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.