Teenager George runs away from his care home and bumps into streetwise youth Skelly, who takes him home. But when it turns out the house isn't his, they make a quick escape through the window, George hurting his ankle as he falls.
In the ED, Fletch's suspicions are raised, especially when it turns out the boys gave fake names to the paramedics - but his attempts to help are compromised when he is forced to deal with his own domestic responsibilities.
Meanwhile, it's Lily's 25th birthday, and Ash does his best to put on a friendly face for her. However, she later discharges a distressed woman without taking her mental state into consideration, so Jamie gives her a lesson in patient care.