Otto Powell is summoned to the hospital's theatre where Richard Truscott, is about to make a rather serious mistake. Otto and his ever-faithful anaesthetist Charlie Enderbury have been called out for a private operation.
Richard and Jean return back from their honeymoon and Richard finds out that Jean lost the baby. He is upset that she didn't trust him enough to tell him the truth before they geot married. Richard allows the husband of a menopausal patient bully him into giving him tranquillizers to make the his life easier rather than listening to his wife. Jean finds life as a housewife dull despite Lily’s efforts to teach her the ropes. Angela is surprised after she returns home to find Otto waiting for her at her door.
Otto, Charlie and Jean find themselves becoing involved with the police after they manage to attract their attention whilst out on a private procedure. Angela is working nights and is shocked after Jean shows up at the hospital with the patient. Richard is still hurting from Jean’s betrayal about the miscarriage and turns to Margaret for comfort, a significant woman from his past.
The the death of a patient, Charlie is scared that he will be found responsible for the death and being struck off. Otto attends a complicated birth at a hospital in Dorset. Mulligan makes it very clear that he wants is Elizabeth and if she agrees to sleep with him he will give her the incriminating files he has on Otto.
Elizabeth continues to try and deal with the the situation involving Mulligan on her own but it soon becomes obvious that it has spiraled out of control. Angela ends up giving into her feelings for Otto but before anything happens between them, Elizabeth and Thomas show up at the hospital giving Angela a humiliating reminder that he is married.
A fundraiser and a beauty pageant at the hospital manages to bring everybodye together. Reluctant nurses end up agreeing to parade in their swimwear whilst raucous doctors jeer. Elizabeth is determined to keep her troubles with Mulligan from Otto, Richard and Jean as she puts on a brave face.