This article is not part of the Holby universe.
This article covers a subject that is part of the real world, and thus should not be taken as a part of the Holby universe.

"Impact" is the 648th episode of Casualty and the 10th episode of the 23rd series.


A car crash uncovers an affair between a woman and her stepfather, and spurs Ruth and Toby to prove themselves to Jordan. Dixie discovers Jeff has split up with his wife, Jay frustrates Tess during his first day and Jess is caught with a pregnancy test.

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