Dr Martin Ellingham and Pauline are surprised by the number of patients coming to see him on the last day before his Surgery closes and he moves to London.

Doc Martin is struggling to maintain his life as a GP, after his wedding day disaster with school headmistress Louisa. She has left the village, and he is starting to question whether this is where he wants to stay, until an old friend turns up.

Dr Martin Ellingham seeks out Louisa to talk about his new surgeon’s job in London, but they are interrupted by Bert, who wants to plan a baby shower for Louisa.

Dr Martin Ellingham struggles to deal with Louisa’s news. But Louisa is adamant she does not want Martin involved.

Dr Martin Ellingham is in London to meet with Robert Dashwood, who is leading the selection process for the prestigious London surgeon’s job that Martin has applied for. Robert can tell that Martin is excited to be back in the world of surgery, and is pleased that Martin has finally conquered his debilitating blood phobia. Robert is confident that Martin will get the job.

Dr Martin Ellingham meets Portwenn’s new midwife, Molly, who will be looking after Louisa. Martin is dismissive of her profession, and the two of them do not hit it off.

Dr Martin Ellingham is shocked to find Louisa and Aunt Joan knocking at his door before the Surgery has opened. Louisa has had a medical scare and wants Martin’s reassurance that everything is fine.

Dr Martin Ellingham is called to Louisa’s new home after she has a dizzy spell while shifting furniture. Martin urges her to slow down, but is shocked to learn that Louisa has applied to be her school’s headteacher again.