It's the day of the consultant interviews. Sahira is tested when a patient, Gary, whom she's previously diagnosed with a benign tumour, is readmitted with serious complications. She soon discovers that the tumour is now malignant. When he demands a second opinion, Sahira turns to Jac, suggesting they operate immediately. Jac disagrees, arguing it is too late. Sahira has to accept this when Elliot reiterates the diagnosis. When Jac tells Gary that his days are numbered, he can't hide his disdain for Sahira. He leaves the ward, taking some drugs from the trolley, and Sahira discovers him slumped at the wheel of his car. She resuscitates him, and is then faced with the challenge of helping explain to Gary's son, Thomas, that his dad is going to die. Consequently she misses her interview slot, and Jac gets the consultant job.
This series is a spin-off from the long running BBC medical drama Casualty. Set in the same hospital as its sister series, this show follows the everyday lives, professional and personal, of the doctors, nurses and patients who find themselves, for various reasons, in the wards of Holby City General Hospital