A student nurse causes quite a stir when she arrives in the middle of the night, while Ken and Alun contend with a farming family suffering a crisis. Brigid and Jill deliver a Down's syndrome baby whose parents don't want anything to do with it, and Lizzie's crash diet has alarming consequences.

Ormerod faces a difficult dilemma when Caroline's father Henry turns up suggesting they turn off her life-support machine, having done all they can, but the guilt-ridden doctor wonders whether he'd only be letting her die so he can be with Weatherill. Meanwhile, Goodwin puts his career on the line when he allows a member of the public to cure a back injury, student nurse Samantha Beaumont is less than impressed by a date with theatre technician Alun Morris and a patient's pet parrot causes chaos in the hospital.

Brigid arrives at a decision and Lucy Klein is disturbed by the unscheduled reappearance of a figure from the past. Mr. Harper rests on his laurels, certain his future is assured, while Ormerod and Weatherill reveal they are about to end their relationship - only to find the news is already common knowledge.

Goodwin comes to the aid of a man brought in with a leg injury which his friend claims was sustained in an agricultural accident, but it soon emerges that he's actually suffering a gunshot wound - prompting his panic-stricken acquaintance to pull a revolver on the hospital staff. As armed police surround the Royal, the doctors strive to persuade him to hand over the gun, but will they be able to prevent further bloodshed? Meanwhile, Ormerod helps fossil collectors hurt in a landslide, Matron tries to convince Sister Brigid to return to work and student nurse Samantha Beaumont is less than impressed at the offer of a date with Alun Morris.

The residents are pleased when a fair comes to Elsinby, but Jeffrey and Samantha have their work cut out when the waltzer operator becomes trapped in the ride's mechanism. He's rushed to the hospital, where Mr. Rose operates, and reveals his father has been suffering dizzy spells recently. A concerned Jeffrey heads back to the fairground, but he's too late to prevent disaster. Meanwhile, Ken hatches a dubious money-making scheme and Jill is forced to confront a patient's wife.

The hospital staff have an intriguing case on their hands when local tramp Sebastian Fox is found dead. Ken Hopkirk rummages through his belongings and is surprised to find war medals, leading to the discovery that he was a decorated Navy hero. When a relative is traced but refuses to help with funeral arrangements, the Royal team decide to give him a fitting send-off by scattering his ashes at sea. Meanwhile, Jeffrey Goodwin is shocked to discover a farmer's cattle herd have contracted a disease which has passed into cheese that's available in the area, and Jill Weatherill, Matron and Sister Brigid encounter a runaway girl.