A medical drama set in a coastal town in tropical South India. The series tells the story of British-Asian junior doctor, Ruby Walker who arrives at the run-down Good Karma Hospital to join a dedicated team of over-worked medics. Run by a gloriously eccentric Englishwoman, Lydia Fonseca, this under-funded but creatively resourceful cottage hospital is the beating heart of the local community. It’s much more than just a medical outpost - it’s a home.
Heartbroken and disillusioned, junior doctor Ruby Walker ditches her life in the UK for a fresh start, but when she arrives at the Good Karma Hospital, nothing is quite what she expected - not least her eccentric new boss.
The full moon spells trouble when a mystery Adonis washes up on the shore. As the team race against the clock to treat a local snake catcher whose luck may finally have run out, tensions mount when new girl Ruby questions Gabriel's professional conduct.
As Holi festival fever hits the Good Karma Hospital, an abandoned baby strikes a personal chord with Ruby. Lydia is reacquainted with an ageing ex-pat artist, whose alternative life choices may be about to catch up with him.
On the day that he is attending a lavish Indian wedding, Ram clashes with Lydia when a medical case becomes personal. As Ruby treats a patient from the UK whose story does not quite add up, she is left questioning where she truly belongs.
Lydia and Ruby visit a convent to make a seemingly miraculous diagnosis. Then Lydia's interference in the destiny of a young nun backfires - bringing her to blows with Ruby. Maggie and Paul join local pilgrims trekking through the jungle - but is Maggie searching for her own miracle?
As the first monsoon rains arrive, tensions run high between Lydia and Ruby - leading Ruby to make a shock decision. Maggie's health is rapidly declining and her daughter Debbie insists on returning to the UK. Will Maggie be granted her dying wish to stay in India?
Ruby faces new challenges as a blistering heatwave hits Kerala. Lydia decides Ruby is ready for her first solo night shift, but when a storm hits Barco, Ruby faces an agonising test that stretches her medical skills to the limit.
Lydia discovers a former patient is in the care of a herbal doctor and she’s determined to win back her patient’s trust. Ruby and Gabriel treat a patient with a mystery condition and Gabriel reveals something of his past.
Gabriel joins Ruby on an outreach programme to a tea plantation but he discovers that Ruby hasn’t been open about her motive for the trip. Lydia attempts to help a patient who she suspects may be a victim of domestic abuse.
Ruby is still reeling from her discoveries at the tea plantation and must decide if she can forgive past mistakes. Mari goes head to head with Lydia when a surrogate mother gives birth in the hospital.
A building collapses in Barco and the team are stretched to the limit. Ruby’s objectivity is put to the test when she discovers a secret about one of her patients and Ram cares for a patient whose husband is missing.