Fletch questions new CEO Abigail Tate's motives. Roxanna grows concerned over a paranoid John. Ric is unhappy to learn that the Trust board only wish for him to treat minor injuries.

Frieda forces new mentee Nicky to question what kind of doctor she ultimately wants to be. Meena puts her friendship with Nicky on the line when a chance to impress Gaskell arises. Serena tests Xavier's mettle, putting him in charge of Sheilagh's recovery.