The crisis continues and all hopes are pinned on Al, but a flash inspection from the CQC sends sparks flying. Ben faces a challenge at his new job.
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Dr Haskey? I just thought...
HE MUMBLES I'm sorry.
I'm sorry, I did not mean to wake you.
Did you bring breakfast?
I thought you might need it.
You have been here all night.
Dr Haskey, this is too much.
I don't get it. I know that system like the back of my hand.
I can bend it to my will.
But...but not now.
This is not just your responsibility.
Yes, it is, spare me the team talk.
Dr Haskey, go home.
Go and get some proper sleep.
I'm going to defeat it. Just...
..five minutes more.
You have got a lot of stuff.
Brooke doesn't travel light.
We need to lose the hospital vibe.
-Create the right ambience.
-Can we dim the lights?
-I'm afraid you cannot. No.
No, left. There.
You seem to be going to a lot of trouble, Brooke.
For the photos, for my blog.
I want to be, like, this inspirational mum.
Women don't need all those drugs and poisons for birth.
-Just inner strength.
-And all her potions.
It's all natural, and it's in my birthing plan.
-Have you read it?
-Yeah, got it here.
..you would like people to speak softly around you.
So I can concentrate.
Don't need any distractions as I move from my logical left-brain...
-Can't say I've ever seen it!
-..to my primitive, right, birthing-brain.
So don't worry if she starts jumping up and down and beating her chest.
So, what do I do?
-Well, you need to support Brooke in any way she wants.
You can get your face out of that phone for a start!
What's so important, anyway?
Nothing, nothing, I'm all yours, babe.
So, why don't you get changed when you're ready,
and I'll pop back and see how you're progressing?
I'll give you some privacy.
Yes. We are making a note of all prescriptions,
ready to go on the system.
Right, we will see you then. Goodbye.
Mr Galadima, why are you not at St Phil's?
It didn't feel right, leaving all this mess.
This is not your fault.
I mean it.
While I was away, I heard nothing
but good things about you as a manager.
Now go. You do not want to be late for your first day.
Just let me do one quick thing.
Last night, I thought of a way to put a message on the website
so patients know what's happening.
-Look, I know this is a very difficult time...
A patient died yesterday because of us, because of our failings.
Yes. Yes, that is true.
So, I want to call a partners' meeting.
Look, I know this is very stressful.
Listen to me. You must be imagining things.
There's no way.
It's too soon.
I'm at work, I can't just drop everything!
How is she? How long, do you reckon?
Oh, it's hard to say.
She's not fully dilated.
Good, cos I can't miss the birth.
Why would you miss the birth?
Some eejit's shorted the electrics at Dunmore's.
-Have to go sort it.
Half an hour, tops.
Mrs Tembe, The Mill Health Centre.
Oh, hello. Leonora Loom, CQC. Just a friendly call.
We've been hearing about your difficulties,
had a number of patients getting in touch.
Yes, well, we are working to resolve that situation as we speak.
That's great, you can fill me in when I stop by.
What, you are coming here?
Just to see that the leadership team is on top of things.
Nothing to worry about. See you later, Mrs Tembe.
Yes, yes, goodbye.
Tidy the reception area. Quickly!
-Wake Dr Haskey and tell him to look lively.
-Why, what's happening?
-I am calling an emergency partners' meeting.
Seriously, come back inside, I'll fix you a brew.
Much as I love your tea, we need to go to hospital.
You're not due for another two weeks.
Try telling that to this little lump of fun!
Maybe it's them fake contractions, whatever you call them.
Braxton Hicks. And besides, my waters have broke.
-How do you know?
-Well, there's a great big puddle of amniotic fluid
-in my living room.
-OK, OK. SHE GROANS
-Where's your stuff?
I'm scared, Cal.
Hey, come here, come here.
We're going to have a beautiful baby.
Let's get you to St Phil's.
A spot inspection today?
Apparently to check that the leadership team is on top of things.
Those were her exact words?
If we could just get the computer system back up and running.
Head them off at the pass, you mean?
Frankly, I can't believe that Al hasn't got it sorted already.
Setting himself up as some kind of IT genius!
-We should go easy there.
-Dr Haskey is very fragile.
Al is the last person that I would describe as fragile!
-Whatever it is, can it wait?
-The CQC are on their way.
Yeah, I heard.
Very nice of you to invite me to your little meeting.
I am afraid that certain things overshadowed.
Yeah, but you've got time to slag off Al.
Or to stand around, working out
how you're going to cover your own backs.
This inspection has consequences for us all.
And what about BB Harris?
What about the consequences for him?
Believe me, we all feel terrible.
Look, a fit, healthy man with a totally treatable condition
is now lying in a morgue because of you.
-I'm sorry, but I strongly refute...
-Let me spell it out for you, OK?
You're the partners, so you're responsible.
Now, you either get this sorted, or I'm handing in my notice.
Mr Galadima, I presume.
Welcome to our humble C&PD team.
It's really great to be here.
-That's your pew.
You know, I've been thinking a lot about how much secondary care
-can learn from...
-I didn't interview you, did I?
-So, first things first, tell me about you.
Well, I started off in retail customer care and...
I meant, what makes Ben Galadima tick?
Music for one. I'm a pretty huge soul fan.
That's useful to know.
We're keen on karaoke and pub quizzes here.
Neither. I recently split up with my boyfriend.
Well, I suppose we should crack on. I've a meeting this morning
and I need you to finish some PowerPoints for me.
Sure. What's the meeting about?
Yet another brainstorming session about improving diabetic care.
Ah, you know, because the other day I read something interesting...
I just need you to put the PowerPoints in that file.
They're going to look into everything,
every decision we've made in microscopic detail.
So we think damage limitation -
-anything which could be a potential red flag.
-Where do we start?
This is a time for focus, for keeping a clear head.
-Yeah, that ridiculous slide for one.
-I think Mr Galadima was right.
We need to make sure that patients know what is happening.
Frankly, it's the last thing we need.
It's basically advertising our failings to the world.
It has to go.
I could feel it coming on,
and Gemma's saying I haven't washed her PE kit, which I had.
In the end, I had to practically push her out of the door.
So she didn't see your waters break?
My kid sister? She'd have totally freaked.
She's going to be in for a pretty big surprise when she gets home.
You will look after us, won't you?
Gemma and me, and the baby?
Course I will.
Anything you need.
-You could rub my back.
-Ooh, that's good.
Keep going. It'll just be the midwife. Come in.
Hi, you must be Paige.
I want all the drugs going.
Anything to make this as quick and pain-free as possible.
Got to take a leak, won't be long.
The financial implications are bad enough.
I can get into the website, I can access the slide.
And there's our reputations to consider.
-There's only one way that they can go.
We need a quick solution. Are you even listening to me?
-I couldn't say it in front of Mrs Tembe and Jimmi
but there is a certain problem that needs to be made to go away.
To be kept as far away from the CQC Inspector as possible.
How do we get rid of him?
We should get there by 7.30 at the latest, grab a good table,
close to the quizmaster.
-I think so.
You know, you should come along...
-..to the meeting.
Might be useful for you to sit in, get the feel of things.
It was a right tricky one.
That junction box was really tough to...
-You're taking me out of my zone.
-Oh, sorry, babe.
I need something for stress.
Erm, this one?
All this birth malarkey.
It's pretty amazing, right?
What's amazing is we've got this far.
When my brothers found out I was pregnant,
I was sure they'd break your legs.
Maybe they've finally realised that I'm an asset to the family.
And how's that, then?
My incredible good looks.
Who else could tell you that the gestation of a hippopotamus
is eight months?
And that's useful how, exactly?
It takes less time to make a hippo than it does a human.
And how many men would grab you a slushy at two in the morning?
Although, my dad still totally hates you.
Maybe when he sees this beautiful baby we've made, he'll...
It looks like you've...
-You wet yourself!
Don't be stupid. It was the tap.
I must have turned it on too hard or something.
Don't make me laugh, it hurts.
Hey, I'm Ruhma, I'm covering Shelley's tea break and...
Oh, hey, Cal.
Do you know each other?
Er, yes, because he's the baby's father.
-It's all in your birth plan.
Shelley said that you wanted some things.
I didn't think it would come early. I've only got the bare essentials.
I was going to pack a proper bag, like, the night before.
Don't worry, I'm sure we can find you everything you need.
We have to talk about the Sid situation.
The CQC inspector is due any moment and we need him gone.
Yeah, I sent him home about half an hour ago.
-Have you got an appointment?
-I certainly have.
Leonora Loom, CQC. Mrs Tembe's expecting me.
I'll just let her know you're here.
Leonora Loom is here to see you.
Delightful reception area.
-Oh, you think?
-Warm and welcoming.
I like a good first impression.
Mrs Tembe, Practice Manager.
Please don't say anything.
I cannot think of a more damaging time for a woman to find out
her partner's been unfaithful, let alone got another woman pregnant.
I know. I never meant for this to happen.
So you don't know about the birds and the bees?
I've got a big heart. SHE SCOFFS
I mean it, I love them. Both of them.
Brooke's got all these plans and she looks amazing.
Paige doesn't care about any of that stuff.
She's a laugh, one of the lads, almost.
You really haven't explained anything.
Paige lost her mum when she was young,
had to fend for herself,
practically brought up her kid sister Gemma.
She's not so needy, you know,
but then sometimes it's nice to feel wanted.
What I'm trying to say is they complement each other, like...
..like cheese and chalk.
OK. I get the picture.
What are you going to do? You can't say anything.
No, I'm going to leave that up to you.
Right now, what both of them need is just calm and support, OK?
In what order?
What do you mean?
If you had to take a punt on which one's going to pop first.
Paige came in later than Brooke.
Yes, but Brooke is progressing more quickly.
I'm eternally grateful to you all
for giving up your time at such short notice.
If I could just find my pen.
Why don't you use this?
Oh, thank you.
..you probably know that CQC inspections
look at the quality of care being provided
and the impact this has on patients' experiences.
So, there are five key areas - is this service safe?
Is it effective? Caring?
Is it responsive to people's needs?
And is it well led?
We are talking about a failure in computer systems here.
Surely we can all agree that leadership isn't a problem.
Well, I want my management teams to keep their heads
in a difficult situation.
Well, our reaction to the crisis was pretty exemplary.
We tried very hard to minimise the inconvenience to patients.
I hardly think yesterday's tragic events bears that out.
Trying to keep going as normal when frankly a temporary closure
would have been the safest option.
And that radio interview, whoever thought that was a good idea?
No. I mean, coupled with feedback from patients about test results
not coming through, and emergency follow-ups not being made...
The list goes on.
We get the picture.
So, this IT situation.
Apparently you've got somebody working on it in-house.
Yes. Yes, there is.
Can I meet them?
-Yes, I can't see why not.
-You must think us very rude.
You've barely seen past reception so far.
So why don't I give you a quick tour?
You didn't, did you?
It was one of the first things to come out of my mouth.
I may as well have said, "Hi, I'm Ben and I'm gay."
I think you should be up front about it.
It was a pretty uncomfortable silence.
Maybe I'm being oversensitive.
I mean, it doesn't help I already feel like the proverbial rat
leaving a sinking ship.
Hey, nobody blames you for what happened at The Mill.
Look, I should get off to my meeting.
OK. Yeah, you're going to be brilliant, do you hear?
Now, go, go, go, go.
For your Instagram fans.
In and out.
-It's not helping.
-Come on, come on, keep going.
Cal, Cal, where are you?
SHE GROANS Whoa, whoa, whoa!
Stuff the birthing plan,
this herbal rubbish, the stupid ball!
Stuff you, too!
THEY SOB AND GROAN
Cal, Cal, where are you?
I wish you could feel pain like I do!
I need an epidural now!
-Cal, where are you?
-Cal! Cal, where are you?
She's on a little tour at the moment.
-So we have a few minutes. Just do whatever it takes.
There must be some way you can reboot the system, get it working,
even if it's a sticking plaster, just for today.
You've always made out you're this mega geek brain.
-Now's your time to prove it.
-And while you're at it,
can you get rid of that wretched slide?
-I tried and couldn't manage it.
We're all under pressure here. There's no need to be rude.
Don't come back!
I bet you're just all bluster.
Rather than focus on care...
..the obvious thing to look at is prevention.
Spreading awareness, targeting groups like the inactive,
smokers, you get my drift.
Just a second.
Of course, another option is virtual clinics.
These offer patients convenience.
They free up appointment times for those that need face-to-face ones,
which saves time for consultants.
Plus, they cost a fraction of standard appointments.
So we're talking ease of access and making considerable savings.
You OK? Take your time.
-Everything good, Ruhma?
-Yeah, all good.
Why don't you sit down here and I'll check over, yeah?
Right, just take it easy.
There we go.
Did you hit your head when you fell?
I can't see any injuries.
How are you feeling? Dizzy?
I feel weird.
-Like I'm here and not here.
-You are definitely here.
Cal? Cal, you all right?
Cal? What's happened?
He's fainted. I think it's the stress.
-Who am I?
-It's a simple enough question.
I'm Cal's girlfriend.
Who are you?
Oh, my head!
Where am I?
Well done, well done.
Call it a sudden flash of inspiration.
A pretty good morning's work, hey, what do you think?
Can't have you outshining the boss on the first day.
Call it taking one for the team, eh?
-Speaking of which, are you free tonight?
-To do what?
-Sharp brain like yours,
we could really use you at the pub quiz.
What's going on, Cal?
What was it, a one-night stand?
-Yeah, kind of.
-We've been going out for months!
-Technically, I met Paige after we broke up.
But we got back together again.
How was I supposed to know that would happen?
And you were so gutted we'd split.
-What else could I do?
-OK, I don't think we should be
having this conversation in the corridor.
I don't want you anywhere near me or my baby.
In fact, I never want to see you again.
-Me and Bear will be fine without you.
Bear? You're not calling our kid that!
You said we'd be this little family.
-We still can.
-You promised you'd be there for me as well.
I don't want to do it on my own, night after night without any sleep.
-You don't have to!
-Thinking I was some inspirational mum.
I don't even know how to change a nappy!
I'll do anything, please! I just want to see my kids!
-I'll think about it.
-Hang on a minute.
Why should she get all the help?
-But you said...
-Why don't you come up with a rota or something?
-That's a good idea.
I've got yoga Tuesdays and Thursdays, so...
OK, then I bagsie Monday and Wednesday.
Alternate weekends or split them?
-I need that epidural.
OK, the anaesthetist, he's tied up at the moment...
No, I'm going to push.
-What do I do?
Hurts, does it?
You're both doing a really great job, OK?
So, what you're saying is you think it's a server issue?
The server is blocking the firewall?
Nope. No, it's the other way round.
But it could simply be that which is preventing access.
Maybe we should just take a quick break.
Really? Sounds like Mrs Loom is onto something.
When she doesn't know the difference between a firewall and server?
-I'm sorry about my colleague.
That is it!
The camel has a very sore back!
Really, Al, this is not the time for histrionics!
Maybe we'll take that break.
I feel I should explain.
I'm not actually employed here as an IT expert,
I'm here because I'm a highly qualified GP.
It's just that this lot think it's perfectly acceptable to
paper over the cracks.
Cracks not helped by the NHS's chronic underinvestment in IT.
Dr Haskey, please.
And this bunch of so-called management
think that this is my fault. It is not my fault!
Nor is it my responsibility. Um...
I'm going to take some leave. If any notice is required
then we'll look on the last three days of hell
as payment for services rendered.
Have a nice day!
You can't smoke that here.
You won't tell them?
To be fair, do you know, that is the least of your worries.
What am I going to do?
Be the best dad that you can be.
I'll see you in there.
So, I won't keep you in the dark any longer.
I shall be reporting back to the CQC that the system failure is still
causing serious issues affecting patient care.
This needs to be addressed as a matter of urgency.
In addition, I have concerns about certain members of staff being put
-under undue pressure and stress.
-You're not serious!
The CQC wants to see this practice live up to its responsibilities...
..providing good quality care
and ensuring that patients are protected from harm.
Yes, we understand.
We will put in place any recommendations you make.
Well, I hope so.
Because let me be very clear about this...
..from what I've seen today...
..you should all fear for your positions.
Because the very survival of this practice is at stake.
Do you understand?
-Have a nice day, babe.
Right. He's gone.
I reckon it's going to be your
public key infrastructure playing up.
I did wonder about that.
I think it's time to move on.
No, actually, Zara, I've got to get to the bottom of this.
I suppose you'd better come in.
I will if you put that cricket bat down.
The crisis continues and all hopes are pinned on Al, but a flash inspection from the CQC sends sparks flying. Having said farewell to the Mill, Ben faces another challenge at his new job. When two ladies go into labour at the same time, Ruhma discovers they have much more than that in common.