0:00:38 > 0:00:40'You have one job, and one job only,
0:00:40 > 0:00:42'and that is to dig us out of this hole.'
0:00:42 > 0:00:44She's dead!
0:00:44 > 0:00:49She left me everything in her will. They think it's about £50,000.
0:00:49 > 0:00:50Wedding cake samples.
0:00:50 > 0:00:52This is a bit of an awkward situation for both us.
0:00:52 > 0:00:56I will assess you just as I would any other nurse.
0:00:56 > 0:00:59I'm going to accept the money and take some more time off.
0:00:59 > 0:01:04I'm going to recommend an extension to your FT status assessment and we'll be back in three months.
0:01:04 > 0:01:06Get out of my way! If I'm going to save this hospital,
0:01:06 > 0:01:08I intend to do so entirely on my own terms.
0:01:08 > 0:01:13I intend to take full and absolute control.
0:01:15 > 0:01:18Until further notice, all allocations of all resources
0:01:18 > 0:01:21and I emphasise all allocations of all resources,
0:01:21 > 0:01:25are to be personally signed off by myself.
0:01:25 > 0:01:28A full and thorough inventory of current medical supplies
0:01:28 > 0:01:33and equipment will be compiled by every department and submitted to my office forthwith.
0:01:33 > 0:01:35Clinical decisions other than emergency surgery
0:01:35 > 0:01:38must be referred to my office for authorisation.
0:01:38 > 0:01:42Theatre schedules and staff rotas will need to be approved daily.
0:01:42 > 0:01:48Everything goes across my desk. Everything.
0:01:48 > 0:01:49BEEPING
0:01:50 > 0:01:53- ET 190. - Be careful with her.
0:01:53 > 0:01:56BP 70 over 55. Six milligrams of adenosine. Her daughter's with her.
0:01:56 > 0:02:01- She was in an RTA. Sent in from ED. - Mum's got cancer. Be careful.
0:02:01 > 0:02:03Chest trauma. Prepare a chest drain, OK?
0:02:03 > 0:02:06KNOCK ON DOOR
0:02:06 > 0:02:09Ah, Mr Hanssen?
0:02:09 > 0:02:12- Yes.- Kris Swann. Shall I use here as a base?
0:02:12 > 0:02:15- Why?- I understand you have an emergency drill today?
0:02:15 > 0:02:18That's correct and who are you?
0:02:18 > 0:02:22Kris Swann. One of Sir Fraser's management consultants.
0:02:22 > 0:02:26Ah. I assumed you'd been kept in the loop.
0:02:26 > 0:02:29No. I thought I made myself clear to Sir Fraser.
0:02:29 > 0:02:32I'm sure. But he insisted.
0:02:39 > 0:02:41I'm going to be sick.
0:02:42 > 0:02:43BP's stabilising.
0:02:50 > 0:02:53Oh, great, the drill. Just what we need on a ward.
0:02:53 > 0:02:57Thanks, Hanssen. Can you arrange a CT and an Echo?
0:02:57 > 0:03:02- Is there anyone you'd like us to call for you?- No. It's just me.
0:03:02 > 0:03:06Henrik, with a bit of guidance, a bit of focus,
0:03:06 > 0:03:08this hospital can turn itself around.
0:03:08 > 0:03:13Guidance, from my four years' hands-on experience,
0:03:13 > 0:03:15in health sector strategic planning, is what I'll give you.
0:03:17 > 0:03:21Don't look so nervous. I'm here to observe and advise.
0:03:21 > 0:03:25- You're fully prepared for the drill? - Yes.
0:03:32 > 0:03:33- Jodie Mullins?- Yes.
0:03:33 > 0:03:36OK, bed four, please. I'll be with you in a minute.
0:03:36 > 0:03:39Sorry, how long?
0:03:39 > 0:03:41Chrissie, a word, please?
0:03:46 > 0:03:48# Concrete jungle where dreams are made up
0:03:48 > 0:03:50# There's nothing you can't do
0:03:50 > 0:03:52# Now you're in New York... #
0:03:52 > 0:03:56I cannot believe you're flying out tomorrow. I'm so jealous.
0:03:56 > 0:03:59- It's only a week's holiday. - With your money you could stay.
0:03:59 > 0:04:02One step at a time. I've never even been on a plane before.
0:04:02 > 0:04:04Concentrate, Chantelle. Go right.
0:04:04 > 0:04:07You don't want to be like a lottery winner who's like,
0:04:07 > 0:04:12"I'm not going to let it change me." Let it change you! It'd change me.
0:04:12 > 0:04:14It's hardly a lottery win.
0:04:14 > 0:04:17I'm just saying if it was me, I'd start spending it.
0:04:28 > 0:04:32I am so, so sorry, Mr Griffin.
0:04:39 > 0:04:44Oh, dear. I'll make it up to him somehow.
0:04:45 > 0:04:46I'll see you up there.
0:04:58 > 0:05:01I didn't think I did that badly.
0:05:01 > 0:05:06- Just so you know, it was your diagnostic tests that let you down.- Really?
0:05:06 > 0:05:09You could be a good nurse practitioner, Chrissie.
0:05:09 > 0:05:12You've just got to prove it.
0:05:12 > 0:05:15- Are these your cases for today? - Yeah.
0:05:23 > 0:05:26Any chance you could take a look at my RTA?
0:05:26 > 0:05:29Possible internal bleeding from fractured ribs,
0:05:29 > 0:05:33stage two lung cancer patient, due for a lobectomy
0:05:33 > 0:05:36and a heart tumour excision at St James's, in three weeks.
0:05:36 > 0:05:39Electives are out of the question because of this drill,
0:05:39 > 0:05:44but there's a case for performing the cancer surgery here if we're taking her into theatre anyway.
0:05:44 > 0:05:46Very possibly.
0:05:46 > 0:05:51- Let's wait and see what the CT and the Echo show us.- Sure.
0:05:51 > 0:05:54I can smell booze on the daughter, also in the RTA.
0:05:54 > 0:05:56- Oh, dear.- Hmm.
0:06:00 > 0:06:02What do you think you're doing?
0:06:02 > 0:06:04Hi, Kris Swann, management consultant.
0:06:04 > 0:06:05So you do have a name?
0:06:05 > 0:06:09Why not use it to introduce yourself? These are private medical files.
0:06:09 > 0:06:14- I'm...- Look, if you or anyone in management want to poke your nose around here,
0:06:14 > 0:06:17you ask Mr Hope first. You got that?
0:06:25 > 0:06:31That's nice. An evacuation drill, exactly what we need today.
0:06:31 > 0:06:33As evacuation warden...
0:06:33 > 0:06:37I need to attend an evacuation briefing. Why? Fire, we run.
0:06:37 > 0:06:40A drill isn't going to save you.
0:06:40 > 0:06:43- Hanssen's orders.- Of course.
0:06:43 > 0:06:45How can we live for 30 seconds
0:06:45 > 0:06:49without him inventing a completely new way of ruining our lives.
0:06:56 > 0:07:00So, I hear your preliminary NP exams didn't go as well as we'd hoped.
0:07:07 > 0:07:09She had to tell me.
0:07:09 > 0:07:13She also told me that she thinks you've got it in you to do very well.
0:07:17 > 0:07:19Chrissie?
0:07:22 > 0:07:25Excuse me!
0:07:25 > 0:07:27Could someone...help!
0:07:27 > 0:07:31- What's happening? - We'll see how the chest drain works,
0:07:31 > 0:07:33but we may need to operate to stem the bleed.
0:07:33 > 0:07:35Increase the oxygen.
0:07:35 > 0:07:39If we do need to operate on the tear,
0:07:39 > 0:07:42it may be beneficial to bring forward the lobectomy
0:07:42 > 0:07:45- and the heart excision that your mother was to have.- Today?
0:07:45 > 0:07:49Look, your mother is very weak and we wouldn't want to put her
0:07:49 > 0:07:53under the strain of having two operations in one month.
0:07:53 > 0:07:56But let's just wait and see if the chest drain does its job first, OK?
0:07:56 > 0:08:00- Sorry, CT's in. - Thank you.
0:08:03 > 0:08:05We have to operate today.
0:08:05 > 0:08:08We better call Hanssen first.
0:08:08 > 0:08:11I'm sick of having to run everything past Hanssen.
0:08:11 > 0:08:14It certainly doesn't feel like an economic use of our time.
0:08:14 > 0:08:17How can we run a hospital if they won't allow doctors
0:08:17 > 0:08:20to make basic decisions for their patients?
0:08:20 > 0:08:22Engaged.
0:08:25 > 0:08:27Mum!
0:08:27 > 0:08:30Why didn't you call me?
0:08:30 > 0:08:35Chantelle's really sorry. Is there anything either of us can do?
0:08:35 > 0:08:38I'll sort the car. You concentrate on your job and maybe next time,
0:08:38 > 0:08:41leave the instructing to someone who's paid to do it.
0:08:44 > 0:08:45Mr Quinn, where are you going?
0:08:45 > 0:08:47I'm desperate for a drink.
0:08:47 > 0:08:51- I'll get you a cup of water.- I'd love some coffee, I need caffeine.
0:08:51 > 0:08:53I need to prep you for a scan.
0:08:53 > 0:08:56You may have sustained internal injuries in the attack.
0:08:56 > 0:08:58All right, I'll behave myself in that case.
0:09:03 > 0:09:05Right, what do you need me to do?
0:09:05 > 0:09:08No nursing the sick for you today.
0:09:08 > 0:09:12Time for you to join your fellow evacuation wardens in a briefing.
0:09:12 > 0:09:15The stupid drill.
0:09:19 > 0:09:22Chantelle's been selected to be evacuation warden?
0:09:22 > 0:09:26Seriously? Come on, even a keeno like you can't be jealous?
0:09:26 > 0:09:30Would have been nice to be considered.
0:09:30 > 0:09:33Chantelle's been put in charge of our safety in the event of a disaster?
0:09:42 > 0:09:45I'm not seeing nearly enough preparation for the drill.
0:09:45 > 0:09:47Electives have been bumped for this trial at great cost.
0:09:47 > 0:09:50The staff are aware of their responsibilities.
0:09:50 > 0:09:53Excuse me. Mr Hanssen!
0:09:54 > 0:09:58I have an RTA with a haemothorax that may well require surgery.
0:09:58 > 0:10:02The patient also has grade two tumours in her heart and lung.
0:10:02 > 0:10:06The CT shows the patient's cancer has increased rapidly
0:10:06 > 0:10:08since her last check-up.
0:10:08 > 0:10:13Mr Hope and I are requesting that we remove both tumours today.
0:10:13 > 0:10:16This patient is from St James's. Send her back to St James's.
0:10:16 > 0:10:19How would the patient feel about their life-changing procedure
0:10:19 > 0:10:21being discussed in a corridor?
0:10:21 > 0:10:26Well, with all due respect, I am consulting my director of surgery.
0:10:26 > 0:10:28Repair the haemothorax.
0:10:28 > 0:10:32But the cancer treatment remains the responsibility of St James's.
0:10:32 > 0:10:35But circumstances have changed. We need to adapt.
0:10:35 > 0:10:37I've made my position clear, Ms Shah.
0:10:37 > 0:10:40Don't let Darwin fail the evacuation drill.
0:10:40 > 0:10:44You're due in a briefing, I believe? Mr Swann?
0:10:48 > 0:10:53- How long have you had stomach pains? - Since I was about 18.
0:10:53 > 0:10:57It's not usually this bad, though.
0:10:58 > 0:11:02- CT scan ordered by ED. - Thank you very much.
0:11:02 > 0:11:05I'm meant to be getting a train back up to university tonight.
0:11:05 > 0:11:07I can't afford to miss another term.
0:11:09 > 0:11:11Everything all right?
0:11:11 > 0:11:14Yeah, yeah, fine. That'll be all, thanks.
0:11:20 > 0:11:23- Has the pain relief kicked in yet? - Yes, thanks.
0:11:23 > 0:11:27Right. We're going to move you to the side room. OK?
0:11:27 > 0:11:30Seven, eight, nine, ten.
0:11:30 > 0:11:34Wow, if that is not a waste of a senior nurse's time,
0:11:34 > 0:11:37I don't know what is. Good thing you can count.
0:11:37 > 0:11:40Yeah. One of my many skills.
0:11:40 > 0:11:44I must go and get briefed on how to direct fake people
0:11:44 > 0:11:46away from fake emergencies. Goodbye.
0:11:52 > 0:11:54- What's wrong with her? - No diagnosis yet.
0:11:54 > 0:11:58So, go on. Go show the doubters what you can do.
0:11:58 > 0:12:02We're going to monitor her closely over the next couple of hours.
0:12:02 > 0:12:06But you saw the scan and said you wanted to remove the tumour?
0:12:06 > 0:12:09Look, we're still waiting for the Echo results to come back
0:12:09 > 0:12:13which will give us a clearer indication of what's going on.
0:12:13 > 0:12:16But at this stage my director of surgery
0:12:16 > 0:12:21feels it's best St James's deal with the cancer surgery as planned.
0:12:21 > 0:12:24I'm not happy about this. I want it done today.
0:12:24 > 0:12:28Hold on, Mona. If the director of surgery doesn't think operating is a good idea?
0:12:28 > 0:12:32Sorry, I have to be some place else but I will come back, OK?
0:12:35 > 0:12:36I'm going for a fag.
0:12:36 > 0:12:39- Just a fag?- Just a fag!
0:12:45 > 0:12:49We've looked at your blood tests which confirm you are anaemic.
0:12:50 > 0:12:52Can I help you, Sister Williams?
0:12:52 > 0:12:56- Yeah, I'm taking over Jodie's care. Eddi's a bit busy.- Right.
0:12:56 > 0:13:01- Unless you would prefer a more senior nurse?- No, no. It's fine.
0:13:01 > 0:13:03Excuse me. I know I'm anaemic.
0:13:03 > 0:13:07But I read somewhere that can be a symptom of something else?
0:13:07 > 0:13:09Sorry, don't want to sound all pushy.
0:13:09 > 0:13:12The tests don't reveal anything, I'm afraid.
0:13:12 > 0:13:15You should go back to your GP for a referral.
0:13:15 > 0:13:17We could explore some other avenues?
0:13:17 > 0:13:20I can assure you, I've explored every avenue.
0:13:20 > 0:13:22And my best advice is you head back to your GP.
0:13:22 > 0:13:25I eat everything the doctors tell me.
0:13:25 > 0:13:28We believe stress might also be exacerbating the symptoms.
0:13:28 > 0:13:33It's not stress. Something is wrong, has been for a long time
0:13:33 > 0:13:34and I don't know what it is.
0:13:34 > 0:13:37If I can't get back to university this week, that will be it.
0:13:37 > 0:13:44It says in her notes she's taken measures to address stress and diet.
0:13:44 > 0:13:46But still she's exhibiting symptoms.
0:13:46 > 0:13:49- We can't find anything. - But I'm in pain!
0:13:49 > 0:13:52We'll keep you in until the pain is manageable.
0:13:52 > 0:13:55- If the extreme symptoms persist... - Speak to my GP again?
0:13:55 > 0:13:59Or visit your local ED, OK, when you're back at university.
0:14:01 > 0:14:04That'll be all, thank you, Nurse Williams.
0:14:10 > 0:14:15'As part of today's evacuation drill, five mock patients,
0:14:15 > 0:14:19'each wearing a blue tabard, have been assigned to each of you.'
0:14:19 > 0:14:21I would like an apology from Ms Shah.
0:14:21 > 0:14:24She was very rude and aggressive towards me earlier.
0:14:24 > 0:14:25I doubt that.
0:14:25 > 0:14:29And her tone when addressing you leaves a lot to be desired.
0:14:29 > 0:14:31'All areas of the hospital.'
0:14:31 > 0:14:35Morning all. I'm Kris Swann, a management consultant from the NHS.
0:14:35 > 0:14:40I see some familiar faces from my rounds today.
0:14:40 > 0:14:44The Trust's eyes are on you, Holby.
0:14:44 > 0:14:48Mr Hanssen and myself want you to do well. But make no mistake.
0:14:48 > 0:14:52The only thing bigger than this, is the real thing.
0:14:52 > 0:14:54'During the evacuation...'
0:14:54 > 0:14:58I have never wanted to burn myself alive, until this moment.
0:14:58 > 0:15:01Yeah, well, I've got patients to treat.
0:15:01 > 0:15:05Somebody should inform Mr Hanssen about that at once.
0:15:05 > 0:15:07PAGER BEEPS
0:15:07 > 0:15:10Echo results are in, give Kris my apologies.
0:15:10 > 0:15:14Please sit down at once, Ms Shah.
0:15:16 > 0:15:18I'll be back in a bit, OK?
0:15:29 > 0:15:32"Thanks, Nurse Williams, that'll be all."
0:15:32 > 0:15:34Yeah, what was all that about?
0:15:34 > 0:15:37It's fine, honestly, it's very straightforward.
0:15:37 > 0:15:40Well, it's very clear you don't want me on the case.
0:15:41 > 0:15:44Thanks for your support. Very touching.
0:15:58 > 0:16:00Chantelle?
0:16:00 > 0:16:02I'm really sorry about your car, Mr Griffin.
0:16:02 > 0:16:04I will sort it, I promise.
0:16:04 > 0:16:06My mum will loan me the money.
0:16:06 > 0:16:07Don't worry about it. I'll sort it.
0:16:07 > 0:16:09I got you a muffin.
0:16:11 > 0:16:13Thank you, there was no need.
0:16:13 > 0:16:17- Aren't you going to eat it? - A bit rich for me.
0:16:17 > 0:16:20- Would you prefer choc chip? - I don't really have a sweet tooth.
0:16:20 > 0:16:21What about a fruity one?
0:16:21 > 0:16:24- It's fine.- Blueberry?
0:16:30 > 0:16:33- You're back.- These sheets need to go to laundry. And prescription, bay five.
0:16:33 > 0:16:36I just need to get a muffin for Mr Griffin.
0:16:36 > 0:16:38I'd leave it, if I were you.
0:16:38 > 0:16:40I got a quote on getting the scratch fixed.
0:16:40 > 0:16:43That was next on my list. The nail varnish was a disaster.
0:16:43 > 0:16:46It was £500.
0:16:46 > 0:16:49Oh, I don't think my mum can cover that.
0:16:49 > 0:16:53- I'll have to find another way. Leave it with me.- Chantelle.
0:16:59 > 0:17:02- Let me know when it hurts. - What's her name?
0:17:02 > 0:17:05Brother, man. She's a nurse, she works here.
0:17:05 > 0:17:08That's all you need to know.
0:17:16 > 0:17:19- Hi. - Sian Cadogan's Echo.
0:17:19 > 0:17:22The tumour is far bigger than the CT showed.
0:17:22 > 0:17:25We need to perform a lobectomy and excise the heart tumour today
0:17:25 > 0:17:27- or it could become inoperable. - Mmm-hmm.
0:17:27 > 0:17:30Hanssen has to agree to this now.
0:17:35 > 0:17:37Any luck, Poirot?
0:17:37 > 0:17:40Maybe the patient is just anaemic, like the notes say.
0:17:40 > 0:17:43Could be.
0:17:43 > 0:17:46That's my super-sleuthing done. Back to stock taking.
0:17:46 > 0:17:49Looked a lot more than anaemia earlier, though?
0:17:49 > 0:17:52I know but Sacha's notes are so vague. I mean 'abdominal pain'.
0:17:52 > 0:17:55That could be anything from gynae to bowel problems.
0:17:55 > 0:17:56You'd have a much better chance
0:17:56 > 0:17:59of diagnosing the patient if you were with her.
0:17:59 > 0:18:01I don't think I'd be very welcome.
0:18:01 > 0:18:03But this is your career at stake.
0:18:03 > 0:18:06Do you want to throw away the chance to be a nurse practitioner
0:18:06 > 0:18:08because you can't work with your ex?
0:18:08 > 0:18:11- Sacha's not my ex. - So what's your problem?
0:18:11 > 0:18:12He doesn't think I'm up to it
0:18:12 > 0:18:15because I failed my NP module. Remember?
0:18:17 > 0:18:1957, 58, 59.
0:18:19 > 0:18:23There you go. Is there anything else I can help with?
0:18:25 > 0:18:27One, two....
0:18:27 > 0:18:29What about patient in bed three?
0:18:29 > 0:18:32He's fine. He's waiting for his scan results.
0:18:32 > 0:18:33Can I twist your arm?
0:18:33 > 0:18:36Do you fancy him?
0:18:36 > 0:18:40No. I just feel sorry for him, he's been beaten up.
0:18:40 > 0:18:42I'm not saying he's not cute, but I'm a professional.
0:18:42 > 0:18:44OK. Go on then.
0:18:50 > 0:18:53Hi. I'm Chantelle, I'll be looking after you today.
0:18:53 > 0:18:55Lucky me. Nice to meet you, Chantelle.
0:18:59 > 0:19:04Mr Hanssen, the patient we discussed earlier, I have her Echo results.
0:19:04 > 0:19:06PAGER BEEPS
0:19:09 > 0:19:14- Thank you.- The Echo makes the case more than compelling.
0:19:14 > 0:19:16The tumour has spread into the left atrium.
0:19:16 > 0:19:19To have any chance of extending life, we need to remove
0:19:19 > 0:19:23the tumour from both the heart and the lung as soon as possible.
0:19:23 > 0:19:26In three weeks' time the tumour may be inoperable.
0:19:26 > 0:19:31Well, I consulted St James's since our previous conversation
0:19:31 > 0:19:34and in light of the scan you can perform the lung lobectomy.
0:19:34 > 0:19:38- Thank you!- The patient can then continue radiotherapy treatment
0:19:38 > 0:19:40on the heart tumour at St James's.
0:19:40 > 0:19:43- I don't understand. - Well, how can I say more clearly?
0:19:45 > 0:19:47Why are you being like this?
0:19:51 > 0:19:52I get it.
0:19:52 > 0:19:55There is a higher chance of the patient dying
0:19:55 > 0:19:57on the table with the heart surgery.
0:19:57 > 0:20:00So, we're just going to wash our hands of the risk.
0:20:00 > 0:20:04Let St James's take the hit. I'm right, aren't I?
0:20:04 > 0:20:07You just want to keep our mortality rates down?
0:20:10 > 0:20:13- I cannot believe that the great Henrik Hanssen...- Shut up!
0:20:14 > 0:20:18You're a good surgeon, but you need to know your limitations
0:20:18 > 0:20:23and resist getting involved in matters of which you have no understanding.
0:20:23 > 0:20:26- This case...- If you cannot carry out a simple instruction
0:20:26 > 0:20:30then I'll have to ask Mr Hope to oversee your operations for the foreseeable future.
0:20:30 > 0:20:34And apologise to Mr Swann for your inappropriate behaviour earlier.
0:20:36 > 0:20:38No chance.
0:20:43 > 0:20:45DOOR SLAMS
0:20:49 > 0:20:50Was mum happy this morning?
0:20:50 > 0:20:54No, she wasn't. She's got lung cancer.
0:20:55 > 0:20:57How was your cigarette?
0:20:57 > 0:21:00I'm going to have to call Paul,
0:21:00 > 0:21:02let the family know what's happening.
0:21:02 > 0:21:04Paul is not her family.
0:21:04 > 0:21:07He would be if I hadn't been called away from my own wedding.
0:21:07 > 0:21:11This doesn't just affect you.
0:21:11 > 0:21:15Do what you want. Invite them in. Have a party around her bedside.
0:21:15 > 0:21:19- Is everything all right? - Yes, sorry.
0:21:23 > 0:21:25Oh, for God's sake, Mona.
0:21:25 > 0:21:28Tell you what, I'll make this easier for everyone
0:21:28 > 0:21:30and go and wait somewhere else.
0:21:32 > 0:21:37We're chasing up your scan. It's been a bit slow this last week.
0:21:37 > 0:21:38I'm sure you're wanting to get on away.
0:21:38 > 0:21:41I'm happy to stay here. As long as it takes.
0:21:41 > 0:21:43MOBILE RINGS
0:21:45 > 0:21:48That cut's going to need a couple of stitches, I reckon.
0:21:48 > 0:21:51I'll just get my needle and thread and check the treatment room's free.
0:21:51 > 0:21:52MOBILE RINGS
0:21:52 > 0:21:57I shouldn't have this on here, should I? Let me take it outside.
0:22:00 > 0:22:02Hello?
0:22:02 > 0:22:07Yeah, I'm fine, I'm just at work. All right. Calm down.
0:22:07 > 0:22:10Sit down. Take it easy.
0:22:16 > 0:22:20Sacha, do you know where Jodie Mullins' scan is?
0:22:20 > 0:22:23It's not in her notes or on the system.
0:22:23 > 0:22:26- What do you need it for? - Where is it?
0:22:26 > 0:22:32I don't know, but you don't need it, I've told you, I've sorted her care.
0:22:47 > 0:22:49Hi there, it's Chrissie Williams.
0:22:49 > 0:22:53Could I have a copy of Jodie Mullins' scan, please?
0:23:12 > 0:23:16There you are. We're about to take your mum into theatre.
0:23:16 > 0:23:19- If you'd like to come back upstairs? - Is she having her operation?- Yes.
0:23:24 > 0:23:28Where have you been? I need to do those stitches. You'll get me into trouble.
0:23:28 > 0:23:29For you.
0:23:30 > 0:23:35Flowers aren't allowed on the ward. According to your X-ray you don't have any broken ribs.
0:23:35 > 0:23:37We'll wait to see if you've any internal bleeding.
0:23:37 > 0:23:40- Meanwhile, don't leave the ward until discharged.- Sorry.
0:23:40 > 0:23:46If you collapse while you're picking flowers we can't help you, can we?
0:23:48 > 0:23:52- Let's hope the treatment room is still free.- Don't forget the drill.
0:23:52 > 0:23:55- The what?- The drill? - Oh, yeah, sure.
0:23:58 > 0:24:01I don't understand, why can't you just do it all today?
0:24:01 > 0:24:03They know what they're doing.
0:24:03 > 0:24:07She's already said the tumour is bigger than initially thought.
0:24:07 > 0:24:10Mona, if they don't think removing the tumour...
0:24:10 > 0:24:12Tell me why you can't do it.
0:24:12 > 0:24:16- I'm sorry, she's gets upset easily. - This is our mum's life.
0:24:16 > 0:24:19Your sister is asking a valid question.
0:24:19 > 0:24:22There's a first time for everything.
0:24:24 > 0:24:28Just promise me you are doing what's best for her.
0:24:29 > 0:24:31We are.
0:24:36 > 0:24:40I'm sorry you had to down tools to be here.
0:24:40 > 0:24:44It's always good to see another great surgeon at work.
0:24:44 > 0:24:48You argued your case. It's out of your hands.
0:24:48 > 0:24:52If there's one thing I never thought Hanssen would be, is weak.
0:24:52 > 0:24:53This is wrong.
0:24:53 > 0:24:57I think there are probably things going on here that we know nothing about.
0:24:57 > 0:24:59Nor would we want to.
0:24:59 > 0:25:04We probably shouldn't be too judgemental. Shall we get on?
0:25:15 > 0:25:16- Hi.- Hi.
0:25:17 > 0:25:19Jodie Mullins is free to go.
0:25:21 > 0:25:23Fine.
0:25:23 > 0:25:27Could you arrange this prescription for her, please?
0:25:27 > 0:25:30Yeah, sure. Pain killers.
0:25:32 > 0:25:35I'm a bit busy, so...
0:25:35 > 0:25:38Sure. Me too.
0:25:59 > 0:26:01Cut.
0:26:06 > 0:26:10- Bronchial tube not leaking air. - Good.
0:26:10 > 0:26:12This new regime is out of control.
0:26:12 > 0:26:15This could be the first patient to die because of it.
0:26:15 > 0:26:17That's not very fair.
0:26:17 > 0:26:20If this was your mother on the table, what would you want me to do?
0:26:20 > 0:26:22Saline.
0:26:22 > 0:26:25Ms Shah, we've done as much as we're allowed to do.
0:26:25 > 0:26:29We need to stop here now. Miss Shah.
0:26:33 > 0:26:35Sahira.
0:26:37 > 0:26:42Look. We can't close a patient with that inside them.
0:26:42 > 0:26:47I don't care how inconvenient it is to Hanssen's figures.
0:26:49 > 0:26:51You close her up. I can't. This is wrong.
0:26:53 > 0:26:56OK. We'll proceed with the excision.
0:26:59 > 0:27:00Scissors.
0:27:16 > 0:27:20Are you sure you don't want to go for a fag? Or sort yourself out?
0:27:27 > 0:27:28Thank you.
0:27:28 > 0:27:30BP's falling.
0:27:30 > 0:27:33- Fluids and cross match, please. - Suction.
0:27:33 > 0:27:35Keep at 100% oxygen.
0:27:35 > 0:27:38- We need to get on top of this. - More suction. I can't see.
0:27:38 > 0:27:40She's bleeding out quicker than we can get in.
0:27:40 > 0:27:42She's losing output.
0:27:47 > 0:27:49Let me know if this hurts, Mr Quinn.
0:27:49 > 0:27:53- Don't worry, I'll live. Ouch! - Sorry.- You trying to rush me out?
0:27:53 > 0:27:57I'm sorry. I've got an emergency evacuation to lead.
0:27:57 > 0:27:59Didn't realise you were a girl scout.
0:27:59 > 0:28:01I have to do it right so they don't think I'm useless.
0:28:01 > 0:28:04You seem pretty useful to me.
0:28:04 > 0:28:06MOBILE RINGS
0:28:07 > 0:28:12You fancy coming out for a drink when I'm back on my feet?
0:28:12 > 0:28:17Well, you're my patient at the moment.
0:28:17 > 0:28:19At the moment, yeah.
0:28:21 > 0:28:23Paddles standing by, please. 4-0 prolene.
0:28:28 > 0:28:31Swab and pressure. There it is.
0:28:35 > 0:28:39Easy. Nice, wide purse strings.
0:28:39 > 0:28:43Good and cut.
0:28:43 > 0:28:46And tie it up.
0:28:53 > 0:28:56BEEPING
0:29:11 > 0:29:15- BP's rising.- Well done.
0:29:17 > 0:29:19I thought I was going nuts!
0:29:19 > 0:29:20I think you might be right.
0:29:20 > 0:29:23It's not very clear but there's definitely something there.
0:29:23 > 0:29:28Well, you wanted to diagnose and this is a lot of brownie points.
0:29:28 > 0:29:30How could Sacha miss a tumour?
0:29:32 > 0:29:35You need to share your theory. Fast.
0:29:44 > 0:29:48Can I have a word with you about the Jodie Mullins case?
0:29:48 > 0:29:52I would rather you spend your time keeping across Hanssen's stock take.
0:29:52 > 0:29:55And I've dealt with the Jodie Mullins case.
0:29:56 > 0:29:59Of course.
0:30:11 > 0:30:16I'm pleased to say we were able to remove both tumours successfully.
0:30:16 > 0:30:18- She's absolutely fine.- Both?- Yes.
0:30:18 > 0:30:23We'll let you know when your mother is being moved back to the ward, OK?
0:30:23 > 0:30:26Thank you so much.
0:30:26 > 0:30:28See, I was right!
0:30:28 > 0:30:32I told you they could do that today. I do know what's best for Mum.
0:30:32 > 0:30:35If you hadn't been drinking or whatever else you've been doing,
0:30:35 > 0:30:38none of this would have happened, Mona.
0:30:38 > 0:30:41Oh, God. I can't find my tabard.
0:30:42 > 0:30:43105, 106.
0:30:43 > 0:30:47Have you seen it anywhere? Elizabeth, have you seen my tabard?
0:30:47 > 0:30:49..110, 111, 112.
0:30:49 > 0:30:51Ah, there it is!
0:30:51 > 0:30:55Is it still Chrissie Williams we send overtime requests through to?
0:30:55 > 0:30:59Mr Griffin's car. I'll work every day for the next year if I have to.
0:30:59 > 0:31:04419, 420, 421...
0:31:27 > 0:31:28You work under a nurse
0:31:28 > 0:31:32- you were previously senior to, are you not?- Yes, I am.
0:31:32 > 0:31:34You've failed the preliminary examinations
0:31:34 > 0:31:38in the nurse practitioner training, I selected you to undertake?
0:31:38 > 0:31:40I will do better next time.
0:31:40 > 0:31:43Conspiring with me over a patient's symptoms
0:31:43 > 0:31:48to comfort one's bruised pride is not an attitude I welcome.
0:31:48 > 0:31:50Perhaps you could take a look at the CT for me?
0:31:50 > 0:31:53Who failed to look at it to necessitate you bringing it to me?
0:31:53 > 0:31:56Mr Levy. He didn't fail to look.
0:31:56 > 0:32:01He simply couldn't see a mass in the abdomen?
0:32:01 > 0:32:03Yes.
0:32:03 > 0:32:08If I'm forced to stop typing, I expect to see a mass.
0:32:08 > 0:32:12I'll ask you once, shall I stop typing?
0:32:12 > 0:32:14PHONE RINGS
0:32:20 > 0:32:21Yes.
0:32:24 > 0:32:26I hope for Mr Levy's sake you are wrong.
0:32:28 > 0:32:31- I didn't drink and drive. - I could smell it when I got here.
0:32:31 > 0:32:34- Why don't you believe me? - Because you're a mess.
0:32:34 > 0:32:36Mum was driving.
0:32:37 > 0:32:39Mum had to drive because you were drunk!
0:32:39 > 0:32:42I think it's time I got a proper carer for Mum.
0:32:42 > 0:32:44I want to care for her.
0:32:44 > 0:32:45You want to care for her?
0:32:45 > 0:32:48Mum cares for you, Mona. We all know it.
0:32:48 > 0:32:52- You think I'm still using, don't you?- Aren't you?
0:32:52 > 0:32:55Oh, my God. You don't trust me at all, do you?
0:32:55 > 0:32:58It was supposed to be my wedding today and you were half cut.
0:32:58 > 0:33:01You are such a selfish cow.
0:33:02 > 0:33:07Look, I'm sorry I got wasted on your wedding day.
0:33:07 > 0:33:09I just couldn't stand the thought of the family
0:33:09 > 0:33:12looking down their noses at me.
0:33:19 > 0:33:22I will prove to you that you can trust me.
0:33:30 > 0:33:35Scan's are all clear, just some light bruises. You're free to go.
0:34:01 > 0:34:04Henrik, it's time.
0:34:10 > 0:34:13Keep her on 15 minute obs. Full oxygen.
0:34:13 > 0:34:16I'll let Hanssen know about the heart excision.
0:34:16 > 0:34:17No, I'll, I'll tell him.
0:34:17 > 0:34:20I was the consultant present. It's my duty.
0:34:20 > 0:34:22But I pushed for it, I'll take the brunt.
0:34:22 > 0:34:25I'm in enough trouble as it is. One more thing isn't going to hurt.
0:34:25 > 0:34:28EVACUATION SIREN
0:34:28 > 0:34:33Please follow the trail of death and destruction to assembly point two.
0:34:33 > 0:34:36Do not use lifts. Thank you.
0:34:39 > 0:34:41I was right.
0:34:42 > 0:34:45- Wyvern stairs. No running. - Should I stay till the drill's over?
0:34:45 > 0:34:48No. You've been discharged. You're free to go.
0:34:48 > 0:34:50Can I get your number?
0:34:50 > 0:34:52I've got to concentrate on the drill.
0:34:52 > 0:34:54I'll be in the car park in ten minutes.
0:34:54 > 0:34:56How am I doing?
0:34:56 > 0:34:58Where's our fifth mock patient?
0:35:06 > 0:35:09Don't run. No lift.
0:35:09 > 0:35:12Sian Cadogan's post op CT scan.
0:35:15 > 0:35:17Kate can you take over?
0:35:17 > 0:35:19He would want me to prioritise the patient.
0:35:19 > 0:35:21This is all ridiculous anyway.
0:35:26 > 0:35:28I've looked all over the ward and he's nowhere to be seen.
0:35:28 > 0:35:31I can't go downstairs with four patients.
0:35:31 > 0:35:35- We better go, we're being timed. - I wanted to do it perfectly.
0:35:35 > 0:35:38We don't want to make it worse by being late.
0:35:43 > 0:35:45I heard you arranging to meet that patient.
0:35:45 > 0:35:47He's not a patient any more.
0:35:47 > 0:35:49It wasn't a criticism. He seemed sweet.
0:35:49 > 0:35:52Really? He asked for my number.
0:35:52 > 0:35:54I haven't been on a date in ages!
0:35:54 > 0:35:58You'll be fine. You've got to take a risk every now and then.
0:35:59 > 0:36:02Are you sulking, because you're proved wrong?
0:36:02 > 0:36:04- I knew Jodie had a GIST tumour. - Yeah, right.
0:36:04 > 0:36:06I performed an endoscopy.
0:36:06 > 0:36:08There's no endoscopy in her notes?
0:36:08 > 0:36:11I did it when I transferred her to the side room.
0:36:11 > 0:36:13Fortunately the biopsy revealed the tumour's benign.
0:36:13 > 0:36:16You performed a secret endoscopy?
0:36:16 > 0:36:19What is the best course of treatment for a GIST?
0:36:19 > 0:36:20- To take it out.- How?
0:36:20 > 0:36:24Laproscopically. In most cases, better recovery time.
0:36:24 > 0:36:27Upper GI laparoscopic surgery has been assigned to St James's,
0:36:27 > 0:36:32Holby will not get paid to do it. Hanssen's as good as banned it.
0:36:32 > 0:36:33He can't do that?
0:36:33 > 0:36:36The only procedure we can offer here is open surgery.
0:36:36 > 0:36:39I was trying to discharge her so she could be treated elsewhere.
0:36:39 > 0:36:43Get her back to university in time and not jeopardise her degree.
0:37:06 > 0:37:11I hope no-one died in this massive disaster.
0:37:11 > 0:37:14One day there could be an absolute disaster
0:37:14 > 0:37:16and you will be glad of this.
0:37:18 > 0:37:20Thank heavens. You made it out alive.
0:37:20 > 0:37:25I'm still caught up. Sit tight. You'll be fine.
0:37:25 > 0:37:28I'm up to my eyes. I'll be there soon.
0:37:31 > 0:37:34He waited for you. That's quite sweet.
0:37:34 > 0:37:38- You should talk to him. - Do you think?
0:37:38 > 0:37:40If you like him, of course!
0:37:42 > 0:37:45Here, hold my tabard.
0:37:48 > 0:37:51Wait. Where are you off to? When can we get back in?
0:37:51 > 0:37:53I'll just find out.
0:37:53 > 0:37:56Yes, I'm listening.
0:37:56 > 0:37:59Babe, I'm afraid I'm going to be here for a couple of hours yet.
0:37:59 > 0:38:02Yes, I love you too.
0:38:02 > 0:38:05I'll be there as soon as I can.
0:38:06 > 0:38:08Failure.
0:38:08 > 0:38:13Your staff failed to find the mock patient in the toilet, I understand.
0:38:13 > 0:38:17Darwin did turn up, but Ms Shah was notable by her absence,
0:38:17 > 0:38:22which makes me question how seriously you took the drill, Mr Hanssen.
0:38:22 > 0:38:24I took it very seriously indeed.
0:38:24 > 0:38:27You assured me your staff were aware of their responsibilities.
0:38:27 > 0:38:31When I report back to Sir Fraser, I can only sugar coat it so far.
0:38:31 > 0:38:35I am very happy to listen to any recommendations you're willing to impart.
0:38:35 > 0:38:38Do the drill again.
0:38:38 > 0:38:40You can't be serious?
0:38:40 > 0:38:45I am. Are you?
0:38:45 > 0:38:46I have a level of seriousness
0:38:46 > 0:38:49beyond your four years hands-on experience
0:38:49 > 0:38:51in health sector strategic planning
0:38:51 > 0:38:55and your diploma in hospitality management.
0:38:55 > 0:38:58I deal with your type all the time.
0:38:58 > 0:39:01The type who think medical training is equivalent
0:39:01 > 0:39:04to managerial skill in a competitive health service.
0:39:04 > 0:39:08You might get pats on the back from your pals over at the GMC,
0:39:08 > 0:39:10but now, where it matters, your name's dirt.
0:39:10 > 0:39:13A peculiar use of the word matters.
0:39:13 > 0:39:15If you feel out of touch with the needs
0:39:15 > 0:39:18of a modern health service then step down.
0:39:18 > 0:39:24I want my apology from Ms Shah and I want a re-run of the drill.
0:39:27 > 0:39:28KNOCK ON DOOR
0:39:28 > 0:39:29Come in!
0:39:32 > 0:39:37Excuse me, Mr Hope, could I ask you a favour?
0:39:41 > 0:39:44Ah, Mr Quinn. Now, either you have forgotten something
0:39:44 > 0:39:49or you didn't understand when I said, you have been discharged.
0:39:49 > 0:39:54- It's started again. Right in here. - Really?- Hmm.
0:39:56 > 0:39:58I know I messed up today,
0:39:58 > 0:40:00but I followed the drill to the letter.
0:40:00 > 0:40:03You followed simple instructions. Do you want a medal?
0:40:03 > 0:40:06I'm more concerned with where my car keys are.
0:40:06 > 0:40:09Since your tidying up this morning, they appear to have gone missing.
0:40:09 > 0:40:14Missing? I never even saw them, Mr Griffin, I swear.
0:40:14 > 0:40:17- I can help you look though. - It's fine. It's fine.
0:40:17 > 0:40:19Leave it!
0:40:19 > 0:40:23You failed. Who was the staff member in charge?
0:40:23 > 0:40:26Me, Mr Hanssen.
0:40:26 > 0:40:29There was a mock patient left in the Keller toilet and I distinctly
0:40:29 > 0:40:33remember the drill briefing stated all areas were to be evacuated.
0:40:33 > 0:40:35Nobody checked the toilet.
0:40:35 > 0:40:38I want a full account of this ward's failure to comply.
0:40:39 > 0:40:42That's so unfair.
0:40:42 > 0:40:47I just can't believe I'm finally being treated. Thank you!
0:40:47 > 0:40:51Unfortunately, this procedure involves quite a lengthy recovery.
0:40:51 > 0:40:55So, you won't be able to go back to university for quite a few weeks.
0:40:57 > 0:40:59Right.
0:40:59 > 0:41:01I'm sorry.
0:41:04 > 0:41:08I'm really grateful to just be treated, thank you.
0:41:10 > 0:41:13We're going to get you prepped for theatre. OK?
0:41:16 > 0:41:20Sacha, I should have kept my mouth shut.
0:41:20 > 0:41:23It's not your fault, it's Hanssen's.
0:41:23 > 0:41:25Let's just get her into theatre.
0:41:32 > 0:41:34You OK?
0:41:34 > 0:41:38No, I really don't know what happened.
0:41:38 > 0:41:40I've been trying so hard today.
0:41:40 > 0:41:43And now Mr Griffin's car keys are missing
0:41:43 > 0:41:46and I think he's blaming me for that as well.
0:41:46 > 0:41:48Could this day get any worse?
0:41:48 > 0:41:52I tell you what, why don't you get yourself back on the ward and
0:41:52 > 0:41:56I promise there will be something there that'll make your day better.
0:42:05 > 0:42:09Mr Griffin, please, don't worry about your keys. I will find them.
0:42:16 > 0:42:18Keep an eye on fluid output.
0:42:20 > 0:42:23Hi, Sian. I'm Ms Shah.
0:42:23 > 0:42:28You were in an accident.
0:42:28 > 0:42:30Can you locate the daughters please?
0:42:30 > 0:42:31- Sure.- Thank you.
0:42:31 > 0:42:33I'll be back.
0:42:35 > 0:42:38You were missed at the drill.
0:42:38 > 0:42:40Yes, I had more urgent matters to deal with.
0:42:40 > 0:42:43Look, this is a very busy hospital.
0:42:43 > 0:42:48We've had to bump elective patients for a drill that isn't even a full scale evacuation.
0:42:48 > 0:42:49Everything in good time, Ms Shah.
0:42:49 > 0:42:53Your micromanagement regime is just ridiculous.
0:42:53 > 0:42:56If you don't like my 'regime'. Then you don't have to stay.
0:43:00 > 0:43:04You should know, I decided it was in my patient's best interest to perform the heart excision.
0:43:04 > 0:43:08It was completely my decision. Not Mr Hope's.
0:43:08 > 0:43:13Although he did agree that the patient would have died without that intervention.
0:43:13 > 0:43:15MONITOR BEEPS
0:43:15 > 0:43:18Crash team!
0:43:18 > 0:43:21She's gone into VF.
0:43:21 > 0:43:23No output.
0:43:23 > 0:43:24Bag her.
0:43:31 > 0:43:35This is highly irregular. You're lucky the toxicology team were able to conduct a test.
0:43:43 > 0:43:47See! Told you I was clean.
0:43:48 > 0:43:51I'm going to go and sit with Mum.
0:43:51 > 0:43:54I'm sorry.
0:43:55 > 0:43:57No, I mean it.
0:43:59 > 0:44:01I'm sorry I screwed up your day.
0:44:02 > 0:44:04You kind of surpassed yourself on that one.
0:44:07 > 0:44:08I always try my best!
0:44:11 > 0:44:14Charging to 200. Clear!
0:44:15 > 0:44:17Again. 200. Clear!
0:44:21 > 0:44:24We've got sinus rhythm. Thank God.
0:44:29 > 0:44:30Mr Swann.
0:44:39 > 0:44:42Oh, my God. I can't believe he came back.
0:44:42 > 0:44:44He really must be interested.
0:44:44 > 0:44:47Mr Malick said something about stomach cramps.
0:44:47 > 0:44:51Now I can get his number. I'll need something to entertain myself whilst you're gone.
0:44:51 > 0:44:53- It's only a week.- Oh, please!
0:44:53 > 0:44:57- All that inheritance in the bank and you're going to New York for a week? - I can only take a week's leave,
0:44:57 > 0:45:02which is fine because I've never even been abroad, let alone America. I might not even like it.
0:45:02 > 0:45:06Like it? Trust me, you won't want to leave. With £50K in the bank, you damn well shouldn't.
0:45:06 > 0:45:07Ah, leave it!
0:45:07 > 0:45:11What are you going to do? Buy yourself a flat, put a millstone round your neck?
0:45:11 > 0:45:15It's a big world out there and I'm sure you'd get your job back cos you're brilliant.
0:45:15 > 0:45:19It'd be like the paps waiting for Cheryl to step off the plane.
0:45:19 > 0:45:22Er, that's not the best analogy, Channers.
0:45:22 > 0:45:25You would like to go for longer though, admit it.
0:45:25 > 0:45:27Maybe I'll surprise you both one day.
0:45:27 > 0:45:32Seven days in the week, Elizabeth. Not one of them is called 'one day'.
0:45:38 > 0:45:39Wait!
0:45:39 > 0:45:41I can't find the consent form.
0:45:43 > 0:45:45Right.
0:45:45 > 0:45:48Well, I'm it will turn up somewhere.
0:45:48 > 0:45:52Hanssen's insisted on caution at all costs.
0:45:52 > 0:45:55I think it's our duty to stop this procedure.
0:45:57 > 0:45:59This might be a little bit cold.
0:46:01 > 0:46:02It's fine.
0:46:02 > 0:46:04I reckon you could just cure me with your smile.
0:46:04 > 0:46:08If that were true, my job would be a lot easier.
0:46:08 > 0:46:12I was going to ask you for your number, but I guess I can't if I'm a patient again.
0:46:12 > 0:46:13Absolutely not!
0:46:13 > 0:46:17I'd really like to see you when I'm not a patient.
0:46:17 > 0:46:19Erm, sorry.
0:46:19 > 0:46:22I should sort this out first.
0:46:22 > 0:46:25You won't find anything wrong with me.
0:46:27 > 0:46:30Hey, Mr Quinn, your phone has not stopped ringing.
0:46:30 > 0:46:34Your wife has gone into labour and she's downstairs in Maternity.
0:46:34 > 0:46:36Better get yourself down there, mate.
0:46:36 > 0:46:39MOBILE RINGS
0:46:40 > 0:46:41You're horrible.
0:46:54 > 0:46:56What's happened?
0:46:57 > 0:47:01Your mother had an irregular heart rhythm. Her heart stopped.
0:47:01 > 0:47:03But we managed to bring her back.
0:47:03 > 0:47:07I pushed you to do this operation. Is she suffering because of this?
0:47:07 > 0:47:10No, it's the stress of surgery,
0:47:10 > 0:47:13but she's fine, she won't need any more operations.
0:47:13 > 0:47:14BUZZER SOUNDS
0:47:14 > 0:47:17Excuse me, just stay here.
0:47:17 > 0:47:21When is Hanssen going to start treating this place like a hospital?
0:47:21 > 0:47:23I'll see what's going on.
0:47:23 > 0:47:29I just need to know whether it's a real emergency or another drill?
0:47:29 > 0:47:31Yes. I'll hold.
0:47:35 > 0:47:37So where's Scott gone?
0:47:37 > 0:47:39Oh, he was discharged.
0:47:41 > 0:47:43You can tell me, you know.
0:47:43 > 0:47:44Thank you.
0:47:44 > 0:47:50It's not a real fire, it is a drill, a re-run of this morning.
0:47:50 > 0:47:52Let's get it right this time.
0:47:52 > 0:47:55Wyvern stairs, no running.
0:47:55 > 0:47:57Everyone wants you to succeed Mr Hanssen,
0:47:57 > 0:48:01but if you can't react to the simplest of drills or have your staff behave
0:48:01 > 0:48:05with a certain level of conduct, then there is a significant problem.
0:48:05 > 0:48:08Three month reprieve or not, the Department of Health
0:48:08 > 0:48:10will not allow a hospital of this size to fail.
0:48:10 > 0:48:14If you aren't seen to be making enough progress, you will be removed beforehand.
0:48:14 > 0:48:16There's no safety net here.
0:48:19 > 0:48:25Right, I'm going to see if there has been any improvement on our last attempt.
0:48:25 > 0:48:27ALARM CONTINUES
0:48:27 > 0:48:31Oh, Elizabeth, I've been such an idiot.
0:48:31 > 0:48:33You've got to take a risk or you'll never know.
0:48:33 > 0:48:36Besides, it's all right to be an idiot.
0:48:36 > 0:48:38Sometimes.
0:48:38 > 0:48:43You going to check the toilets this time?
0:48:43 > 0:48:46Stay with us, folks. We're just trying to find out what's happening.
0:48:46 > 0:48:49For those of you not designated skeleton staff,
0:48:49 > 0:48:53- please make your way to staircase two.- Sahira?
0:48:53 > 0:48:56Hanssen is working around the clock to save this hospital.
0:48:56 > 0:48:59He needs our support. Let's just get on with it.
0:48:59 > 0:49:01- BELL RINGS CONTINUOUSLY - Get up. Move!
0:49:01 > 0:49:05I cannot suspend my disbelief that far.
0:49:07 > 0:49:10You shouldn't have put yourself in the firing line,
0:49:10 > 0:49:12not with the scrutiny we're under now.
0:49:12 > 0:49:15If I'd known discharging her meant she got the best treatment,
0:49:15 > 0:49:18I'd have been on board from the start. Don't you trust me?
0:49:18 > 0:49:21- Of course I trust you. - It doesn't feel like it.
0:49:21 > 0:49:23You know I think you're a great nurse.
0:49:23 > 0:49:25I just didn't want you to get involved.
0:49:25 > 0:49:28There's one thing me sticking my neck out for a patient,
0:49:28 > 0:49:33but in the current climate, the fewer people that know about this the better.
0:49:41 > 0:49:44Better late than never.
0:49:51 > 0:49:53There he is. Do it now.
0:50:00 > 0:50:01Mr Griffin?
0:50:01 > 0:50:03Yes.
0:50:03 > 0:50:05Can I have a word, please?
0:50:05 > 0:50:06Yes, of course.
0:50:08 > 0:50:11I'm not just going on holiday to New York.
0:50:11 > 0:50:14- I'm going to stay for a while. - What?
0:50:15 > 0:50:19But... Where's this come from?
0:50:19 > 0:50:23It's something I have to do. I've never done anything like it.
0:50:23 > 0:50:26- It's an opportunity I can't miss. - What does that mean? How long?
0:50:26 > 0:50:31Six months? A year? I don't have a plan.
0:50:32 > 0:50:34I need something new.
0:50:37 > 0:50:40Fine. Well, put something in writing
0:50:40 > 0:50:44and we can start the process of finding a replacement.
0:50:50 > 0:50:53Elizabeth says she's going to America. Did you put her up to that?
0:50:53 > 0:50:58- She needs it, don't you think? - She's my best nurse. Thank you very much!
0:50:58 > 0:51:01She needs to do something for herself for once.
0:51:01 > 0:51:03And you've got me, Mr Griffin.
0:51:06 > 0:51:09How long do you reckon she's got left?
0:51:09 > 0:51:13Long enough for her to see you get married.
0:51:15 > 0:51:17Yeah.
0:51:17 > 0:51:20She'll make sure she sticks around for that.
0:51:22 > 0:51:24Maybe I could help this time.
0:51:36 > 0:51:37Mr Swann.
0:51:39 > 0:51:45Hi, I wanted to apologise for my unacceptable behaviour earlier on.
0:51:45 > 0:51:49Thank you, Ms Shah. A big improvement, by the way,
0:51:49 > 0:51:55on Darwin's evacuation time, much closer to what it should be.
0:51:58 > 0:51:59Sahira.
0:51:59 > 0:52:02How did you make a mistake like that?
0:52:02 > 0:52:05- It was my fault. - Can't we go back?
0:52:05 > 0:52:09I've referred you to St James'. They'll schedule a new operation in.
0:52:09 > 0:52:12- I've told them it's a priority. - I just want this over with.
0:52:12 > 0:52:17Believe me, they will do it. And they will deal with it quickly and efficiently.
0:52:17 > 0:52:19You should be back at college in no time.
0:52:20 > 0:52:22Thank you.
0:52:25 > 0:52:27- Time to face the music. - What do you mean?
0:52:27 > 0:52:30Well, Hanssen will want to know what happened.
0:52:30 > 0:52:32- Maybe I should go? - It's my call, Chrissie.
0:52:32 > 0:52:34Sacha.
0:52:34 > 0:52:37I wish she knew what you've done for her today.
0:52:50 > 0:52:53Well, we got there in the end.
0:52:53 > 0:52:55One job off the list.
0:52:59 > 0:53:02Sir Fraser and I only want to help you.
0:53:02 > 0:53:06In time, you will see we are all on the same team.
0:53:07 > 0:53:09Will you be coming back?
0:53:11 > 0:53:14We will be keeping a close eye on things.
0:53:14 > 0:53:16I am only ever a phone call away if you get stuck.
0:53:18 > 0:53:22Look at the turn around in Doctor Shah's attitude today.
0:53:22 > 0:53:26Just goes to show what can be achieved when you apply yourself.
0:53:26 > 0:53:29I shall bear that pertinent advice in mind.
0:53:29 > 0:53:33That's all we're asking, Henrik. Good evening.
0:53:42 > 0:53:45When you get yourself a sofa, I'll be out to visit.
0:53:45 > 0:53:46Yes, of course and Chantelle.
0:53:46 > 0:53:50She's given me a list of things to do. She was telling me about some few museums.
0:53:50 > 0:53:52Bloomingdales and Macy's.
0:53:52 > 0:53:56Let's get you a Cosmopolitan after this lot.
0:53:56 > 0:53:58Oh, no, it smells like medicine.
0:53:58 > 0:54:02Oh, come on. You need to get some practice for when you're in the Manhattan crowd.
0:54:02 > 0:54:06- Come on Elizabeth, you can't have leaving drinks and not drink. - No excuses.
0:54:06 > 0:54:07OK.
0:54:12 > 0:54:15Ooh.
0:54:15 > 0:54:16Another round?
0:54:16 > 0:54:18Actually, I'll have to leave you to it.
0:54:18 > 0:54:20Mr Griffin, have a shot.
0:54:20 > 0:54:24No, I have an early start and I still haven't found my car keys.
0:54:27 > 0:54:30There's something waiting for you outside.
0:54:30 > 0:54:32It's as good as new.
0:54:40 > 0:54:42Thank you.
0:54:44 > 0:54:48Travel safe and be sure you split your money up.
0:54:48 > 0:54:51Put it in separate pockets. That's what I do.
0:54:51 > 0:54:53I've left some money behind the bar.
0:54:53 > 0:54:56I'm really going to miss you, Mr Griffin.
0:54:58 > 0:54:59Thank you.
0:54:59 > 0:55:04I know everything you have done for me has been out of kindness.
0:55:07 > 0:55:10Whenever you want to, you can come back to us.
0:55:10 > 0:55:12# Now you're in New York... #
0:55:19 > 0:55:21Enjoy your party.
0:55:21 > 0:55:24(SINGS) Now you're in New York!
0:55:24 > 0:55:27You could have the X Factor, but you don't!
0:55:28 > 0:55:32Right... to Isabel.
0:55:32 > 0:55:33ALL: To Isabel!
0:55:33 > 0:55:35The best nurse ever!
0:55:44 > 0:55:46KNOCKING
0:55:46 > 0:55:47Come in.
0:55:54 > 0:55:56Was just passing. You OK?
0:55:56 > 0:55:58Yes, I'm fine, thank you.
0:56:29 > 0:56:32Subtitles by Red Bee Media Ltd
0:56:32 > 0:56:35E-mail subtitling@bbc.co.uk