As Holby City’s Emergency Department buckles under a rising tide of drug overdoses, veteran consultant Dr. Dylan Keogh is forced into a moral minefield that could end his career. Meanwhile, ED nurse Ngozi Okoye is hiding a terrifying secret—her relapse into alcohol addiction—and one tragic decision could expose her when it matters most.

Following Iain Dean’s personal breakdown and the collapse of the HART trial, the episode “Supply and Demand” dives even deeper into the human cost of medical crisis. Dylan and Ngozi take center stage—and what unfolds is devastating.

💊 Drug Deaths Soar: Dylan’s Radical Solution Divides the ED

As the opioid crisis spirals out of control, Dylan proposes a controversial new strategy: distribute pre-loaded naloxone syringes to at-risk patients before they overdose. It’s a bold move aimed at harm reduction—but it sends shockwaves through the team.

Flynn Byron immediately rejects the plan, calling it reckless and “tantamount to enabling drug use.” But Dylan, whose own history with alcoholism has made him sympathetic to addiction, refuses to back down.

“If one kid uses this to save their mate’s life, it’s worth it,” Dylan says.

The scene culminates in a tense standoff in the break room, where ethics, addiction, and blame are thrown like daggers.

🍷 Ngozi’s Dangerous Secret

Unknown to most of her colleagues, Ngozi is not only struggling professionally—she’s deep in relapse. After a one-night stand and a night of drinking she can’t fully remember, she tries to show up to work like nothing happened. But the signs are there: bloodshot eyes, shaky hands, slurred words.

When a young patient overdoses and is brought in with her mother begging for help, Ngozi takes the lead… but she misreads a dosage chart. The mistake nearly costs the patient her life, and it’s Dylan who steps in at the last moment.

“You’re not yourself, Ngozi. You’re not well,” he warns her.

Ngozi denies everything—but Dylan knows. He’s been there. And now, he must decide: does he report her… or try to help her from the shadows?

⚖️ The Ethics Spiral: Dylan vs Flynn, Round Two

Flynn, already clashing with Dylan over the naloxone plan, discovers Dylan has not reported Ngozi’s slip. He’s furious.

“You talk about saving lives, but you’re hiding someone who could kill a patient.”

Dylan fires back that Flynn’s clinical detachment is part of the problem.

Their argument grows increasingly personal, until Dylan blurts out the truth: he’s a recovering alcoholic, and he won’t stand by and watch Ngozi be destroyed the way he nearly was.

It’s a shattering moment of vulnerability—one that leaves Flynn speechless, and the entire department shaken.

🧍‍♀️ Ngozi’s Breakdown: Confrontation with Obi

The final act of the episode sees Ngozi’s carefully constructed mask crumble completely. Her teenage son Obi finds an empty vodka bottle under her car seat and confronts her in the hospital car park.

“You promised me you were better. You said we were okay now.”

Ngozi, trembling and on the verge of collapse, has no answer. She breaks down sobbing—and Dylan, who witnesses it from a distance, makes a painful decision.

📃 The Report: Dylan’s Final Line

In the final scene, Dylan sits alone in his office. The department is quiet, the overdose patients stabilized… for now. He opens an incident report. He writes down Ngozi’s name.

But instead of submitting it, he rips it in half.

“Not yet,” he mutters. “Not like this.”

Dylan Keogh has chosen mercy over protocol. But will it cost him—and the ED—more than he expects?

🧠 Themes to Watch Next Week:

• Addiction and accountability: Will Ngozi come clean before her secret explodes?

• Dylan’s moral dilemma: Can he protect both the patients and the people who care for them?

• Flynn’s authority: As tensions rise, will he report Dylan for misconduct?

• Obi’s safety: Now that he knows the truth, will he stay… or walk away from his mother?