Casualty, stylised as CASUAL+Y, is a British medical drama series that airs weekly on BBC One.[2] It is the longest-running emergency medical drama television series in the world,[3] and the most enduring medical drama shown on prime time television in the world.[4] Created by Jeremy Brock and Paul Unwin, it was first broadcast in the United Kingdom on BBC One on 6 September 1986. The original producer was Geraint Morris.[5]
The programme is set in the fictional Holby City Hospital and focuses on the staff and patients of the hospital's Accident and Emergency Department. The show has strong ties to its sister programme Holby City, which began as a spin-off series from Casualty in 1999,[6] set in the same hospital. Casualty is shown weekly on a Saturday evening, which has been its time slot since the early 1990s.
Casualty's exterior shots were mainly filmed outside the Ashley Down Centre in Bristol from 1986 until 2002 when they moved to the centre of Bristol. In 2011, Casualty celebrated its 25th anniversary and moved production to the Roath Lock Studios in Cardiff where it is currently filmed.
The 1,000th episode of Casualty aired on 25 June 2016.[7] A feature-length 30th anniversary episode of Casualty aired on 27 August 2016, episode 1 of series 31. For the series 31 finale, creator Paul Unwin returned to write a special episode which was entirely recorded in one take using only one camera, five boom operators and forty microphones
Creation
The series was created by Jeremy Brock and Paul Unwin.[9] According to writer Susan Wilkins, it was meant to be a response to the Margaret Thatcher era, and Unwin said that as young socialists, they wanted to create a "television revolution" that would be feminist, anti-racist, pro-NHS and anti-Conservative.[10]
Production
Location
Casualty and Holby City are both set in Holby City Hospital,[11] in the fictional county of Wyvern, in the south-west of England.[12]
From the show's inception to series 26, episode 16, the city exterior was represented by Bristol,[13] including well-known landmarks such as the floating harbour and Clifton Suspension Bridge often visible in outdoor scenes.[14] The City of Bristol College was used as the location for most exterior shots of the hospital from 1986 until 2002, when a new exterior set was built in Lawrence Hill Industrial Park in the city.[15] Casualty has also filmed at Chavenage House back in 1997.[16]
Following plans to switch filming to Birmingham, it was confirmed on 26 March 2009 that filming of Casualty from 2011 would move to a purpose-built studio and backlot set at the BBC Roath Lock studios in Cardiff, South Wales.[17][18] Episode 16 of series 26 marked the final episode filmed in Bristol, with a fire destroying the department. The first episode from Cardiff,[19] broadcast on 7 January 2012, was an 80-minute episode.[20] Most exterior shots of the city of Holby are now shot within the city of Cardiff and wider area of South Wales. Railway scenes are shot on location at various preserved railways, which from the start of shooting have centred around the West Somerset Railway, the Avon Valley Railway and more recently the Barry Tourist Railway. In May 2018, filming for the premier of series 33 was shot in Bristol and Yate.[21]
Broadcast
The programme has usually been transmitted on Saturday nights, although for a period in the late 1980s and early 1990s it switched to Fridays. The first two series each consisted of 15 episodes; series 3 ran for 10 episodes (although one of those episodes was postponed following the death of its guest star, Roy Kinnear); series 4, 5 and 6 were 12, 13, and 15 episodes long respectively. The final episode of series 6, which focused on a plane crash, was postponed until February 1992, after being initially scheduled for transmission on 20 December 1991 – one day before the 3rd anniversary of the Lockerbie disaster.
When the show moved back to Saturday nights in September 1992, the series length was extended to 24 episodes per year, and placed in a pre-watershed slot at approximately 8 pm. This initially caused some controversy due to the graphic and controversial nature of some of the storylines.[22] In 1997-8, the episode number was increased again, with 26 episodes (including two 75-minute specials) making up series 12. Subsequent series each saw an increase in episodes; series 13 ran for 28 episodes, series 14 ran for 30 episodes, series 15 ran for 36 episodes, series 16 and 17 ran for 40 episodes and series 18 ran for 46 episodes. Since 2004, popularity of the show resulted in a switch from a traditional seasonal format (which had progressed from three months in its early years to around seven months by 2001) to an almost year-round production and transmission — each series from series 19 (2004/5) to 25 (2010/11) has lasted for 48 episodes. However, this figure was dropped to 42 for series 26, with no summer break, which was related to production moving from Bristol to Cardiff.[23] Series 27 consists of 44 episodes – an increase of 2 episodes on the previous series and returned to 48 for series 28.[24][25] In addition, from series 26, the show also began broadcasting in August of their respective years, rather than start in September with a two-week break in late December.
Casualty usually runs for 50 minutes between 20:00—22:00 slot on BBC One. Special events such as the Eurovision Song Contest and sporting events sometimes see the schedule moved around. On most of these occasions, Casualty is taken off-air for the night to make way for alternative shows. It has been known in the past that if an episode is in two parts, part one will be aired on the Saturday and part two on Sunday. It is broadcast across Europe via BBC Entertainment on the same date.
Cast and characters
asualty follows the professional and personal lives of the medical and ancillary staff of Holby City Hospital's emergency department. It features an ensemble cast of regular characters, and began with ten main characters in its first series. The original characters are consultant Ewart Plimmer (Bernard Gallagher), senior house officer Baz Samuels (Julia Watson), charge nurse Charlie Fairhead (Derek Thompson), staff nurse Clive King (George Harris), state enrolled nurse Megan Roach (Brenda Fricker), student nurse Lisa "Duffy" Duffin (Cathy Shipton), paramedics Sandra Mute and Andrew Ponting (Lisa Bowerman and Robert Pugh), receptionist Susie Mercier (Debbie Roza) and porter Kuba Trzcinski (Christopher Rozycki).
Currently, the regular cast consists of consultants Ethan Hardy (George Rainsford) and Dylan Keogh (William Beck); consultant in pediatric emergency medicine Will Noble (Jack Nolan); specialty registrar Archie Hudson (Genesis Lynea),[26] clinical nurse manager, senior charge nurse and emergency nurse practitioner Charlie Fairhead (Derek Thompson); former senior sister and senior midwife Lisa "Duffy" Duffin (Cathy Shipton); staff nurses Robyn Miller (Amanda Henderson), Jacob Masters (Charles Venn) and David Hide (Jason Durr), Marty Kirkby and Jade Lovell (Shaheen Jafargholi and Gabriella Leon), operational duty manager Jan Jenning (Di Botcher), paramedics Iain Dean (Michael Stevenson) and Ruby Spark (Maddy Hill), receptionist Noel Garcia (Tony Marshall), and porter Rosa Cadenas (Jacey Sallés).
A survey published by Radio Times magazine in March 2004 found that Casualty has featured more future stars than any other UK soap or drama series.[27] Actors who appeared in the show prior to wider success include Kate Winslet, Orlando Bloom, Minnie Driver, Christopher Eccleston, Tom Hiddleston, Ashley Artus[28], Parminder Nagra, Sadie Frost, Ray Winstone, David Walliams, Jonny Lee Miller, Martin Freeman, Helen Baxendale, Robson Green, and Brenda Fricker.[27] Discussing her 1993 appearance in Casualty, Winslet told the Radio Times: "In England, it almost seems to be part of a jobbing actor's training [to appear in Casualty]. As far as I was concerned it was a great episode, a great part. Appearing in Casualty taught me a big lesson in how to be natural in front of the camera."[27] In addition, the series has featured a variety of more established stars, including Norman Wisdom, Amanda Redman, Anita Dobson, Jenny Seagrove, Rula Lenska, Prunella Scales,[29] Celia Imrie,[30] Toyah Willcox, Maureen Lipman,[31] Frances Barber, Andrew Sachs,[32] Russ Abbot, Stephanie Beacham,[33] Honor Blackman and Michelle Collins in cameo roles.
Titles and theme music
1986–1989, 2015 (S1–3, 30)
The original title sequence featured a speeding ambulance with flashing lights arriving at casualty with a police escort. A CGI heart monitor was shown over the titles. The 49 second sequence shows the patient's point of view and their journey through the department into resus. The heartbeat turned into electric arcs, possibly as a result of a defibrillator being used as the bed moves around the hospital. The theme is used again in second episode of series 30, this time inter-cut with scenes of Connie Beauchamp (Amanda Mealing) performing CPR on Charlie Fairhead (Derek Thompson) and also Lofty (Lee Mead) travelling through the Emergency Department.[34]
1989–1992 (S4–6)
Series 4, in 1989, launched with a new title sequence, opening with an ambulance travelling in daytime. Different activities are then shown, including the ambulance clinicians, hospital equipment, a patient being treated and a blood pressure gauge, all separated by flashes of blue light. The next part of the sequence features new camera shots of the patient's journey into resus.
1992–1993 (S7)
Series 7 from 1992 to 1993 saw a sequence returning to the original style, with the ambulance coming over the hill and a new heartbeat line moving across the bottom of the screen. As the ambulance arrives, the staff come out of the department to move the patient to resus.
1993–1997 (S8–11)
In September 1993 (Series 8), the titles were revamped, based on the series 4 style, with the ambulance. Clips showed accidents and the ambulance journey instead of the patient's journey. Whilst the ambulance is being driven, a series of clips are superimposed. The sequence ends with the ambulance arriving at casualty. The Casualty logo flashes up on the screen when the screen blurs out. The sequence was tinted blue. These lasted until February 1997 when series 11 ended.[35]
1997–2000 (S12–14)
Casualty logo 1997–2006
Again September 1997 saw a new look, with fragments of glass flying and a sequence utilising footage of medical staff, hospital equipment and patients' relatives. The sequence ends as all the pieces of glass that were shattered in the first few seconds of the sequence are re-formed into a single pane, which spells out the new Casual+y logo. Minor edits were made when these titles were shortened towards the end of 1998 for series 13 but they remained essentially the same until series 14 ended in March 2000.[36]
2000–2001 (S15)
A more arty sequence appeared in September 2000 (series 15), with a fast forward technique, featuring a clock ticking through the night, an airbag deploying, the ambulance, speeding through evening traffic and patients arriving at reception. The second half of the sequence focuses on a patient being treated in Resus from a bird's-eye perspective. The sequence ends in slow motion as the patient recovers and his relatives crowd round his bed, before the people and equipment disappear, leaving the distinctive chequered flooring of the department and the Casual+y logo. The original 1986 theme tune remained, but as the 'September 1998' shortened version again.[37]
2001–2002 (S16)
A new theme tune marked the arrival of series 16 in September 2001, with a distinct change to the opening titles. For the first time, the focus was on the characters, who were presented posing to the camera against a blurred dark background. The only 'medical' references were the glimpses of an ambulance and a heart rate graphic in the opening seconds of the titles. The same logo introduced in 1997 remains at the end.
2002–2006 (S17–20)
Series 17, starting in September 2002, saw a return to a generic medical-themed title. The focus was on the international symbol of medical aid, the red cross, shown at different sizes moving around the screen, often filled with footage such as paramedics and a patient being given CPR, against a stark white background. This sequence was also filled with abstract graphics, elements of the Casual+y logo and footage of medical emergencies. The logo is formed by the merging of the various crosses & abstract shapes at the end of the sequence. Similarly to the titles of September 2001 – June 2002 (which featured the characters), the 1997 logo remained at the end until these credits were replaced in September 2006 (series 21).[38]
2006–2011 (S21–26)
Casualty logo 2006–2014
Brand new titles were introduced in series 21 – this also marked the usage of a brand new Casual+y logo – using stop-frame footage of the ambulance on its journey, followed by images of characters and equipment, mixed with footage of a patient being taken to resus. The sequence was tinted in a turquoise hue and interrupted by a flashing amber graphic, reminiscent of the heart rate line from the original titles sequence. Series 21 saw the use of an orchestral-style variation of the theme tune, though this reverted to the previous version used since series 16.[39]
2012–2013 (S26–28)
Series 26 returned after its Christmas break in January 2012, filmed in high-definition for the first time, to coincide with the move to Cardiff's Roath Lock. A new opening sequence was introduced, reminiscent of the early opening titles, in homage to the show's roots. The variant of the theme music used since series 16 (except series 21) remained in use.[40]
2014–2016 (S28–S30)
On 4 January 2014, the theme tune received a revamp and had a resemblance to the original 1986 theme tune. The closing credits were a continuation of the new updated theme tune. As of 8 February 2014, new titles were used and so was a new CASUAL+Y logo.[41]
2016–2018 (S31–S33)
On 27 August 2016, the 30th anniversary episode and series 31 opener, the theme tune and opening titles received a complete revamp with a darker effect as scenes around the hospital are shown with Charlie being the only character in shot with the opening titles ending with the logo and title cards. The theme tune features the BBC Wales Orchestra performing background instruments.[42]
2018–present (S33–present)
From Episode 13, which aired on 17th November 2018, new titles were used. The theme tune remained the same.
Closing theme
1986–2001
The original closing credit music was known for being slightly different from its opening music. It was originally over one minute in length and over the years was shortened. The original music also had a lead in, known for being haunting and emotional. At the beginning it was not used in every episode. Between series 1–9, it was only used during emotional endings, for example when Duffy was raped and Sandra Mute being killed off. Between series 9–12, it was mainly used to close every episode. In September 1998, the closing theme was moved up a semitone, making the tune even more haunting. The end theme was reduced further in 2000 to go with BBC guidelines. Usage of this tune ended with series 15 in April 2001.
2001–2013
When the theme tune was updated in 2001, the closing credit music was a shortened version of the opening music. The main change was the lead-in music: two versions were used in the twelve years. Series 21 saw the theme tune being changed for a single series; it was made orchestral and only lasted one series. When Adam left the series at the end of series 25, a sad piano-based version was used. It has only ever been used on that one occasion.
When the theme tune changed for series 21 in September 2006, the closing credits were essentially a continuation of the opening tune. Dramatic and edgy, it was more akin to the original 1986 theme and the current 2014 theme.
2014–present
When the series returned in 2014 after the Christmas break, the theme tune had received a revamp, more akin to the original. The closing credits had been slightly extended with sections from the original end theme returning, for example the final end notes.
The end lead in music, a short emotional piece building up to the credits, harked back to the original music which was used between series 1–15. There were a few variations used in episodes between 2014 and 2016. An emotional version using strings and violin, A version using trumpet and beeps and a much basic sounding version just using beeps, those that sound like medical machinery. This package was used mostly until towards the end of Series 30 when a new package was slowly introduced. The original pack is still used occasionally.
Towards the end of series 30, a new package slowly introduced itself. The introduction of piano replaced the "medical/beeps" that had been heard. Again this package includes, an emotional build up (Connie breaks down after Hugo leaves with his father), a dramatic heartbeat build (Gemma stands in shock after running Lily over), a simple piano build up (Cal finds a cufflink, not his), and a romantic version (Ethan tells Alicia that he loves her at Christmas). There has also been a version based on the actual theme tune.
Episode 1 of series 31, and episode 15 featured incidental music. Earlier series of Casualty experimented with incidental music but very rarely. Episodes 1 and 2 of the 32nd series also featured a score by the series composer Jeremy Holland-Smith.
Music cues
Following the successful 30th anniversary celebrations and music composed by Jeremy Holland-Smith, it was decided to include regular musical 'cues' from Series 32 onwards as part of each episode. The music is conducted, arranged, and produced by Justine Barker. The music is often used to emphasise the significance of a part in the story, and there are multiple versions of these cues that have been produced. The music is generally formed of piano, strings, and guitar instruments, and whilst varied in structure, it contains themes that are resonant with the main theme tune of the show, allowing for use in many different circumstances across different episodes.
The programme is set in the fictional Holby City Hospital and focuses on the staff and patients of the hospital's Accident and Emergency Department. The show has strong ties to its sister programme Holby City, which began as a spin-off series from Casualty in 1999,[6] set in the same hospital. Casualty is shown weekly on a Saturday evening, which has been its time slot since the early 1990s.
Casualty's exterior shots were mainly filmed outside the Ashley Down Centre in Bristol from 1986 until 2002 when they moved to the centre of Bristol. In 2011, Casualty celebrated its 25th anniversary and moved production to the Roath Lock Studios in Cardiff where it is currently filmed.
The 1,000th episode of Casualty aired on 25 June 2016.[7] A feature-length 30th anniversary episode of Casualty aired on 27 August 2016, episode 1 of series 31. For the series 31 finale, creator Paul Unwin returned to write a special episode which was entirely recorded in one take using only one camera, five boom operators and forty microphones
Creation
The series was created by Jeremy Brock and Paul Unwin.[9] According to writer Susan Wilkins, it was meant to be a response to the Margaret Thatcher era, and Unwin said that as young socialists, they wanted to create a "television revolution" that would be feminist, anti-racist, pro-NHS and anti-Conservative.[10]
Production
Location
Casualty and Holby City are both set in Holby City Hospital,[11] in the fictional county of Wyvern, in the south-west of England.[12]
From the show's inception to series 26, episode 16, the city exterior was represented by Bristol,[13] including well-known landmarks such as the floating harbour and Clifton Suspension Bridge often visible in outdoor scenes.[14] The City of Bristol College was used as the location for most exterior shots of the hospital from 1986 until 2002, when a new exterior set was built in Lawrence Hill Industrial Park in the city.[15] Casualty has also filmed at Chavenage House back in 1997.[16]
Following plans to switch filming to Birmingham, it was confirmed on 26 March 2009 that filming of Casualty from 2011 would move to a purpose-built studio and backlot set at the BBC Roath Lock studios in Cardiff, South Wales.[17][18] Episode 16 of series 26 marked the final episode filmed in Bristol, with a fire destroying the department. The first episode from Cardiff,[19] broadcast on 7 January 2012, was an 80-minute episode.[20] Most exterior shots of the city of Holby are now shot within the city of Cardiff and wider area of South Wales. Railway scenes are shot on location at various preserved railways, which from the start of shooting have centred around the West Somerset Railway, the Avon Valley Railway and more recently the Barry Tourist Railway. In May 2018, filming for the premier of series 33 was shot in Bristol and Yate.[21]
Broadcast
The programme has usually been transmitted on Saturday nights, although for a period in the late 1980s and early 1990s it switched to Fridays. The first two series each consisted of 15 episodes; series 3 ran for 10 episodes (although one of those episodes was postponed following the death of its guest star, Roy Kinnear); series 4, 5 and 6 were 12, 13, and 15 episodes long respectively. The final episode of series 6, which focused on a plane crash, was postponed until February 1992, after being initially scheduled for transmission on 20 December 1991 – one day before the 3rd anniversary of the Lockerbie disaster.
When the show moved back to Saturday nights in September 1992, the series length was extended to 24 episodes per year, and placed in a pre-watershed slot at approximately 8 pm. This initially caused some controversy due to the graphic and controversial nature of some of the storylines.[22] In 1997-8, the episode number was increased again, with 26 episodes (including two 75-minute specials) making up series 12. Subsequent series each saw an increase in episodes; series 13 ran for 28 episodes, series 14 ran for 30 episodes, series 15 ran for 36 episodes, series 16 and 17 ran for 40 episodes and series 18 ran for 46 episodes. Since 2004, popularity of the show resulted in a switch from a traditional seasonal format (which had progressed from three months in its early years to around seven months by 2001) to an almost year-round production and transmission — each series from series 19 (2004/5) to 25 (2010/11) has lasted for 48 episodes. However, this figure was dropped to 42 for series 26, with no summer break, which was related to production moving from Bristol to Cardiff.[23] Series 27 consists of 44 episodes – an increase of 2 episodes on the previous series and returned to 48 for series 28.[24][25] In addition, from series 26, the show also began broadcasting in August of their respective years, rather than start in September with a two-week break in late December.
Casualty usually runs for 50 minutes between 20:00—22:00 slot on BBC One. Special events such as the Eurovision Song Contest and sporting events sometimes see the schedule moved around. On most of these occasions, Casualty is taken off-air for the night to make way for alternative shows. It has been known in the past that if an episode is in two parts, part one will be aired on the Saturday and part two on Sunday. It is broadcast across Europe via BBC Entertainment on the same date.
Cast and characters
asualty follows the professional and personal lives of the medical and ancillary staff of Holby City Hospital's emergency department. It features an ensemble cast of regular characters, and began with ten main characters in its first series. The original characters are consultant Ewart Plimmer (Bernard Gallagher), senior house officer Baz Samuels (Julia Watson), charge nurse Charlie Fairhead (Derek Thompson), staff nurse Clive King (George Harris), state enrolled nurse Megan Roach (Brenda Fricker), student nurse Lisa "Duffy" Duffin (Cathy Shipton), paramedics Sandra Mute and Andrew Ponting (Lisa Bowerman and Robert Pugh), receptionist Susie Mercier (Debbie Roza) and porter Kuba Trzcinski (Christopher Rozycki).
Currently, the regular cast consists of consultants Ethan Hardy (George Rainsford) and Dylan Keogh (William Beck); consultant in pediatric emergency medicine Will Noble (Jack Nolan); specialty registrar Archie Hudson (Genesis Lynea),[26] clinical nurse manager, senior charge nurse and emergency nurse practitioner Charlie Fairhead (Derek Thompson); former senior sister and senior midwife Lisa "Duffy" Duffin (Cathy Shipton); staff nurses Robyn Miller (Amanda Henderson), Jacob Masters (Charles Venn) and David Hide (Jason Durr), Marty Kirkby and Jade Lovell (Shaheen Jafargholi and Gabriella Leon), operational duty manager Jan Jenning (Di Botcher), paramedics Iain Dean (Michael Stevenson) and Ruby Spark (Maddy Hill), receptionist Noel Garcia (Tony Marshall), and porter Rosa Cadenas (Jacey Sallés).
A survey published by Radio Times magazine in March 2004 found that Casualty has featured more future stars than any other UK soap or drama series.[27] Actors who appeared in the show prior to wider success include Kate Winslet, Orlando Bloom, Minnie Driver, Christopher Eccleston, Tom Hiddleston, Ashley Artus[28], Parminder Nagra, Sadie Frost, Ray Winstone, David Walliams, Jonny Lee Miller, Martin Freeman, Helen Baxendale, Robson Green, and Brenda Fricker.[27] Discussing her 1993 appearance in Casualty, Winslet told the Radio Times: "In England, it almost seems to be part of a jobbing actor's training [to appear in Casualty]. As far as I was concerned it was a great episode, a great part. Appearing in Casualty taught me a big lesson in how to be natural in front of the camera."[27] In addition, the series has featured a variety of more established stars, including Norman Wisdom, Amanda Redman, Anita Dobson, Jenny Seagrove, Rula Lenska, Prunella Scales,[29] Celia Imrie,[30] Toyah Willcox, Maureen Lipman,[31] Frances Barber, Andrew Sachs,[32] Russ Abbot, Stephanie Beacham,[33] Honor Blackman and Michelle Collins in cameo roles.
Titles and theme music
1986–1989, 2015 (S1–3, 30)
The original title sequence featured a speeding ambulance with flashing lights arriving at casualty with a police escort. A CGI heart monitor was shown over the titles. The 49 second sequence shows the patient's point of view and their journey through the department into resus. The heartbeat turned into electric arcs, possibly as a result of a defibrillator being used as the bed moves around the hospital. The theme is used again in second episode of series 30, this time inter-cut with scenes of Connie Beauchamp (Amanda Mealing) performing CPR on Charlie Fairhead (Derek Thompson) and also Lofty (Lee Mead) travelling through the Emergency Department.[34]
1989–1992 (S4–6)
Series 4, in 1989, launched with a new title sequence, opening with an ambulance travelling in daytime. Different activities are then shown, including the ambulance clinicians, hospital equipment, a patient being treated and a blood pressure gauge, all separated by flashes of blue light. The next part of the sequence features new camera shots of the patient's journey into resus.
1992–1993 (S7)
Series 7 from 1992 to 1993 saw a sequence returning to the original style, with the ambulance coming over the hill and a new heartbeat line moving across the bottom of the screen. As the ambulance arrives, the staff come out of the department to move the patient to resus.
1993–1997 (S8–11)
In September 1993 (Series 8), the titles were revamped, based on the series 4 style, with the ambulance. Clips showed accidents and the ambulance journey instead of the patient's journey. Whilst the ambulance is being driven, a series of clips are superimposed. The sequence ends with the ambulance arriving at casualty. The Casualty logo flashes up on the screen when the screen blurs out. The sequence was tinted blue. These lasted until February 1997 when series 11 ended.[35]
1997–2000 (S12–14)
Casualty logo 1997–2006
Again September 1997 saw a new look, with fragments of glass flying and a sequence utilising footage of medical staff, hospital equipment and patients' relatives. The sequence ends as all the pieces of glass that were shattered in the first few seconds of the sequence are re-formed into a single pane, which spells out the new Casual+y logo. Minor edits were made when these titles were shortened towards the end of 1998 for series 13 but they remained essentially the same until series 14 ended in March 2000.[36]
2000–2001 (S15)
A more arty sequence appeared in September 2000 (series 15), with a fast forward technique, featuring a clock ticking through the night, an airbag deploying, the ambulance, speeding through evening traffic and patients arriving at reception. The second half of the sequence focuses on a patient being treated in Resus from a bird's-eye perspective. The sequence ends in slow motion as the patient recovers and his relatives crowd round his bed, before the people and equipment disappear, leaving the distinctive chequered flooring of the department and the Casual+y logo. The original 1986 theme tune remained, but as the 'September 1998' shortened version again.[37]
2001–2002 (S16)
A new theme tune marked the arrival of series 16 in September 2001, with a distinct change to the opening titles. For the first time, the focus was on the characters, who were presented posing to the camera against a blurred dark background. The only 'medical' references were the glimpses of an ambulance and a heart rate graphic in the opening seconds of the titles. The same logo introduced in 1997 remains at the end.
2002–2006 (S17–20)
Series 17, starting in September 2002, saw a return to a generic medical-themed title. The focus was on the international symbol of medical aid, the red cross, shown at different sizes moving around the screen, often filled with footage such as paramedics and a patient being given CPR, against a stark white background. This sequence was also filled with abstract graphics, elements of the Casual+y logo and footage of medical emergencies. The logo is formed by the merging of the various crosses & abstract shapes at the end of the sequence. Similarly to the titles of September 2001 – June 2002 (which featured the characters), the 1997 logo remained at the end until these credits were replaced in September 2006 (series 21).[38]
2006–2011 (S21–26)
Casualty logo 2006–2014
Brand new titles were introduced in series 21 – this also marked the usage of a brand new Casual+y logo – using stop-frame footage of the ambulance on its journey, followed by images of characters and equipment, mixed with footage of a patient being taken to resus. The sequence was tinted in a turquoise hue and interrupted by a flashing amber graphic, reminiscent of the heart rate line from the original titles sequence. Series 21 saw the use of an orchestral-style variation of the theme tune, though this reverted to the previous version used since series 16.[39]
2012–2013 (S26–28)
Series 26 returned after its Christmas break in January 2012, filmed in high-definition for the first time, to coincide with the move to Cardiff's Roath Lock. A new opening sequence was introduced, reminiscent of the early opening titles, in homage to the show's roots. The variant of the theme music used since series 16 (except series 21) remained in use.[40]
2014–2016 (S28–S30)
On 4 January 2014, the theme tune received a revamp and had a resemblance to the original 1986 theme tune. The closing credits were a continuation of the new updated theme tune. As of 8 February 2014, new titles were used and so was a new CASUAL+Y logo.[41]
2016–2018 (S31–S33)
On 27 August 2016, the 30th anniversary episode and series 31 opener, the theme tune and opening titles received a complete revamp with a darker effect as scenes around the hospital are shown with Charlie being the only character in shot with the opening titles ending with the logo and title cards. The theme tune features the BBC Wales Orchestra performing background instruments.[42]
2018–present (S33–present)
From Episode 13, which aired on 17th November 2018, new titles were used. The theme tune remained the same.
Closing theme
1986–2001
The original closing credit music was known for being slightly different from its opening music. It was originally over one minute in length and over the years was shortened. The original music also had a lead in, known for being haunting and emotional. At the beginning it was not used in every episode. Between series 1–9, it was only used during emotional endings, for example when Duffy was raped and Sandra Mute being killed off. Between series 9–12, it was mainly used to close every episode. In September 1998, the closing theme was moved up a semitone, making the tune even more haunting. The end theme was reduced further in 2000 to go with BBC guidelines. Usage of this tune ended with series 15 in April 2001.
2001–2013
When the theme tune was updated in 2001, the closing credit music was a shortened version of the opening music. The main change was the lead-in music: two versions were used in the twelve years. Series 21 saw the theme tune being changed for a single series; it was made orchestral and only lasted one series. When Adam left the series at the end of series 25, a sad piano-based version was used. It has only ever been used on that one occasion.
When the theme tune changed for series 21 in September 2006, the closing credits were essentially a continuation of the opening tune. Dramatic and edgy, it was more akin to the original 1986 theme and the current 2014 theme.
2014–present
When the series returned in 2014 after the Christmas break, the theme tune had received a revamp, more akin to the original. The closing credits had been slightly extended with sections from the original end theme returning, for example the final end notes.
The end lead in music, a short emotional piece building up to the credits, harked back to the original music which was used between series 1–15. There were a few variations used in episodes between 2014 and 2016. An emotional version using strings and violin, A version using trumpet and beeps and a much basic sounding version just using beeps, those that sound like medical machinery. This package was used mostly until towards the end of Series 30 when a new package was slowly introduced. The original pack is still used occasionally.
Towards the end of series 30, a new package slowly introduced itself. The introduction of piano replaced the "medical/beeps" that had been heard. Again this package includes, an emotional build up (Connie breaks down after Hugo leaves with his father), a dramatic heartbeat build (Gemma stands in shock after running Lily over), a simple piano build up (Cal finds a cufflink, not his), and a romantic version (Ethan tells Alicia that he loves her at Christmas). There has also been a version based on the actual theme tune.
Episode 1 of series 31, and episode 15 featured incidental music. Earlier series of Casualty experimented with incidental music but very rarely. Episodes 1 and 2 of the 32nd series also featured a score by the series composer Jeremy Holland-Smith.
Music cues
Following the successful 30th anniversary celebrations and music composed by Jeremy Holland-Smith, it was decided to include regular musical 'cues' from Series 32 onwards as part of each episode. The music is conducted, arranged, and produced by Justine Barker. The music is often used to emphasise the significance of a part in the story, and there are multiple versions of these cues that have been produced. The music is generally formed of piano, strings, and guitar instruments, and whilst varied in structure, it contains themes that are resonant with the main theme tune of the show, allowing for use in many different circumstances across different episodes.
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