An accident at the harbor leaves a fisherman concerned for the future of his family when Burnett is forced to amputate his hand. Weatherill treats a woman admitted with pneumonia who is deeply concerned about her father's presence around her daughter. Ken bids a final farewell to The Royal, but Lizzie's resolve flounders at the last minute.

Eric Fogle is appointed as new head porter, putting Alun's nose out of joint. The hospital receives a letter of resignation from Dr Banner in Australia and has to appoint a partner to the practice - Weatherill believes she knows just the person, but Dr Ormerod favors Dr Burnett. Elsewhere, when Lucy Bayliss is involved in a horse-riding accident an X-ray reveals a more long-term problem.

Mr. Middleditch's 70th Birthday celebrations are interrupted by a bus crash.

With Susie and Carnegie's relationship becoming the focus of talk in the hospital, Matron reaches the end of her patience and decides to suspend Susie when she's late for work. Mr Rose faces a personal test when a golfing friend of his has to into the operating theatre, Nick copes struggles with a dilemna and Gordon and Bobby are called to a farming accident where a man is trapped by a combine harvester.