REVEALED: Maddy Hill makes her big Casualty debut as Ruby Sparks

Ruby Sparks Casualty, played by Maddy Hill
(Image credit: BBC / Alistair Heap)

Ruby has arrived! Rookie paramedic Ruby Sparks makes quite an entrance when she joins Casualty. But will she be making an exit in the same episode?

You study, you train, you pass exams and then, before you know it, it’s the first day of your new career. Ruby Sparks makes a big impression when she joins Holby ED’s paramedic team this week. Unfortunately, it’s not the impression she hoped for…

Here we reveal what’s in store for Ruby, played by former EastEnders actress Maddy Hill, on her first day in Casualty


Ruby Sparks Casualty

Ruby's all smiles as she treats her first patient (Image credit: BBC / Alistair Heap)

Ruby Spark’s first day as a paramedic gets off to an awful start when she attempts to treat a drug user by the book but ends up getting punched.


Ruby Sparks Casualty

Experienced medic Iain explains the first rule of being a paramedic... (Image credit: BBC / Alistair Heap)

It’s the first of many hard lessons for Ruby. And Iain and Sam aren’t best pleased that they’ve to take Ruby (Maddy Hill) back to the ED for treatment, especially when paramedic boss Jan Jenning gives them both a dressing down for not keeping an eye on her!


Ruby Sparks Casualty

Ruby believes herself to be on the outside of life at Holby ED (Image credit: BBC / Alistair Heap)

Ruby learns something interesting about Sam (Charlotte Salt) when she overhears Iain (Michael Stevenson) teasing her colleague…


Ruby Sparks Casualty

Sam is trying and failing to keep her fling with Jacob quiet! (Image credit: BBC)

Sam’s not best pleased that Ruby knows about her dalliance with nurse Jacob Masters – especially as she’s trying to keep it quiet. Meanwhile Sam’s got troubles of her own; will she tell Jacob that his teenage son Blake tried to kiss her?


Ruby Sparks Casualty

Eddie seems like a steady guy and possibly someone Ruby thinks she could be friends with (Image credit: BBC)

Ruby gets her nose seen to by junior doctor Eddie McAllister, and is relieved when he’s kind to her and fills her in on who’s who on the team. Alicia is on high-alert when she sees them chatting and getting on well...


Ruby Sparks Casualty

Half-way through her shift, Ruby's made more enemies than the Wicked Witch of the West on a windy day (Image credit: BBC)

After a series of unfortunate events Ruby realises her colleagues have strong negative feelings towards her - she really shouldn’t have thrown away their lunchtime kebabs! Relations rapidly go downhill after Ruby makes a life-compromising decision while treating a vulnerable patient. Ruby suffers a dressing down from doctor Dylan Keogh too, and has difficult questions to answer!


Ruby Sparks Casualty

Ruby's stunned at Alicia's anger. Will she stick up for Eddie? (Image credit: BBC / Alistair Heap)

When Dylan sends her packing, Ruby decides to pay a visit to an earlier patient only to become embroiled in a scary confrontation between doctors Alicia Munroe and Eddie McAllister. All three end up being hauled into Connie Beauchamp’s office!


Ruby Sparks Casualty

Ruby must decide - will her first day also be her last? (Image credit: BBC)

As Ruby attempts to come to terms with the most challenging day of her life she realises she has a lot to learn, and the job may be more than she can handle. Will she decide to stick with it, or walk away?

Elaine Reilly
Writer for TV Times, What’s On TV, TV & Satellite Week and What To Watch

With twenty years of experience as an entertainment journalist, Elaine writes for What’s on TV, TV Times, TV & Satellite Week and covering a variety of programs from gardening and wildlife to documentaries and drama.


As well as active involvement in the WTW family’s social media accounts, she has been known to get chatty on the red carpet and wander into the odd podcast. 

After a day of previewing TV, writing about TV and interviewing TV stars, Elaine likes nothing than to relax… by watching TV.