Adams originally auditioned as Donna, however the casting Directors felt that she would be better suited to Mickie, the quieter character and "mild mannered" counterpart to Donna's "sassy staff nurse". She and Jacobs were paired together during a three-hour workshop, and the producers detected an "instant spark" between them, leading to their dual casting. In 2004, her character had a lesbian liaison with Jacobs' character. The scene in which they kissed was edited to half its original length after being deemed too explicit for pre-watershed broadcast. In the aftermath of the Mickie/Donna storyline, the BBC banned its actresses from appearing in raunchy photo-shoots, after Jacobs and Adams were photographed in intimate poses while dressed in nurse's uniforms for various "lads' mags". In 2006, her ambitious character left for Newcastle Medical school to study to be a Doctor.