Pippa is preparing her research paper and Den and Kim deal with a male referral, but it is problem patient Ivy who dominates the day. Aggressive and deeply unpleasant, she sets a chain reaction in motion that sees Hilary in tears and Kim in trouble.

Elsewhere on the ward, life and death continues as normal, but with the MRSA statistics up it seems another crisis is just around the corner. Meanwhile, Den and Hilary are starting to bond.

With Den and Hilary flirting behind closed doors, an incident on the ward is all it takes to trigger the blame game. Pippa has good news on her faecal forum paper and the presence of Peter Healy lightens her mood. Paperwork and pragmatism once again prevail as the staff on B4 clockwatch their way through the day.

Kim has unwisely banked on her annual assessment with Nurse Flixter being a formality with a modest pay rise in the bank. Pippa's future is under scrutiny for different reasons as she reflects on life away from B4. Mrs Fyvie's decline continues, with Beedy at her bedside. And the new wing may have found a new life.