Kim, Den and Pippa struggle through another normal day on B4. Kim has an unknown female to occupy her, Den has Hilary to cope with and Pippa has a ward round. New patient Mrs Fyvie is admitted, but it's her daughter Beedy who needs to be dealt with.

Kim has stepped in to cover a night shift and is looking forward to a quiet few hours, when a new admission and the surprise appearance of an emotional Den puts paid to any plans of a kip. With Dr Moore forced to divert from her regional sports awards dinner and attend an emergency a happy ending looks possible, but B4 isn't the sort of place where things run smoothly.

Hilary's 'Icing the Cake' initiative is spreading... but not always successfully. Best behaviour has a habit of bringing out the worst. Pippa has a lunch appointment with Peter, while Den and Hilary have a difficult matter to deal with. Kim embarks on a vendetta of a different kind. Will they ice each other's cakes?

A graduate nurse drives a wedge between Den and Kim, and Hilary's elaborate new hand washing protocols hardly help matters. Pippa suffers the indignity of re-applying for her own job. Luckily, Kim and Den find a way of cheering things up, even if Dr Moore may not see the funny side.

Kim has unwisely banked on her annual assessment with Nurse Flixter being a formality with a modest pay rise in the bank. Pippa's future is under scrutiny for different reasons as she reflects on life away from B4. Mrs Fyvie's decline continues, with Beedy at her bedside. And the new wing may have found a new life.