Fletch learns that great power comes with great responsibility in Tuesday´s Holby City

Fletch must come to terms with the realities of his new role as director of nursing, when he is charged with having to break some bad news.

Meanwhile, when a familiar face shows up, Essie is forced to say goodbye to a very significant person in her life – is she ready to move on?

Elsewhere, during the day from hell, Donna makes a serious schoolgirl error – can she do damage limitation in time?