Jac arrives on Darwin to start us off this week, albeit six hours earlier than when she is due to be in work, Kian mentions about her being early and doesn’t she have to drop Emma off at school, to which her answer is things have changed, they’ve changed very much Jac, very much.
Max McGerry is back, giving two smoking patients at the main entrance a talking to about their smoking and how she won’t have it outside the hospital doors, making the assumption it is the cause of why they’re patients here and receiving treatment in the first place. When Jason, who is also outside when all this is happening gives a quick answer to a sum she’s trying to do in her head regarding smoking and the money involved impresses her, and then when the patients have been literally sent back inside by her, she reveals to Jason that although she’s here to start in neurosurgery, she’s also the new CEO, but tells him she doesn’t want anyone to know about the CEO part just yet, she wants to see ‘the real Holby’.
Moving into the office where Elliot is on Darwin, he tells her that he’s a locum on Darwin for a little bit and is doing some electives with students since his contract in Pakistan expired. She tells him that Emma is in Edinburgh with Jonny, that there was no custody battle, it’s what Emma wanted. This lack of a battle seems to surprise Elliot, thinking that usually he’d expect Jac to have put up some kind of fight, especially where her daughter was involved. She asks to keep the situation with Emma between them, before noticing that he’s sweating, he passes it off as he’s been doing some exercise.
A lady called Sandra Jackson comes onto Darwin, she’s a cancer patient, who is told by Elliot that the chemotherapy isn’t working and her cancer is spreading. Kian comes alongside Elliot to introduce himself and explain the surgery he’ll be performing to try and remove as much of the tumour she has as possible. She says she stopped being herself the day this all started, that maybe she’s gone for good.
Whilst performing a heart scan on Elliot in the stock cupboard of the ward so she and others don’t find out, Kian asks about him not telling Jac yet, Elliot replies that they don’t have a full diagnosis yet and that if he needs surgery she’ll want to help, and he doesn’t want to burden her. Kian says the sooner he tells Jac the better.
Jason is showing Max around Darwin and Max introduces herself to Jac but gets hardly a response from Jac, that’s the usual response Max from Ms Naylor you’ll have to get used to this.
Thinking she could help Sandra, Jac suggests to Kian and Elliot the rather out there idea she had for the operation, they’re not sure about it at all, saying that chemotherapy is safer as well as Kian’s keyhole surgery. Jac admits in front of Kian, Sandra and Elliot that Emma doesn’t live with her anymore, the news that seems to surprise Kian, then Sandra tells Jac she wants the surgery that she’s offering, the trouble is will it be far too risky and the outcome be far graver than if she’d have opted for Kian’s way.
Elliot talks to Jac in the office about her doing the complex surgery on Sandra, asking if she’s feeling ok to do the operation, Jac gets defensive and shouts at him, telling him to let her get on with her job, this outburst causes him to walk out of the office and slams the door.
Just before Sandra is wheeled into her operation, Jac promises to get her back to her sons and make her better, the problem is can she keep such a massive promise?
Thinking that she was getting somewhere and she could successfully remove Sandra’s tumour like she wanted, during surgery Jac realises that the cancer has spread to other parts of her body, suddenly there’s a massive bleed from the pulmonary artery and herself and Nicky, aided by Fletch frantically try to stop it. From nowhere when she gets stressed because of the situation in front of her, aswell as the one that’s going on in her personal life, she shouts at Nicky and calls her Emma, Nicky looking wide eyed at the wrong name, just as Sandra flatlines and dies in front of her on the operating table.
Kian tells Elliot that his heart problem is worse than they first thought and he needs surgery ASAP, that he needs to tell Jac what’s happening because he needs Jac to be the one to perform the operation he needs to save his life, the question is can he tell her what’s happening with him when he’s just seen how she’s been with Sandra dying and Emma going to live with Jonny.
Max still doing the rounds in the hospital and basically trying to find out the gossip and various things that are right and wrong in Holby in her opinion, finds herself in Serena’s office on AAU, talking to the other woman about Ric and if and when people knew something was not right with him but didn’t say anything or make it a point to tell someone else. She says to Serena if she hears ‘but it’s Ric’ once more, because she’s heard various colleagues say the same thing, then she’ll hand Serena her P45 herself, Serena realising that Max is the new CEO. She tells Serena she wants reports of all the cases Ric has been involved with in the past nine months and reports on AAU’s efficiency and mortality rates, that she’s not here to make an enemy of the other woman, that she respects Serena, but change is way overdue, this sounds ominous for everyone Serena.
On Darwin Max reveals to Jac, Fletch, Nicky and Kian who she is, that she’s their new CEO, that she wanted to see the bones of the place, to see the real Holby. She tells them that she’ll be personally conducting an investigation about what happened in regards to the death of Sandra, that means all of them not just Jac and the person in charge of the ward, Kian.
In the last scene of the episode, Jac kicks off at Elliot in the office saying that she thinks Kian is rallying other people against her. Elliot disagrees straight away and says he doesn’t see this from Kian at all, he sees a woman fighting battles but not the ones she should be. She gets angry and asks why he’s really here and that he’s just a colleague to her now not a friend, that he’s sniffing around like an old dog because no one has the heart to put it down. Hearing this mean and aggressive outburst, an upset look all over his face, Elliot silently turns and leaves the office, leaving Jac to close the door behind him and lean against the wall breathing heavily, high anxiety written all over her face, it seems it’s all getting too much for Ms Naylor, the question is how long can she keep this up? If she can at all?