When a mother falls seriously ill, staff at the hospital are faced with a dilemma.

Lady Isabella Martindale has had a horse riding accident and is driven to THE ROYAL by her Chauffeur Tom, who Lizzie takes an instant liking to! Whilst Mr Rose diagnoses Lady Isabella with a broken ankle, Adam Carnegie tries to charm her into making a donation to the private wards.

An expectant mother attends for treatment, but is harassed by her ex-husband. Stella is relieved to find she has not contracted an infection from her attacker, but suffers accusations of lying to save her reputation. Meanwhile, Sister Brigid makes a misguided suggestion, and a surprise visitor from overseas forces Goodwin to reconsider his future plans.

A piano teacher (guest star George Costigan) remains suspiciously secretive about his past when brought in to casualty after collapsing outside the hospital. Matron's revelation about Susie cools Alun's interest in her, and Mike takes pity on a mother while he treats her son. Elsewhere, Jill delivers bad news to an elderly patient and the porters are forced to take industrial action in support of a colleague.