FORTUNES CHANGE FOREVER ON ONE FATEFUL NIGHT. It was widely held that the West Pennine Surgery was the best that had ever been seen. The GP who'd built it had countless devoted patients. Things changed, however, one winter's night when a terrible accident occurred: one for which the GP felt totally responsible. From that day, the surgery faced a terminal decline. Those who remained did so out of loyalty and memories of what once had been. Just when the situation reaches rock-bottom, a practice manager is appointed: one who offers energy and exceptional skill to turn the fortunes of the practice around. In reality, however, she harbours a very different purpose: one that is totally predicated on the surgery's destruction. Any who attempt to frustrate her are summarily punished or dismissed as she assumes total control. A new, lacklustre appointee aims to discover the manager's true motives and tries to stop her. She learns, too late, that a much larger agenda is in force. Ultimately, as the brutal truth emerges, the manager, who has outwitted them all, wreaks a terrible and spiteful revenge. It seems, then, that nothing and no one can save either the surgery or any of those associated with it. THIS IS THE SEQUEL TO DAWN OVER VANCOUVER