On 26 January 2019, Andrew was brought down to the emergency department to assess Ernest Maxwell who had a suspected thoracoabdominal aortic aneurysm; given Ernest's homelessness and low prospects of recovery, Andrew deemed him a "lost cause" and refused to operate. However, when senior staff nurse Louise Tyler later informed him that she had found Ernest a place in residential rehabilitation for him to recuperate and booked him into the pre-op clinic for Jac Naylor to operate on him, Andrew eventually reconsidered. (CAS: Episode 1113)
On 16 February, Andrew prepared to operate on Ernest, but he was forced to postpone it several times due to new emergency cases. Later that day, a theatre slot was made available, but Ernest's aneurysm ruptured, killing him before he could leave the ED. (CAS: Episode 1115)
Behind the scenes
Adam Jackson-Smith portrayed Andrew on Casualty for one episode in 2019.