Casualty spoilers: Charlie Fairhead calls it quits?

Charlie Fairhead is stressed by the broken system.
Charlie Fairhead feels like collateral damage in a broken system. (Image credit: BBC)

Charlie Fairhead makes an impossible promise to his colleagues in Casualty episode All-Time High (BBC One, 8.30pm, Saturday, August 20 2022 - See our TV Guide for listings). Will he quit when it all proves too much? Elsewhere, David Hide puts his career on the line!

See our spoilers below for more…

Charlie Fairhead: Mission impossible?

Senior nurse Charlie Fairhead returns to Holby this week after a relaxing holiday in Greece - only to be greeted by an ED at breaking point. There’s a severe shortage of beds, ambulances are queuing up outside, patients are in corridors, and everyone’s stressed.

Promises made. Dylan crosses his fingers while talking to Charlie.

Promises are made. Together can Charlie and Dylan turn the ED around?  (Image credit: BBC)

With staff morale at an all time low, a chipper and refreshed Charlie (Derek Thompson) vows to turn things around. Over the course of a challenging shift, the NHS veteran rallies the team, manages to secure additional staff, clears Resus, and gains an extra bed. But his victory is short-lived… 

The ED remains overwhelmed following a fire at the local docks, waiting patients are dangerously deteriorating, and paramedic Sah Brockner (Arin Smethurst) is assaulted by a grieving father. 

Sah is shaken after a traumatic attack.

Sah is shaken after a traumatic attack. (Image credit: BBC)

There’s further trouble, when Charlie realises that during all the commotion, he’s failed to treat his desperately ill friend Toni West (Tenko star Josephine Lloyd-Welcome). 

Can she be saved in time? 

Josephine Lloyd-Welcome plays desperately ill Toni West.

Josephine Lloyd-Welcome plays desperately ill Toni West. (Image credit: BBC)

By the end of this demoralising shift Charlie’s optimism is spent and his faith in the NHS is in shreds.

Has he had enough?

David bribes a convicted criminal

David Hide is on a totally different mission to Charlie, but it’s equally important to him…

Desperate to understand why his son, Ollie, turned mass killer, this week David (Jason Durr) puts his career on the line looking for answers! 

David looking sinister, looming over Tara.

David talks a walk on the dark side... (Image credit: BBC)

When convicted poisoner Tara Buckley (The Grimleys’ Ruby Snape) is brought into the ED he bribes her with cigarettes in exchange for insights into her murderous motives. But his questioning becomes frenzied and he’s ordered to leave!

At home, David takes shocking and irreversible action. Should his friends be keeping a closer eye on the grieving and confused medic? 

Also in Casualty this week…

Paramedic Iain Dean is as frustrated as everyone else with the state of the health service this week. When clinical lead Dylan Keogh (William Beck) offers to make space for one of his patients, Iain (Michael Stevenson) offers to give him a kiss in gratitude. But later, that loving feeling is lost, when a tragic and potentially avoidable death, rocks the ED.

Iain Dean and Dylan Keogh talking in the busy ED.

And the record for the shortest ever bromance goes to... (Image credit: BBC)

Nurse Jacob Masters (Charles Venn) is a tower of support to patients, patients’ families, and his colleagues. But will the relentlessness of life on the frontline take its toll? 

Jacob comforts David outside the ED.

Jacob is pulled in many different directions this week. (Image credit: BBC)

Elsewhere, it looks like Rash Masum (Neet Mohan) and Paige Allcott  (Shalisha James-Davis) have hit rock bottom in their relationship…

And Stevie Nash (Elinor Lawless) doesn't appreciate Charlie’s holiday gift! 

Oh Charlie! Everyone knows you should get an oversized Toblerone from the airport gift shop.  

Stevie is repelled by Charlie's attractive holiday gift.

Why is Stevie repelled by Charlie's attractive holiday gift? (Image credit: BBC)

This episode of Casualty airs on Saturday, August 20 2022 at 8.30pm on BBC One. The episode is available on iPlayer after transmission. 

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.