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Mrs Tembe has to deliver some unwanted news to the practice, while Karen faces an immediate concern with their new foster child. Rob has to deal with two brothers who aren't communicating with their mother.
Al goes to talk to Mrs Tembe, and the result is most surprising, while Rob and Karen's shopping trip is interrupted by a call from social services. Zara attends a funeral of a patient and has to deal with the fallout.
Al visits his mother for an early Christmas meal, while Rob is put in a position he would rather not be in. Ayesha deals with a patient who is uncommunicative, and when she visits him she finds herself in a dangerous situation.