Between the Cracks Casualty

Let's get a surgical review just to be on the safe side.

Seriously?

F2s rush in where surgeons fear to tread.

You sure you know what you're doing?

For the last time, yes.

Half a centimetre to the left, he could have bled out in cubicles!

It's about time people realise exactly what I am capable of.

It can't have been easy switching to be a doctor.

-It wasn't I had to prove myself.

-I know exactly what you mean.

You know that's the first time you've asked my advice.

Sorry, it won't happen again.

No, no, I want you to. Whenever you need to.

Justin!

Justin!

Justin, please, Justin!

Justin!

Justin!

PHONE RINGS

VOICEMAIL INSIDE: 'There's nobody in right now...'

ALARM SOUNDS

Thanks for the heads-up, appreciated.

Yeah, I'll let Dr Hanna know. Thanks.

-CCG are visiting.

-Who?

Clinical Commissioning Group, GPs.

-They pay our wages.

-When?

This morning. They're doing the wards first, we need to make a good impression.

We need to move people through quickly. I'll let the rest of the team know.

Holby City ED, Louise Tyler speaking.

-Louise, you said I had post?

-Yeah, hold on.

Nothing else?

No, that's it. Oh, and the CCG are coming, Dr Ashford

wants us to be at our best.

Of course, what other way is there?

Sorry. Sorry. It's very busy.

-I was just... I should go.

-What was your name?

Grace, Grace Fraser.

Excuse me, I've been waiting a lot longer than this lady.

We called you 15 minutes ago, I thought you'd left.

-Sorry, I didn't...

-You're next.

-It's...

No, no you're now.

Fletch, Grace Fraser.

Can't you wait for another triage nurse? I'm sorry, it's just

-I'm supposed to be at home.

-It really doesn't matter.

You know what? Always time for one more. Let's go.

£2.70.

-38p?

-So where does it say this is a charity shop?

70p.

Louise, look, you've got to file them alphabetically!

It's the little things they'll notice, the details.

-That's what I was going to do.

-What's up with him?

-Missing Big Mac.

You do have other friends, right? You're not that sad, are you?

-Tell me you're not that sad, cos that's tragic.

-You need to take your mind off it.

Yeah, you could organise something. You're good at organising things.

-Like, a curry? Or a pizza.

-Or a gig? Or paintballing?

-Do you know how dangerous that is?

-What do you want to do, then?

I don't know. I like bowling.

-Suppose I could organise a staff outing.

-Sweet, I'm in.

-Nice one. Max?

-Yeah?

-Cubicles.

-Yeah.

Elisa is going to take you up to x-ray.

-Can't you just put some Steri-Strips on it?

-Well, it's an open wound

and we need to make sure there's nothing left in it.

Thanks.

I'm done.

Fletch, do you fancy bowling tonight? Staff outing?

Mate, I've been on since last night. I am going home to bed.

Anyway, I'd only beat you all and embarrass you.

Fletch, any chance you could stop on for a bit?

Oh, Charlie I was just going home, mate.

My neighbour's just phoned, boiler's burst.

Kitchen's flooded, I'm desperate. Please?

Yeah, go on.

You're a good man, thank you.

Listen, don't forget we've got the GP Commissioning Group paying us a visit.

So you need to keep a really close eye on things.

Try and move some patients up to the ward.

In fact, have a word with your mates on the ward, see if they can do discharge rounds.

Are you sure it should be me?

Yeah, yeah. I know you won't let me down.

You know I'd kill you if you did.

Any spare change? Any spare change, please?

20p? 10p?

10p? Don't set your sights too high.

Sorry, mate.

It's just you gave up too quick.

Tidied yourself up, you've got to look a bit rough.

Put on a sad face, or get yourself a dog.

-People might not like you, but everyone likes a dog.

-Get lost.

I said I was sorry, didn't I?

I'm Skelly.

Here...

have this.

Where you from?

Where you going?

You living rough?

How long?

A while.

And you still don't know how to beg? Lucky you met me.

-You got a name?

-George.

Why you running away, George?

Didn't like the place I was in. Didn't like the people.

You in care?

Let's get you something proper to eat.

-My house is around the corner.

-I don't know, I...

Look, I believe in karma.

If I help you, help'll be there when I need it.

And you remind me of my little brother.

Come on.

Morning. They said you were at the dentist. You've got cubicle two,

Lily's in there with a patient called Grace - being a right mardy cow.

-Who, Grace?

-No, Lily.

What did you shower with this morning?

Lager? Go and chase up on the patients' bloods.

-Please.

-Bloods.

Will this take long?

Depends if you want me to do a good job or not.

Do you feel that? OK.

We don't seem to have the name of your GP.

I haven't got one. It doesn't matter, does it?

You really should register with a GP.

How about now, do you feel it now?

Good.

How did you do it?

I dropped a glass at breakfast.

I stumbled and hit my head. I was tired.

Toothache, I couldn't sleep.

Do you normally have trouble sleeping?

-Always. I took some tablets, made me drowsy.

-What tablets?

-I don't know, the dentist prescribed them.

-Do you have them with you?

-How many?

-Two, three maybe. Does it matter?

Might be why you banged your head.

That was nothing. Really, nothing.

And what about you? Did you have toothache?

-Dentist?

-It was just a check-up.

You should have asked them to clean your teeth. Bloods?

-They weren't ready.

-How about now?

How are you even awake? You had less sleep than me.

Three alarms, two energy drinks and a double espresso.

Plus, ah...you're a lightweight.

-I thought you were in CDU?

-Yeah, I am.

I'm looking for a pint-size pain in the backside.

-Answers to the name of Alice, have you seen her?

-I'd prefer it

if you wouldn't refer to patients like that in a treatment area?

-Who are you, the nurse police?

-Actually, today I'm Charlie.

-Oh, God help us.

Thanks very much.

Anyway, she's not getting very far. I've got her shoes.

-Who is she, then?

-I don't know. She was found wandering the streets

last night with a minor head injury.

No ID, says she doesn't know who she is.

Waiting for a psych assessment,

she wants to leave and we can't let her.

I know how she feels.

-Listen, Max, can you empty the bins?

-But...

Mate, I need you to stay on top of it.

So what was the care home like you was in?

Jarg, won't even notice I've gone.

Best off without them.

Oh...

I've lost my key.

They said they'd be out for the whole day as well.

Have you not got a spare? Under the mat or something?

Nah.

Window's open up there.

I'll give you a leg up, reckon you could squeeze through?

Blood results.

You took nothing else besides the tablets?

Might have had a little drink, help me sleep.

And you definitely didn't take more than three?

I don't...could have been two...

or maybe four.

When did you take them?

Half nine, quarter to one. Is it really important?

-I'm here about my hand.

-We'll need to run another test.

-So how much is a little?

-What?

You said you had a little drink. What's that? A glass of wine?

Two? Three? More?

You know how it is once you open a bottle.

What, every night?

I'm not an alcoholic. I just need help sleeping.

And why can't you sleep?

Noisy neighbours. I am fine.

If you can just dress my wound, I'll stop wasting your time.

You're not wasting my time.

I'm just saying it would be nice to know how many pills you took.

Obviously not enough!

That's not something to joke about.

I'm sorry, I know. Course.

I just want to go. Please, can I go now?

Can you lift yourself up, George?

That's it, that's it.

You all right?

Yeah. Atta boy.

Well done, Georgie.

Jack pot, George.

What does your dad do?

Cleaning business. Started from nothing.

He did good for himself.

Yeah. Not too shabby.

Here you are.

Make yourself a Scooby snack.

-Morning.

-Ash is looking for you.

I'm not due on shift for another hour.

That GP group's visiting the hospital today, the CCG.

Today?

They can't just turn up, they have to book an appointment.

Like when you see your GP.

Just try and relax.

They can do exactly what they want, they hold the purse strings.

Well, they'll just have to take us as they find us.

OK, there we go. We'll just get that dressed for you.

Thank you.

We have to impress them. Be prepared.

We're an emergency department, we're always prepared.

Then why were they so many breaches? Why were four ambulances unable to offload their patients

on Saturday night? This is what they'll be asking.

Because we're understaffed, because we're about quality of care, not money, because...

-30% of your patients don't need to be here.

-Why are they here?

Because they can't get an appointment with their GP!

You can't say that. Get them onside.

Here, made one for you.

For me, yeah?

Thanks, mate. Cheers.

TV IN BACKGROUND

Going to run myself a bath.

Get some hot water before my sisters get back.

Have seen my notes?

There's something going on. I'm thinking depression.

We should keep her in, SAD PERSONS.

Very sad, as sad as I am having to work near you.

-Can you use deodorant tomorrow?

-Thanks, Lily.

-Dr Chao, can you give me a rundown of your patients, please?

-I haven't done anything wrong.

I didn't say you had, just tell me about them.

OK, Stanley, 52, dehydration and acute headache.

Stanley Barnett? He's a frequent flyer, that'll be a hangover.

So advise regular fluids, paracetamol and discharge. Next?

Grace Fraser, hit her head, laceration to left palm.

She'd taken painkillers for tooth ache, which made her drowsy.

-Just got her bloods back.

-What's your assessment?

Her levels are a bit raised, but below the treatment line.

-She also seems a bit sad.

-Sad is not an assessment.

-There's nothing acute going on.

-Right, so you've assessed her?

-Yes.

-Happy to discharge?

-Yes.

Great, cos I could do with the bed. Have you seen Charlie?

I'm Charlie. His boiler burst.

Oh, right. OK, well, CCG...

-Sorry. Nat?

-Fletch.

Listen, sorry, love, but I've had to pull a double shift.

Well, Charlie asked me.

And, well, I've already said yes, love.

Can you just not have a go at me about it, please?

Talk to you later. I love you, bye.

-Fletch?

-Sorry.

-How is your wife?

Pregnant and paranoid. She's a laugh a minute.

-Right, the CCG are coming today.

-Yeah, I know.

Oh, so you know? We've got to keep the place tidy, clean,

-professional, calm. Think you can do that?

-Yeah, course.

And can you keep your nurses in check? Jamie was late again.

Weren't you? And no more personal phone calls today, Fletch. None.

I don't understand why I can't just go.

You hit your head. I'd prefer it

if you were discharged with a responsible adult.

Now, is there anyone we can call?

Justin Baker.

Can we have his telephone number, please?

What's your relationship with him?

He's a friend.

This isn't your house, is it? Is it?

-You needed some food.

-I'm not a thief.

-Oh, come on.

A couple of slices of bread and a bit of cheese and ham?

It's not right, it's someone else's things. It's robbing.

'Have you left the TV on?'

-INSIDE:

-There's someone upstairs!

-Call the police!

Oi!

-My ankle!

-Oi!

Come on!

Yeah, well why don't you try and look behind you?

Hey! Watch where you're going.

Hiya, mate, I'm a paramedic.

-Do you want me to look at that for you?

-I think I might have broken it.

-How's he doing?

-It could be broken.

This didn't happen just now, did it?

-What did you do then?

-He fell on it.

Nasty. So what are your names?

He's Rory McLaughlin and I'm Mickey Burns.

OK, well, you're coming with us. Come on, we'll take you in.

You going to be all right to walk?

Here you are, mate.

-Do you know Martin Platt?

-From Coronation Street?

He sold me some jam.

Oh. That's unusual. Wait, you're Alice, right?

Can you remember where you saw him. It's just I am a huge fan?

I don't know. Have you got a pound?

I want to get the bus home. The 21.

-Do you know where you're going?

-I don't know where it is.

-Right.

She keeps stealing my shoes! You're not having them.

I don't want to keep them, believe me. Right, this way.

Doesn't cost anything to be polite.

She's cut her hand, had stitches.

She also has a small bump to the head.

She really shouldn't really be left alone for the next 12 hours.

-Grace?

-Right, here is a handout about stitches.

You need to register with a GP

and the practise nurse will be able to remove them.

-I can't keep doing this.

-Sorry.

-Why have you discharged her?

-There is no reason to keep her.

What, apart from the bottle of wine every night? The obvious depression,

her not sleeping and the jokes about the pills?

I made my assessment.

You read my notes? Did you do SAD PERSONS?

-Being sad isn't an assessment.

-No, but the SAD PERSONS scale is.

Did you run it through with her?

Of course. She didn't register, not enough.

Are you sure about that?

You know, I thought you were supposed to get help on things like this.

You've been gossiping about me again, haven't you?

Zoe reviewed the case and she agreed.

I didn't want them to call you. I'd never call you myself.

Yeah, but you do, though, don't you? If it's the cat,

or the hot water tank. The fuse box.

Look, I'm sorry.

I can't do it. Not any more.

I've got a girlfriend - Suzie. It makes her feel uncomfortable.

You calling, me seeing you.

I haven't seen you for two months. I haven't asked for anything!

Look, I'm sorry, she doesn't like it, OK?

It's not like there's anything keeping us together.

You saved any lives yet?

Couple of hundred. But you know me, don't like to boast.

You got time for a coffee?

No chance. Zoe's got us running round like maniacs.

If you could stop bringing in patients, that might help.

All right, I'll let ambulance control know.

Remember what I said about your date of birth?

12, 11, 98?

12, 10, 97.

You're 16. You tell them we were playing football. Keep our heads down and

-get out before they call the cops or social.

-Why, what'll they do?

Rory, can I get your date of birth, please?

12, 10, 97.

Hey, you two fancy bowling tonight?

-Count me in.

-Nice one.

Not me, once got my fingers stuck in a bowling ball.

Never again. My right hand swells up just looking at one now.

Cheery. Thanks for that, Norman.

Are you inviting every single staff member?

No, not everyone. Might not have asked Lily.

Well, that's just petty.

No, not learning one of your co-worker's names is petty.

You've got to be more positive, Gracie. See this as an opportunity.

No ties, no commitments.

You can do whatever you want.

I don't want to do anything.

If I did, don't you think I would?

-I tried getting up this morning. Look what happened.

-Yeah.

-I don't want you coming in.

-Well, the hospital said...

Yeah, my sister's coming round. She should be in by now.

DOORBELL RINGS

You robbed them! They'll think I did that!

-I hardly took nothing, they won't even notice.

-You just used me.

You looked at me, thought I were a right mug.

-I was trying to help.

-Yeah, course you were.

Come on, did you seriously think that place was my gaff? Look at me.

Do I look like I come from a place like that?

-I didn't mean you to get hurt.

-We'll do what you said, keep our heads...

-I'm Dr Nicholls and this is Fletch. Which one of you is Rory?

-Him.

So that makes you Mikey. Right, let's get your arm sorted.

It's all right, I'll keep that.

Your finger isn't fractured, just dislocated.

-Are you allergic to anything?

-No.

-Good.

I'd like you to breathe in this Entonox

while I manipulate it back into place.

-Give us a bit.

-Will it hurt?

Not as much as it does now. I'll go on five.

One, two...

-three!

-HE GRUNTS

-Is he all right?

-It's all done. Yeah, he'll be fine. Let's strap this up.

Does this hurt?

How about this?

-Yeah.

-How did you do this?

-Just playing football.

-On concrete or grass?

Grass. In the park.

We'll get that x-rayed for you, see what's going on.

Let me have a look at your back.

Oh, certainly isn't your day. And how do you do this?

-Told you, he was playing football.

-You said he was playing on grass.

Yeah, and then he ran into the goal post.

Pretty lethal goalpost.

Right, that needs cleaning and dressing.

OK, you're done.

I'll sort that x-ray out for you now.

There's no way he's 16.

There's no way he was playing football.

Try and get them apart?

-Do you want a coffee?

-No.

What was the joke Grace made about the tablets?

-That she hadn't taken enough. Why? Has she come back in?

-No.

Oh, really? Well, I might have to start telling them

just how unco-operative certain departments have been,

starting with your own. Yes!

Dr Ashford, can I ask you a question?

The erm...the SAD PERSONS scale.

How much should someone score for you to keep them in?

Any more than six and I'd be seriously concerned for their mental health...what they might do.

Problem?

I had a patient. Dr Hanna asked if I'd assessed her,

I treated everything I was presented with,

but I didn't do the SAD PERSONS assessment. I think I should have,

but I discharged her. I don't know what to do.

What would you estimate her score?

I don't have all the facts. Five, possibly six.

Does she have any old notes?

Talk to Louise, see if she can help. Might be nothing to worry about.

Let's sort your back out. Lean forward.

Why don't you go and grab yourself a cup of tea?

No, ta. Rory wants me to stay.

Leamington United?

You really do fancy the underdog, don't you?

Mind if I have a word?

Just spoken to the paramedics who found you.

Said a car nearly ran you down, I'll need to take a statement.

Well, I've got to take him up to x-ray,

so he'll be free in about an hour.

Lean forward again.

-This won't take long I'll take you up in about ten minutes, OK?

-Nice.

Just me and him. Health and safety.

But you can keep an eye on all his stuff.

Get a few dodgy characters around here.

DOORBELL RINGS

Grace?

I know you're in there, Grace.

Turns out she is registered with a GP, so I got them to fax her records over.

They've had concerns about her too

because she was diagnosed with depression about nine months ago.

The GP was really helpful, that's his mobile and

he's expecting your call. I hope you don't think I overstepped the mark.

Not at all. This is exactly the kind of resourcefulness that will

really impress the CCG.

If only all our receptionists could show the same initiative.

Wouldn't you agree, Neil?

Resourceful.

Yes, and not part of our job. Lily not coming.

Jealousy is such a petty emotion.

CAT MEOWS

Good girl, Misty.

So after you diagnosed depression, did you offer counselling?

Anti-depressants?

No-one thought to follow it up?

Don't you think you should? Maybe run a SAD PERSONS assessment?

Refer her for CBT?

No, that's fine thanks.

Justin? It's Dr Chao here, I need to speak to Grace.

Her sister? Can I have her number?

Does Grace have a boyfriend, a husband?

Justin?

When did you break up?

No, just routine. Thank you.

Doctor Chao, another of your patients is about to breach.

So have you known Mickey long?

Rory?

You all right, Mate?

I can't... I don't...

OK, try and relax, take some deep breaths.

There you go, slow it down.

Feeling better?

Good lad.

-So what was all that about?

-Just don't like x-rays.

Kel.

There's really nothing to worry about. You're going to be fine, all right?

I'll look after that. until you come back.

15.

PHONE RINGS

Hello?

Mr Jones, I'm sorry about Misty.

It's... I'm going away.

I needed somebody to look after her. I can't...

I can't take her with me.

No, I need to... I have to go now. Thank you.

Thanks.

See? Not as bad as you thought, eh, George?

Yeah, it was OK.

Yeah, your bag fell open and your bus pass came out.

-So, you're George Thorne, aged 15...

-I'm 16.

So what are you? A runaway?

-No, I'm with my dad, he's at work.

-OK, what's his number?

Don't know. He lives at 1 Straw Plait Way, Holby.

His name's Michael Thorne.

Why would you lie about your name?

And why are you so scared about the police?

Don't tell me you're not, cos every time you've seen one you've jumped out of your skin.

Don't want to be at my mum's.

-I want to stay at my dad's.

-Right.

So why's Mickey so scared?

I don't know, maybe they picked on him. He's my mate,

he's all right. He's looking out for me.

Well you need to get yourself another mate,

cos this one is doing a shocking job.

-She'd score at least seven.

-And she was hiding it? Not good.

-What did her GP say?

-They diagnosed her with depression,

suggested counselling, which she didn't attend.

They also prescribed anti-depressants which she never collected,

her GP never followed it up.

They've got hundreds of patients, they can't follow them all up. What do you want to do?

I should get her back in, she's alone and vulnerable.

-Have you got her number?

-Yes, her sister gave it to me. She's worried,

hasn't seen her in months.

Call her. If you need to, call the police. "Concerned for her welfare."

OK. What about Dr Hanna?

You've got new information, you're just following it up.

I'll stand by you.

Mr Jones?

-Dr Chao?

-I'm sorry, but I wondered if you could come back and see me?

Not really,

I'm kind of in the middle of something right now.

I shouldn't have discharged you, I don't think you're very well.

I feel fine.

I really would prefer to see you. I'm concerned.

Worry about your other patients.

You're hurting, Grace. And those pills won't make you feel any better.

Yeah, well, you don't have to worry about me any more.

Where are you? Grace, where are you?

It doesn't matter.

I know what you're going to do, and, believe me, it matters.

What about the person who finds you, finds your body?

-Have you thought about them?

-I have to go now.

Grace, do you know what today is? My birthday.

And if something happens to you and I didn't stop it,

I'll never enjoy a birthday ever again.

It'll just remind me how I failed you.

Grace?

DIAL TONE Grace?

Smart move, saying it was your birthday.

I lied. Didn't work, though, did it?

-Ash, you're needed in resus.

-OK.

I need you to track this phone now.

Er, I'm here on other business.

What, just standing around for half an hour?

Officer 232, I have a vulnerable patient

who's at risk of doing something seriously stupid to herself.

-What?

-If you don't track this phone now,

I'm going to hold you personally, and I mean personally, responsible.

I think she's going to kill herself.

How are you doing, Alice?

I want to go home.

I don't know where it is...

Yeah, I know, I've been working on that.

You said you took the 21 bus, right? I got a timetable here.

We could go through it, see if it rings any bells?

I'm not allowed to go.

No, they want me to, they want me to stay here.

-No, I know, I'm saying I'll help you.

-No, they want me to stay here.

He knows who I am, he's been through my bag.

What did you say about me? About the house?

Nothing. I said nothing.

The police, he's been going on about them.

We need to leave. Can you walk?

Look, right, I've got this mate...

Sort of mate. I'm going to call him, see if he can help.

Yeah? Wait here.

Hi, Mrs Thorne?

Yeah, hello, I'm the senior staff nurse at Holby City ED.

There's nothing to worry about, but we do have George with us.

Yeah, he's fine.

Of course, we'll keep hold of him until you arrive.

All right, thank you.

-HE SIGHS

-What are you doing here?

You're not answering my calls. I didn't know where you were.

I told you. I'm at work.

-Yeah, but...

-Nat, you've got to stop doing this.

Two minutes.

-Listen, George Thorne...

-Who?

Er, Rory. Erm, I'll explain later, but he's got to stay here.

-Keep an eye on him for me.

-Why?

SIRENS WAIL

All right, mate, we know she's round here somewhere.

If you could check in these and around the back there.

Er, Norm, do you want to look in those sheds over there? Cheers.

HE SIGHS

Where are you?

Grace?

Grace?

Grace?

Grace!

-I'm telling you, she did it herself.

-Why would she do that? I wish she'd stay in one place.

Two minutes. I left her for two minutes.

Just watch.

You all right, Alice?

Erm, have you got 20p? I want to get the bus home.

Everyone wants to help me get home.

Have you remembered where that is yet?

-I don't know...

-Right, you. You're coming with me.

-Give me that money.

-No, that's hers.

-Alice, where do you live?

-I don't like you. You're mean.

-Nasty.

-I need to get you back to cubicles.

-Get your hands off me!

-Alice?

-I need to get you back to cubicles.

-Get your hands off me!

-CMT?

-Leave me alone! I ain't done nothing wrong.

-Robyn...

-Sorry, I've got to go and find Fletch.

Here he is, my little brother! Come here, you.

Always getting yourself into trouble, aren't you, eh?

Hurt his back. Sprained his ankle.

Sorry, bud. Everything all right, though?

Go and get him some crutches.

-We need to get a doctor so we can get him discharged.

-Crutches.

I'm sorry, love.

I've got a runaway kid who's scared half to death.

I've got Zoe breathing down my neck,

and I'm supposed to be heading up the team.

You agreed to a double, you didn't even ask me.

It's like any excuse to get out of the house.

When you are at home it's like you're...somewhere else.

For a long time, I thought there was someone else.

You're just spending too much time at home.

You're being paranoid.

Four kids... It's scary.

Fletch! It's all kicking off with Alice. We really need you.

-HE SIGHS

-Sorry.

Go on. Go back to work.

-Have they asked for me?

-N-no...

Right, well, I haven't had a break since 5am. I'm taking ten minutes.

It's definitely CMT, isn't it?

Missed the warning signs. They were all there.

The head wound must have covered it up.

What? Covered what up?

CMT. Very dangerous.

-Can be lethal.

-CMT?

Not very common. Recovery rate's poor.

-Am I going to die?!

-The only way to be sure it's CMT

is to drill into the skull and take a sample of the brain tissue...

I'm happy to do it now?

-Here's the drill, Dr Nicholls. Shall I assist?

-Max!

Don't you dare drill into my bleedin' skull!

Name and address?

What's your name and address?

Elsie Sweeney.

3 Cromwell Road.

CMT.

Chronic mickey-takey-itis.

You're coming with me.

-Are sure they're only ten minutes away?

-She's going to kill me.

-He's fine, it's a sprained ankle.

-Can I help?

At last. I want to take my brother home. His treatment's finished.

Where's his doctor or nurse?

I have no idea.

I'll get in trouble with my boss if I don't get back soon.

I can hardly let him take the bus.

OK, well, Rory's treatment seems to be completed.

Oh, no, he still needs to go to physio for crutches.

-He's already got them.

-Oh, yeah, so he has.

Can I have your pen, please?

Right, well, I'll amend his notes

and, once I give you an ankle injuries leaflet, you can go.

Doctor Chao, where on earth have you been for the past two hours?

I had to follow up on a patient.

You have eight patients, two are about to breach.

Yes...

I made a mistake. I shouldn't have discharged her.

Who?

They've found her. Just had a call. ETA, five minutes.

-Who are we talking about here?

-Grace Fraser.

I thought you'd assessed her.

We got new information. I asked her to follow it up.

-She was suicidal.

-Excuse me.

I think breaches are preferable to bodies.

You could've told me it earlier, stopped me looking like an idiot.

-Listen, about this CCG visit...

-I should've gone with my instincts.

They can take us as they find us.

-PHONE VIBRATES

-Speaking of which...

Oh, I'm sorry. Hold on a second.

Right, I don't want to see you again,

not unless your leg's hanging off.

Didn't like it here anyway.

What I don't get is why anyone would want to stay here?

The food's rank, you can't sleep.

People are kind, you get a nice cup of tea, a bit of attention.

-I think it's sad.

-It's taking advantage.

-Someone should fine her.

-Oh, Max, Max...

-So much to learn.

-I'll send her photos to the other hospitals,

and I'll put her name on the hospital-hopper list.

You coming bowling tonight? Staff outing. Noel's organising it.

Ooh, no. Can't do the shoes.

Shoes other people have worn? Eurgh. Does my head in.

-Staff outing?

-Erm...yeah.

I told them we had other plans,

like arranging the staff Christmas party tonight over a drink.

-Isn't that right, Louise?

-Exactly.

Exactly right.

DOORS BURST OPEN

Right, this is Grace, 36, found collapsed. Looks like an OD.

She has constricted pupils.

Her GCS is seven, she's had 400 milligrams of Naloxone.

Pulse is 70, and her resps are less than ten.

Where do you want us - there?

Grace?

Grace, it's Dr Chao, can you hear me?

Robyn, where's the kid? Rory?

Erm...

It says Zoe discharged him. His brother came to pick him up.

Rory McLaughlin's been discharged?

-Rory?

-Yeah, who else is it going to be?

I asked you to keep an eye on him.

Didn't you ask anyone else when you left?

-No, it was all kicking off with Alice...

-He's a vulnerable kid!

-He's 16.

-No, he's 15.

He's been lying, and he's been missing for three days.

His mum is going out of her mind.

-I didn't know... I'm sorry.

-It was the one thing I asked you to do!

I'm sorry, I couldn't help it. I was...

OK.

It's not your fault.

She's still tolerating the Guedel.

Her resps are dropping.

BP's 109 over 70, pulse is 80, sats are down to 86.

She's not making a lot of respiratory effort.

-Pupils, Lily?

-Pinpoint.

Another 800mgs of Naloxone?

If this doesn't work, we'll need to intubate her.

Let's wait for the Naloxone, see if we can avoid it.

-Grace!

-There you go.

-Grace, you're in hospital, OK?

-Grace, it's Dr Chao.

Lou, you seen two young lads, one with a limp and a bloke in his 20s?

-I think I saw them head upstairs a few minutes ago.

-Yeah? OK.

-Oh, watch it!

-Sorry, sorry.

-Close call?

-Yeah, bit too close.

-Do you fancy that coffee?

-If you're buying.

Might even throw in a sandwich, if you're lucky.

Car's just down there.

Skelly, help him.

You're very lucky you had Dr Chao.

Not every doctor would've done what she did.

Now, we're going to keep you in for the next 24 hours, do some tests.

Make sure you haven't damaged your liver,

and to do a full psychiatric assessment, OK?

Why?

Why did you do that?

-Why couldn't you just leave me?

-Because you're ill.

You have no idea.

You have no idea what it feels like to be me.

How dare you interfere!

You need help, Grace.

You need counselling, and anti-depressants.

You can't deal with this illness all by yourself.

We all need someone in our life.

We all need someone to talk to.

Can you call my sister?

She's already on her way.

I told you she shouldn't have been discharged.

Well, it wasn't like you actually did anything about it, was it?

Resus, where we bring our category one triage patients,

the most urgent cases.

The bulk of our costs are right here in this room.

You seem to keep people in for a long time.

Only the necessary cases which need further investigation.

Do it properly, you know?

-But doesn't that cause breaching?

-That's acceptable breaching.

Most breaches are because other departments...

RETCHING

Excuse me, sorry. It's an occupational hazard, excuse me.

Yes, most breaches are because other departments refuse,

or simply don't have the capacity to take them up.

-Shall we get you cleaned up?

-Yes.

-Let's go.

Happy birthday, Lily.

Skelly...

You OK?

Bottle of cider in there.

Cheers, Tommy. Thought we was going to get nicked.

Look at that. I'm shaking.

Where's your manners? George first.

Watch your head.

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