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Ruby Spark is a paramedic for the Holby Ambulance Service. She joined the service in July 2018.

Upon joining the service, her insistence on following the rules to the letter irritated her colleagues and led to her making mistakes. Following the death of fellow paramedic Sam Nicholls, she was happy to offer her support to Iain Dean, even when it wasn't appreciated.


Joining the ambulance service

In July 2018, Ruby started her first shift. She successfully revived a drug addict who had overdosed, but he immediately punched her in the face upon regaining consciousness. After she was treated at the ED, she, Iain and Sam visited the home of an elderly woman named Daisy with end-stage cardiac failure. When her colleagues started helping her with her domestic chores, Ruby irritated them by suggesting that she was a time-waster. Later, she treated a man who had fell onto his garage roof and suggested calling the fire brigade. Although Iain disagreed, he later apologised to her when it looked as though the man had sustained a spinal injury.

Afterwards, they were sent back to Daisy's house, and Ruby attempted to resuscitate her after finding her unresponsive. Despite Iain and Sam telling her that Daisy had signed a DNR, citing the job's guidelines, she demanded to see the form herself. Once she was given the form, she stopped performing CPR, but Daisy was soon back in sinus rhythm. At the ED, she was heartbroken to learn that Daisy had suffered brain damage. Later, after she heard that the man she treated on the garage roof may have been paralysed, Ruby was forced to disclose his condition to his wife in order to coax her into the hospital. However, when it transpired that his immobility was temporary, Eddie McAllister decided to take the blame for Ruby. Back in resus, she sat with Daisy as she passed away. At the ambulance station, Ruby recounted her day to Jan, and she tendered her resignation. Jan tore it up, bluntly reminded her of the reality of her job and assured her that her colleagues wouldn't hold what happened against her. After she was dismissed, she decided to get back on the road with Iain and Sam. (CAS: Series 32, Episode 41)

The following day, Ruby tried to work on her awkward demeanour during her shift with Sam, but Sam deemed her as a liability when she continued to make mistakes. However, after Ruby went the extra mile for a young homeless patient, her opinion of her began to change. (CAS: Series 32, Episode 42)

Sam's death

Later that month, Ruby disagreed with Iain when he concluded that suicidal frequent flyer Mia Bellis was not at any immediate risk of harming herself. They then attended a call at Alicia's house after Eddie had pushed her through a glass door. On their way to the hospital, Iain crashed the ambulance to avoid hitting Mia who had jumped from a footbridge. Ruby and Alicia were left trapped in the back of the ambulance, and Ruby was forced to treat Alicia's injuries with limited equipment and no analgesia. Later, at the ED, Ruby lost her nerve and broke down. (CAS: Series 33, Episode 1)

Following Sam's death, Iain and Ruby were told to write statements for an internal investigation. She considered telling the truth about their treatment of Mia, but Iain lambasted her, insisting that it was Mia's fault. Later, Iain decided to revise his statement and took full responsibility. After he was suspended, Ruby and Jan helped him wash Sam's blood from the ambulance. (CAS: Series 33, Episode 2) In September, she expressed her delight at the news that, following a tribunal, Iain was allowed to keep his job and told him that she looked forward to them being a team again. However, he rebuked her and insisted that they were not a team. (CAS: Series 33, Episode 4) Later that month, Jan forced Iain to work with Ruby. Later, after Alasdair "Base" Newman stole a drug bag, Iain asked her not to report it missing, prompting her to ask him if he had a drugs problem and if it affected his judgement while treating Mia. Iain admonished her for making such a suggestion and told her not to talk to him. (CAS: Series 33, Episode 6)

At the end of the month, after answering Alicia's advertisement for a spare room in her house, she was given the room. On the road, Iain continued to give her the cold shoulder as they dealt with numerous time-wasters. At the scene of a car crash involving a pregnant woman named Siobhan, Ruby told a woman named Lia to back off when it appeared as though she caused an injury while delivering her baby. On the way to the ED, Lia helped Ruby perform CPR on the baby. In resus, Ruby felt guilty when she learned that the infant sustained broken ribs and a pneumothorax due to her chest compressions. Although the baby was soon stabilised, she continued to question her own abilities. In cubicles, she learned that Lia knew that Siobhan was bearing her husband's child and was trying to protect the child to preserve the memory of her deceased son Elijah. On the paediatric ward, Iain apologised to Ruby for his treatment of her and told her that they needed to trust each other if they planned on working together. After Lia visited Siobhan and the baby on NICU, Ruby took her home. (CAS: Series 33, Episode 7)

In October, Ruby and Iain tried to resuscitate a man who had overdosed on heroin. Despite Ruby telling him that it was pointless, Iain continued to perform CPR, but he eventually gave up. At the ambulance station, Ruby witnessed him smashing an ambulance window out of frustration, and she treated his wrist after he cut it on the glass. After she covered for him, she encouraged him to be honest about what he was going through, but they were interrupted by a runaway car that was being controlled by a young child. Ruby was amazed by Iain when he managed to stop the car with the responsive vehicle. In her office, Jan reprimanded them for damaging two vehicles, but Ruby defended Iain's actions and criticised her lack of compassion. At the end of their shift, Ruby urged Iain to speak to someone about his feelings. (CAS: Series 33, Episode 8) In November, Ruby picked up a receipt that Iain had dropped and discovered that he had been shopping at 3 am. At work, Iain froze at the wheel, and Ruby had to snap him back to reality. Later that day, she asked him if he was alright, and he told her that he needed to keep working to overcome his grief. (CAS: Series 33, Episode 12)

In December, Ruby was impressed by Iain's approach to dealing with an elderly man who called an ambulance for his dog. Later, Iain asked Ruby if she wanted to go to the pub. That evening, at The Hope & Anchor, they drank together, and Ruby told Iain that she admired him. He kissed her, but she told him that wasn't what she meant and left in embarrassment. (CAS: Series 33, Episode 15) The next day, after Iain called in sick, Ruby suspected that he was trying to avoid her. That afternoon, she went to his house to give him cold and flu tablets, but she then changed her mind. (CAS: Series 33, Episode 16) In January 2019, Ruby and Iain agreed to forget about the kiss. (CAS: Series 33, Episode 19)

The following week, Iain had arranged for Marty to observe him and Ruby, and they forced him to come with them when he tried to drop out. On the road, they reprimanded him for his disrespectful attitude towards patients, and, when Marty told them that he had other commitments, an exasperated Iain left Marty by the side of the road. At the ED, Ruby disagreed with Iain's attitude towards Louise when he complained to her about Marty's behaviour. (CAS: Series 33, Episode 20)


Ruby surrendering as she was held at gunpoint. (CAS: Series 33, Episode 21)

Near the end of January, Ruby and Iain treated a man named Mark who had ensnared his leg in barbed wire. When a pair of bailiffs came to repossess the property, Mark removed the wire himself and ran to his house. Ruby, Iain, Mark's pregnant wife Tilly and the bailiffs followed him inside, and they were horrified when he returned with a loaded gun. Iain tried to get Mark to drop the weapon, but he fired several warning shots, and a stray bullet hit one of the bailiffs. Ruby pressed the emergency button on her radio; Mark noticed and pointed the gun at her. As she begged him not to shoot her, Iain confidently asserted that Mark had run out of bullets, but Mark was sceptical. Iain dared him to pull the trigger, but Mark caved and gave him the gun. Ruby called for backup and treated the dying bailiff, while Iain inspected the gun and found one remaining bullet in its magazine.

At the ED, Iain told his colleagues that he knew Mark's gun could only fire eight shots, but Ruby was adamant that he only fired seven. Still in shock from the ordeal, she was taken to a cubicle and treated. Later, Iain visited her, and she told him that she found her job too difficult. He encouraged her to persevere and gave her a hug. That evening, Gem informed Ruby that Alicia was going to sell her house. She and Marty invited her to attend Charlie's birthday celebrations, but she decided to go and look for a new home instead. (CAS: Series 33, Episode 21)

In March, Ruby and Iain treated a young girl named Emma who had been hit by a car, and she asked Ruby to stay with her. After she was taken to the ED, Ruby was visibly shaken. Later, she was devastated when the team pronounced Emma dead. On the road, Ruby started to break down at the wheel. Once they had pulled over, Iain assured her that she handled the situation with bravery and compassion, and he told her that he was proud of her. Being the only available recourse, Ruby and Iain arrived at a nightclub after its ceiling had collapsed. Inside, they found a man named Stephen who was trapped under a concrete beam. His friend Ben tried to move the beam himself, but he only exacerbated his friend's injuries. Once they took Stephen to resus, Ruby reprimanded Ben for his stupidity whilst Iain watched gleefully; she told Iain that it was great to see him back to his old self. In cubicles, they struggled to keep a straight face when frequent flyer Luke was readmitted to the ED after he had unintentionally consumed magic mushrooms and believed that Dylan was going to embalm him. As they left the department, they found Emma's grieving parents, and Ruby insisted on speaking to them. At the ambulance station, Ruby suggested going to The Hope & Anchor, but Iain declined the offer, claiming that he had "life admin" that he needed to sort out. (CAS: Series 33, Episode 25)


Ruby trying to call the hospital after she found Iain's empty medicine bottles. (CAS: Series 33, Episode 26)

The next day, Ruby noticed that Iain had left his entire uniform in his locker and taken all of his photographs down. Jan dismissed her concerns, prompting Ruby to take matters into her own hands. When she arrived at his house, he didn't answer her shouts, so she decided to go in through the backdoor. She found a fake rock with a combination lock, and, once she managed to crack the code and retrieve the key, she barged through the door. She was shocked to find all of his belongings and foodstuffs in bags and boxes for donation. Ruby soon found Iain unresponsive in his living room, and she took him to the ED herself. Iain was taken into resus, and Ruby told Connie that she believed that he had deliberately taken an overdose. However, lacking physical evidence, Connie decided to treat his symptoms as those of a myocardial infarction. Convinced that she was right, Ruby rushed back to Iain's house. Although she found nothing on his property, she decided to check his neighbour's bin, and she found three empty medicine bottles. Ruby quickly drove back to the ED and presented the bottles to Connie just before she attempted to thrombolyse him. Despite Gem's objections, Connie accepted the bottles as suitable evidence and started treating Iain's case as an overdose. Later, at the ambulance station, Jan informed Ruby that Iain was stable. Despite telling her that she saved his life, Ruby broke down in Jan's arms. (CAS: Series 33, Episode 26) Later that day, Ruby visited Iain on ITU. (HC: "Powerless")

Meeting Dani

Later that week, Ruby and Jan met young carer Dani Mallison whose mother Tracy, who had motor neurone disease, had fallen over. At the ED, it transpired that Tracy had aspiration pneumonia, and Dani was warned that her mother didn't have much time left. That afternoon, Tracy passed away, and Ruby promised Dani that she would help her in the aftermath, but Jan warned her about getting involved. When Ruby suggested that, by Jan's logic, it was not their job to help Iain, Jan asserted that, as his boss, she was responsible for what he did. Nonetheless, Ruby offered to take Dani home and gave her her phone number. (CAS: Series 33, Episode 27) Near the end of March, Gem informed Ruby and Jan that Iain would be able to go home soon, and she thanked Ruby for saving his life. (CAS: Series 33, Episode 29)

In April, Dani turned up at the ED after Ruby had agreed to show her who to perform first-aid. Outside, as Ruby went to get a drink, Dani secretly installed tracking software onto her phone. Later that day, Ruby was surprised when Dani returned sporting her hairstyle. (CAS: Series 33, Episode 30) The following day, after she had turned up at the scene of an accident, Ruby asked Dani to leave when she appeared at the ambulance station. (CAS: Series 33, Episode 31)


Behind the scenes

Maddy Hill made her first appearance as Ruby in July 2018.


See also: Character appearances and Category:Ruby centric.

Ruby first appeared in the 41st episode of the 32nd series. To date, she has appeared in over 30 episodes. To date, Ruby has had 3 centric episodes.