The Betrayal of Trust (5 page)

Cat stopped herself from looking at her computer screen. It was too easy a way out. ‘Look at your patient.’ She had had it dinned into her by a consultant on her first ward rounds. ‘Look at your patient, listen to your patient. They’ll tell you what you need to know.’

She looked at her patient. ‘You don’t have arthritis,’ she said. ‘You’re not in pain; your joints
aren’t swollen or tender to touch.’

‘Oh. All right,’ Jocelyn said. ‘Both my mother and my aunt had arthritis.’

Cat waited, said nothing.

‘I think I can work it out for myself … I have multiple sclerosis, don’t I?’

‘No,’ Cat said, ‘I don’t believe you do.’

Jocelyn was visibly taken aback.

‘You haven’t been wandering round the Internet, have you? I know it’s tempting, and there’s plenty of
helpful information there, but self-diagnosis via Google is a dangerous occupation.’

‘No. Not really.’

‘Not really.’

Jocelyn laughed. ‘So, it isn’t anything and I’m sorry I’ve bothered you, Dr Deerbon. I should have more sense at my age.’

‘Do you think of yourself as old? You’re only seventy-three. That isn’t old these days.’

‘No, but my daughter reminds me about it a lot. Perhaps that’s
it.’

‘Well, tell her not to.’

‘You don’t know Penny.’

‘OK. You don’t have arthritis, and I’m pretty sure you don’t have MS, but you
do
have something. You did right to see me.’

‘So what is it?’

Cat hesitated. ‘I’m not absolutely sure. I’d like you to go for an MRI scan – just to eliminate a few things really. And I’ll get you an appointment with a neurologist.’

‘Oh good heavens, is that
really necessary? It isn’t troubling me much, you know. I really don’t think I should take up a specialist’s time.’

‘We need to get to the bottom of this, but don’t worry, an MRI is painless and I’ll send you to someone new at Bevham General who comes highly recommended. Let’s sort you out. You’ll get the usual appointment through the post but it might be a while, I’m afraid.’

‘How long?’

‘Hard to say. I can try and push it through – unless you’ve got private insurance?’

‘Yes,’ Jocelyn Forbes said, ‘I do. I’ve paid a fortune into it over the years – so did my husband – and never had much need to call on it. Is now the time?’

‘Now,’ Cat said, ‘is indeed the time.’ She turned to her computer screen with some relief.

Private health insurance would ensure an appointment within a
few days. And after that? If she was right about her diagnosis, time would make absolutely no difference. Sometimes, Cat wondered if the old ways had not been the best, when a GP suspected that a patient had an untreatable, incurable illness and for those reasons delayed telling them so for as long as possible. ‘You cannot and must not lie to them,’ her father had always said. But was withholding
the truth for a while really lying?

When Jocelyn Forbes had gone, Cat made a note on her pad and rang for the next patient, but Kathy came through on the intercom. ‘That’s it – one cancellation, two no-shows. Can you sign a batch of forms?’

‘Give me a minute.’

She went back to her screen, did a search. Read. Read more. Then spun her chair round and looked at the patch of curdled grey sky through
the top window. Once, she could have gone through to Chris, asked his opinion, compared notes. She had a flash image of him, frowning, listening to her, tapping his pencil on the desk. His coarse brown hair standing on end where he had run his hand through it over and over during the morning’s surgery. Sam had the same hair, made the same gesture. She clenched her hands tightly.

Go and talk to
Russell then, see what he thinks. No. She had been a GP for fifteen years longer than Russell Jones, so how would it look if she confessed to doubt over a diagnosis?

Instead, she picked up the phone.

‘Dad?’

‘Good morning, Catherine. Why aren’t you attending to patients?’

‘Finished. I’ve got something I’d like to run past you if I may. Can I come over?’

‘Now?’

‘If it’s convenient.’

‘It is.’

He replaced the receiver. Judith might have worked miracles in softening Richard Serrailler’s abrasiveness but she had had no success with his telephone manner.

Jocelyn had planned to walk into Lafferton and browse around the new Lanes bookshop, have coffee, pick up something for supper from the deli. Instead, she asked the surgery receptionist to call her a taxi. She felt drained, as if her
legs had been filled with sand, and there seemed no time, now, for a relaxed morning in town, no time for anything but to get home and confirm it. Dr Deerbon had been as helpful, concerned, friendly as she always was, and what she had said was right. Quite right. But she did not understand. Not fully. How could she? Waiting to find out the official way would be agonising. Jocelyn did not intend to
wait. She had guessed in any case, of course she had. Guessed. Knew. She had only to remember her father, who had died of it, at forty-six.

The taxi drove slowly and the roads were still in a mess, this or that one blocked off, diversions here, no through roads there, caution, repairs, potholes. She closed her eyes. Her thoughts swirled around but they would clear later. She was quite calm; she
felt purposeful. She had plenty of self-control and soon she would be in charge again, decisive. Cool.

She wondered how Penny was faring in court, Penny, with her brilliant insight, clever and rational line of argument, persuasive manner. Penny was cool. Coolness itself. She was prosecuting in a child abuse case, something so distressing Jocelyn did not want to know any details. How her daughter
managed to remain so detached, so unemotional about such things was a mystery. Cool.

Does she get it from me? Some of it, yes. But I can be detached about myself only, not about the pain and misery of others. ‘I could never do your job,’ she had said.

‘No, Mother. You could not.’

Home. She looked at the outside of the house as she turned away from the taxi. White-painted pebble-dash. Detached.
Bow windows downstairs and up. Wooden gate. Path to the front door. Porch. Side path to the kitchen door and on to the garden. Privet hedge, clipped low so that she could see into the street. Wide avenue. Neighbours in similar houses on either side. Pleasant neighbours, but she did not know them as she had known their predecessors. The world had changed. Her world was different.

How much did
she love this house? This avenue? Those neighbours? This place? This world? The different world?

Love?

Not at all, she thought, getting out her front-door key. Not at all.

She tried several times to turn the key in the lock. Tried again. In the end, the pleasant neighbour she barely knew came to her rescue. ‘These locks,’ she said, pushing open Jocelyn’s front door. But looked over her shoulder
as she went away.

THERE WAS A
news-stand.

‘
LANDSLIDE GRAVE SKELETON IS MISSING HARRIET
.’

Cat looked at it, registered. Oh God.

She pulled up. But Simon’s phone was on voicemail. She didn’t leave a message.

‘Lowther,’ her father said, as she went into the kitchen at Hallam House. ‘Poor devil. Is it better to know?’

He stood for a second, his hand on the coffee percolator, looking out of the window. Judith
had gone to see her son and a new grandchild, in Ludlow, for a couple of days.

‘It’s a sort of closure, I suppose.’

‘Not unless they find out who and how and when.’

‘And why. No. Is Simon involved?’

‘I imagine so. We’ve got a hospice trustees meeting this afternoon – important one too, financial crisis report. No one’s rung to cancel but I can’t believe John Lowther will be there.’

‘Why not?
He’s not a man to duck. Staying away won’t help matters.’

Cat had always wondered if his absolute reasonableness was just that, or if he was as cold and hard as he seemed. He had been a distant father, yet he had loved them, she had never doubted it. He had expected a lot – demanded even – been ambitious for all of them, reserved his deepest feelings for the child who had been unable to fulfil
a single one of his hopes. Listening to him now, rational as always, she still wondered.
And
of course he was right. Staying away from a meeting would not help. But attending it might hurt.

He poured her coffee and led the way into his study. Kitchens, in his view, were for cooking.

His computer was open on a page of the online medical journal he still edited, papers beside it, and those on
the table neatly ordered, magazines stacked, books carefully arranged. Simon, she thought. It is the only thing Dad and Simon have in common – this tidiness and order. Or was it? No. They were more alike than either would care to admit.

‘You wanted to ask me something?’

No small talk.

‘Yes. A patient.’

‘I’m not very up to date clinically.’

‘Enough. Right, a woman of seventy-three, generally
been in good health. I don’t often see her. She’s presented with one or two vague symptoms – sudden disorientation, weakness of her legs, a bit of trouble walking normally … she described it as feeling the need to shuffle. But mainly, she can’t grip things – couldn’t turn the dial on her radio, unscrew a bottle top. I’ve sent her for an MRI …’

‘That isn’t diagnostic.’

‘To exclude MS.’

‘Correct.’

‘I’ve got her a neuro appointment.’

‘Well, that will confirm it. I don’t see why you have any doubt – this is almost certainly motor neurone.’

‘I know.’

‘You know.’

‘I just needed to run it past someone. I would have asked Chris.’

‘But you can’t do so.’

She did not reply. Had she been looking for sympathy? No, but if she had, she would not have got it from her father.

‘It seems to me that
you are suffering from a loss of nerve. What I do not understand is why.’

‘No.’

‘You are a sound doctor, you have a special diploma in
palliative
care, you have varied experience. Is it because you now do too little general practice? Think. Think of the responsibility you carried as a young doctor, out on night calls alone, having to make decisions, be self-reliant. Now – you do a surgery or
two. Your work in the hospice is quite different and much more limited.’

‘So what should I do?’

‘Why ask me? You decide, Catherine. It’s your career and your life. So – your decision.’

‘You always handed everything over to us.’

‘I happen to believe I did the right thing. Meanwhile, your patient with probable motor neurone. Grim prognosis.’

‘Five years?’

‘No more than three. MN is a bugger.
Nothing to be said for it as a way to die.’

She rested her head against the chair back and closed her eyes. When she opened them, her father was looking at her. She saw a quizzical look on his face, and something more. Something like concern. Something like tenderness?

‘
NO APPOINTMENT
.’

‘Sorry?’

‘We didn’t appoint a new DCI.’

‘Good God, that bad?’

The ACC sighed. ‘Well, it wasn’t the strongest list I’ve ever seen. But before the appointments committee we had an emergency budget meeting.’

‘Ah.’

‘We have to lose 25 per cent in the coming year. That’s drastic.’

‘Cut the civilian staff.’

‘Oh, we will, but police earn a lot more than support staff,
you know that. It might even come to losing Lafferton – or rather, only keeping it as a satellite to HQ. But that’s all in the air … for now, no DCI. Freeze on new appointments with immediate effect. Blame the coalition.’

‘I bloody well won’t, I’ll blame the last lot for spend, spend, spend.’

‘Yes, well, it’s all coming home to roost.’

‘What about my team?’

‘We’re not making anyone redundant.’

‘No, the team I need to reopen the Harriet Lowther case.’

‘Hollow laughter. Team? That’s you.’

‘I can’t do the entire thing on my own and run CID.’

‘No. You can’t … you’ll fit this in with whoever’s free at the time.’

‘That’s nonsense … you know how many hours it takes trawling through old files – it’s sixteen years ago. We’re talking box files and pieces of paper.’

‘Which anyone can go through.
Come on, Simon, a heck of a lot of this is routine stuff.’

‘Great news then. Thanks, sir.’

He had barely replaced the phone before it rang again.

‘Lyman. Want to drop by?’

‘I can’t, Gordon, there’s too much on. You’ll have to give it to me this way, much as I love to see your handiwork.’

‘Right. Second skeleton. Is female. Age – difficult. Adult, anywhere between twenty and forty … prime
of life. Nothing unusual at all, no dental brace or four toes this time. Cause of death interesting … the neck’s broken. Could have been done post-mortem though … anything can happen, but they found this one still
in situ
– not chucked down with half the Moor in the landslide. There’s a bash to the back of the skull but I doubt if it caused death.’

‘Nothing at all to identify – are you sure?’

‘You’re asking a lot. You were lucky with the last one.’

Lucky.

‘You can circulate dental records – might get something. Teeth pretty healthy and whole which means she’s on the younger side. Probably narrow it down to between twenty and thirty then. I’m having another good look.’

‘Let me know, Gordon. I’ll need to get as much out to the press as I can.’

‘Did another girl go missing at the same
time as Harriet Lowther?’

‘No other local one, I’m sure.’

‘Could have been a year or two later – or earlier.’

‘Even so. But obviously we’re checking. If we don’t turn anything up, we’ll widen it to a national search.’

Simon sat back in his chair, hands behind his head, listing what had to be done. The Harriet Lowther files reopened and gone through line by line. Follow-up interviews with any
witnesses still living in the area, last known movements worked out carefully, contact made with every living relative, friend,
neighbour
, chance acquaintance, pupil, teacher. The sort of routine that had to be meticulous and painstaking, that took nothing as read, nothing for granted, made no assumptions. Sixteen years of life and change muddied the waters. Sixteen years meant memories faded,
events became confused. People had died, moved away, grown up, changed jobs, had families. Sixteen years of events and everyday routine had altered everything. Suspects, if there had been any, must be located, re-interviewed, their subsequent lives gone over in fine detail. Anything like suspicious behaviour, let alone arrests, charges, imprisonments, would have to be examined in the light of the
Lowther case and an individual’s relation to it.