The Royal is a British period medical drama, produced by Yorkshire Television (later part of ITV Studios), and broadcast on ITV1 from 2003 until its cancellation in 2011. The series is set in the 1960s and focuses on the lives of the staff at the fictional "St Aidan's Royal Free Hospital", an National Health Service hospital serving the fictional rural seaside town of Elsinby and its surrounding area. The programme began originally as a spin-off of ITV's period drama series Heartbeat and the first three series featured crossovers with Heartbeat and appearances by its cast members. From the start of the fourth series, the crossover elements were removed, and The Royal focussed on stories involving its own cast. The series initially began with its cast including Ian Carmichael, Wendy Craig, Robert Daws and Amy Robbins, but gradually expanded with new actors taking the place of others as they left the programme; some taking over to only appear in one series. Much of the outdoor scenes were primarily shot within North Yorkshire, including within Whitby and Scarborough, with interior shots filmed at both The Leeds Studios and St Luke's Hospital, Bradford. The programme remained popular on television until its cancellation, generating its own spin-off, The Royal Today, with episodes later repeated on ITV3. Premise The Royal takes place within the fictional seaside town of Elsinby in the North Riding of Yorkshire, and focuses on the lives of the staff who work in St Aidan's Royal Free Hospital - a cottage hospital established by the ancestor of its hospital secretary, T.J. Middleditch, to serve its local community. Placed under the care of the National Health Service, the staff do their best to offer their patients with considerable care and treatment, including maintaining casualty facilities and operating theatres, while coping with their own lives. Like Heartbeat, episodes mainly focused on either one big story or two major storylines, medical problems, and an occasional side story, with overarching plotlines concerning the relationships and personal lives of the main characters. For the first three series, episodes featured crossovers with Heartbeat through some of its cast making appearances in plots as their respective, the most prominent of these being Bill Maynard, William Simons and Mark Jordon, but this element of the programme was later dropped. The majority of the plots centred on medical emergencies or serious medical cases, and often featured moral dilemmas. The Royal largely