Nicky is stressed and exhausted, with devastating consequences at work. As she struggles to cope with the pressure from her mother, a tragic incident pushes her over the edge. Ange tells Cameron he is not ready to take the next step in his career. Frustrated by the rejection, he takes out his anger on Louis. Sacha decides to respect Essie's wishes concerning her cancer treatment, but Dominic urges him to persuade her not to give up on palliative care.