Lofty is asked to run the nursing team for a day and struggles with the pressure of his new position. He steps up and asks a disruptive patient to leave, but this soon backfires when the patient is brought back in as an emergency case. They soon manage to save her, but another silly mistake causes a agency nurse to receive a shock from a defibrillator. Big Mac tries making up with Noel, but he's having none of it. Louise tries getting to he bottom of what's going on, but he is soon popping painkillers again.