Ella, unhappy at Happy and Amanda's legal tactics over representing a deceased MDA member, tells Happy that she's been offered a fulltime job at St Albans Hospital. As she thinks it over - and then accepts the job - she approaches surgeon Simon Lloyd as her replacement. When Happy realises that Ella really is leaving MDA, he regards it as a betrayal.
Caitlin and Richard argue over the case of a woman left with paralysed vocal chords after a throat operation. Caitlin thinks the woman has no case, but cunning Richard finds a point of attack. The real source of tension between them is Caitlin's new lover, Justin. Over at MDA, a psychiatrist seeks Amanda's advice. The police are bugging her therapy sessions with a man they suspect of murder. Amanda realises that man is Justin. What does she do about it?