Series 20, Episode 34 airs Tuesday 21st August at 20:00 on BBC One.

Essie is devastated when Josh’s condition deteriorates. When Gaskell suggests a risky unapproved solution, Essie has to choose between Josh’s quality of life and her own ethical concerns.

Stressed out by her flaky clients and ailing beauty business, Donna is consumed by self-doubt and comes close to giving up her side hustle. Can Xavier help her see she’s got what it takes?

Meena tries to keep smiling when Gaskell banishes her to AAU after suspecting that she’s spying on the trial. But when faced with troublesome patients and a disinterested Xavier, her day goes from bad to worse.