 However, the character has also been criticised for the dramaticism of her storylines, and the manner in which they reflect upon real NHS nurses.Prior to being cast as Kyla, Rakie Ayola had made former appearances in both "Holby City" and its sister show "Casualty" - in the former as a patient, in series five, episode 32 "By Any Other Name", and the latter as a patient's relative, in series 13, episode 19, "Trapped".She was approached about returning to "Holby City" in a more permanent role by BBC casting director Julie Harkin, who was also responsible for casting fellow "Holby City" newcomers Luke Roberts as Joseph Byrne and Tom Chambers as Sam Strachan.