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Serena has been rushed off her feet recently whilst trying to care for her mother, Adrienne. When Guy asks her for an urgent report outlining Holby's chances of becoming a Neurosurgical Feeder Centre she's stretched to her professional limits. Things are made worse when Adrienne arrives unexpectedly on the ward and she becomes involved in a paternity issue with her patient.

For the past few weeks Elliot hasn't been feeling himself and keeps forgetting things. When Guy announces that they will be bringing forward the launch of the Herzig 5, Elliot is left flustered but determined to pull it off. With the team unwilling to see his recent difficulties as anything more than part of Elliot's little eccentricities, he's left feeling isolated and fearing for his career.

Adele has been in the doghouse ever since Mo discovered that she'd been impersonating her on the radio. Unwilling to cut her any slack and holding her to impossibly high standards, Adele sets out to prove that she is a capable member of the team.