Keep On Keeping On Holby City

-What's got into you?

-Marry me?

C minus, bordering on D for disappointment.

-It's been a pleasure.

-I thought you'd at least move to a peck on the cheek.

This was your scam. I'm innocent.

We need a scapegoat.

There's a security guard waiting outside. You've five minutes to collect your things.

-MONITOR FLATLINES

-Mum, you're not going to die,

-this is NOT happening!

-Come on.

-I'M NOT READY!

You're going to convince the powers that be

-to give this place FT status.

-And if I fail?

That would make you captain of the Titanic.

You've missed SO much.

Mr Bhatti died, and word is, Mr Spence was given the boot.

-Really?

-Letitia in the tea bar said he might have been arrested!

but I don't think he actually did anything illegal!

He's quite feminine looking.

I wouldn't fancy his chances in prison.

At first Mr Hanssen was on TV all the time giving interviews,

but no one's seen him for ages.

Letitia thinks he might've done a runner. What do you think?

Hello?! Earth calling Elizabeth!

Sorry, sorry. What were you saying?

Still no word from the fifth floor?

I imagine the spin machine's in overdrive. Especially since the man responsible is still AWOL.

You really think we can blame all this on Michael Spence?

I came this close to losing my job, Ric.

Our department was almost closed.

I'm finding it hard to feel sorry for the man.

Have you heard from him?

He's holed up in Florida with his mum and dad, licking his wounds.

He's called the kids a couple of times.

He's going to have to face the music at some point, isn't he?

Well, let's hope that Hanssen has some kind of master plan.

'Given the way things are looking,

'I don't see how even he can dig us out of this one.'

-Hey, Elliot.

-Hi, have you heard anything?

Why would I know more than you?

I just thought since you and Hanssen were...

I'm in the same boat as everyone else.

The only information I get is what I read in the papers.

If you ask me, this is just the latest in a long line of insults from this hospital's management.

I'm sure Hanssen's got everything under control.

-Hey.

-Hey.

Erm, you've got a cardiac trauma case coming in. ETA five minutes.

OK, I'll be right there.

Henrik!

You're aware there's a waiting area along the corridor,

-are you, Sir Fraser?

-I've done enough waiting.

Our meeting was supposed to start 15 minutes ago.

I apologise. I had to perform my ward round.

-I'm still a physician first and foremost after all.

-No, you're not.

-Oh?

-As far as I'm concerned,

your patients are entirely irrelevant at the moment.

-I see.

-You're Director of Surgery at the flagship hospital of my SHA.

A hospital which is currently in the midst of a major scandal.

You have one job and one job only,

-and that is to dig us out of this hole.

-I'm working on it.

How exactly?!

The inner machinations of a hospital are mysterious and complex.

As with delicate surgery, once cancer is removed...

The steer I'm getting from the Department of Health

is that they want to see action, not rhetoric.

So what do you suggest?

I'm not suggesting anything.

I'm telling you, they're sending in a Turnaround Team.

A cluster of jobsworths

in cheap suits telling me how to run my hospital?

I'm not sure you're in a position to take moral high ground.

-When are they coming?

-They're waiting in the board room.

So, if Hanssen gets the sack...

-Which he won't.

-In world of hospital management, the higher you climb,

-the harder you fall.

-He'll be fine.

But if not, I think I have a chance at his job.

-No, you're not tall enough.

-I'll wear heels.

There's something different about you today.

I don't think so.

-What do we know?

-16-year-old boy.

-Attacked, stabbed several times, arrested in transit.

-Right.

SIREN APPROACHES

-Guess it's not here yet.

-Doesn't look like it.

Should be here in a minute.

-So how've you been?

-Oh, all right. You?

-Yeah, same.

-Good.

-Look, Sahira. Are we gonna talk about...

-Greg.

-Right, who've we got?

-Moses. His name's Moses.

You have to help him, he was stabbed.

OK, Moses. I'm Ms Shah. We'll take good care of you.

-No pulse. We'll have to shock him. You a friend?

-He's my brother.

-Charging 200.

-He's going to be OK?

-We need you to stand back.

-Is he going to be OK?!

-Stand clear.

-No output.

-What's your name?

-Gabriel.

Pneumothorax on the left, trachea has deviated. Give me a cannula.

Please, you have to help him. They stabbed him.

-Gabriel, I need you to calm down.

-Stop compressions.

MONITOR BEEPS RAPIDLY

-BEEPING STOPS I've got rhythm now.

-Let's get him out of here, quick!

-HEART MONITOR BEEPS AGAIN

-Stop! We've lost output again.

Let's just get him into Darwin. Quick!

Morning. I trust I haven't kept you waiting too long.

-Mr Hanssen, I presume?

-Indeed.

-I'm Hugo Black,

and these are my colleagues, Angela Murray and Nick Hewitt.

I won't waste your time.

The man responsible for our fiasco is Mr Sunil Bhatti.

Unfortunately for us, he had the ill grace to die a week ago,

-so there's very little point in...

-I heard about Mr Bhatti. My condolences.

-None needed, I assure you.

-And where is...Michael Spence now?

He's suspended pending the hearing in two weeks time.

A hearing which I'm certain will absolve the hospital trust of any responsibility.

-So you don't feel responsible?

-I take responsibility

for everything that happens within these four walls,

-but blame and responsibility are two different things.

-It's OK, Mr Hanssen.

We're a bit like undertakers. No one's ever pleased to see us.

But I assure you, we have no ulterior motives. We're not out to get you.

And from what I hear, you run a very tight ship.

You understand why we're here?

Your application for Foundation Trust Status is now officially on hold.

So we have to make absolutely sure the Plastics scandal was just a one off,

not part of a systematic failure of governance.

We'll interview a few people, we'll look at your books,

chat to some patients. Nothing sinister.

Before you begin searching for weapons of mass destruction,

-might I be allowed to address my staff?

-By all means.

-Thank you.

If someone's about to be scrutinised, it seems only fair to warn them.

You need to take things very easy for a while.

No lifting, no running about, no driving,

no strenuous activity at all for a couple of months, at least.

It may be some time before you're feeling yourself again,

but I think you'll be OK to leave us this afternoon.

-This afternoon?!

-You sound disappointed.

No! Of course not, I'm just...

Well, when I was brought in here, I was in such pain,

I was preparing myself for the worst.

Well, with a combined hysterectomy and bowel resection, it's complex.

But I'm very pleased with how you're doing.

-I expect you'd prefer to recuperate at home.

-Yes, of course.

I'll be back later to sort out the paperwork.

Elizabeth? I didn't expect to see you back so soon.

-Two weeks compassionate leave is what they give you.

-You could have taken as long as you needed.

-That was long enough.

-You don't think it's too soon?

-No, I'm fine.

-Well, it's very good to have you back.

-Good to be back.

Nurse?

-Are you terribly busy?

-No, not yet.

I was wondering, I've been in here all week

and now that Mr Griffin's given me the all clear,

I'd really love some fresh air.

"Please be aware that during the course of today,

"Holby General is to be the subject of a full and thorough examination by an independent Turnaround Team,

"who have been tasked with conducting a thorough examination into the way this hospital is run.

"I would urge you to get on with your work and answer their questions openly and honestly.

"As you know, we've no reason to be anything other than proud of the way we conduct ourselves here.

"I know these are uncertain times at Holby, but, as your Director of Surgery,

"I'd ask you to put your trust in my leadership".

"I've never failed you yet, and I'm not about to fail you now".

THUD INSIDE THE CUBICLE

-Everything OK?

-Yep.

-Are you sure?

-I said so, didn't I?!

How's he doing?

Not good. Three cracked ribs lower left

and the echo shows mitral regurgitation.

-Poor kid, he's a bit of a mess.

-I think we should get a GS view.

-I'll page Ric.

-Thanks.

I understand we have a mitral regurgitation?

Hi, Elliot. Thanks for coming so quickly.

I need a second opinion. Can we repair the valve?

I'd say we're looking at a replacement.

-And what about the spleen? Have you paged Keller?

-Ric's on his way.

Given the trauma damage, he's lucky to be still here.

Have you spoken to the parents?

There's a brother. He brought him in.

-Right, let me know when Ric gets here.

-OK, thanks.

SHE SIGHS

I'm really sorry, but I thought you might be having a bit of bother.

People have died in that cubicle before now.

And how was I meant to know...

Even nuns have to change their underwear.

She's stayed in the hospital with you this whole time?

I told her I'd be well looked after, there's no need, but she insisted.

-She must really care about you.

-She's been looking so uncomfortable,

squashed in that chair every night.

-MOBILE RINGS

-Aren't you going to answer that?

-Sorry, it's my personal phone.

-I shouldn't even really have it on me.

-I won't tell anyone.

Hello?

-So you've lived there since you were 18?

-That's right.

-And how old are you now?

-26.

So for eight years you've lived with a load of nuns.

No men, no telly. Nothing?

We have a great deal. Not in material terms, perhaps but...

How often do they let you out?

We're a closed order, so... seldom. Only for hospital treatment.

What about birthdays?

-Christmas though, yeah?

-No.

So you don't get to spend Christmas with your family?

-The convent's my family.

-That's so sad.

-Where is she?

-Who?

Sister John.

Well, I'm just at work, so I can try and get over in my lunch hour.

-Thanks. Bye. Sorry.

-Why should I mind?

-Sounded important.

-No. It's just family stuff.

Do you have a garden here?

-Sort of. It's not...

-I'm not bothered.

I just want to be around people.

Well, I can't be off the ward for too long.

Five minutes. Think of it as medicine for your patient.

How is this not going to seem completely bizarre?

Why should it be?

Because I've run AAU. I've been Ward Sister there,

now I've got to kowtow to someone who's been here five minutes.

You don't have to kowtow to her.

She's assessing me for my emergency medicine module.

If she fails me on this rotation...

-Why should she?

-To prove a point. To assert her seniority over me.

You're a professional.

All you have to do is show her how good you are at your job.

-I don't get her.

-What's to get?

Just give her a chance, and maybe she'll give you a chance.

Yes. You're right.

-I'll come by and pick you up at 5.30 sharp.

-What if I'm not done?

You'll have to be. We're meeting the vicar, remember?

He's a busy man. And we don't want to get on the wrong side of God, do we?

-You're a professional.

-Hmm. I'm a professional.

-Is he going to be OK?

-Take a seat.

Please.

Your brother is in a bad way. He has several fractured ribs,

and there's major damage to his heart and spleen.

He will not die. You will not let him die.

We need a number for your parents.

It's just me.

I am responsible for Moses. Me.

I don't see you doing anything. He's just lying here.

Gabriel, we have to get a team together to talk about

-how we're going to proceed.

-We have to leave, soon.

We're doing everything we can.

So, what are you going to tell this Turnaround Team?

-About what?

-Michael, Sunil.

-I'll tell them the truth.

They kept themselves to themselves. I hardly had anything to do with them.

-I was focussed on the Cardiac Trauma unit.

-And you think they'll buy that?

Why wouldn't they? Look, we all have to play the game here, Valentine.

We all have a lot to lose. If you're smart, you'll do the same.

So tell me, Ms Naylor, do you have faith in this hospital's leadership?

Of course.

Even though, as a cardiothoracic surgeon, the trust's decision

to prioritise Plastics threatened your job, and your department.

To be honest, I kept my head down and focussed on my work.

Did you think the Plastics unit was a good idea?

-Not especially.

-What about the Cardiac Trauma unit?

-I backed it.

-Why?

-Cos I thought it was a good idea.

And, since it was Ms Shah's brainchild,

I thought there was a better chance of Hanssen backing it.

Oh, really, why would that be?

Look at it all. All these people living their lives.

You seem like an awfully serious girl.

-The weight of the world on your shoulders.

-Do I? Sorry.

And you need to stop apologising. What have you got to apologise for?

Oh! Look at those two.

The joy they can find from such a simple thing.

One forgets...

..the lightness of being a child. The freedom.

It's been such a very long time since I've watched children playing.

-Do you have children?

-No.

Broke my mother's heart, I think. She longed to be a grandmother.

I wonder, sometimes, what sort of mother I'd have made.

-I think you'd have made a great mother.

-Why do you say that?

You look like a kind person.

Looks can be deceptive.

-I wonder if I might ask you a favour.

-Of course.

Do you think I could borrow your phone?

I'll give her a fair hearing and everything,

-I just know she won't be my kind of woman.

-Because why?

Because she's all lip gloss and heels and perfectly coiffed hair.

Oh, that's what's different. You had a haircut. Hmm. Let's see.

Ah, no touching.

-It's a very bold statement.

-It's just a haircut, Frieda.

Got sick of the helmet head? Or were you intimidated by the Princess?

-You know, holding your own and...

-Whatever, she doesn't intimidate me.

-Not a bit.

-Eddi?

-Chrissie, hi.

-You've had a haircut.

-Yeah. Well.

-Suits you.

-Thanks.

-So, er, emergency medicine. Big module.

-Certainly is.

-It's a challenge.

-I know.

-Of course you do. You probably know this ward better than I do.

-Well.

Cards on the table. This is a bit of an awkward situation, for both of us.

But we're professional, and I'll assess you as I would

-any other nurse.

-I wouldn't expect anything less.

-Great. Well, good luck.

-Thanks.

Looks like you got your first assessment of the day.

This is Jamie Matthews, age 40.

He fell off his bike on the way to work today,

resulting in temporary loss of consciousness.

ED cleared C Spine and no significant injuries.

Mr Matthews, I'm Chrissie Williams.

-I'm Eddi McKee, Senior Staff Nurse.

-Secondary survey was normal.

-I want...

-He had an episode of collapse with hypotension.

-I really want...

-Here for further investigation. Query heart.

-Listen to me.

-And facial sutures. Yup, enjoy.

Sister Williams is going to be taking care of you. OK, Chrissie?

-Yeah, fine.

-I want... I WANT...

Mr Matthews, try and stay calm for me, take nice deep breaths.

WILL SOMEONE PLEASE GIVE ME MY DAMN PHONE?!

OK, I'll call Keller theatre.

No, hang on, Ric, we have to do the heart first.

He has severe mitral regurg. It can't wait a moment longer.

-Once he's stable...

-Elliot, with all due respect,

if we don't take remove the spleen right now, he'll bleed to death.

And if we don't replace the heart valve now,

with the pressure from the spleen,

the severe regurgitation will almost certainly result in heart failure.

-Good morning.

-Looks like we're in time.

Perhaps you should reassure Mr Black it's not usual

for your consultants to be bickering on the ward.

-It's hardly bickering.

-Cardio versus General. The age-old divide, eh?

Always a challenge to get all your disciplines

playing on the same team. Isn't it, Mr Hanssen?

Heart or spleen. Which would you do first?

Right, well the patient was admitted

with five stab wounds and multiple bruising.

If we start with the heart first,

-there's a good chance he'll fatally exsanguinate.

-Thank you.

Yes, but on the other hand, if we remove the spleen,

-heart failure seems inevitable.

-My point exactly.

Understandably, neither of you wants to be responsible

for this young man's death. If we leave him, he'll be dead soon anyway.

Why aren't you doing something?

Why are you all just standing there, talking?

Four doctors! And NONE of you want to help him.

-Who are you to this patient?

-I'm his brother.

-I see.

Well, this young man is quite right.

There's an obvious solution - operate together. Darwin one. Soon as we can.

-Are you sure that's...?

-Sounds like a very ambitious procedure.

Perhaps you'd care to watch, Mr Black?

If that's acceptable to you, Mr Hanssen?

Yeah. See you on the ice.

I think he was rather surprised to hear from me after all these years.

His long lost cousin Valerie.

But he's going to drive down and collect me.

I'll need some clothes to go home in.

What about the ones you were wearing when you came in?

Not really suitable, I'm afraid. Not any more.

Well, I have to pop out at lunch time.

Maybe I could pick you up something,

if you let me know what you like and your size.

Would you? I'd appreciate that more than I can say.

-What sort of thing would you like?

-I'll leave that up to you.

-Colour?

-I've always liked green.

-What size?

I'm not really sure.

Hmm... I think you're about a 12.

-Is everything OK?

-No. It's not.

-I've lost a nun.

-A what?

-A nun!

You know, black and white, "Climb every mountain."

-Sister Anne's been going loopy. I've looked everywhere.

-Sister?!

-Sister John, where have you been?

-I fancied some air.

That's all.

It's nothing serious. I got into a bike versus lorry situation and I took a bit of a tumble!

-Could you keep still?

-They'll patch me up and I'll be right over.

-Mr Matthews!

-I'll call you back.

-Will this take long?

-It'll take as long as it takes.

This blackout you had, was it the first time?

I wouldn't say blackout. I just lost concentration for a moment.

-Has it happened before?

-I dunno. Possibly. Probably.

-Could you be a little more specific?

-It's never happened before, OK?

-If you'd patch me up so I don't look like roadkill, I need to go.

-Is there anyone I can call for you?

-Thanks, but my hand and my mouth both seem to be in working order.

-There's no need to be rude.

You blacked out on your bike in the middle of a busy junction and you're very lucky to be alive.

-It's probably in your best interests to let me find out why this happened.

-All right. Run your tests.

Do what you've got to do, but please...

Nicely handled. Polite yet firm.

Not my first jumped up city boy trying to act tough.

Who's that?

The Angel of Death? Part of the Turnaround Team apparently.

She's going to be lurking around all day.

-Special delivery for Sister Williams.

-What's that?

-Wedding cake samples.

-I have no idea why that was delivered here.

-I'll put it in the staff room.

-Probably a good idea.

A high risk procedure is not the best idea for a showcase, I fear.

Doubting your team, Mr Hanssen?

Ah, Mr Black. Welcome. We've saved you a front row seat.

I could certainly do without the audience.

This whole circus is just cleaning up Michael Spence's mess.

Next time he calls to speak to the kids,

maybe you could pass on a message from me.

And what would that be?

I wouldn't like to say in front of a lady.

Come on, guys. We can do it. I know we can.

I'm just running the numbers again now,

and as long as the Dow doesn't do anything silly,

we should be full steam ahead.

So what's the score with Mr BuyBuySellSell?

Echo's done. Waiting on X-ray and cardiac enzyme results.

I've booked him in for a CT scan.

-Have you given any more pain relief?

-Yep, 5mg morphine.

-Dopamine?

-Yeah.

-Textbook.

-Thanks.

-And I see he's just finishing an ortho consult.

-Yes...

Well, Dan's an orthopaedic consultant. You paged him.

-I don't see anything wrong with that.

-Great.

-What do you think?

-Actually, I was after your opinion first.

-Mine?

-Yes. The big decision. Chocolate or coffee sponge?

-Or maybe lemon drizzle?

-You sent that box here on purpose?

You're welcome. Thought it might ease things in with the new colleagues.

And crucially help you to make that important bridal decision.

I'm not a bride, not while I'm here. I'm a Sister.

I'm a Sister who's trying to be a Nurse Practitioner.

Right. Understood.

He's not broken anything, by the way.

-Your patient.

-Thank you.

What's he doing now?

Mr Griffin, I wonder would you care to explain

what it is you're doing right now?

I'm trying to save this boy's life.

Well, Mr Griffin has successfully

removed the spleen and is now preparing to close the incision.

Once this has been accomplished,

the patient will be placed on a heart lung machine

and then Mr Hope and Ms Shah will begin work on the mitral valve.

It's impressive stuff.

MONITORS BEEP

-What's happening?

-He's arresting.

He's having a heart attack!

VT. He's still got a pulse, but only just.

-Paddles, please!

-He's hypotensive.

Get out of my way, please. GET OUT OF MY WAY!

No pulse, 20 milligrams of potassium and 50 milligrams of lignocaine.

He could be hypovalemic.

-Give me those, please.

-There's no need.

-NOW, Mr Hope!

Charge to 200. Clear.

Keep the compressions going. Charge again, 200. Clear.

I will not let this man die!

Charge, 200 again. Clear.

Thank you, everyone.

Continue, please.

This is a complete waste of time.

We need to find out exactly what's wrong with you.

I told you. There's nothing wrong.

Clearly there's something or you wouldn't have blacked out.

-I'm tired! I'm working long hours.

-I need to eliminate...

-Eliminate what?!

-I have concerns it's your heart.

-It isn't. I don't smoke.

-That doesn't necessarily mean...

-I cycle to work.

-Let's do the tests.

I don't touch red meat. I hardly touch alcohol.

Mr Matthews, I know you want to get out of here.

Everyone wants to get out of here. We are doing everything to help you

get out if here. But, if I let you leave, I wouldn't be doing my job.

-So you really care about your job, huh?

-Yes, I do.

Maybe you'll understand that I've been working for the last ten months

to put together a deal which will net my company £23 million

and guarantee that I make partner before I turn 41.

The culmination of all this is in a little over two hours,

in the most important meeting of my career. So do what you have to do,

cos I need to get out of here as soon as possible.

-You're back!

-So it would seem.

-About time!

I've been waiting to go on lunch for AGES.

My stomach is eating itself. I'm so hungry,

I was thinking about swallowing my gum.

Sorry, I had to get a few things for Sister John.

-You went clothes shopping for a nun?

-Yeah.

Weird, this job, sometimes, innit?

-You all right?

-Yeah! Why wouldn't I be?

How is he?

We removed his spleen, but there were complications with his heart.

Heart attack? No! No. You were supposed to help him.

It was touch and go for a while, but we were able to fix his heart

and there's every chance he'll be fine now.

Gabriel, how did this happen?

I don't know. We live in a rough estate. It happens, I guess.

-Perhaps you should talk to the police about it.

-No.

There's nothing to be scared of.

-They'll help you. They'll find who did this.

-No!

OK.

How are they doing?

Oh, erm... Not good. Either of them.

-Listen.

-There's no need.

-You don't even know what I was going to say.

We both thought this place was closing down.

-It was just a weird time.

-Yeah. Pretty weird.

But that was last week. There's no point dwelling on it now.

It's probably best that we forget it ever happened. Right?

Yeah. Exactly what I was going to say. Good.

What the hell happened in theatre?

I'm a surgeon, I operate to help patients.

I'm not your dancing monkey.

I've always thought of you as the steadiest pair of hands I know.

I've seen you take on hospitals that are falling apart

and turn them round in six months.

Up until a week ago, I would've said your judgment was perfect.

I had huge reservations about Mr Bhatti's Plastics unit from the start.

It was you who persuaded me, against my better judgment.

Don't try and shift the blame on me.

I've spent most of the week defending you.

I don't need you to fight my battles for me!

I think you do, at this moment in time.

-What do you actually know about running a hospital?

-Excuse me?

When all's said and done, you're a businessman in rubber-soled shoes.

This place is a commodity to you like any other.

Like coal, or steel or railways.

If this was a commodity like any other,

I'd be breaking it into pieces and selling it off.

We both know the way the SHA's are going.

You need this to work as much as I do.

A fourth hospital to Foundation Trust status,

that would look good on your CV.

Lord Anderson has a nice ring to it, doesn't it?

A few non-executive board room positions perhaps?

This is not about my future, Henrik, it's about yours.

-Oh?

-If this hospital fails, then you fail.

You ARE Holby General.

You'll be forever remembered as the man who screwed this place up.

Who lost the confidence of his staff...

-I have the full backing of my staff.

-Are you sure about that?

What I saw today suggests otherwise.

Even your beloved Ms Shah seems to have lost her faith in you.

Good afternoon.

Right I see.

So you brought the idea of Cardiac Trauma to Mr Hanssen?

-Yes.

-And what did he say?

-Well, at first he wasn't convinced.

-Really, what changed his mind?

I'm not sure. I did threaten to take it elsewhere.

So he gave you a £500,000 trial as a way of persuading you to stay?

I like to think he saw the merit in the project.

-You've worked together before?

-Yes.

-At other hospitals?

-Yes.

We've worked together on and off for 16 years.

And how would you describe Mr Hanssen?

I've known Mr Hanssen for a long time, a very long time.

If I'm honest, I'm still trying to figure out who he is.

I've spoken to Mr Griffin.

He thinks you'll be discharged by about 5:30.

-I'll order a taxi for six o'clock.

-Sister Anne...

I've spoken to the convent, they're happy how everything's gone.

-You'll get a warm welcome tonight.

-Sister Anne.

-Yes.

-What if I didn't go back?

-SHE LAUGHS

-You've been in the convent your whole life.

-Not quite.

-Since I was 19.

-Perhaps it's time for you to get dressed, Sister John.

-I can help.

-Valerie.

-What?!

-That's my name.

-No, that WAS your name.

I got those things you asked for.

What things?

Sister John?

-I don't understand.

-Now ,Sister Anne.

-Is this a joke?!

-Listen to me.

-Are you making fun of her?

-Of course not!

I asked her to get me these clothes.

Why would you do a thing like that? Why?

I don't believe it.

-It's not true.

-I've been trying to tell you.

You just lie still, but breathe normally.

Get on with it, will you?

Let me know if you start to feel claustrophobic.

-Chrissie. Eddi told me you were here.

-You spoke to Eddi?

-I wanted to apologise, for earlier.

-It's fine.

No, it's not, it was idiotic and I'm really sorry.

CONVERSATION PLAYS ON THE SPEAKER I'm excited about the wedding,

sometimes I get a bit carried away.

It's OK, I need to get back to my patient. Eddi's expecting us back.

I wanted to say, here's the deal, from now on,

I leave the wedding locked in the car when we arrive in the morning.

-No more cakes at work, promise.

-Great.

Right.

-Jamie what are you doing?

-I don't have time for this.

You had your chance, I have to go.

One minute he was OK, the next minute he was on his feet

-doing a runner.

-You've lost a patient?

I didn't lose him, he discharged himself, you know that.

Well, the result's the same.

It happens to every nurse from time to time.

-Never happened to me.

-Uh-huh.

-I'm sorry.

SHE SIGHS Not great, is it?

This cousin, he won't want you living with him for long,

-you know that?

-He says I can stay there as long as I need.

-Till I get myself settled, established.

-You hardly know him.

-He's family.

-Not any more.

You made a vow, we are your family now.

I don't expect you to understand any of this.

-You don't know how to survive outside the convent.

-I can learn.

Shouldn't she make her own decisions?

-Don't you think you've done enough harm already?

-She's only done what I asked.

You shouldn't have spoken to her, You should've spoken to me.

You're interfering in things you don't understand.

Why can't you just let her live her own life?!

60p!

Hey! Dr Valentino, how's life up on cardio?

You know, same old, same old.

-Ginger Ninja giving you hell?

-No, she's a pussycat.

Don't worry, we've been there, you won't be an F2 forever.

-Can I have that in writing?

-Can I have some help please?

Can I have some help?!

In a way, it's good to see you standing up for your patient.

It was unprofessional of me.

-If you're going to say you're sorry, I don't want to hear it.

-Well, I am.

-Sorry.

-You say it so often it ceases to have meaning.

You're not the first person to say that to me today.

What's this really about, Elizabeth?

The way Sister Anne talks to Sister John, it's disrespectful.

And what is this really about?

She treats her like a child and she's not.

She's a warm, funny, and kind woman.

Do you think perhaps you have come back to work too soon?

-You've asked me that already.

-Yes, and I'm asking again.

Why?

You think I'd be better off sitting at home watching TV?

What IS compassionate leave, what am I supposed to do with it?

Elizabeth, you've lost your grandmother

and your mother in quick succession. You need time to grieve...

Thank you, Mr Griffin.

Elizabeth!

I got a phone call this morning from my grandmother's solicitor.

-I went to see him at lunchtime.

-And?

She left me everything in her will.

Everything. They think it's about £50,000.

-I told the solicitor I can't take it.

-Why?

Because I don't deserve it.

Hang on in there, fella. Try and slow your breathing down.

-Cheers.

-Jamie.

-Keeled over trying to hail a cab.

-Bay three.

That didn't take very long, did it?

Jamie, it's Chrissie, can you hear me?

Get the crash team on stand by.

HE GASPS

-You can't leave on a whim.

-It's not a whim.

It's this place, it's unsettled you.

I've been thinking about this for a very long time.

-Months, maybe even years.

-You never said anything.

-Not to you perhaps.

-You've spoken to other people?

-Why not me?!

-I knew it would upset you.

I didn't want to, not till I'd finally decided.

And when did you finally decide? Before you came in here?

All I know is, it's the right thing for me.

You gave your life to Jesus.

Yes and he's given me an unexpected blessing.

This extra time.

I've served him for 40 of my 59 years, I think he'd understand.

It was Mr Griffin.

When he told me this morning I could go home, it became clear.

The convent's your home.

Not any more.

When I left to come into hospital I knew in my heart I'd never return.

Look. We'll pray, together we'll pray for guidance.

It won't change anything now.

-When will your cousin be here?

-Probably not till later.

-How will I manage without you?

-You'll do just fine.

You're the closest thing to a mother I've ever known.

I know.

I think I need some fresh air now.

I don't think any of us actually believed it would happen

until it did. Our Cardiothoracic unit is world class.

We're all enormously proud of it.

It seemed unthinkable that it would be demolished.

Why do you think the hospital's management prioritised

the Plastics unit over the Cardio Thoracic department?

That depends on whether you want the official party line version

-or the truth.

-How about both?

Officially, dedicated Cardio Thoracic units

-are seen as anachronistic in the modern NHS.

-And the truth?

It always comes down to the same thing in the end. Money.

How do you find Mr Hanssen?

I think I would describe Mr Hanssen as...challenging.

THUD ON THE WINDOW

PAGER BEEPS

How did this happen?

I don't know, one minute they were there, and the next...

-Who knows about it?

-Just you and me.

-Keep it that way, shall we?

If any of the so-called turnaround team find out

that a critically ill patient

was smuggled off our wards in broad daylight...

if he's still alive, it'll be a miracle.

-Any idea where they might have gone?

-No.

-Better get looking then.

-Mr Hanssen?

-Yes.

-Everything OK?

Yes. Fine, thank you.

I've been thinking.

And if you're really set on leaving...

then I'm coming with you.

-Get away from me!

-It's all right!

-Don't come any closer!

-What are you doing?

-I'm going to call for medical assistance

-then I'm going to call Security.

-No, don't call anyone!

Please, calm down for your brother's sake.

Would you please just let me examine him?

Thank you.

Right, let's see.

He's bleeding out very rapidly,

he's not going to last more than ten minutes down here.

-Help him.

-I can't help, you've pulled out his chest drains.

-Moving him was an entirely idiotic thing to do.

-Fix him!

-You need to let us get help or your brother will die.

-No.

-What exactly is it you're scared of? Tell me.

-We are illegal!

If they knew we were still here, in this country,

they will send us home. And if they send us home...

-We're losing him.

-We need to get him to a ward.

If we move him, he's going to die.

I'll get you dressings, sutures, and a new drain.

Right, wet lab, down there on the left, thank you.

-Please, this isn't the right thing for you.

-How do you know?

Because I know you. I know what your vocation means to you.

-There's more than one way to serve God.

-Your way is in the convent.

I've been thinking it all through.

I've prayed, it's obvious, we can live together.

-No, child, no.

-I'll get a job.

Before long you'd...

-I'll look after you...

-You'd start to hate me.

I could never hate you. I just want to serve you.

But I don't NEED anyone to serve me.

Why do you think I didn't tell you until I'd made up my mind?

I knew it would unsettle you.

This is my path Sister Anne, but not yours.

You don't want me to come with you.

No, I don't. I have to do this.

For myself. On my own.

You don't want me?

I can't take responsibility for your soul.

Only for my own.

My mother gave me this the day of my first Holy Communion.

I've had it since I was eight years old.

-No.

-Please take it.

-No!

-It's all I have to offer.

-I don't want it!

I don't want your offering!

-Mr Hanssen.

-Ah, good, thank you.

You seem to know what you're doing, Mr Black.

Ah, just 15 years as a nurse in A&E.

I see.

-Five mil of anaesthetic.

-Thank you.

Good, thank you.

You must be desperate risking your brother's life like this.

Sometimes it's hard to trust anyone but yourself.

Isn't it?

Pulse is back.

You saved him.

Does it shock you?

To see someone like me doing something so selfish.

-I don't think it's selfish.

-Yes, it is.

I'm doing this for my own happiness at the expense of someone else's.

She's quite right, of course.

The convent IS my home.

And you don't just walk away from your home. Do you?

-I did.

-Why?

-Because I had to.

-And do you regret it?

I hurt people. Very badly.

My mother. My grandmother. I regret that.

I think I always will.

-May I ask how old you are, Elizabeth?

-I'm 24.

And if you could do anything with your life,

anything at all, what would you do?

I'm doing it. This is my vocation.

And if you woke up tomorrow, and 40 years had gone by,

and you were still here,

still wearing the same uniform, still performing the same tasks?

I think I'd...

It was very kind of you to go out and buy me these clothes.

Thank you.

-Have you heard how the meeting went?

-It's happening right now.

Either way, it's the end of the road for me.

It'll fall apart in the room, or it'll be someone else's triumph.

Someone else making partner.

We've got your test results back.

You do have a heart condition.

So we're gonna take you up to Darwin. It's the Cardiac ward.

Coronary artery disease.

-You knew?

-Lucky guess.

He was a year older than I am now. I was 12 at the time.

Didn't really know him.

My dad was always bloody working. Right up until the day he died.

You sure there's no-one you want me to call?

I'm 40 years old, and what do I have to show for it?

What about your mum?

I haven't called her for months. Been too busy.

I can hardly call her now with all of this.

I've got a son. He's only a baby, but...

No matter how old, the thought of him being ill and me not knowing...

I'll get you her number.

I suppose you think I'm being stupid.

-No.

-Well, I do.

I think I'm being stupid.

-It can't be easy.

-I've taken my vows.

I'm married to Jesus.

I shouldn't need anyone else. I don't need anyone else.

I'll manage.

She wouldn't be doing this, not if she didn't feel she had to.

Thank you for your concern.

It's kind of you to come and check up on me,

but I would prefer to be on my own.

Afternoon, gentlemen.

Very good.

-Thank you.

-Hm-mm.

This is the telephone number of one of the country's top immigration lawyers.

-If you'd like to give him a ring, he will accept your call.

-OK.

I got into management out of frustration. I felt powerless.

-And now?

-I think I feel even more powerless.

At least as a nurse or doctor, you can see the difference you're making.

In management, you have to deal with people like your boss. Sir Fraser.

He's a symptom of everything that's wrong with this health service. Obviously, I didn't say that.

Obviously.

-Off the record. You need to play the next three months very carefully.

-Three months?

I'm going to recommend an extension to your FT status assessment.

We'll provide an improvement plan, and we'll be back in three months to reassess.

I see.

Thank you, Mr Black.

Good luck, Mr Hanssen.

There.

-Promise me you'll write.

-Of course I will.

I've been thinking. I'm going to accept the money.

I'm going to take some more time off, take a holiday.

-Get away.

-Good decision.

-Your mum's on her way in.

-Thank you, and thank you for sorting me out.

For me, it's all about the coffee sponge.

You literally could not be more wrong.

The lemon drizzle kicks coffee sponge's ass big time.

Look, I know you're just about to finish,

but we've got an incoming from ED.

Abdominal pains, query appendicitis. It'd be a great opportunity for your module.

-I can authorise overtime if you want.

-Yeah, yeah, great.

But I can't. I've got family commitments.

And we don't want to get on the wrong side of God, do we?

'I imagine you'll want to set up a multidisciplinary committee to plan...'

I'm going to stop you there, Sir Fraser. There will be no committees, no meetings.

There will be no striving for consensus.

As you so eloquently put it, I AM Holby General.

'I'm afraid you've lost me.'

If I'm going to save this hospital, then I intend to do so entirely on my own terms.

'Right.'

I intend to take full and absolute control.

HE HANGS UP

"Until further notice, all allocations of all resources,

"and I emphasise, all allocations of all resources,

"are to be personally signed off by myself.

"A full and thorough inventory of current medical supplies

"and equipment will be compiled by every department

"and submitted to my office forthwith.

"All clinical decisions other than emergency surgery

"must be referred to my office for authorisation.

"Theatre schedules and staff rotas will need to be approved on a daily basis."

Is that workable?

"Everything goes across my desk. Everything."

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