Holby City (series 1) "Holby City" was created by Tony McHale and Mal Young as a spin–off from the long–running BBC medical drama "Casualty". Young wanted to explore what happened to patients treated in "Casualty" once they were taken away to the hospital's surgical wards. While "Casualty" scope is limited to "accident of the week" storylines about patients entering hospital, "Holby City" allowed the possibility of storylines about long–term care, rather than immediate life and death decisions. Although both shows are set in the same hospital, the "Casualty" set in Bristol was not large enough to encompass the surgical ward and operating theatre required
University Hospital Lewisham on the roof. In 2012, architects AWW worked with the hospital to re-plan five wards and medical facilities whilst maintaining the Emergency Department. The expanded facilities improve efficiency with the addition of a new Children's Emergency Department, Urgent Care Centre and new emergency x-ray facilities. In July 2012, South London Healthcare NHS Trust was put into financial administration. A government report in 2012 recommended that three SLHT hospitals should be taken over by nearby NHS trusts and that the University Hospital Lewisham Accident and Emergency unit should close, with A&E patients instead going to the SLHT-run Queen Elizabeth Hospital in