Miriam is now eighty-seven and after Roy's death, still lives in the large vicarage in Wanstead with Rafa alongside Rafa, Florence and her twin girls, Faith and Betty. It is now a time of reflection, the promise of a great, great grandchild, and long conversations about the events and conditions that shaped her life. Yet even as her body moves inexorably into extreme old age, events continue around her that proves that even wheelchair bound, her clear and sound mind, alongside her remarkable memory, can still dispense positive advice and be more than useful to those who are charged with caring for her. Miriam's Last Year also sees Rafa Barker in her twilight years when she too has become alone once more, abandoned by her one and only daughter over a shameful event from which she cannot face. A time when, surrounded by her close family and friend, she too takes a reflective sad look back on a lifetime of service and love as she cares for Miriam during her final days.