.
This patient's 12.
Mm-hmm.
Suspected meningitis.
Yeah, I just
I don't really feel comfortable
sticking a needle
into a 12-year-old's spine.
Are you refusing to carry out a
procedure requested by your senior?
No. No, course not.
A complaint against one of
our doctors puts us all at risk.
98% of complaints from aggrieved
family members go nowhere.
We'd have to be very unlucky.
Right, but if it spirals
and we need a sacrificial lamb.
Not Lucinda.
She doesn't deserve that.
She's a good doctor.
Well, would you rather I said you?
Because this won't go any higher.
The buck will stop with A&E.
Yeah, come in.
Dr Callahan and Dr Adjei
from the MIU for you.
Oh, great, thank you, Jane.
Thank you.
Thanks, I'll leave you to it.
Hi, Norma Callahan.
Hello. Dr Mike Willet,
clinical director.
Leo Harris.
Norma.
Hi.
Leo's our lead A&E consultant.
Are you joining us?
I'm afraid I have to leave.
Yes, I gather you're in
the habit of leaving early. Hm?
Well, you left early
the night Edith Owusu died.
Oh, yes, yes, I had to collect
my son from a rugby match.
My wife was away at a convention,
his ride fell through,
and I didn't feel too comfortable
about putting a seven-year-old
in a minicab.
But you felt comfortable enough
leaving Dr Edwards in charge of A&E?
Well, yes,
she's an excellent doctor.
I have absolute faith
in her fitness to practice.
Well, I'm afraid we deal with facts,
not faith, which is why we're here.
Carly, you're gonna stay as still
as possible for Dr Morgan, OK?
Are you sure this is necessary?
Yes. This is the quickest way
for us to sample
the fluid around
your daughter's brain.
OK? It's gonna help us
work out how best to treat her.
OK. As you insert the needle,
aim towards the umbilicus.
Level up, you'll feel a give
as the needle enters
the subarachnoid space.
And the fluid should come out clear.
It's OK, it's OK.
Ow!
You're being a very brave girl,
Carly, well done.
Is this? Is this right?
Keep going.
You're doing fine.
It's just a bloody tap.
OK.
You did well for your first attempt.
You should have warned me about
the potential for a bloody tap.
Well, you should have learned that
in medical school.
You forced me to do that procedure.
I told you I didn't want to do it.
Ramya, you are a A&E doctor.
You're here to learn
these procedures.
But if you feel uncomfortable,
I can talk to Dr Harris?
That's
That's not what I meant. I just
A warning would have been
Lucinda, have you got a sec?
Is this a bad time?
No, no, Dr Edwards was just giving
me some useful bedside teaching.
Right, we'll take this in
the office. Mm-hmm.
OK, so after further examination
of the events of the night
of Edith Owusu's death,
we have decided to proceed with
the formal investigation
into your fitness to practice.
And as part of that investigation,
Dr Willet has kindly
given permission for George
to observe you in A&E.
George will be observing the whole
department, so it's not just you.
Just needs to get an idea
of how the team works.
Not just me?
No.
No.
And how long for?
Just a few days.
I won't be with you all the time.
I'll spend some time
looking at your A&E case history
and, erm, just chatting
to the staff in your team.
Yeah, you just need to show
these guys you know
what you're doing under
similar presentations, that's all.
Which I know you do.
And, you know, don't worry,
I'll be discreet.
You won't even see me.
Like a ghost?
Yeah.
Great.
PHONE DIALS
Yeah, I know,
I need to talk, that's why.
OK, what time?
OK, OK, I have to go.
You did say ten o'clock.
This is getting ridiculous now,
it's the third time.
How many times
are we gonna need to reschedule?
Sweet Jesus Christ!
You're literally following me,
aren't you? I'm shadowing you.
George, you said I was
gonna be fine. You might still be.
Yeah, because you shadowing me
at work is, what,
your boss' way of saying
that everything's A-OK?
If you prefer,
I can talk to Matron Beth first,
then, find you later.
You can't, she's not in.
It's her day off.
OK, then, I-I'll stick with you.
Great
When we were F2s, I never would've
guessed you working in MIU.
I thought you loved oncology.
I did.
But, you know, life happened.
Why did you switch?
Like I said,
the work-life balance got me.
Is it true
that you killed a patient?
I-If you know, why are you asking?
Sorry, Lucinda.
We've all been there,
but we don't quit.
We just get on with it.
OK, and the other eye.
OK, thank you.
If you'd just like to lay down
for us now, thank you.
You just can lean back.
Are you feeling?
How's that dizziness now?
It a bit better now.
A bit better.
So it gets worse, is it,
when you try and move around?
Yeah, it's just when I'm mobile.
When you're mobile.
Well, I'm gonna put
these sides up for you,
in case you try and escape on me.
He-e-e had an ataxic gait
and I think nystagmus,
maybe, like, rectus palsy.
But then he was disorientated.
Excellent, so?
Mm.
Is it Wernicke's encephalopathy?
Yes!
Yeah?
Yeah, so you're gonna give him
Mm-hmm.
Plenty of thymine.
You know your stuff, Beattie, OK?
You should be more confident.
Mm. Shouldn't it be Pabrinex, IV,
instead of the oral thymine?
That is a good spot.
Well done, Beattie.
Mr Verity, I'm gonna leave you here
with this brainbox of mine.
OK, thank you.
See you.
Take care.
OK, just try and relax.
The nurse is gonna come and see you,
all right?
Thank you, doctor.
Thank you.
Oscar, does that happen often?
What?
Correcting Dr Edwards' mistakes?
No. Erm, I mean,
it's not really a mistake.
It's the same drug, I just thought
the IV would be better.
Yeah.
Y-You're a big fan of Dr Edwards?
I wouldn't say that.
That's how your statement reads.
She is a good doctor,
approachable
and keeps the team as morale up.
Like, A&E isn't really
the easiest place to be,
and Luce is one of
the best things about it. Luce?
God, Dr Edwards.
Does Ramya get on with
Dr Edwards as well as you?
Ramya? Erm
You'd have to go and ask her.
Yeah.
Quick, while I've got you here.
Yeah.
During the pandemic,
Dr Edwards took several months off.
Don't use that against her.
Use what against her?
It's nothing.
Hey, sounds like something.
No, no, I just I just meant,
you know,
everyone took time off work
at some point
and you can't hold
that against them.
OK, look, erm
you'll help her more by telling me
what you know now,
instead of us finding out later.
Yeah. So why did she take
so much time off?
Was the pandemic
particularly hard for her?
T-The pandemic was hard
for everyone, OK?
And if you did any clinical work,
you would know that. All right?
Lucinda was not the only one,
we all did it.
Look, I Honestly, I need to get
back to work now, it's pretty busy.
If you haven't noticed.
Yeah. OK. Thanks.
Where the hell have you been?
Good to see you, too.
Great to see you, too, Rob.
How are you holding up?
I haven't slept in days.
They're following me
around in work, Rob.
OK, this isn't going away, I think
we need to tell them the truth.
No, no. Sit, sit down.
If we just sit tight
and say nothing
this all blows over.
I changed the notes.
This is my career
that's on the line. I know.
Rob, I was thinking,
OK, you're Edith's GP.
I think you need to just tell
the MIU you prescribed her
just a little extra methadone,
cos you were afraid that
she was gonna buy
the other shit off the streets.
I can't do that!
Rob, If the MIU keep investigating,
they'll find out about
the other overdoses.
OK, I could be completely
struck off.
You won't get struck off.
- Great, you're not gonna help me.
- Great Because
any investigation into me
will do more than end
both of our careers.
What does that mean?
If the MIU goes crawling through
my prescribing,
it won't just be Edith's record
that interests them, will it?
You gave me those pills
so that I can work, OK?
Mm.
They help me do my job.
You really think that's how the MIU
will see it?
Luce just stick it out.
I promise you, we'll both be fine.
OK?
You know what you've gotta do,
put yourself on those dating apps,
that's what I'm doing.
Are you?
Don't look so surprised.
I'm not gonna leave all this to rot.
You should do it,
put yourself out there.
All right, all right. Well, does
Ruby know you're on dating apps?
She's got a girlfriend now.
She's having more fun than me.
Right.
Anyway how did today go?
Yes, yes, erm
HE CLEARS THROA
HR sent Lucinda's personnel file
through the email - finally.
I did notice she had
a particularly long period
of sick leave during COVID.
The notes are heavily redacted.
Well, that's odd.
Yeah.
I tried asking Oscar Beattie
about it,
but I got nothing out of him.
I mean,
he thinks Lucinda can do no wrong.
There's a bit of an odd vibe
between them, actually.
What do you mean, odd?
I caught him,
erm, checking up on her.
Changing a prescription she made.
She prescribed oral thymine,
and Oscar corrected it
to IV Pabrinex.
Christ, that's
That is not a mistake
to make at her level.
I mean, those mistakes cost lives.
That's why we do the job we do,
George.
Yeah, we all make mistakes,
don't we?
You have to let that go.
George, what happened to you,
don't draw parallels with this.
I know, I know.
It's not the same.
I know, I know.
You're a good doctor, George.
I know.
So stop it. Put that behind you.
Yes, boss.
Good.
Talk to Dr Morgan tomorrow
and get her side of things.
I'm gonna get another drink.
Right, well, I've been up all night
looking through
Lucinda's past patient notes.
Scintillating
Carry on.
She hasn't once given incorrect
advice on an opiate overdose.
Are you sure she didn't ask you
to stay with Edith?
Erm, yeah, sorry, why
why are you asking me questions
that I've already answered?
Excuse me, please.
I just I just need to be
clear about what happened at night.
Can you take me through it again?
Step-by-step?
Er, fine.
Erm I mean,
it was a really busy shift.
It was relentless.
So busy that Oscar actually stayed
until after his shift finished.
Does he do that often?
Well, he says he likes to help out,
but I swear he only does it
when Lucinda's on.
It's embarrassing.
Er, that night, he stayed,
like, two hours after his shift,
just in case
she needed help with anything.
Erm, and Lucinda practically
forced him to go home before nine,
even though she knew
there was a big overdose coming.
And she still managed to go out
for a fag break.
Lucinda knew about
the overdose before nine?
Yeah, and she came back
stinking of cigarettes.
It was gross.
Sorry, are you absolutely sure
Lucinda mentioned
the overdose before 9pm?
Yeah. I remember, because we had
this whole conversation about it
being in my last hour.
I said I hoped it stayed quiet,
and Oscar got all superstitious
because I said the word quiet,
and touched wood to ward off
the jinx I'd created.
And Lucinda got all snappy
Look, I've gotta go.
But thank you. Thanks.
Yeah, happy to help.
I'm sorry, could you
hold that for me, please?
OK.
Thank you.
So, I've put together a timeline
for the night Edith died.
A&E was first alerted to
the arrival of an overdose patient
when the paramedics called it in,
en route with Edith.
This was at 9:07pm.
But Ramya has stated she remembers
clearly being told by Lucinda
that an overdose was on its way
before Lucinda went on a break.
CCTV cameras outside A&E show
Lucinda leaving the department
for that break at 8:52pm.
Look.
There.
So, how did Lucinda know an overdose
was coming to A&E before nine?
Ramya must be wrong.
I mean, Lucinda can't have known
before the call was put in,
unless she's psychic.
Or someone told her.
We only asked her to detail what
happened after Edith arrived in A&E.
No-one cared about
when she got there.
So I requested Lucinda's call logs
for the evening of Edith's death.
And at 8:27, she received
a call from this number
lasting less than one minute.
At 8:29,
the 999 call centre received
a call from an anonymous male
reporting Edith's overdose.
He gave Edith's location,
but hung up before any further
details could be ascertained.
This call lasted
approximately two minutes.
Then, at 8:32, Lucinda received
another call from this same number.
Lasting less than a minute.
And then,
sometime between 8:32 and 8:52,
Lucinda tells Ramya
that an overdose is on its way,
even though A&E don't know this
until 9:07.
Erm Did that?
Did that make sense? I was
Yeah, yeah, yeah,
makes perfect sense. Well done.
Yeah.
So the assumption is,
whoever owns that number
alerted Lucinda and 999
to Edith's overdose.
But why? What have we missed?
Do you think Lucinda
and Edith knew each other?
Well, I mean, it's possible,
but why not just say that?
I mean, it doesn't really add up,
does it?
Kathy, let's get Lucinda
in for another interview tomorrow.
I want to hear her
unedited version of events.
'The person you are calling'
Look, they want to
interview me again, so, erm
I've decided that I'm gonna
tell them the truth.
All right, so, erm, yeah.
There's, erm,
there's some OJ there for you.
I'm actually gonna go
and get a coffee, do you want one?
Er, no thanks. Right, missus.
What do you do with this?
We can play with that after,
you eat your food first.
Oh, your, erm
Your phone's ringing.
Rose? Who's Rose?
Can you? Give me that,
give me that, give me that.
Eat some of your breakfast there,
darling.
Luce?
Lucinda!
Luce!
What's she doing?
Where's Mummy gone?
Come in, babe. You come in, darling.
Good girl.
Luce! Luce!
What the fuck, Luce?
I thought we agreed to keep quiet.
I can't, OK? They're looking at
my phone records, for God's sake.
From when?
From the night Edith died.
Rob, if they go back far enough
No, but they don't know
what to look for.
They've got no idea. Right.
So why are they requesting them?
OK? They must know something.
Look, you're just panicking.
When's the interview?
This afternoon.
Oh, shit.
OK, OK, you need to stall them.
Tell them you're sick, or something.
I can sort this out,
but I need more time.
I am so done
with doing favours for you.
Lucinda, listen to me.
Stop it. Please, stop.
Listen, don't do this.
Please, I'm begging you.
Stop, Robert, stop.
You'll ruin everything.
You have no idea what you're doing.
I'll tell them you're an addict!
I am not an addict!