Gordon becomes concerned for the health of a boxer, especially when his manager forces him to endure another boxing match. Jill faces an ethical battle when the parents of a dangerously ill baby refuse to let it be saved with a blood transfusion on the grounds of their religious beliefs. Carnegie's first private suite user, a singing superstar injured during a concert, is desperate to get out of her manager's bullying and soon creates a situation for Frankie.

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Dr Ellis confronts local prejudice when he discovers one of his patients, a schoolgirl from China, contracted a rare disease there.

Whilst Cheriton gets cosy with Staff Nurse Taylor, Bernard Hussey, the NHS administrator, gets in everyone's way and Greengrass is re-admitted, apparently suffering from malaria. Risking the anger of the boy's own psychiatrist, Cheriton turns to visiting psychiatrist Lucy Klein for help.

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Susie bets Lizzie she will get Carnegie to ask her out, and Jack is given a fright when a body in the mortuary springs back to life. An accident at the harbour leaves a fisherman concerned for the future of his family when Burnett is forced to amputate his hand. The programme remained popular on television until its cancellation, generating its own spin-off, The Royal Today, with episodes later repeated on ITV3. Jeff has concerns about a man's condition following a traffic accident, and soon makes a discovery that leaves his family with heartbreaking news. Cheriton and Meryl find themselves working together when they tend to an accident out at sea on a fishing trawler.

The situation soon causes Jill to chastises Gordon for nearly causing problems, prompting him to admit the truth about his nightmares on his accident. As Gordon and Frankie head to the accident with the ambulances sent to attend, the hospital prepares itself for the influx of wounded needing help. Joan finds herself offered a job in Cameroon much to her surprise, but with Jeff facing issues with Nkhesi, she soon contemplates accepting and using it to help provide the young girl a future. Hopkirk attempts to get a television setup in the hospital, but his efforts to put up an aerial nearly causes an accident. Linda Armstrong as Sister Brigid (series 1–8), a nursing administrator, ward sister and nun ( née Aisling Donahue) who lives in a convent.

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Sister Brigid provides comfort to the housekeeper of a retired priest who is slowly dying from pneumonia. Susie tries her best to be a model nurse and breaks off her relationship with Carnegie - who then proposes to her - while Bobby takes matters into his own hands with the violent stepfather of a local thug. Jeff is puzzled about an illness plaguing a local dairy farmer, but an investigation so traces the cause and narrowly prevents him from nearly succumbing to the same illness.Jill finds discovers the mother of the Beattie family is dying from cancer, and uses this to convince her husband to escape his alcoholism. Many raised concerns that the shows were to be axed, after reports were made to that effect in early January, though a spokesperson stated later that the production of the shows was simply "resting". A TV film crew announces its arrival to the Royal to film a live special for the festive holidays, which excites Harper until he is left literally speechless on camera. Middleditch prepares to retire as the hospital administrator, leaving its future in the hands of his successor Adam Carnegie. A retired colonel dies before reaching hospital, but the body soon becomes a health concern after his method of suicide is uncovered.