Risk Management Doctors

Yeah, sorry. I'm on my way.

Yeah, just running a few minutes late.

OK. Bye.

ENGINE REVS

Sam? What's going on?

Nothing's going on.

-It didn't look like nothing! What the hell was he doing?

-Nothing!

I saw you!

If something's going on, you need to tell me.

Sam! Sam!

Well, er, thank you all for coming in early today.

Daniel sends his apologies. What's all this about?

We had a serious incident yesterday evening,

while Dr Haskey was on duty.

I think that it is important that we review our security procedures.

When you say serious...?

Erm, last night, a patient came in - drug addict,

desperate for drugs.

-I mean, in the end, I managed to distract him.

-How?

Mints. Although he thought they were something far more potent.

-That calmed him down?

-He was, he was wired.

He'd already grabbed a hold of Valerie Pitman.

-He got violent?

-Yeah.

I had no choice, I had to take him down.

Valerie said another patient helped you. Wasn't it Patrick?

Yeah, Patrick was there. Patrick helped.

And then, we called the police and they took him away.

You handled a very difficult situation

with great judgement, Dr Haskey.

Yeah, yeah, well done, mate. Glad you're OK.

Oh, I'm sure in the circumstances,

we would have all handled it just as well as I did.

Right, well, we should talk about...

It has, however, brought up some serious concerns I've got.

-Yeah, of course...

-I've been taking notes on my evening patients.

-Can we just...?

-If you can bear with me,

this report is quite lengthy.

Part one, the danger...

-Yeah, right. OK, bye.

-Sam?

-Why aren't you ready for school?

-I don't feel well.

-What was all that about?

-I feel sick.

He had his arms around you.

I don't want to talk about it!

-Well, you're going to have to.

-I don't!

You're not my mum, all right? Just back off.

-HE GROANS

-Are you OK?

-Is your chest tight?

-I'm fine.

Right, we're going to the doctors, now!

And there we have it.

You are going to hit a wall of problems with these extended hours.

We always expected teething problems.

Teething problems? And if he'd had a knife last night?

-Staff safety is paramount!

-Of course.

And we have to move with the times,

and meet the demands of the wider community.

Which means making our services available for longer.

Really? Regardless of the risk?

That is what we are here to discuss, Dr Haskey.

Discussing it is one thing.

Actually doing something about it appears to be something

completely different, doesn't it?

OK, let's just calm this down a little bit, shall we?

-I think Haskey's making an important point here.

-Thank you!

Maybe we should look at some realistic solutions to this problem.

Could we ask Rob for some advice

about how to make the front desk role safer?

We could install an emergency alarm under the counter.

Other surgeries use them.

They've got those glass partitions at King's Green.

They might not be practical here, but we could look into it?

-See if it's a goer.

-I've got an idea.

How about we round up all the local hoodlums, give them

baseball bats, knuckle-dusters, they'll act like bouncers!

You are completely missing the point!

OK, what's the point?

The point is we should not be offering extended hours

in the first place, particularly not on a shoestring budget!

That decision has already been made, Dr Haskey!

He actually grabbed you? You should have just kicked him in the...

Well, we haven't all done self-defence classes!

-HE PANTS Mel!

-Sam needs help.

It's OK, Valerie, I've got this. Come through.

We need to take a good look at our use of time,

before we start handing out more of it.

I think we are getting sidetracked.

No, no, I'm the one who gets sidetracked!

How many time-wasters do you get a day?

This is not what we are here to discuss.

I've done the last two evening rotas and you know what I've encountered?

Blocked noses, colds, sore eyes, hangovers.

Do you know, I even handed out a prescription for paracetamol!

-I get your point, Al, but...

-Ah!

24/7 appointments, it sounds really buzzy and really cool.

-It's hardly 24/7.

-You know what it means?

It means more time-wasters getting in the way of people

who really need our help.

We need to sort out the wheat from the chaff. Filter.

Look, I agree that we should be careful of asking

already overworked doctors to be even more overworked,

-but it's hardly that simple.

-Hmm.

A consultation can seem pointless initially,

-but then you could spot something.

-Yeah, mental health issues.

Yeah, underlying condition that was missed.

-That's the odd exception!

-It's more than that.

-Definitely.

-Fine.

You got a percentage on that you can give me, hmm?

And what about the patients waiting to be seen

while this meeting over-runs?

Government policy on extended hours is not up for discussion.

However...

..I do agree that streamlining the appointment system

may weed out unnecessary consultations.

And it may help.

And with your unique ability for innovative solutions,

Dr Haskey, I can think of no better person for the job.

Agreed? Excellent.

Well, I will write up everything that we have discussed,

but I think we should bring this meeting to a close.

Valerie was lucky to have you here.

Thank you.

HE WHEEZES

It's a bit fast. I'm going to check your blood pressure too.

It feels like my heart's going super-fast.

What do you reckon brought this on?

Sam! Ayesha just asked you a question.

It's the tachycardia again, isn't it? It's obvious.

-Not necessarily.

-Then what?

Could be a panic attack.

It's the same thing every time. First, his breathing.

Are you feeling stressed, Sam?

I'd like a doctor to take a look at you. Is that OK?

So, you do think it's the tachycardia, then?

Valerie, hi, is anybody available?

I'd like to get Sam Corrigan checked over. He's got a heart condition.

Yeah, OK. Thanks.

Dr Haskey will see you, Sam.

-I'm all right on my own.

-Are you sure?

He won't be a sec.

-Sam Corrigan, 16 years old.

-OK.

Cared for by his elder sister, Melanie Corrigan.

-Hmm. Ah, the man himself.

-Thanks for this, Al.

Hey, not a problem. Right, Sam, mate.

-Let's have a look at you.

-Where's the toilet?

It's just through reception.

If you come in when you're done, yeah?

-All right, Janet, I will see you in a couple of weeks.

-Thanks, Ruhma.

OK, bye. MOBILE RINGS

Hey, hello!

OK, OK. When did the bleeding begin?

All right. And so, has the bleeding come ba...?

Right, don't worry, don't worry. I will come in my lunch break. Yeah.

I will come as soon I... OK. OK.

-Kyle's a nice kid.

-Is he in Sam's year?

They're really tight.

Sam's always round at Kyle's. Barely see him now.

-So, this man you saw him with?

-Ian.

Kyle's Dad. He's gay, lives with his boyfriend.

-He's a lecturer at Sam's college.

-Right.

-And what about Kyle's mum?

-Remarried after they split.

Apparently, her new bloke didn't want kids, so...

-How old is he?

-Kyle? 17.

-No, his dad.

-Erm, dunno. Late 30s. Maybe older?

And you really think there's something going on with them?

He was cuddling Sam really close. Arms right round him.

Yeah, it's disgusting! When I get my hands on him, I...

-Mel. You need to slow down.

-But, Ayesh...

-No!

You need to be absolutely sure of the facts before you do anything.

Yeah?

Valerie, that kid, Sam Corrigan, you seen him?

That's weird.

You should hear Sam's side first. Oh, Al, this is Sam's sister, Mel.

-Mel, this is Dr Haskey.

-Oh, how is he?

-Erm, if I'd had a chance to examine him, I would tell you.

-What?

Well, he went off to the loo and he never came back.

If, if he comes back, call me!

Weird, right?

DOORBELL RINGS

HE WHEEZES

Are you OK? Come inside.

Yes, I'd like to speak to Ian Barnett, please.

OK, right. So, he's working from home today?

So, you were at school with Mel?

Not the same year but we were mates for a bit.

She was really cool, everyone really liked her and then she just...

..changed.

-In what way?

-Developed a bit of a short fuse.

Wanted to do her own thing.

-So, she looks after Sam on her own?

-Hmm.

Their mum died. She was a single parent,

so Mel's had to deal with everything.

She's a carer now, for an agency.

-Oh! That must be really tough on her.

-Mmm.

Sam too. A lot of home alone.

I'm not saying that I wouldn't do an evening shift,

but it makes you think twice.

Because of feeling alone and vulnerable?

Erm, I don't mean any offence, but had it been you on last night,

instead of Al, could you have tackled that bloke?

I take your point.

I'm just saying, extra shifts need extra precautions.

What about you, Valerie?

What are your thoughts about working evenings, after what happened?

I'm totally fine, yeah. Doesn't bother me.

-Really?

-Yeah, I think you have to take these things in your stride,

don't you, when you're on the front line.

So, you're totally unfazed by it?

I'm putting my calmness down to my new clean eating plan.

-It's working wonders.

-Is it?

Yeah, definitely.

I feel like I've got an invisible suit of armour.

-I've lost all sense of stress, fear...

-Reality.

Yeah, no, keep my name on the rota. It's not a problem.

DOORBELL RINGS

-Sam! Sam!

-He's not here.

-Where is he?

-He's gone home.

He told me about the mix-up. You really don't understand.

I've already been home. I know he's here! Move out of my way!

-Please, just listen to me.

-I don't want to hear it! You disgust me!

-Just let me explain...

-Get off me!

Explain it to the cops, you freak!

That dude, he was... He was intimidating.

And we're going to see more and more of it.

With the rise in street drugs, legal highs. It's endemic out there.

I've been reading the reports.

Reading a report is one thing. Coming face-to-face with it, Heston,

that's something quite different entirely.

Jimmi, you should have seen this man. His eyes, they were crazy!

-What was the name again?

-Tallis. Oliver Tallis.

-Really?

Yeah, he came to see me yesterday as well. He, er, he was trying it on.

Maybe I should have spotted the signs.

No, addicts are very good at hiding that sort of thing.

Well, I gave him a repeat prescription for his painkillers,

but he wanted something stronger.

I think he'd taken them all by the time I saw him.

-It's becoming a real problem.

-Hmm.

KNOCKING

DOORBELL RINGS

Sam?

Mel?

Anyone home?

HE WHEEZES

OK. Come on.

-I'm so sorry to call again.

-No.

No, don't be silly, because this is my lunch hour, so it's fine.

-And it's good that you call me.

-I'm grateful.

-Yeah.

So, how are you feeling now? Is the... Is the bleeding slower?

-Er, no.

-OK.

I will examine you and then, we will see what to do, OK, yes?

HE WHEEZES

You should have waited for Dr Haskey to check you over.

No, it was doing my head in. I needed to get away from her.

Your pulse is really erratic and your breathing sounds worse too.

-It's just cos I'm stressed.

-She's your big sister.

It's natural that she worries.

I know you think she's being over-protective, but...

She treats me like a kid! I'm 16 now.

Old enough to have a proper relationship.

-So, you are in a relationship?

-Yes!

DOOR LOCK RATTLES

-I knew this would happen. I didn't want to tell anyone!

-Sam?

-Tell anyone what?

-Sam?

Oh, thank God! Are you OK?

God, I've had enough of this now, Sam.

I want the truth! Why did you run off again?

-I only went to Kyle's.

-I know, I've just come from there.

You're not going round there again, do you hear me?

-You went there?

-Sam.

Has Ian made you do something that you didn't want to do?

-No!

-I know what I saw.

-Mel...

-Just stop lying and tell me the truth!

Just give him a chance to speak. KNOCKING

Hello? Police! Hello?

-Your front door was open. Melanie Corrigan?

-Yeah?

I'm arresting you on suspicion of assault.

You don't have to say anything but it may harm your defence

if you don't mention, when questioned, something you later rely on in court.

Anything you do say may be given in evidence. Do you understand?

-What?!

-What have you done?

-He's lying!

Sam, I need you to calm down for me, OK?

I've got to stay with my brother, he's ill.

-Look at the state of him!

-He's got a heart condition.

He needs to go to St Phil's.

I'll radio an ambulance, but then you need to take over

and then you need to come with us.

-Ayesha, look after him!

-7244 to Control.

I'm requesting an ambulance, for a young lad with a heart condition.

Take nice, deep breaths for me, OK?

9 Harvard Road.

That's it. Nice and slow.

MEL: I never went near him. Or his house!

Mr Barnett says that you forced your way into his house

and then you punched him in the face.

And you believe the words of a paedophile over me?

Ask him about what he's done to our Sam!

That's a very big accusation.

It should be him sitting here, not me!

-What evidence do you have?

-What evidence does he have?

Well, he has a neighbour who witnessed

someone matching your description leave the house.

And of course, he does have a black eye.

Well, they're both lying. I was at home, with Sam, and Ayesha.

Ask her!

Hi. My name's Ian Barnett, I'm looking for Sam Corrigan?

Hi. I'm a nurse at The Mill Health Centre.

-I came in with Sam.

-Is he OK?

-He will be.

-Could we have a quick chat?

-About what?

Kyle, do you mind getting a drink or something?

I want to see Sam!

He's in with the consultant at the moment,

but as soon as she's finished, then OK.

Right. I'm not going to beat about the bush.

What exactly is going on between you and Sam?

-So, Besa, there is no pain?

-No, just bleeding.

OK, well, that, that's good news.

Because we don't have to go to the hospital again.

Thank you. I was so scared for baby.

So, what you think?

This is normal after you have had a baby.

-Oh, I am so sorry. I take your time.

-No.

It's good that you call me. I am here to help you.

-I feel bad.

-Don't.

You know what? I am sick and tired of feeling I have to defend myself.

I was the one who was attacked in his own home.

I'm not accusing you.

If I was straight, do you think I'd be getting all this thrown at me?

-I'm just worried about Sam.

-So am I!

That's what all this is about. Poor kid's been through enough already.

Believe me, I know how hard it is to come out to your family.

-Sam's gay?

-Yes.

But it's not me he's in a relationship with.

Oh! So, Kyle and Sam!

Well, they were friends at first, and then...

That's what all this is about.

He's terrified what other people will think.

Or more specifically, what his sister will think.

He'd decided to tell her this morning.

So, in your car?

-I gave him a quick hug, bit of encouragement. Nothing more.

-Right.

Just like any other concerned parent might have done.

Paul and I think of him like a second son. He's such a lovely kid.

I will talk to Mel.

Well, good luck with that.

What's wrong with her, lashing out at me?

Mel, she's... She has had a lot to cope with.

But she shouldn't have jumped to conclusions.

She assaulted me.

I wouldn't even be here now if Sam hadn't texted Kyle,

-begging him to come.

-I get that you're angry,

but if you could just try to see it from her side.

It's a police matter now.

-Can I see Sam yet?

-Probably best I stay here.

I'll come with you.

-I'm so sorry.

-You've got nothing to be sorry for.

Is your dad all right? MOBILE RINGS

Yeah, he's fine.

-Hello?

-Hi, Ayesha. It's Rob. How's the kid?

-Stable.

-Good.

His sister is claiming that she was with you at the time of the assault.

Can you confirm exactly what time she got home?

Hi, Ruhma, it's Valerie. Sorry to bother you.

But St Phil's have rung again.

They want you to cover for one of their midwives,

she's phoned in sick.

So, if you could just give me a call back when you get this message?

OK, thanks. Bye.

PHONE RINGS

Hello, Mill Health Centre.

Valerie, it's me. I'm at St Phil's.

Is everything OK?

Yeah, I had to bring Sam Corrigan in.

I'm just letting you know in case I'm late back for my first patient.

-OK, I'll tell them.

-Thanks, I'll speak to you later...

Oh, no, hang on. Ayesha.

I don't suppose you know where Ruhma is, do you?

I've tried calling her on her mobile and it's ringing

but there's no answer.

I think she said she was going to the sales.

Really? Well, she'd still answer though, wouldn't she?

I dunno, maybe she's at the till or something.

-What's she shopping for?

-A...coat.

-A coat?

-Yeah. She saw it ages ago.

You know what she's like for a bargain. It's got 50% off.

I still don't understand why she wouldn't answer.

Sorry, Valerie, I've got to go.

-How is he?

-He's doing OK after a bit of oxygen.

They're keeping him in for observation. So, you got bail?

No thanks to you. Thought you had my back?

I had your back bringing your brother to hospital, remember?

I'm not going to lie to the police for you.

-I told you what I saw this morning.

-No.

I spoke to Ian. It was just a hug. Honestly, he was reassuring Sam.

Yeah, right. Sam's always over there.

Literally day and night. Something is going on.

-Not with Ian.

-Then who?

Kyle?

I just never realised. I mean, why didn't he just tell me?

Maybe he thought you'd punch someone?

Oh, God!

Oh, I'm sorry. It's all right.

When I saw them in the car, I just....

I was 15.

My friend's dad drove me back from a sleepover. Just like Sam.

He pinned me down in his car.

I couldn't get out.

And then he...

I've never told anyone before.

Didn't want to.

I'm so sorry.

It's not an excuse, though.

It's still my fault.

You should get some help.

You need to deal with this, you can't just bury it.

It's too late now, isn't it?

I want to see Sam.

Come on.

Oh, hi, nice lunch?

Yeah. Yeah, but... Yeah, thanks.

-Erm, I had some missed calls from you?

-St Phil's.

They wanted you to do some cover.

But they've sorted it now, apparently.

-I left my phone in the car.

-I didn't realise you had an appointment.

-Because there's nothing booked in.

-Yeah.

It was, erm, just one of those last-minute ones.

Thought you might have nipped to the sales afterwards?

-Ayesha said you might have done that.

-Yeah.

I did, I did. Just popped in after.

-So, you got the coat?

-The coat?

Sounds lovely! How much did you get off?

30%. It was a bargain!

-Can I see it?

-Yeah.

Just, er, maybe later, though. Sorry, I've just got to go.

I'm sorry!

Hey, mate, how's he doing?

Hopefully, they'll let him come home soon.

He still wants to tell her.

He's going to have to now anyway.

Ayesha just explained it to me.

I'm sorry.

Look, I know you're angry, and Mel was way out of line.

-But she has been through a lot.

-And I haven't?

Dad, if she gets charged, what's going to happen to Sam?

Whatever you think of Mel, she loves Sam.

She'd do anything for him.

Since their mum died, she's done everything.

There's a difference between protecting someone

and being over-protective.

She needs to let him live his own life.

I think she realises that now.

-I can't believe you hit him!

-I'm sorry, I thought...

On that last day, Mum made me promise to look after you, Sam.

You can't use that as an excuse!

Look, what I did was stupid and wrong, OK?

I felt like I'd messed up, so I lashed out.

I'm not a kid any more. I can look after myself.

Then why didn't you tell me about you and Kyle?

-Who told you?

-I figured it out.

I should have realised sooner.

I really like Kyle, you know that.

I just want you to be happy.

I am. Ian's helped a lot too.

I should have been there for you.

What's going to happen now, with you and the police?

KNOCKING Er, come in.

I'm sorry to bother you.

-Oh, no, not at all. How can I help?

-Look.

Please don't think I'm telling tales.

I really don't like doing this, but I felt

I should alert you to some concerns I have about a colleague.

I heard Ruhma arranging a lunchtime appointment on the phone earlier,

but the patient wasn't booked in.

And then, when she was out and I tried to get hold of her

on her mobile, she wasn't answering.

Perhaps she just lost signal, or maybe she was driving?

Yes, but when she got back, she lied about where she'd been.

I am sure there is a simple explanation.

I'm not spying, I am just concerned.

See, the thing is, this isn't a one-off.

She has seen patients at lunchtime several times recently,

but they're never officially booked in.

And then, the other day, she said she was seeing Mrs Matthews,

and it turns out she was with someone completely different.

-Right.

-That's not all.

Other people are covering for her - Heston, Karen, Ayesha.

I don't know why, but it's been lie after lie.

-Something's going on. I'm certain of it.

-Miss Pitman...

Look, I...

I really, I didn't want to come here like this,

behind people's backs.

God knows what they'll think of me.

But what else could I do?

I, I wouldn't be doing my job properly,

if I just looked the other way.

Look, I appreciate that you are trying to act responsibly.

I am. Thank you.

-Sorry.

-No, you have done the right thing. Leave it with me.

I promise I will look into the matter.

One word from me, and you'll be back inside, remember?

And it won't just be you who'll be losing their job.

I promised that I would keep you safe,

because you don't want her to grow up without a mum.

We'd like an appointment with a new doctor.

Not the useless one my husband saw earlier.

Can I help? I'm the useless doctor that he saw earlier.