Patsy, who is temporarily staying with the Monsoons, becomes jealous when Edina reconnects with an old boyfriend. During one of her sporadic appearances at work, Patsy is assigned to host a fashion makeover segment on a morning television show. After clashing with the models, Patsy attempts to persuade Saffron and Mother to appear on the show in their place, telling a tale of her emotionally distant mother. Saffron agrees, on the condition that Patsy moves out of the house and does not interfere with Edina's relationship. Patsy's television appearance turns disastrous as she suddenly becomes nervous. After Patsy convinces Edina to break up with her boyfriend, Saffron lashes out at Patsy for not upholding her end of the deal.

Edina joins a New Age commune, but she struggles to fit in and quickly becomes bored. Patsy finds herself disillusioned with her new job in New York due to creative differences with her co-workers. Saffron settles into university life and Mother spends her days at the Monsoon house, drinking champagne and ordering items from the shopping channel. After realising that their lives are not the same without each other, Edina and Patsy happily reunite on top of Carnegie Hall Tower before returning to London. Back home, Mother has been arrested for squatting and credit card fraud. A flashforward to 25 years into the future provides a glimpse into the lives of Edina, Patsy, Saffron and Mother.

Saffron's first play, Self-Raising Flower, which details her troubled relationship with Edina, is due to open in a local theatre. Worried about being portrayed in a negative light, Edina unsuccessfully attempts to sabotage the play. As the rest of the family gather for the opening night, Saffron decides to invite Edina, who reluctantly attends with Patsy. The two are surprisingly amused by the play—despite the fact that Patsy is played by a man. The play becomes a roaring success due to being perceived by the cast and audience as a comedy, as opposed to the tragedy Saffron had intended.

Bubble accidentally emails Edina's clients' details to nemesis Claudia Bing, who poaches most of Edina's clients, including Twiggy. Patsy—who has recently been diagnosed with osteoporosis—and Edina are horrified when Saffron forces them to attend a Menopausals Anonymous meeting organised by her. In order to save her business, Edina dupes Claudia into buying her TV company—which currently has no programmes—while Claudia also agrees to return several high-profile clients. Saffron has a terrifying nightmare in which Patsy threatens to impregnate herself with a vial of Mick Jagger's sperm unless she is allowed to move into the spare room.

Saffron is preparing her home birth kit. She's due to have the baby anytime, Patsy is the hostess of the Style Awards at the Royal Albert Hall. Edina helps Patsy rehearse her speech but is interrupted by Katy Grin, Bo, and Marshall. Katy talks about her work in the musical Chicago. Bo and Marshall talk about their Christian Family Creation adoption service, which is a service for busy Hollywood actresses who have no time or desire for pregnancy. Saffron and Patsy shove each other trying to get up the stairs, and then suddenly Saffron's waters break, spilling baby juice all over Patsy's expensive clothing. Saffron retreats to her bedroom with contractions. In a rare moment of support for her daughter, Edina tells Patsy she won't be able to go to the awards show. Saffron eventually gives birth to a healthy baby girl.

For the first time ever, Edina has agreed to stay home and spend Christmas with the family. Edina typically goes overboard by buying a huge tree and tons of gifts. Patsy is very upset that she cannot go away on vacation with Edina as they do every year, as she hates Christmas. Patsy has a flashback of unpleasant Christmas memories of her childhood. Someone somewhere sticks a pin in a Patsy voodoo doll, and she collapses in pain beneath the Christmas tree. Although Edina and Saffron ignore her, John insists that Patsy needs to go to the hospital. Once at the hospital, the doctors tell Edina that Patsy is very sick and that she may die. Edina and Saffron return to the house to continue their Christmas celebration. In the middle of the night, Patsy's estranged sister Jackie arrives to visit her. The following day, Edina and Saffron drop by only to learn from a nurse that Patsy has died, only they find out that it turns out to be Jackie instead.