No Matter Where You Go, There You Are - Part One

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0:00:02 > 0:00:05- You didn't kill her. - I didn't save her either. - You taught me this. Remember?

0:00:05 > 0:00:08You said it would make me a better surgeon.

0:00:08 > 0:00:12- What happened with Lola? - She didn't want to go to hospital,

0:00:12 > 0:00:15so I called you and you called Mr Griffin, then he fixed everything.

0:00:15 > 0:00:21- So, you and Fletch! Anything going on there?- No!

0:00:21 > 0:00:25I feel compelled to suspend this case, in consideration of criminal

0:00:25 > 0:00:30charges relating to gross negligence. Manslaughter.

0:01:10 > 0:01:15- VOICE-OVER:- At 9am, on the 2nd of October 2017, Elaine Elisabeth Warren was admitted

0:01:15 > 0:01:19to the Acute Admissions Unit at Holby City Hospital.

0:01:19 > 0:01:20What's her BP?

0:01:20 > 0:01:24Ms Warren had been referred complaining of severe pain

0:01:24 > 0:01:27and numbness in her right leg.

0:01:27 > 0:01:33Symptoms consistent of Ms Warren's medical history of Type 2 diabetes.

0:01:33 > 0:01:34Hello. Thanks.

0:01:34 > 0:01:37Hiya, so... Elaine Warren.

0:01:37 > 0:01:41And while Ms Warren's condition was serious,

0:01:41 > 0:01:44it was in no way life-threatening.

0:01:44 > 0:01:49Ms Warren was in the best possible place

0:01:49 > 0:01:52to receive the best possible care.

0:01:53 > 0:01:56She did not receive it.

0:01:57 > 0:02:02Now, this trial is about a man, an expert in his field.

0:02:04 > 0:02:07who failed his duty of care.

0:02:07 > 0:02:12A Consultant Surgeon and Clinical Lead whose poor leadership,

0:02:12 > 0:02:16lack of communication and arrogance,

0:02:16 > 0:02:20contributed to a series of basic errors.

0:02:20 > 0:02:26A man who was distracted, angry, out of his depth.

0:02:26 > 0:02:29And whose absence from his ward

0:02:29 > 0:02:33was to have catastrophic consequences.

0:02:36 > 0:02:40On the 3rd of October at 2:15am

0:02:40 > 0:02:48Elaine Warren died as a result of complications from sepsis.

0:02:49 > 0:02:51Undiagnosed,

0:02:51 > 0:02:53untreated

0:02:53 > 0:02:55until too late.

0:02:55 > 0:02:58We will show that Elaine Warren's death

0:02:58 > 0:03:01was not only entirely avoidable,

0:03:01 > 0:03:02but that it was criminal.

0:03:02 > 0:03:07The result of a series of mistakes and missed opportunities,

0:03:07 > 0:03:14by the defendant, Mr Eric Griffin, that amount to gross negligence.

0:03:14 > 0:03:17That amount to manslaughter.

0:03:25 > 0:03:28Still doing that stupid trick?

0:03:28 > 0:03:32Master this and you can be a great surgeon. You taught me that.

0:03:32 > 0:03:34What's your secret - skipping into work, good as new?

0:03:34 > 0:03:37My injuries were less serious than yours, Ollie. That's all.

0:03:37 > 0:03:41- BEEPER - No miracle. Just dumb luck.

0:03:41 > 0:03:42Serena. I have to go.

0:03:44 > 0:03:48SHE GRUNTS Not quite "good as new", then?

0:03:48 > 0:03:51Don't run before you can walk, Valentine.

0:03:53 > 0:03:56- What are you doing?- Walking.

0:04:02 > 0:04:04- You're a stubborn fool. - Takes one to know one.

0:04:04 > 0:04:08- What are you trying to prove? - I'm ready.- To do what?- To go home.

0:04:08 > 0:04:10I want to be discharged.

0:04:10 > 0:04:12Today.

0:04:12 > 0:04:15Bold strategy, Valentine. Let's see if it pays off for you.

0:04:16 > 0:04:19Thought you were supposed to be at the trial?

0:04:19 > 0:04:21- Here.- What's this?

0:04:21 > 0:04:23Month's holiday. Signed off.

0:04:23 > 0:04:25I didn't ask for any holiday.

0:04:25 > 0:04:27That's the problem. You've accrued too much.

0:04:27 > 0:04:32HR is insistent. Use it or lose it. I suggest the former.

0:04:32 > 0:04:35- Ah. Bon voyage.- A month? What would I do with myself?

0:04:35 > 0:04:37Sit on a beach? Read a book?

0:04:37 > 0:04:40Plot the violent downfall of all your enemies, real and imagined?

0:04:40 > 0:04:43Pretend to have fun. You might actually have some by accident.

0:04:43 > 0:04:45- I have to go.- How's he holding up?

0:04:45 > 0:04:46You know Ric...

0:04:48 > 0:04:50He's...angry.

0:04:50 > 0:04:51- About what?- Everything.

0:04:51 > 0:04:54No-one knows what really happened that day...

0:04:54 > 0:04:58That's what the trial is for, isn't it? To find out what really happened.

0:04:59 > 0:05:03If it pleases M'Lady, the prosecution calls Donna Jackson...

0:05:03 > 0:05:05Ms Jackson.

0:05:05 > 0:05:07You were the ward nurse on duty.

0:05:07 > 0:05:11Can you tell the court what it was like that morning?

0:05:11 > 0:05:15Busy. By 8:30am occupancy was at 93%,

0:05:15 > 0:05:17with an unusually high quota of Hasselhoffs.

0:05:22 > 0:05:25It was like there was a full moon, right?

0:05:26 > 0:05:28Your mother-in-law will be so proud.

0:05:28 > 0:05:30Can we get some bolt-cutters, please?

0:05:34 > 0:05:37OK, everyone, listen up.

0:05:37 > 0:05:4045 minutes ago, St Francis declared Black Alert and closed its doors.

0:05:40 > 0:05:4325 minutes ago, there was a four-way pile-up on the motorway.

0:05:43 > 0:05:45MAJAX could be called any minute.

0:05:45 > 0:05:49Expect delays on labs, and Radiology. And all non-urgent cases to be sent home.

0:05:49 > 0:05:50OK, you know what to do.

0:05:53 > 0:05:56This is AAU. We're swamped down here.

0:05:56 > 0:06:00Any chance of someone getting me some agency bods? Thanks.

0:06:04 > 0:06:06Hello. Elaine Warren, is it?

0:06:06 > 0:06:09Listen, we are a little bit mad in here today, but don't worry.

0:06:09 > 0:06:12We're going to take good care of you. OK?

0:06:18 > 0:06:23Have you got a minute? I've got a Type 2 diabetic with pain in her lower right leg.

0:06:23 > 0:06:28- You all right?- Donna, I'm... - PHONE RINGS

0:06:28 > 0:06:30Yes?

0:06:30 > 0:06:32Understood.

0:06:35 > 0:06:39The Trust have activated the Major Incident Plan.

0:06:39 > 0:06:41- Was expecting that... - What the hell is Hanssen thinking?

0:06:41 > 0:06:44We cannot cope with this. Not here. Not today.

0:06:45 > 0:06:48Let's look at this diabetic of yours.

0:06:50 > 0:06:53'A major incident is declared when the number of admissions requires

0:06:53 > 0:06:55'implementation of a plan designed to ensure

0:06:55 > 0:06:58'that all the emergencies can be treated.'

0:06:58 > 0:07:00Non-urgent cases are sent home. Staff and resources are redeployed

0:07:00 > 0:07:03where needed, but there's never enough.

0:07:03 > 0:07:06It's like plugging holes in a dyke with your fingers.

0:07:06 > 0:07:09Mr Richardson to day care and Mrs Clarke to be sent home.

0:07:09 > 0:07:12Yes, yes. OK, thank you very much, bye-bye.

0:07:12 > 0:07:14Oh, sorry. Didn't see you there!

0:07:14 > 0:07:17- I was just on a training course and...- She smells of alcohol.

0:07:17 > 0:07:20Your diabetic. Elaine Warren.

0:07:20 > 0:07:22- She's been drinking.- I noticed.

0:07:22 > 0:07:26Doppler shows a very low pulse in the lower right leg.

0:07:26 > 0:07:29Could be ischemic. Need a CT angiogram to be sure...

0:07:29 > 0:07:31Ah! Thank goodness.

0:07:31 > 0:07:35The cavalry's arrived. I take it that Mr Di Lucca is on his way?

0:07:35 > 0:07:38Raf's not coming and I'm not staying, either I'm afraid.

0:07:38 > 0:07:40We've both being seconded to the ED.

0:07:40 > 0:07:43- On whose orders?- Who do you think?

0:07:43 > 0:07:47Yes, I understand your concerns, but there is really nothing I can do.

0:07:47 > 0:07:51- We are the designated primary... - We don't have the staff!

0:07:51 > 0:07:54We don't even have the proper equipment or the expertise!

0:07:54 > 0:07:56The hospital has had to make difficult choices recently.

0:07:56 > 0:07:59We don't have to be the primary designation for this MAJAX.

0:07:59 > 0:08:01We are stretched to breaking point.

0:08:01 > 0:08:05- I know. I'm sorry.- 'Is it unusual for the Clinical Lead to question

0:08:05 > 0:08:08'the CEO's decision so publicly?'

0:08:08 > 0:08:11Er... He was worried about patient safety.

0:08:11 > 0:08:16And yet, he left his ward and his patients when he should have been

0:08:16 > 0:08:19carrying out a Major Incident Plan.

0:08:19 > 0:08:22It's all a bit chaotic, don't you think?

0:08:22 > 0:08:25I wouldn't describe it as that, no. It was just...

0:08:26 > 0:08:27..a difficult day.

0:08:27 > 0:08:32Any more or less difficult than similar major incidents

0:08:32 > 0:08:34that you've dealt with?

0:08:34 > 0:08:37- Not for me, no.- Not for you.

0:08:37 > 0:08:42Now, you've worked with Mr Griffin on several major incidents.

0:08:42 > 0:08:46Has he ever left the ward to question the CEO's decision before?

0:08:49 > 0:08:52Not to my knowledge. No.

0:08:52 > 0:08:54- You seen Fletch?- Yes.

0:08:54 > 0:08:58- Why?- There are literally thousands of reasons I could be wanting to

0:08:58 > 0:09:00- know where Fletch is.- Yes.

0:09:00 > 0:09:03But what is the actual reason?

0:09:03 > 0:09:05Why are you so interested?

0:09:05 > 0:09:08You have an...aura about you. Excitement...

0:09:08 > 0:09:12- Happiness, perhaps.- He did Emma a favour and I wanted to say

0:09:12 > 0:09:16- thank you. Why am I having this conversation with you?- Bantz...

0:09:16 > 0:09:18What's that?

0:09:18 > 0:09:19Nothing I'm interested in.

0:09:19 > 0:09:21- Where's Fletch?- There.

0:09:23 > 0:09:25HE CHUCKLES

0:09:28 > 0:09:34- Jacky!- Oh, no...- So good to see you!- Please make it stop.

0:09:34 > 0:09:36Same old Jacky!

0:09:36 > 0:09:38I'll organise a bed.

0:09:40 > 0:09:42Buns so tight you could eat marmalade off them.

0:09:42 > 0:09:45Er... What are you doing here?

0:09:45 > 0:09:48- Surgery's not for months. - I've had a setback.

0:09:49 > 0:09:53After you diagnosed the HCM, I took some time off to chillax. Have some me time.

0:09:53 > 0:09:57All was fine until last week, when I had several fainting spells.

0:09:57 > 0:09:59So they booked me in here.

0:09:59 > 0:10:02What exactly did you do during this me time?

0:10:02 > 0:10:05Bit of this, bit of that.

0:10:05 > 0:10:08Your median blood pressure is running at 140/90.

0:10:08 > 0:10:10That's a 30% spike in six weeks.

0:10:10 > 0:10:13And your blood sugar levels are all over the place.

0:10:13 > 0:10:15- Are you pregnant?- What?! No!

0:10:17 > 0:10:18What makes you say that?

0:10:19 > 0:10:23You've put on a stone. That's a lot of kale smoothies.

0:10:23 > 0:10:27I haven't been exercising as much as I used to.

0:10:27 > 0:10:30Any...type of exercise.

0:10:31 > 0:10:33OK. We'll run some tests.

0:10:37 > 0:10:39Can I get a chest CT?

0:10:39 > 0:10:42- How is Becky doing?- Frisky. Surprised your ears weren't burning.

0:10:42 > 0:10:45You have buns to die for, apparently.

0:10:45 > 0:10:49Well, I have been working out. Nice that somebody noticed.

0:10:49 > 0:10:51Frieda says you want me?

0:10:51 > 0:10:52I don't want you.

0:10:54 > 0:10:55To talk.

0:10:55 > 0:10:58Oh, yeah. That. Erm...

0:10:58 > 0:11:03Kid Karate, Emma was accepted, so your letter was great.

0:11:03 > 0:11:05Fantastic! She must be over the moon.

0:11:05 > 0:11:08- She is. Thank you.- Well, it was more Evie than it was me, so...

0:11:08 > 0:11:11Still, it was bizarrely important to her, so thank you again.

0:11:11 > 0:11:13Well, to celebrate, do you fancy a drink?

0:11:13 > 0:11:16- Yeah, OK.- All right.

0:11:16 > 0:11:18- Great.- I'll pick you up after shift.

0:11:21 > 0:11:24- What?- I don't know what's more surprising -

0:11:24 > 0:11:28that Fletch asked you out on a date, or that you actually said yes.

0:11:28 > 0:11:31Date? I don't know what you're talking about.

0:11:31 > 0:11:34A trial period in which two people consider taking their relationship

0:11:34 > 0:11:37to a more permanent, sometimes intimate...

0:11:37 > 0:11:40That is not what just happened. It's not a date.

0:11:40 > 0:11:43I don't date. And definitely not Fletch.

0:11:43 > 0:11:45You keep telling yourself that.

0:11:47 > 0:11:51By 10:45am, Elaine Warren's condition had worsened.

0:11:51 > 0:11:55- Is that correct?- She had complained of feeling unwell, yes.

0:11:55 > 0:11:57These are your notes from that day.

0:11:58 > 0:12:05"Patient clammy; temperature 38.2, heart rate 110. Appears drowsy."

0:12:06 > 0:12:09What treatment was given for these symptoms?

0:12:09 > 0:12:12Er... Fluids, oxygen,

0:12:12 > 0:12:14vitamins and glucose.

0:12:14 > 0:12:18Blood tests had come back showing Ms Warren's blood alcohol count

0:12:18 > 0:12:22- was 18.- So it was assumed she was hungover?

0:12:22 > 0:12:24It was known that she was intoxicated.

0:12:24 > 0:12:28- And that explained those symptoms? - Some. Not all.

0:12:29 > 0:12:32What else could explain those symptoms?

0:12:32 > 0:12:34Any number of things.

0:12:34 > 0:12:37Could sepsis explain them?

0:12:40 > 0:12:46Ms Jackson? Could sepsis explain those symptoms?

0:12:46 > 0:12:49Yes, but without a CT angiogram there was no way to know that it was

0:12:49 > 0:12:52that serious. And by then, things were delayed.

0:12:52 > 0:12:55Priority were given to MAJAX casualties.

0:12:55 > 0:12:58Radiology has had to bump all non-urgent scans.

0:12:58 > 0:13:03- They're completely backed up. - No, no, no. They do not decide who is urgent and who is not.

0:13:06 > 0:13:10Um... Get on the phone and I'll speak to them myself.

0:13:10 > 0:13:12OK.

0:13:12 > 0:13:14Radiology, please.

0:13:14 > 0:13:17Hi, it's AAU. Mr Griffin would like to speak to Ms Randall.

0:13:18 > 0:13:20We're ALL busy. He's insisting.

0:13:21 > 0:13:24That lady - she's asking after her son?

0:13:24 > 0:13:27Next of kin details should be on the system.

0:13:27 > 0:13:28Ms Randall?

0:13:28 > 0:13:30One moment, please. Ric!

0:13:33 > 0:13:34He's just coming.

0:13:34 > 0:13:37INDISTINCT CHATTER

0:13:37 > 0:13:40Look, I'm going to have to pop out.

0:13:40 > 0:13:42- Is there a problem?- No.

0:13:42 > 0:13:46It's...family stuff. Is there anything outstanding?

0:13:46 > 0:13:48Just Ms Warren's angiogram.

0:13:51 > 0:13:54- Hello, Jenny.- It's Ric Griffin.

0:13:54 > 0:13:55I've got a 60-year-old,

0:13:55 > 0:13:59Type 2 diabetic with possible ischemia of the leg.

0:14:00 > 0:14:04Yes, I understand that, but the Doppler showed very weak pulse.

0:14:04 > 0:14:07I'm concerned that there might be a clot.

0:14:07 > 0:14:11All the blood thinners in the world aren't going to tell me what cause of the ischemia is!

0:14:11 > 0:14:15- Is it mad in there?- Raf's just gone in with the last of the MAJAX

0:14:15 > 0:14:17casualties, so it should start to calm down now.

0:14:17 > 0:14:22- But we need more clotting factors and blood.- I'll see what I can do. LOUD CRASH

0:14:27 > 0:14:29I'm going to have to go out.

0:14:29 > 0:14:33Can you keep an eye on Warren and page me if there's any change?

0:14:33 > 0:14:37- What about her angiogram? - Like I say, Radiology will try and fit her in this afternoon.

0:14:38 > 0:14:41When was the next time you saw Mr Griffin?

0:14:41 > 0:14:44It was approximately three hours later.

0:14:44 > 0:14:47Did you know where he'd gone or why?

0:14:47 > 0:14:48No.

0:14:50 > 0:14:53And what was Elaine Warren's condition like at this time?

0:14:53 > 0:14:58By 1:30pm Ms Warren's blood pressure had dropped to 90/60.

0:14:58 > 0:15:01I paged Mr Griffin.

0:15:01 > 0:15:02Did you get any response?

0:15:02 > 0:15:06No. I later discovered later that his pager had been damaged and he

0:15:06 > 0:15:10hadn't received it. When he returned to the ward at 3pm, I immediately informed him.

0:15:10 > 0:15:13Elaine Warren's blood pressure is 90/60.

0:15:13 > 0:15:15But by then it was too late, wasn't it?

0:15:15 > 0:15:18A bit leading don't you think, M'Lady?

0:15:18 > 0:15:20I beg your pardon. I'll rephrase.

0:15:22 > 0:15:27Would it be fair to say that by the time you next saw Mr Griffin

0:15:27 > 0:15:32back on the ward, Elaine Warren was already dying?

0:15:36 > 0:15:38Yes.

0:15:38 > 0:15:41Saline. Push fluids. Colloid and Hartmann's, stat.

0:15:41 > 0:15:42The CT angiogram.

0:15:43 > 0:15:46She's septic. The limb looks completely dead.

0:15:46 > 0:15:48We're going to have to amputate.

0:15:48 > 0:15:51- Let's get her to theatre now.- Amputate?

0:15:51 > 0:15:54It's everywhere. It's spread so quickly.

0:15:58 > 0:16:00Ric?

0:16:01 > 0:16:04Ms Jackson, one last question.

0:16:04 > 0:16:08Are you familiar with the medication heparin?

0:16:08 > 0:16:10It's a blood thinning agent.

0:16:10 > 0:16:17In his statement to police, Mr Griffin claims he instructed you

0:16:17 > 0:16:20to have a registrar write up a heparin prescription for Ms Warren.

0:16:22 > 0:16:25Do you have any recollection of that?

0:16:25 > 0:16:27The thing is, I now believe there was a mix-up...

0:16:27 > 0:16:33Unfortunately, the court can't hear what you believe, Ms Jackson.

0:16:34 > 0:16:38Mr Griffin repeatedly insisted

0:16:38 > 0:16:45that he had instructed you to get a registrar to prescribe Ms Warren

0:16:45 > 0:16:48the heparin that could have saved her life.

0:16:50 > 0:16:55Do you have any recollection of that?

0:16:59 > 0:17:03- No.- Thank you, Ms Jackson.

0:17:03 > 0:17:05No further questions.

0:17:12 > 0:17:15- You disapprove. - I think it's precipitous.

0:17:15 > 0:17:17I'm getting stronger every day.

0:17:17 > 0:17:20- I can look after myself.- Prove it.

0:17:20 > 0:17:22You make your way to the toilet and back, unaided,

0:17:22 > 0:17:26no Zimmer frame, and I will personally sign your discharge form.

0:17:26 > 0:17:27Easy peasy.

0:17:29 > 0:17:32- Where are you going?- The loo. - You have stairs in your flat, right?

0:17:32 > 0:17:34Yes.

0:17:34 > 0:17:37Do you see any stairs between here and the Keller toilet?

0:17:37 > 0:17:39No.

0:17:40 > 0:17:43What toilets were you thinking of?

0:17:43 > 0:17:44Darwin.

0:18:00 > 0:18:03- Bad news?- There are fatty changes in the liver.

0:18:03 > 0:18:06Whatever is causing this is new. It's not related to your HCM.

0:18:06 > 0:18:09- So now I have two serious conditions?- We don't know that yet.

0:18:09 > 0:18:14- We're going to do a TOE and work out exactly what's wrong with you. - It's a date!

0:18:14 > 0:18:17- Date?- The TOE thingy.

0:18:17 > 0:18:19Ms Naylor doesn't do dates.

0:18:19 > 0:18:23Bit young to have taken yourself off the market aren't you, Jacky?

0:18:23 > 0:18:26I'm a single mother with a great career, not a prize cow.

0:18:29 > 0:18:32Speaking of prize beef... Oof!

0:18:32 > 0:18:35You couldn't put a word for me, could you?

0:18:35 > 0:18:37With Fletch. Be my wingman.

0:18:37 > 0:18:40I've tried, but he just can't take a hint.

0:18:40 > 0:18:42Unless you're interested?

0:18:42 > 0:18:45- Don't be ridiculous.- Cos you're off the market, right?

0:18:45 > 0:18:47- That's right.- Well, then?

0:18:48 > 0:18:50Yeah, I'd be happy too, Becky.

0:18:50 > 0:18:52- Amazeballs!- Except he is spoken for.

0:18:52 > 0:18:54- He is?- He is?

0:18:54 > 0:18:56Who is the lucky cow?

0:18:56 > 0:18:58Yeah. Who is this "cow"?

0:18:59 > 0:19:01Er...

0:19:01 > 0:19:06He's met someone at the...martial arts class that Evie attends.

0:19:06 > 0:19:09- Kid Karate!- Oh. you know it?

0:19:09 > 0:19:11My Bella got a place there last term.

0:19:11 > 0:19:13That's great...

0:19:13 > 0:19:19I'm needed on Keller but let's talk more about this lucky cow, yeah?

0:19:20 > 0:19:23I'm going to arrange that TOE.

0:19:24 > 0:19:26Jacky?

0:19:27 > 0:19:28Are you in pain?

0:19:30 > 0:19:31You're favouring your left side.

0:19:31 > 0:19:35This usually indicates pain in the T10/T11 region.

0:19:36 > 0:19:38Physiotherapist, remember?

0:19:40 > 0:19:42It's just a twinge. I'll be fine.

0:20:17 > 0:20:19Urgh!

0:20:28 > 0:20:30Sit.

0:20:31 > 0:20:35I can't. It's cheating. Something old Oliver would do.

0:20:35 > 0:20:37Oliver 1.0.

0:20:37 > 0:20:39You're not the old Oliver any more. Sit.

0:20:47 > 0:20:50- How did you know?- I've got my spies.

0:20:50 > 0:20:52Come on, press the button.

0:20:59 > 0:21:03- Did you ask me on a date?!- Blimey, Jac! You scared the living...

0:21:03 > 0:21:07I'm sorry. Did you ask me on a date?

0:21:07 > 0:21:09- What?- Earlier when you suggested a drink.

0:21:09 > 0:21:12- Did you mean...?- It was a date? No!

0:21:13 > 0:21:15Ah... Right.

0:21:15 > 0:21:17Just a drink.

0:21:17 > 0:21:19OK. Great.

0:21:19 > 0:21:20Between mates.

0:21:20 > 0:21:24Yeah. Good. I'm glad we cleared that up.

0:21:24 > 0:21:26Not unless you wanted a...?

0:21:26 > 0:21:29- No! That would just be...- Ridiculous.

0:21:29 > 0:21:31- Hideous.- Right...

0:21:33 > 0:21:36- I'm really sorry about your coffee. - Don't worry about the coffee...

0:21:36 > 0:21:39PAGER BEEPS

0:21:39 > 0:21:42HE CHUCKLES

0:21:42 > 0:21:43It's Serena.

0:21:47 > 0:21:50Donna's evidence hasn't gone down too well.

0:21:50 > 0:21:53Well, she is a witness for the prosecution.

0:21:53 > 0:21:55I should call Donna and see if she's OK.

0:21:58 > 0:22:00- You all right?- Yeah, fine.

0:22:00 > 0:22:02- You don't look fine. - Just leave it, Fletch.

0:22:04 > 0:22:05OK.

0:22:09 > 0:22:11Yeah, I'm just going back in now.

0:22:11 > 0:22:14Thanks, Fletch. OK. Bye.

0:22:16 > 0:22:19Amira?

0:22:19 > 0:22:20You're a bit early, aren't you?

0:22:20 > 0:22:23Defence's case isn't until this afternoon.

0:22:23 > 0:22:25I'm not here for the Defence.

0:22:25 > 0:22:27The prosecution calls Amira Zafar.

0:22:38 > 0:22:41What's this, my locker?

0:22:41 > 0:22:45Yeah, as far as I know, it hasn't been touched since the...

0:23:04 > 0:23:06- I remembered. - Or could be muscle memory.

0:23:11 > 0:23:14Theatre tickets?! I don't remember liking theatre.

0:23:14 > 0:23:16It's two tickets.

0:23:16 > 0:23:19Maybe you were trying to impress a girl.

0:23:19 > 0:23:21I don't remember a girl either.

0:23:24 > 0:23:25Why have you brought me here?

0:23:26 > 0:23:31You are discharging yourself, against Ms MacMillan's advice.

0:23:31 > 0:23:34You want to start new life.

0:23:34 > 0:23:37You've got to leave your old life behind.

0:23:37 > 0:23:38This is your old life.

0:23:42 > 0:23:45- I'll be back. Believe me. - PAGER BEEPS

0:23:46 > 0:23:48It's Jac. I have to go.

0:23:48 > 0:23:51- Can you get yourself back to Keller? - I'll manage.

0:23:51 > 0:23:54I'll take you to the elevator.

0:23:54 > 0:23:55Thank you.

0:23:55 > 0:24:00Ms Zafar, can you tell us how you came to be on AAU that day?

0:24:00 > 0:24:02I wasn't even supposed to be working that day.

0:24:02 > 0:24:06I was supposed to be finishing a MIMS training module.

0:24:06 > 0:24:11But then it all kicked off and I was sent to help out on AAU.

0:24:11 > 0:24:14And what were your impressions when you arrived on the ward?

0:24:14 > 0:24:16Chaos.

0:24:16 > 0:24:18What are you doing, just standing there?!

0:24:18 > 0:24:20Sorry. I was on a training course but they said...

0:24:20 > 0:24:24- Just stand out of the way until someone can show you what to do. - She stinks of alcohol.

0:24:24 > 0:24:27Elaine Warren. Your diabetic.

0:24:27 > 0:24:31They never learn. Doppler shows a very weak pulse, lower right leg.

0:24:31 > 0:24:35Might be ischemic. Need to do a CT angiogram just to be sure.

0:24:35 > 0:24:38- Well, about time! Where's Di Lucca? - Raf's not coming and I'm not staying.

0:24:38 > 0:24:42- We've both been seconded to ED.- On whose orders?- Whose do you think?

0:24:42 > 0:24:44Hanssen!

0:24:44 > 0:24:47And what were your impressions of Mr Griffin?

0:24:50 > 0:24:51Formidable.

0:24:52 > 0:24:55Angry. Frustrated.

0:24:55 > 0:24:56Cold.

0:24:57 > 0:25:00- Distracted?- Distracted?

0:25:00 > 0:25:04- In what way?- Like he had the weight of the world on his shoulders.

0:25:10 > 0:25:12Excuse me, um...

0:25:13 > 0:25:14Can we take a break?

0:25:14 > 0:25:19- A break?- I took some heart burn tablets for my nerves earlier

0:25:19 > 0:25:22and they've gone through me like a dose of salts.

0:25:23 > 0:25:24M'Lady?

0:25:26 > 0:25:27All rise.

0:25:53 > 0:25:55OK. You win.

0:26:02 > 0:26:04You summoned me, O Dark Mistress.

0:26:04 > 0:26:06Close the door before anyone sees.

0:26:13 > 0:26:15Are you OK?

0:26:15 > 0:26:18Do I look OK? I need another shot.

0:26:19 > 0:26:23- Don't act dumb. The triamcinolone. - No.

0:26:23 > 0:26:27- What?!- The last shot should have lasted you over a month.

0:26:27 > 0:26:31The fact you're back where you started means you really need to

0:26:31 > 0:26:33address the source of your pain and not the symptoms.

0:26:33 > 0:26:36- Stop talking like a therapist. - If you stop talking like a junkie.

0:26:36 > 0:26:39Jac, it's time to talk to somebody...

0:26:39 > 0:26:44- Just get out!- It's time to talk to somebody about what you've been

0:26:44 > 0:26:45going through. Fletch?

0:26:45 > 0:26:50- You breathe one word of this to him and I'll ruin you.- Oh, wow! You're being ridiculous.

0:26:50 > 0:26:53With your petty threats and your fear of being vulnerable.

0:26:53 > 0:26:56- What are you talking about?! - You have to address your feelings

0:26:56 > 0:26:58for Fletch or is going to get very messy.

0:26:58 > 0:27:02All right, then, Freuda! How's this any different to you pining after Oliver?

0:27:02 > 0:27:07You think I haven't noticed you hovering around him like some pathetic guardian angel?

0:27:07 > 0:27:10He never loved you before. He's not going to start now.

0:27:10 > 0:27:13It doesn't matter how much brain damage he suffers.

0:27:13 > 0:27:18Oh... All right. You're on your own.

0:27:18 > 0:27:19Good. That's just how I like it.

0:27:27 > 0:27:30- I can explain. - We're not supposed to talk.

0:27:32 > 0:27:35How could you do this? You're supposed to be on our side.

0:27:35 > 0:27:38- I am on your side.- "Cold, frustrated and "distracted".

0:27:38 > 0:27:41You're making us sound awful. It wasn't like that.

0:27:41 > 0:27:42It was like that. For me.

0:27:44 > 0:27:45I'm sorry.

0:27:45 > 0:27:50Will all parties in the case of Griffin please return to Court One?

0:27:53 > 0:27:56Aw! Good luck!

0:27:57 > 0:27:59Look after yourself.

0:28:06 > 0:28:08Right. Well, I guess this is it.

0:28:10 > 0:28:12It's not like it's over between us.

0:28:12 > 0:28:16I think you still have some stuff in your locker on Darwin? Would you like me to forward it on?

0:28:16 > 0:28:21No, I'll be back to pick it up. As a surgeon. Sooner than you think. You'll see.

0:28:31 > 0:28:33Going home?

0:28:33 > 0:28:36- Yeah.- You're either very brave, or very stupid.

0:28:36 > 0:28:37Good luck.

0:28:48 > 0:28:51You've described a ward in chaos.

0:28:51 > 0:28:55What happened the next time you saw Mr Griffin?

0:28:55 > 0:28:59By 11, things had calmed down.

0:28:59 > 0:29:02I was mucking in as best I could.

0:29:02 > 0:29:04OK, my love, I'll see what I can do.

0:29:04 > 0:29:08- And there was this woman. - We're all busy.

0:29:08 > 0:29:10She was asking after her son.

0:29:10 > 0:29:14That lady's asking if her son's been told she's here?

0:29:14 > 0:29:17Warren? Well, check the patient history.

0:29:19 > 0:29:22Ms Randall? One moment, please. Ric!

0:29:23 > 0:29:25I might have to go. Family stuff.

0:29:25 > 0:29:29- Is there anything outstanding? - Only the diabetic's angiogram.

0:29:32 > 0:29:33Hello. It's Ric Griffin here.

0:29:33 > 0:29:35Look, I've got a 65-year-old,

0:29:35 > 0:29:39Type 2 diabetic with possible ischemia of the leg.

0:29:40 > 0:29:42I need a log in.

0:29:42 > 0:29:47All the blood thinners in the world aren't going to tell me what's actually causing the ischemia!

0:29:48 > 0:29:50Got it!

0:29:50 > 0:29:56Radiology can't fit her in until this afternoon at the earliest.

0:29:56 > 0:29:59So, we'll have to buy time. Get Raf to write up a script

0:29:59 > 0:30:03for therapeutic heparin and administer it.

0:30:03 > 0:30:0530-minute obs until I get back. OK?

0:30:05 > 0:30:08Um... Are you...?

0:30:08 > 0:30:11HUGE CRASH

0:30:11 > 0:30:16I wondered if I should ask if he was speaking to me.

0:30:16 > 0:30:19Clarify. But when I saw him with the ward nurse, I assumed that his

0:30:19 > 0:30:21instructions had been passed on.

0:30:21 > 0:30:24Like I say, Radiology will try and fit her in this afternoon.

0:30:24 > 0:30:26And then, he was gone.

0:30:26 > 0:30:28Is there a Dr Raf here?

0:30:28 > 0:30:30Yeah, he's busy elsewhere. Why?

0:30:30 > 0:30:33Nothing. I thought that I might have been asked to do something.

0:30:33 > 0:30:35But I must have heard wrong.

0:30:35 > 0:30:38But I didn't hear wrong. I realise that now.

0:30:39 > 0:30:44Mr Griffin may have thought he was speaking to someone else.

0:30:44 > 0:30:49Someone who...might have understood what he needed.

0:30:49 > 0:30:53But I was the only one listening. And I didn't understand.

0:30:53 > 0:30:55Maybe I should have asked.

0:30:55 > 0:31:01But that day I kept my head down and my mouth shut.

0:31:03 > 0:31:07And...that poor old woman died.

0:31:08 > 0:31:10And I'm so sorry.

0:31:15 > 0:31:16I'm sorry.

0:31:18 > 0:31:20He thought he ordered those blood thinners.

0:31:20 > 0:31:22He thought I understood...

0:31:22 > 0:31:26Ms Zafar, is an agency nurse accountable for diagnosing

0:31:26 > 0:31:30and setting up treatment plans for patients?

0:31:30 > 0:31:32No, the consultant is, but...

0:31:32 > 0:31:37And did you "understand" that Mr Griffin, the consultant in charge,

0:31:37 > 0:31:41was ordering you to arrange a course of heparin for Ms Warren?

0:31:43 > 0:31:46- Not at the time. No.- Thank you, Ms Zafar.

0:31:46 > 0:31:47No further questions.

0:31:52 > 0:31:56If it pleases the court, I have an agreed statement from Jeremy Warren.

0:31:56 > 0:31:58He is unable to attend due to ill health.

0:32:03 > 0:32:04On the 2nd October 2017,

0:32:04 > 0:32:08I received a message from a nurse at Holby City Hospital

0:32:08 > 0:32:14telling me my mother, Elaine Warren, had been admitted with a sore leg.

0:32:14 > 0:32:17It was not considered serious.

0:32:17 > 0:32:21I never saw or spoke to my mother alive again.

0:32:22 > 0:32:26I spent the next few weeks trying to make sense of what had happened.

0:32:26 > 0:32:30Why there was a delay on recording a cause of death,

0:32:30 > 0:32:36why a 65-year-old woman could die from "a sore leg".

0:32:36 > 0:32:39But there was no explanation.

0:32:39 > 0:32:43When I finally met the consultant in whose care my mother had been left,

0:32:43 > 0:32:46he could not remember her name correctly.

0:32:46 > 0:32:48Jeremy Warren.

0:32:48 > 0:32:51M'Lady, that is the case for the prosecution.

0:33:01 > 0:33:03All right?

0:33:03 > 0:33:06Yeah, just looking for some prolene.

0:33:06 > 0:33:08Up here I think.

0:33:08 > 0:33:11Just had a really odd conversation with Becky.

0:33:11 > 0:33:15She seemed to think I was seeing someone. Didn't say why.

0:33:15 > 0:33:17Must be because I washed under my pits this morning!

0:33:17 > 0:33:24Or maybe it's because you're fit and healthy and generous and honest.

0:33:24 > 0:33:27OK... Who are you and what have you done with Jac Naylor's corpse?

0:33:30 > 0:33:33I could say all the same things about you, you know?

0:33:38 > 0:33:41Are you all right? Talk to me.

0:33:43 > 0:33:46Serena's given me four weeks off. Apparently, I'm owed it.

0:33:48 > 0:33:50Wow. Um...

0:33:50 > 0:33:52What are you going to do?

0:33:52 > 0:33:54Do you want to come away with me?

0:33:55 > 0:34:00- What?- Just get out of here. Go anywhere.

0:34:00 > 0:34:03Throw a dart at a departure board and see where we end up.

0:34:05 > 0:34:06It has its appeal.

0:34:08 > 0:34:11- But...- But?

0:34:11 > 0:34:13There's things to consider.

0:34:15 > 0:34:18- Cover. Money. The kids... - PAGER BEEPS

0:34:23 > 0:34:24I've... I've got to go.

0:34:31 > 0:34:33So, when's the next contestant enter the stage?

0:34:33 > 0:34:35- What?- Gaskell's trial.

0:34:35 > 0:34:38Firstly, it's Professor Gaskell to us.

0:34:38 > 0:34:40And secondly, they're not contestants.

0:34:40 > 0:34:43They're very ill people helping a great scientific endeavour.

0:34:45 > 0:34:47- And thirdly?- Thirdly?

0:34:47 > 0:34:50The way you were speaking implied there was a third, definitive point.

0:34:53 > 0:34:55Nope. No third point.

0:34:55 > 0:34:58Hey... I've had a bit of an accident,

0:34:58 > 0:35:01but I'd appreciate if you didn't tell Roxanna.

0:35:12 > 0:35:16SOBBING

0:35:17 > 0:35:19Hello?

0:35:19 > 0:35:20Don't mind me.

0:35:27 > 0:35:28Becky?

0:35:32 > 0:35:35I think we've found the cause of the hypertension then.

0:35:35 > 0:35:37I don't know what's wrong with me.

0:35:38 > 0:35:41The defence calls Eric Griffin.

0:35:41 > 0:35:46Do you remember the events of 2nd October, 2017?

0:35:50 > 0:35:52I beg your pardon?

0:35:52 > 0:35:56I asked if you remember the events of 2nd October, 2017?

0:35:56 > 0:35:57I am unlikely ever to forget them.

0:35:57 > 0:36:02Was there anything in particular that was different about that day?

0:36:02 > 0:36:04Other than the death of one of my patients?

0:36:04 > 0:36:08That was how it ended. Could you tell us about how it began?

0:36:13 > 0:36:18I had had some troubling news from my daughter in Australia.

0:36:19 > 0:36:24She'd written to say that she was reconciling with her ex-husband.

0:36:32 > 0:36:34Are you crazy? He will kill you!

0:36:34 > 0:36:37I forbid it, Jess! I absolutely forbid you to see this man again!

0:36:37 > 0:36:39I will not allow it!

0:36:39 > 0:36:42Please, Jess. Can we just talk about this?

0:36:42 > 0:36:45Calmly, rationally.

0:36:45 > 0:36:47Think of Jacob. Jess...

0:36:47 > 0:36:49Please. Just call me.

0:36:49 > 0:36:53I'm sorry for getting angry. Just call me...

0:36:59 > 0:37:02MESSAGE ALERT

0:37:09 > 0:37:12KNOCK AT DOOR

0:37:12 > 0:37:13Have you got a minute?

0:37:13 > 0:37:17I've got a Type 2 diabetic with pain in her lower right leg.

0:37:17 > 0:37:19You all right?

0:37:19 > 0:37:26I had tried to call her several times and I was expecting her to call back.

0:37:26 > 0:37:31Well, I was hoping desperately that she would.

0:37:31 > 0:37:32She's been drinking.

0:37:32 > 0:37:37Yes, I was frustrated. I may have been angry.

0:37:37 > 0:37:40Short-tempered with colleagues...

0:37:40 > 0:37:42- On whose orders? - Whose do you think?!

0:37:42 > 0:37:44..and management.

0:37:44 > 0:37:46Was I cold?

0:37:46 > 0:37:48Was I distracted?

0:37:48 > 0:37:51Family traumas happen. We all have them.

0:37:52 > 0:37:58The professional pushes them to the back of the mind and gets on with

0:37:58 > 0:38:02his job regardless of how he feels.

0:38:05 > 0:38:10My phone did ring. But it wasn't Jess, my daughter.

0:38:10 > 0:38:13It was a friend.

0:38:13 > 0:38:17A good friend of mine who needed my help.

0:38:18 > 0:38:22So I gave it, as friends do.

0:38:22 > 0:38:28I tied up all my loose ends I thought I had and I left the ward.

0:38:30 > 0:38:33If you like, yes, I took my eye off the ball.

0:38:35 > 0:38:38And that's all there is to say about that.

0:38:38 > 0:38:40You left the ward to help a friend?

0:38:40 > 0:38:42- Yes.- What did you do?

0:38:43 > 0:38:47- Did you hurt her, Jason? - This is my blood. She bit me.

0:38:48 > 0:38:51I pushed her. She fell. Hurt her head.

0:38:52 > 0:38:56I called Auntie Serena and she said you would help.

0:38:56 > 0:38:58But now it's her tummy that hurts.

0:38:58 > 0:39:02- Why didn't you take her straight to the ED?- Lola will go to jail.

0:39:02 > 0:39:04She can't go to jail.

0:39:09 > 0:39:10I'll take a look. You stay here.

0:39:12 > 0:39:14- Lola?- Are you the doctor friend?

0:39:14 > 0:39:17Yes. Jason said you hurt your head.

0:39:17 > 0:39:20It's just a scratch. I tried to tell him that but he kept banging on about Elinor.

0:39:20 > 0:39:23Things have escalated since then... Argh!

0:39:25 > 0:39:27I can see...

0:39:27 > 0:39:32Lola, is Jason aware that you're about to give birth?

0:39:32 > 0:39:34He's autistic, he's not stupid.

0:39:36 > 0:39:39- What are you doing? - Doing what you and Jason should have done an hour ago.

0:39:39 > 0:39:44- I'm going to call for assistance. - You can't...- Don't be ridiculous.

0:39:44 > 0:39:47If you make that call, then I'll say it was Jason who did this.

0:39:47 > 0:39:51Those bruises are days old. Who did do this to you?

0:39:51 > 0:39:53Doesn't matter. What matters is no hospitals.

0:39:53 > 0:39:57No authorities. Or Jason's prime suspect...

0:39:57 > 0:39:59What is wrong with you?!

0:39:59 > 0:40:00Everything.

0:40:00 > 0:40:03Argh!

0:40:06 > 0:40:08As I said, that's all there is to say about that.

0:40:10 > 0:40:13- You've nothing to be afraid of. - The wrong side of 30.

0:40:13 > 0:40:18Single mum. A career built on the ability to sustain

0:40:18 > 0:40:22peak physical fitness. I've got everything to be afraid of.

0:40:23 > 0:40:25But I try and hide it.

0:40:25 > 0:40:27Pretend.

0:40:27 > 0:40:30And where better to hide but in that.

0:40:30 > 0:40:32You wouldn't understand.

0:40:32 > 0:40:34Maybe I do.

0:40:36 > 0:40:38Maybe I just self-medicate differently.

0:40:42 > 0:40:44I have a friend, Milos,

0:40:44 > 0:40:47he specialises in scar tissue neuropathy.

0:40:47 > 0:40:48Do you want me to call him?

0:40:50 > 0:40:52You should have stayed in Physio.

0:40:52 > 0:40:55You didn't finish. You went back to work too soon.

0:40:55 > 0:40:58And it shows. You're in pain.

0:40:58 > 0:41:00You must have been in pain for months.

0:41:03 > 0:41:05Why?

0:41:06 > 0:41:07I had to work.

0:41:09 > 0:41:12I had to have purpose and pain was the price.

0:41:14 > 0:41:18It was also a useful reminder never to let your guard down

0:41:18 > 0:41:21because when that happens people get hurt.

0:41:24 > 0:41:27And maybe it's your fault, so what's a little pain compared to that?

0:41:30 > 0:41:33You can't tell anyone...

0:41:33 > 0:41:34Becky?

0:41:35 > 0:41:37Becky! Wake up!

0:41:39 > 0:41:41Becky!

0:41:41 > 0:41:44Come on. Wake up, please. I need some help here!

0:41:44 > 0:41:46And some adenosine!

0:41:46 > 0:41:48Becky?

0:41:49 > 0:41:52- What's going on?- She's in SVT.

0:41:52 > 0:41:55Stay with me. Stay with me, come on!

0:41:55 > 0:41:59Come on. Good, good. You scared us there for a minute.

0:42:00 > 0:42:04- You're going to be fine. Get that TOE ASAP.- Yeah.

0:42:06 > 0:42:12Someone forgot to remind me about the hidden step between the bedroom and the en suite...

0:42:12 > 0:42:15- Feel free to say "I told you so". - Is there any point? - Might make you feel good.

0:42:15 > 0:42:18- Won't make you less obstinate. - I've always been hard-headed.

0:42:18 > 0:42:22- That, I'm aware of, it's the mushy bits inside I'm worried about. - I slipped. It happens all the time.

0:42:22 > 0:42:26- I just need to be more careful. - You need to be more realistic!

0:42:26 > 0:42:31You keep setting yourself impossible goals and then cheating when you can't meet them.

0:42:31 > 0:42:34Yes, I know Ms Petrenko helped with your little promenade earlier.

0:42:34 > 0:42:37Thank you, Dr Chowdhury. Nice work.

0:42:40 > 0:42:43I'd have given anything to have seen you walk up those stairs to Darwin,

0:42:43 > 0:42:47back to your old life, but I'm not John Gaskell.

0:42:47 > 0:42:49I can't perform miracles. I'll get you out of here.

0:42:49 > 0:42:53Get you home. Get you..."back".

0:42:54 > 0:42:56But it takes time.

0:42:59 > 0:43:01What happened to "you're on your own"?

0:43:03 > 0:43:08- Appears we're inextricably linked. - Like symbionts?

0:43:10 > 0:43:12Like parasites.

0:43:12 > 0:43:15You say potato. You see that?

0:43:16 > 0:43:18Ventricular hypertrophy.

0:43:18 > 0:43:21- Certainly is.- What caused it?

0:43:21 > 0:43:25Fried chicken. Becky's diet changed somewhat in the last six weeks.

0:43:25 > 0:43:31Somewhat? Her aortic wall has thickened and she's exhibiting signs of atherosclerosis.

0:43:33 > 0:43:35None of which will stop me from performing a myectomy.

0:43:35 > 0:43:39We've had a cancellation, so I'll do it today.

0:43:39 > 0:43:40I don't think that's a good idea.

0:43:41 > 0:43:46Atherosclerosis doesn't affect risk factors of a myectomy.

0:43:46 > 0:43:49I agree she needs surgery. I don't think you will be doing it.

0:43:49 > 0:43:50You dropped this.

0:43:56 > 0:43:58You need help. Go see Fletch.

0:43:58 > 0:44:00Shove it, Petrenko!

0:44:00 > 0:44:03I promised Becky I'd fix her and I mean to do so.

0:44:05 > 0:44:07If you won't go see Fletch, I will.

0:44:09 > 0:44:12Do that and you can kiss your training goodbye.

0:44:12 > 0:44:14I fall - you fall.

0:44:18 > 0:44:24We amputated Mrs Warren's leg, but the sepsis was too widespread.

0:44:24 > 0:44:28There was nothing that we could have done to save her.

0:44:30 > 0:44:32So we moved her to ITU.

0:44:33 > 0:44:36The Intensive Treatment Unit,

0:44:37 > 0:44:40where she later died.

0:44:40 > 0:44:41Where were you when that happened?

0:44:43 > 0:44:44I was with Mrs Warren.

0:44:47 > 0:44:51Do you usually sit with dying patients?

0:44:51 > 0:44:52No.

0:44:55 > 0:44:59I want to go back to the three hours you were gone from the ward.

0:44:59 > 0:45:03SCREAMS

0:45:03 > 0:45:06- That's it, Lola. That's it. Not long now. - You said that half an hour ago!

0:45:06 > 0:45:13I don't think you're in any position to criticise my bedside manner.

0:45:19 > 0:45:21Who hurt you, Lola?

0:45:22 > 0:45:24Boyfriend.

0:45:24 > 0:45:26Ex-boyfriend.

0:45:26 > 0:45:28- Your father?- Yeah.

0:45:30 > 0:45:34We can go to the police, you know. Even if you're in trouble with them.

0:45:34 > 0:45:36He is the police.

0:45:36 > 0:45:39BEEPING

0:45:39 > 0:45:42I said no authorities!

0:45:45 > 0:45:48It's coming. It's coming.

0:45:48 > 0:45:49Breathe.

0:45:49 > 0:45:51- Push!- Urgh!

0:45:53 > 0:45:54Yes.

0:45:54 > 0:45:57- Well done. - BABY CRIES

0:45:59 > 0:46:00It's a girl.

0:46:10 > 0:46:14What for? I was gone. What I was doing is irrelevant.

0:46:14 > 0:46:16It goes to character.

0:46:16 > 0:46:19I wasn't aware it was my character on trial?

0:46:19 > 0:46:23Mr Griffin, your character as a person and a surgeon goes to...

0:46:23 > 0:46:26No matter where you go, there you are.

0:46:26 > 0:46:28I'm sorry?

0:46:28 > 0:46:31No matter where you go, there you are.

0:46:31 > 0:46:36It's a piece of graffiti on the wall of my cell in prison.

0:46:36 > 0:46:41- What is this place? - It's a refuge. For women. They will provide medical attention.

0:46:41 > 0:46:45Somewhere to stay. Some support. No authorities.

0:46:45 > 0:46:48- Not unless you ask for them. - How did you know about all this?

0:46:50 > 0:46:52My daughter...

0:46:53 > 0:46:57Let's just say I've had reason to know about this place.

0:46:57 > 0:47:00All right. Now...

0:47:00 > 0:47:05This should keep you going for a little while.

0:47:06 > 0:47:07Jason will see you in.

0:47:07 > 0:47:11- I've got to come back. - But he'll come looking for me.

0:47:11 > 0:47:17He can try. Look, what happened today stays between us.

0:47:17 > 0:47:20- OK?- I don't know how to thank you.

0:47:24 > 0:47:25Never go back.

0:47:27 > 0:47:28Never.

0:47:29 > 0:47:31He will never change.

0:47:40 > 0:47:43No matter where you go, there you are.

0:47:43 > 0:47:45What does it mean?

0:47:45 > 0:47:49It means it doesn't matter where I was for those three hours.

0:47:50 > 0:47:55It doesn't matter what I did or why. Elaine Warren is dead.

0:47:56 > 0:48:00She was my patient, my responsibility.

0:48:00 > 0:48:04The responsibility that we assume as consultants.

0:48:04 > 0:48:07The oath that we swear as doctors.

0:48:09 > 0:48:12Every death hurts as it should,

0:48:14 > 0:48:19but you're taught to move on because you have to.

0:48:20 > 0:48:23Because you can't save everyone.

0:48:25 > 0:48:29A distinguished professor from Johns Hopkins has testified that there was

0:48:29 > 0:48:32nothing that could have saved Elaine Warren.

0:48:33 > 0:48:35He may be right,

0:48:36 > 0:48:39but regardless of the outcome of this trial,

0:48:41 > 0:48:43Elaine Warren's death will haunt me

0:48:45 > 0:48:51because I accept that I failed in my duty of care.

0:48:53 > 0:48:55I did not kill Elaine Warren,

0:48:58 > 0:49:02but I believe that I did not do enough to save her.

0:49:05 > 0:49:08No matter where you go,

0:49:08 > 0:49:09there you are.

0:49:22 > 0:49:24Well, if it isn't Tweedle-dumb and Tweedle-dumber.

0:49:24 > 0:49:27Step out, Jac. We need to talk.

0:49:27 > 0:49:29I promised Becky I'd take care of her.

0:49:29 > 0:49:32Becky will be taken care of. But not by you. Not today.

0:49:39 > 0:49:41Guess I really am on my own.

0:49:45 > 0:49:49Well, I have to hand it to Petrenko. That took guts...

0:49:50 > 0:49:52Why didn't you tell me?

0:49:55 > 0:49:58Why didn't you tell me what you've been going through?

0:49:59 > 0:50:01What you ARE going though.

0:50:01 > 0:50:03The pain...

0:50:05 > 0:50:07I didn't know how.

0:50:25 > 0:50:27Me and Petrenko are going to take care of Becky,

0:50:29 > 0:50:31then you and me, we're going to talk.

0:50:32 > 0:50:34About what?

0:50:35 > 0:50:37About everything we haven't been.

0:50:55 > 0:50:57You're nothing if not persistent.

0:50:57 > 0:50:59Shouldn't you be off saving lives?

0:51:01 > 0:51:04- Taking a break from all that stuff. - Yeah. Me too. Sucks, right?

0:51:05 > 0:51:09- Actually, I think it's time I focused on other things.- Whatever.

0:51:11 > 0:51:16- Ollie, stop doing that. It doesn't mean what you think it means. - It's a motor skills test.

0:51:16 > 0:51:21- Yes...- If I can achieve this, I can achieve anything as a surgeon.- It was a trick, OK?

0:51:21 > 0:51:24- Just a stupid prank. That's all. - I remember you telling me...

0:51:24 > 0:51:29Yes, that mastering this would prove you were a great surgeon. But it was a prank.

0:51:31 > 0:51:32A distraction.

0:51:32 > 0:51:35Anything to get an annoying F2 to stop bugging me.

0:51:39 > 0:51:42Why would you do something like that?

0:51:42 > 0:51:47- I don't know. Because I... - Because you're broken. Right?

0:51:47 > 0:51:52Something inside you broke a long time ago.

0:51:52 > 0:51:54And ever since you've become...

0:51:56 > 0:51:58..more and more like a virus.

0:51:58 > 0:52:02Parasite. Infecting and destroying everything you come across.

0:52:02 > 0:52:05I don't even realise you do it. It's just in your nature.

0:52:06 > 0:52:09- Like that scorpion that stings the frog...- Yes. It is.

0:52:12 > 0:52:15- I'm sorry.- Are you? Will it stop you next time?

0:52:18 > 0:52:21I don't know.

0:52:24 > 0:52:26Goodbye, Valentine.

0:52:28 > 0:52:29Goodbye, Jac.

0:52:35 > 0:52:37The defence would like to call upon

0:52:37 > 0:52:40someone to speak to Mr Griffin's character and standing.

0:52:40 > 0:52:42The defence calls Mr Henrik Hanssen.

0:52:45 > 0:52:49Eric Griffin has carried out thousands of operations.

0:52:50 > 0:52:53His 90-day adjusted mortality rate

0:52:53 > 0:52:56at 2.1% is rather below what one might expect,

0:52:56 > 0:53:00for a surgeon who accepts high-risk patients.

0:53:03 > 0:53:08He is a valued member of the Trust executive.

0:53:18 > 0:53:20Gross negligence.

0:53:21 > 0:53:25Not just negligence, but gross negligence.

0:53:30 > 0:53:33Ric Griffin is the NHS.

0:53:33 > 0:53:39Noble in intent, inflexible of conscience rational and objective

0:53:39 > 0:53:45and yet full of a natural well of tremendous compassion.

0:53:48 > 0:53:50I've never come across...

0:53:51 > 0:53:53..a more principled...

0:53:55 > 0:53:59..obstinate, yes, insubordinate, yes,

0:53:59 > 0:54:04yet utterly loyal and brilliant surgeon.

0:54:06 > 0:54:09I am privileged to call him a friend.

0:54:11 > 0:54:14I say that Ric Griffin is like the NHS

0:54:14 > 0:54:19because, like all human-made things, the NHS is flawed.

0:54:20 > 0:54:23Like the people who make it work.

0:54:26 > 0:54:30For we deal in empathy and yet we reserve

0:54:30 > 0:54:32very little of it for ourselves.

0:54:34 > 0:54:37Men and women of science, if you like.

0:54:37 > 0:54:39Tilting at windmills.

0:54:40 > 0:54:42Fighting battles we know can't be won.

0:54:44 > 0:54:47And yet fighting them nonetheless.

0:54:47 > 0:54:51Now, it is our nature to assign responsibility.

0:54:51 > 0:54:54This is a necessary consequence of power.

0:54:54 > 0:54:59Yet we must be very careful when we go on to apportion blame.

0:54:59 > 0:55:03Elaine Warren was a Type 2 diabetic,

0:55:03 > 0:55:06who ignored multiple care pathways

0:55:06 > 0:55:09designed to help her deal with her condition.

0:55:09 > 0:55:12Should we apportion blame to her?

0:55:12 > 0:55:14Ric Griffin would not.

0:55:16 > 0:55:19On the 2nd October 2017,

0:55:19 > 0:55:22Holby City Hospital was primary receiver

0:55:22 > 0:55:29for MAJAX victims of a motorway pile-up caused by a driver texting

0:55:29 > 0:55:34while driving at 90mph. Should we apportion blame to him?

0:55:34 > 0:55:36Ric Griffin would not. He did not.

0:55:39 > 0:55:44Because all Ric Griffin sees are patients,

0:55:45 > 0:55:47the treatment they require,

0:55:49 > 0:55:51and his duty to provide it.

0:55:53 > 0:55:56Ric Griffin always provides that treatment

0:55:56 > 0:55:59to the very best of his ability.

0:55:59 > 0:56:02Without fear, or favour, or prejudice.

0:56:05 > 0:56:09It is human to be flawed.

0:56:09 > 0:56:14Our grace is to take responsibility for those flaws.

0:56:19 > 0:56:22Ric Griffin has always

0:56:22 > 0:56:24taken that responsibility.

0:56:26 > 0:56:27It is a very rare quality.

0:56:30 > 0:56:34Ric Griffin is a rare man of character.

0:56:36 > 0:56:38And if he is guilty

0:56:38 > 0:56:41of gross negligence,

0:56:41 > 0:56:43then so am I.

0:56:46 > 0:56:48Aren't we all?

0:57:21 > 0:57:23Yes, we have.

0:57:23 > 0:57:27And do you find the defendant guilty or not guilty?