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When Detective Erika Foster receives a tip-off that key evidence for a major narcotics case was stashed in a disused quarry on the outskirts of London, she orders for it to be searched. From the thick sludge the drugs are recovered, but so is the skeleton of a young child. The remains are quickly identified as seven-year-old Jessica Collins. The missing girl who made headline news 26 years ago.

Frieda Klein is a solitary, incisive psychotherapist who spends her sleepless nights walking along the ancient rivers that have been forced underground in modern London. She believes that the world is a messy, uncontrollable place. The abduction of five-year-old Matthew Farraday provokes a national outcry and a desperate police hunt. And when his face is splashed over the newspapers, Frieda cannot ignore the coincidence: one of her patients has been having dreams in which he has a hunger for just such a child.