Julian Chapman is forced to make the most difficult decision of he career. The A & E department is facing a crisis of confidence over staff shortages and when newspaper reporters start investigating, he publicly criticises the management. He clashes with Dr Robert Khalefa and Charlie over the matter, as his affair with Nurse Sandra Nicholl is the talk of the wards. Then following a bitter clash with general manager, Simon Eastman, he decides he has had enough and quits. A promising young skater faces the prospects of her career ending and a owner of a Pit-bull terrier suffers horrific injuries during a dog fight. A man whose been made redundant, takes up competitive cycling and is involved with another cyclist and ends up in casualty.