Holby fictional hospital within the city in which "Casualty" and "Holby City" are set. It is based on the Bristol Royal Infirmary which the original script writers spent time observing in the 1980s in order to garner ideas for "Casualty". Although both shows are set in the same hospital, "Casualty" is primarily filmed in Cardiff, whilst "Holby City" is filmed in Hertfordshire at BBC Elstree Centre. The indoor shots for the first series of "Casualty" were filmed at BBC Television Centre in London. The exterior shots of the hospital used in "Casualty" were formerly filmed at the City of Bristol College;
Newham University Hospital A women's centre and an ambulatory care centre were added in 2000. The hospital's name was changed to Newham University Hospital in 2004. The Gateway Surgical Centre, which includes 39 beds, a renal unit and three operating theatres, opened in 2005. In 2012 the accident and emergency department was reconfigured to benefit from Pearson Lloyd’s redesign, "A Better A&E", which reduced aggression against hospital staff by 50%. A check on 1,497 maternity patients at the hospital in 2017 found that 17 were not entitled to free NHS treatment and billed them £104,706. London Buses routes 5, 115, 147, 262, 276,