The drama concerns a group of doctors, nurses and administrators who work in the Accident & Emergency department (since Series 18 termed the Emergency Department (ED)). At the centre of the action is Nurse Manager Charlie Fairhead (played by Derek Thompson), a dedicated and caring man frequently at odds with the demands of hospital management. This has been a recurring theme over the years, but especially in the early series, which were frequently criticised for endorsing criticisms of National Health Service management under the Conservative government of the day. The programme has usually been transmitted on Saturday nights, although for a period in the late 1980s it switched to Fridays. Since 2001, popularity of the show resulted in a switch from a traditional seasonal format to an almost year-round production and transmission. Casualty has no fixed time slot, and usually airs somewhere in the 8.00pm slot on BBC1, however it is sometimes broadcast after 9.00pm, but never before 8.00pm. A spin-off show, Holby City, depicts life elsewhere in the same hospital. Due to the large number of episodes, some viewers have felt the storylines are becoming increasingly repetitive and predictable, and that some ongoing storylines are suddenly abandoned half-way through, although it remains one of the most watched television shows.

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