When the Whistle Blows Casualty

Morning, better get a move on, I think.

All consultants will be asked to re-interview for their jobs.

It's the consultants now but it will be the doctors next.

-It'll be nurses next.

-I just want to be a surgeon.

Are we still on for later?

I thought you weren't bothered about all that?

We've done it your way, now it's my turn.

If someone is taking liberties or undermining your authority,

deal with it.

You do have one advantage that consultants don't have.

-What's that?

-You're cheap.

I think I'm going to have an early one tonight.

-No, but we...

-Louise, I'll call you tomorrow.

Kalen, you'd better be awake - breakfast!

Hey.

Hey.

Hey.

Kalen! Breakfast! Now!

Is that your mum?

Well, it's not my girlfriend.

What's her name?

What?

What's her name?

Mum.

It's Elle.

-Hold on, OK.

-Yes.

Kalen. Have you got someone in there?

No.

Five minutes.

Get your brothers ready for school, don't be late for college.

College. How old are you?

Old enough. What's the matter?

I am in so much trouble, you would not believe...

Where are you going?

You know, I thought I'd go downstairs and make her a cup of tea.

She's your mum!

THUD

SPLINTERING

Kalen, are you OK?

INDISTINCT MURMURING

Kalen?

Where is she?

Who? Mum! Mum!

What have I told you about not bringing girls back here?

Yes, I know. You think it sets a bad example.

Exactly.

Look, I know that. But, Mum, look, no-one was here.

Really? So what is this, then? Don't tell me, you were practising?

We'll talk about this later. Bring those down.

Aargh!

Jez. Jez!

All quiet, then?

OK, boss.

You've got today off. If anyone asks, I dunno, make something up.

Righto.

KEYS JANGLE

-So, where is he, then?

-Have you tried the Ambulance Station?

What do you think?

Morning all.

Morning, Jay. I don't suppose you've arrested an irresponsible,

mixed-race paramedic, have you?

If I had, Iain, you'd be the first to know.

Oi! Do you want another reason to be in hospital?

What's he done?

Shoplifting, abusive language and assault.

Allegedly.

Right. Name?

PC Jenkings, will you give the details?

Cal? As you're here...

Is he flying?

He's on something.

OK, follow me.

Oh, my word! Jeremy?

No-one's called me that for 15 years.

And lived?

I heard you were back.

-With a vengeance.

-And a ring!

I always said you were made for each other.

Should have been quicker off the mark, then, shouldn't you?!

-Well, you haven't changed.

-Neither have you.

Behave. I'm a living advert for what 30 years of beef curry can do.

And bread pudding. Don't forget that.

Meet my probationer - PC Joanna Jenkings.

Fresh out of training school.

Thinks she knows everything

-I do.

-She doesn't.

Ah, bless - a younger you!

So, what's this, then? Crack?

Or worse.

Right, let's have a look in your eye.

Right, you little...

-Impressive!

-PC Jenkings! Reasonable force, please.

-Baton!

-I am further arresting you for assault...

Ouch. Are you OK? You'll live.

One way to start the day. Morning. Could I have a word, please, Cal?

But you can't do that.

I can and I am.

Because of the current staffing situation, I have no choice.

And I'm sorry.

Can you tell me why my name has been removed from the staff rota?

Because I think you'll find your name was never on the rota.

So, what, you're cutting consultants now, as well?

We are reducing contracted overtime. That's it.

So now is not the time to tell you

you'll be putting patients' lives at risk?

My hands are tied, Dr Keogh.

I've lost my surgical rotation.

I think I've lost the will to live.

Jacob.

Hey, you.

What would you do if your teenage son

had smuggled a girl into his bedroom?

Buy him a drink.

It is pointless talking to you.

I'm saying that when you were a rookie

it was a lot easier to lock up the guilty.

And a lot easier to frame the innocent. You want some advice?

Follow the system.

Thought you should know - your "crack" case...

-Overdosed?

-Hey!

Cerebral abscess. Not drug-related at all.

Doesn't mean he didn't do the shoplifting, though.

'Zulu Victor Seven, this is control, over.'

Zulu Victor Seven receiving.

'Reports of a break-in at Abotts Road - the old bank conversion.

-'Over.'

-Roger, Control. We're on our way.

What about...?

Possession of a cerebral abscess?

You can run that past CPS if you like.

-But...

-No drugs. No stolen items.

Aggression caused by diagnosed ailment. Good luck.

SHE GROANS

SHE SCREAMS

Oi! So? Last night,

where were you?

Babe, I'm sorry, I had a terrible headache.

A headache?!

Yeah. Listen, I gotta go. I got a call out.

I'll, um, I'll see you later, yeah?

Late night, was it?

Er... Yeah... No.

I just had to get a prescription for my nan...

Of course you did.

I hope it was worth it.

Yeah. Yeah. My nan. She's cured.

Right, I need to get a coffee.

-Jez.

-Mmm.

Iain's looking for you.

Thank you.

He clearly had a good night.

I am so glad I have boys.

How come?

Imagine your daughter bringing that home - urgh!

That's cold!

Still warm.

Why would anyone not finish drinking their tea?

Control from Zulu Victor Nine.

'Receiving Zulu Victor Nine.'

We're on scene. Can you call Fire Services, please? Quick as you like.

'Roger, Zulu Victor Nine. Any further info? Over.'

There's a fire, at the Abotts Road old bank. It's well established.

Engulfing two storeys.

'Roger, Zulu Victor Nine. On their way.'

Help!

There's someone in there.

Call it in.

-Zulu Victor Nine to control.

-'Receiving.'

Contact ambulance, too. Believe person trapped. Over.

-'Roger that.'

-Now what do we do?

-We wait.

-Wait?

Protocol.

Protocol...?

Protocol is there for a reason.

-But...

-And that reason is to stop people dying.

We wait for the Fire Service before we enter the property.

Help!

Zulu Victor Seven to Control. ETA on Fire Service required, please.

'They're being dispatched, over.'

Roger that. They'll soon have them here.

OK.

Joanna...

Received, on our way.

-So, you had a bit of a night, then?

-Yeah.

I thought you were meant to be seeing Louise?

I just said I had a headache.

So, what's with the limp?

I am not going to go into it but his mum turned up.

His mum?! How old was he?

What? It was all legal.

He just didn't tell me he lived with his mum.

So...what did she do, kick you or something?

You'll love this one.

I fell off a drainpipe.

I feel like I'm living in a Carry On film.

A what?

Never mind.

-Is it real?

-Doesn't look like it.

Who would do that?

Morning.

What have I missed?

Um, it's nothing.

Can you believe him? Sam.

What? He sent Dylan home?

-Yes.

-If there isn't the money...

"First they came for the socialists..."

Ethan keeps going on about this poem.

The Trust has to follow Cost Improvement Programmes.

"First they came for the consultants..."

Nothing rhymes with "consultants".

"..And I did not speak out as I was not a consultant..."

"Then they came for me."

It's Niemoller.

It's pronounced "Niemuller".

And it's just a postponed rotation, don't overreact.

Wait until they come for you.

SIREN APPROACHES

How many inside?

We've got one reported.

There's a woman - she's on the first floor.

-Right, fire boys are on their way.

-And Joanna - PC Jenkings.

-You're joking. Don't tell me she...

-Yep.

Right, make that two. Jez, get the kit, pal.

Just make sure you follow me!

What, hang on... Brilliant, and then there were three.

SIREN APPROACHES

PHONE CHIMES

-JOANNA:

-Hello! Hello, this is the police! Can you hear me?

Hello? Hello!

Hi, I'm PC Jenkings, Joanna. What's your name?

It's Tamzin.

Hi, Tamzin. Can you breathe all right?

There's a window. I can see the firemen.

That's great, Tamzin.

Go back to the window and make sure they can see you,

we'll have you out in no time.

CREAKING

SHE SCREAMS

Tamzin? Tamzin?!

-Joanna.

-Here.

What the hell do you think you're doing?

She's trapped inside.

Stay where you are, it's not safe.

Me being safe's not going to help her! Come on, Jay.

Tamzin? Tamzin?! Can you hear me?

Come on. Get her on my shoulders.

-Steady on, boy.

-Pot, kettle.

Come on, PC Jenkings. You owe me a cuppa.

SPLINTERING

SHE SCREAMS

Joanna!

You're kidding me!

What can we do?

The locums' budget!

Yeah, frozen. I just found out.

So, less consultants, and no locums.

We are going to be spread way too thin.

Who's going to do all the supervising?

Not to mention if there's a major incident?

We should be showing solidarity, with Elle and Dylan.

We can't strike, can we, so what do you suggest, Cal?

We work to rule.

SIREN APPROACHES

What's up? You all right?

-How you doing? All right?

-Yes.

-Come to see your mum, eh?

-Yeah.

I hear you've been a bad boy.

-What do you mean?

-Huh.

-Huh?

My man. I'll go tell her you're here, yes?

-Hi, guys.

-Hi.

All right, what have we got?

All unplugged and ready to go?

Yes. OK, this is Joanna Jenkings, 28. At approximately 10.30,

she was retrieved from a fire, smoke inhalation,

possible KO caused by falling beam.

Crush injury to lower abdo, suspected fractured pelvis,

query fractured left femur.

Hello, what do we have?

This is Tamzin Cullen.

How are you doing?

Just look after her.

Vitals, Jez?

GCS 15, BP 110/70, resps 24, sats 98%, BM 6...

David, tell reception that these two need booking in

and then I want you in with Lily.

Let's transfer her onto bed four once we are in.

-Right, where do you want us, Cal?

-Let's go to bay three, please.

She has also had 10 of morphine.

OK, let's get her across as soon as possible, then.

OK, very gently, guys.

Straps off.

Let's have a look at you, OK?

-OK, everybody ready?

-Yes.

Gently on three. One, two, three.

Hi, Joanna, it's Sister Duffin.

Jay wants you to know he's OK, he's just outside.

Thank you very much, guys.

Tamzin, my name is Dr Chao,

I'm just going to have a quick look at you.

You've received some flash burns to your face and your neck,

so we're going to do everything we can to sort those out, OK?

Open your mouth for me.

Good. I'm just going to listen to your chest.

Are you in any pain? Can we have 5mg of morphine, please?

The paramedics tell me you have also damaged your wrist.

Please, my husband?

We've called him. He's on his way.

And you lost consciousness at the scene.

I think so.

-CT?

-Head to pelvis, please.

And can we also get wrist and chest X-rays?

OK, there is some bruising to lower abdomen

that could indicate a pelvic break.

Right, Joanna, I am just going to take a look at your leg now, OK?

Should have you feeling better very soon.

SHE GROANS

Right, let's get blood FBCs, U&Es, and a venous blood gas.

Let's get a full-body CT.

She should take priority.

-I'll check with CT.

-Thanks, Duffy.

Right, let's cross match six units

and get the monitors on as soon as possible.

Are you sure you're OK?

How is she?

We'll know more soon.

She's a fool.

She saved Tamzin's life.

Jez?

Yes, yes, I found his wallet.

OK... Have you tried the ambulance station?

-Kalen?

-Mum...

Are you all right? What are you doing here?

-He's looking for...

-You! I just wanted to say I'm sorry.

Come with me.

Glad to be of service(!)

They're taking their time.

Being annoyed won't help.

-Yes, well, what will?

-We do our jobs.

And nothing more. That's what work-to-rule is.

-He won't like it.

-That's the point.

The only thing that keeps this place running is our goodwill.

You take that away, and...

And what about patients?

OK, Joanna, how are you feeling?

Never better.

Well, the good news is your spine's clear

and your chest doesn't seem to be affected.

And the bad?

Well, the best thing we can do is get you into theatre ASAP.

You have got what's known as

an "open book" fracture of your pelvis,

as well as a femoral fracture.

I'll beep the Ortho reg.

I will be all right, won't I?

Yeah, sure. If we're quick,

then you'll be as right as rain.

MOUTHS

You're in on this, right?

Just until we remove the threat to the consultants.

Lily. All of us, OK, we have to be in this together.

Tamzin's husband's in reception.

Oi.

Was it you?

Was what me?

Don't act like you don't know.

That's not you, is it?

Don't be upset - it looks good!

-It was a condom wrapper!

-So?

So, either you're making a sausage dog and you ran out of balloons,

or there was a girl was in your room!

-And so what?

-Kalen, you are 17...

-Which is legal.

-It was in our house and you have younger brothers.

-So?

You didn't even ask my permission.

-Would you approve?

-Of course I wouldn't approve.

Exactly, Mum. No, no, but why not?

I don't have time for this.

-No, no, no, I've got time?

-I need to go back to work.

-Why not?

Because I don't want you having sex.

Were you having sex at my age?

That is none of your business.

Oh, whatever, Mum!

Mr Cullen? Tamzin's husband? I'm sorry about your wife.

You should be able to go and see her soon. Two sugars?

Thanks.

Why are you here?

Injured colleague.

Not bad, I hope?

So, um, what was she up to, then? Your missus?

I don't know.

Where was she again?

The old bank.

Turning it into apartments, like the rest of Holby.

Any idea?

Maybe looking for a flat?

She snuck past 24-hour security to view a property?

No... I work for Bartman Investments.

We get a discount.

House hunting. Right.

Mr Cullen, your wife is back from X-ray.

-Would you like to see her?

-Yes, of course.

This way, please.

You all right, old man?

Less of the old.

Tell me something, at the fire, did you notice anything odd?

Odd?

Suspicious?

No. I'll have a word with Jez, all right?

It looks worse than it is.

The wrist was undisplaced so didn't need manipulation,

and I'm just going to chase the CT.

It's so nice to see you.

What the hell were you doing there? You could have been killed.

I was right. About James.

What do you mean?

-I just needed the evidence.

-But...

I told you what the e-mails said.

I told you about the meetings.

Tamzin, you're his PA. You're not a private detective.

We need to talk to the police, Stan.

-Sure.

-The electrics, the timber, the plasterwork...

CT is ready, I'm just going to grab a porter.

Will you get them?

Then we can be free of him once and for all.

James pays our wages.

He's a criminal, Stan. I want to work for you,

but I don't want you to work for him.

Let's not say anything just yet.

We move at the wrong time and we lose everything. OK?

Your hand. Do you want me to have a look?

No, it's fine. Thank you.

Excuse me, I'm looking for a patient. Tamzin Cullen?

Tamzin Cullen, I think she's just gone to CT, actually.

Ta.

-Thanks.

-Sam.

-Yes.

-You haven't got a moment, have you?

Problem?

Yes, that woman. Next on the list, apparently.

Delayed CT, could be waiting hours for a surgeon,

no post-op bed, all while you're laying off staff.

It's the NHS in 2017. You proud?

The system is stretched. It's not personal.

Well, there's enough money for you.

I'd be very careful what you say next, Cal.

We're on work-to-rule.

And how's that going to help her?

Cal, her BP's down.

-We can just be friends.

-Friends?

Yeah.

Jez. What are you saying?

I'm saying this can't happen again.

Because of me? Or because of my mum?

You really don't want me to answer that one.

Yes, yes, I do. Look, she'd understand.

How understanding was she back there, eh?

She thought you were a girl.

Great, but I'm a man and I work with her,

that'll be no problem, then(!)

Jez, please...

-Listen, I can't.

-Please.

Hey.

A question. Fire at the old bank.

Did you notice anything suspicious?

Well, apart from the missing security guard and the smell of petrol,

nothing suspicious at all.

Right, you need to tell PC Blakeson.

Secondly, please,

please tell me you didn't have sex with an ED consultant's son?

What makes you think that?

Nothing.

Nothing suspicious at all.

I've heard that none of you are planning on covering

the locum shifts this evening.

You know, once upon a time,

when I was like you - a junior doctor -

one of my friends took it upon himself

to take on senior management.

And we worshipped him, he became like a minor celebrity.

Female doctors were falling at his feet.

Yet it turned out his actions

were based on nothing more than personal animosity.

Nothing to do with justice.

He took a shot and missed.

What's the moral to this story?

PHONE CHIMES

Sorry.

If you're going to take out the king...

Exactly.

Look, it's only natural for you

to be concerned about your consultants' jobs

and the effect it will have on your training.

But staging some infantile work-to-rule

isn't going to help anyone, least of all the patients.

So, whose idea was it?

"I am Spartacus," is it?

Nothing to do with you, Cal?

Losing your surgical rotation?

If you want to take out the king, you'd better not miss.

Your CT results are all clear.

I'm just going to sort out your discharge papers.

How's Joanna, PC Jenkings?

I can't tell you that. I'm sorry.

We need to call the police.

No. I told you.

What are you hiding? Do you know something?

What? Don't you dare...

You're not going to weasel your way out of this.

You knew what James was up to.

Of course I knew. It's how I paid the bills.

That police officer could be dead!

What the hell were you doing there, Tamzin?

I was trying to show you what James was up to.

Fraud, deception. Bribery. But you knew all along.

Look, all I knew was that we were in trouble.

He was invoicing top quality

and building cheaply and dangerously in your name.

I bet that... I bet that fire wasn't an accident.

Look, we didn't have a choice. We were going to be exposed.

The building inspector was suspended.

He told me to do it.

How did he catch him?

He got stupid, got greedy.

What did you just say?

The building inspector - greedy...

Not that. He told you to do what?

Those marks on your hand, Stan, where did you get them?

You listen to me.

Do not say anything!

One word and we lose everything!

-Get off!

-Arghhh.

Tamzin, come on.

You're all right, you're all right, come on.

There you go, OK. You're OK, you're fine, you're fine.

Is everyone OK?

Could you leave us, please?

Those burns on his hand. They're from a fire?

If you need help, ask.

Don't be intimidated. Don't.

Theatre's still backed up. This is ridiculous.

Cal, BP is unrecordable.

OK. Let's get her head down. OK. Blood, platelets, and FFP...

Come on, Joanna.

Can you push the blood, please? And let's get TXA, as well.

Thank you.

We need a consultant!

Dylan should be here.

What about IR?

Maybe. Meanwhile, I am going to call Ortho...again.

And can we get some defib pads on her, as well? Thanks.

Hi.

I'm sorry about what I said earlier.

Me too.

We're all under a lot of stress here.

My job's on the line.

I have to be perfect right now.

I know.

I know.

Mum.

I'm not upset just because of you.

Oh.

Right...

Right.

Mum. Mum!

Mum!

Great.

Hey, what's with the limp?

Had to jump out of a window, didn't I?

Was it my window, by any chance?

Sorry?

-I'm talking to him. Was it my window?

-No...

-Mum...

-Kalen, stay out of this.

-Mum...

-Answer me. Was it my window?

No, no. It wasn't.

Then why does my son have this?

-Elle.

-Are you going to tell me?

-Mum, stop it.

-I don't know. Maybe he found it.

-Elle, stop it.

-Stop it?! Stop it?!

-Not here.

-It's too late for stopping it now, isn't it?

The only thing stopping me from punching your smug little face in

is that my boy told me, and I didn't catch you.

Now, he may be 17, he may have consented.

You may think you're so clever, showing off your war wounds.

But one day, one day it will be your sweet little boy

that's all grown up, let's see how you feel then.

PC Blakeson, Mrs Cullen would like a word.

We're going to be all over this place soon.

Forensics say definitely arson. Just need to find out who.

I think she's about to tell you.

Telling is one thing, proving's another.

Are you saying you won't?

Duffy said you're better than that.

-I'm sorry.

-What?

It's just, without evidence, there's not much I can do.

Mrs Cullen! David! Straight into resus now, please.

Joanna? PC Jenkings? She's becoming more shocked.

More blood? Cal?

We can try. Arterial line as well, please, Tash.

4mg lorazepam, please.

You saw me do the primary survey, the scan was completely clear.

It doesn't make sense.

IV ready.

There's bruising.

I left them alone.

Another CT?

Yes, please.

Right. Interventional radiology.

MONITOR BEEPS RAPIDLY No. No. No. She's in VF.

Compressions, please.

Tash, on airways, please.

Charging. Oxygen off. Stand clear.

Shocking.

Oh, no, no! Joanna?

Can I ask you something? How did you get those?

-Barbecue.

-Right. How did you light it?

I was stupid. I used petrol.

Some...maniac started this fire.

Think you can you prove it?

Maybe.

Good luck.

Two minutes.

1mg adrenaline. OK, let's shock again.

More lorazepam?

Another four, please. And can I get some RSI drugs?

Charging. Oxygen away. Clear.

Shocking.

-More adrenaline.

-This isn't looking good.

And again, please.

Mrs Cullen? Tamzin? Can you hear me?

Time of death, 15.16.

It's the system.

What?

That's what happens when you follow the system.

You shouldn't have had to watch that.

No.

I'm sorry.

I don't want you to live in a world where you're not free to talk.

OK.

If you talk to me about these things, maybe I can help.

I want to help.

You do?

Of course.

It was just a...a shock, that's all.

It was for me, too.

Mum, I was just scared.

I love you. You do know that, don't you?

(Yeah.)

I'm sorry.

What?

I'm really sorry about your wife.

What?! How is she?

Terrible, isn't it, when you lose someone close to you?

What?

I'm sorry for your loss.

Do you want to see what you've done?

No.

She wanted the house.

I told her we couldn't afford it.

So she got the job.

And then she wanted the bigger house...

We weren't making enough.

So, it was her fault?

She just couldn't keep her mouth shut.

All she had to do was stay quiet.

Or you would have lost everything.

Where are you going?

There's something I have to do.

Hey.

Thank you.

If you want to stay next time, it's polite to ask.

And, Jez, use the front door.

Stanley Cullen, I am arresting you on suspicion of murder.

You do not have to say...

Mr Cullen? Your wife is back from her scan.

Her what?

Her CT scan.

But she's dead. She's right here...

She's suffered a severe head injury. She's in theatre.

Stanley Cullen, I am arresting you on suspicion of arson

with intent to endanger life,

the murder of PC Joanna Jenkings,

and the assault of Mrs Tamzin Cullen.

You do not have to say anything but it may harm your defence

if you do not mention when questioned

something which you later rely on in court.

Anything you do say may be given in evidence.

Take him away!

You lied. You lied!

I'm sorry.

Do you want to see her?

You just broke the law.

And you just covered for me.

I didn't realise you were going to do that.

Neither did I.

Got away with it, then?

No, Iain, he ain't.

I don't think you've got the balls for this.

I need a man, not a boy.

Absolute classic. Did you see the picture?

I did.

Fancy a drink?

Yes.

So, you're not staying on, then?

No. Solidarity.

What's up?

Did someone post this?

Do you think it's some kind of revenge?

I don't know.

Please don't tell me you're asking her to stay on.

-Cal...

-Seriously.

You cancel the locums budget, there is no extra support,

a policewoman dies because there's not enough consultants on shift,

and you're asking us to stay on?

Your allegations are incorrect, I'm not forcing anyone to do anything.

Really? Lily, is that true?

I want to stay.

You've been intimidated.

By you. Without us, there's no-one here.

-We're doctors.

-That's what he's relying on, Lily.

Cal.

Look. You are upset... your rotation...

You've engineered this, haven't you?

Cal, you've lost a patient, OK?

Divide and rule. Very clever.

Very clever.

Careful what you say.

You see the atmosphere you're creating.

She supports a work-to-rule and the next minute she's being trolled.

- Cal! - Ooh, come on...

What are you trying to say?

I am saying no!

See, the problem is, Sam, you think you can get away with this.

You think you can play Russian Roulette with our very best consultants...

I don't think that at all,

I think you are angry about something else.

You've made that very clear.

I think you're angry about losing your surgical rotation

and this has nothing to do with consultants.

Yes, well, when they get kicked out, who's next? Us?

What's the difference between Sam Strachan and God?

God doesn't think he's a doctor.

I'm going to have you.

I'm going to go to the union. We'll organise a strike,

and you'll be destroyed.

-That's fine.

-Mm-hm.

You'd better not miss.