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The title of the series refers to the fictional St Aidan's Royal Free Hospital, located in Elsinby, a fictional rural seaside town, portrayed as being close to Aidensfield, the fictional setting of the UK TV series Heartbeat.The series was shot in Whitby and Scarborough, in the North Riding of Yorkshire.The Royal is an NHS hospital serving the local town, countryside and visitors.The show was set in the 1960s. It began as a spin-off from another popular ITV show set in North Yorkshire, Heartbeat. Stars of the show included Ian Carmichael, Wendy Craig, Robert Daws, and Amy Robbins.he Royal is an NHS hospital serving the local town, countryside and visitors. The show was set in the 1960s. It began as a spin-off from another popular ITV show set in North Yorkshire, Heartbeat. Stars of the show included Ian Carmichael, Wendy Craig, Robert Daws, and Amy Robbins.
The ITV medical drama series The Royal was originally a spin-off from Heartbeat, with the twelfth-series Heartbeat episode Out of the Blue serving as an introductory pilot for the show, with the Aidensfield police officers conducting parts of their investigations in The Royal hospital.n 2001 Heartbeat came sixth in the UK TV ratings list with a peak audience of 13.82 million and it was sixth again in 2003 with 12.8 million viewers. In autumn 2008 typical viewing figures were around 6 million per episode.