It soon becomes obvious that the case has everything to do with Alastair's failure to save the life of a badly hurt teenager, Nabeel Sira, during surgery. The hospital staff have closed ranks and the boy's parents are considering their options.
A second murder then happens.

After a difficult start, Lewis and Hathaway's partnership seems to have gained some semblance of normality. DS Maddox has become a part of the team. Her abilities will be put to the test when an investigation begins on the brutal murder of an American classics student Rose Anderson Her body is hauled from the canal with a stand wound to the neck and abdomen. Suspicious soon fall on astrophysics professor, Felix Garwood who had recently broken off an affair with Rose. However, Felix was married to Rose's supervisor, Philippa Garwood. Could the jealous wife have committed such a murder?