Casualty airs major change as shut-down lines up uncertain future for Holby City Hospital

**Warning: Contains spoilers from Casualty's early iPlayer release**

Things are looking different in Holby City hospital as the emergency department is forced to close after a grave error judgement from resident doctors Kim (Jasmine Bayes) and Matty (Aron Julius).

Earlier in the Learning Curve boxset, the department underwent a safety inspection after what they believed to be an anonymous call was made to the Care Quality Commission. As viewers know, it was actually Matty who picked up the phone.

Ultimately, the ED failed and inspector Ceri (Gwyneth Strong) said she would return in 30 days for a full inspection.

In tonight's episode, which is already available to watch on BBC iPlayer, Flynn (Olly Rix) was confused when nobody showed up for the reinspection and was shocked when Ceri arrived just moments after Dylan (William Beck) and Stevie (Elinor Lawless) had ended their shift.

During her second inspection, Ceri was pleased with the changes made and Kim suggested to Matty that they team up for the rest of the shift to ensure they made a good impression on the inspector.

The pair decided to treat a patient named Tara, who had suffered a head injury, and Matty was keen to carry out a lumbar puncture to check for another condition.

He decided against asking Flynn to supervise him, and Kim consulted some instructions on her phone. As a result of her eating disorder, her vision began to blur, and she mistakenly told him to insert the needle higher in Tara's back.

Tara complained she can't feel her legs, with the residents horrified to realise that Kim had read the instructions wrong. After consulting Flynn, he confirmed that Tara was suffering from paralysis.

Meanwhile, Ceri watched from the other side of the curtain and concluded that the patients still aren't safe with no consultant cover in the evenings.

Flynn informed the team that the emergency department was now closed to major trauma at night until a future reassessment, a change that could change the hospital's reputation and funding.

With Flynn now sure he'll have to resign, what could the impact of this night mean for the future of Holby City hospital?

Casualty airs on Saturday 28 February at 8pm on BBC One and iPlayer.

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