After being unable to pluck up the courage to confront Edward over his affair with James, Ruth heads off to work for her first day as Clinical Standards Manager. The team show her their displeasure over her treatment of Charlie. Neil and Lou, are brought into the hospital after Neil attacks Lou with a meat cleaver. Richard, who is a police officer and Lou's secret lover, shows up and ends up complicates matter further. Ruth and Charlie continue to remain at loggerheads. Ruth finally finds the courage to confront Edward about his homosexuality.
Casualty is the world's longest running and most successful medical drama series on television. It depicts the private and working lives of the patients, doctors, nurses and all others attending a small but frantically busy accident and emergency department of the large Holby General hospital. By mixing episodic plots with longer, character-based stories it ensures that we get to know the characters as people with lives, not just doctors or nurses. With consistently superb storylines and great acting, Casualty is compulsive viewing. The show began in 1986 and since then only one character remains; the one and only Charlie Fairhead played by Derek Thompson.