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The Big Freeze continues, with scheduled power cuts and more blizzards. The departure of Barbara prompts Sister Julienne to recruit a new midwife, Lucille Anderson. Owing to the snow, Lucille is two days late and her start is bumpy when she falls ill. Lucille is called out from her sick bed to assist Trixie with a breech birth. Nadine Mulvaney, a single mother and exotic dancer in Soho, plans to give the baby up for adoption. But, Trixie is concerned that Nadine's Rhesus Negative blood type might cause problems for baby.

Meanwhile, Nurse Crane and Dr Turner are caring for Ruth Gelin, an elderly Jewish woman suffering from bowel cancer. Ruth and her husband Arnold are facing eviction from their home of several decades. The council have started to demolish their street as part of the slum clearance. Nurse Crane must convince the prickly Sergeant Woolf to delay the demolition until after Ruth passes away.

Shelagh wants to return to work and contemplates having an Au Pair. An apprehensive Trixie decides to take her relationship with Christopher to the next level while Sister Winifred is nervous as her driving test approaches.