Adam joined Holby A&E before the beginning of series 9, as staff nurse. He had a young daughter, Jessica, but he had split up with her mother, Emma. Emma had married a doctor who worked at Holby City Hospital, but they were separated. Adam had several arguments with the doctor about custody of Jessica.
Adam got back together with Emma and moved in with her, letting Matt Hawley use his flat, but he later split up with Emma again. Adam left Casualty between series 9 and 10.