There is a fascinating series to be written about a real hospital: how people lie around in casualty for hours because there is only one decision-making doctor and he's in an emergency surgery for the rest of his shift, how people with cancers are turned away as being pregnant or suffering from indigestion, how doctors don't dare call consultants at the weekend and one consultant would rather leave a patient suffering than deal with another consultant's case – Private Eye's On The Rounds or any of the medical blogs will give a writer and producer endless material. A few dozen hours spent with nurses and disenchanted NHS managers will give them the inside stories and the touches of realism you need.
That series is not Casualty, Holby City or any of the others currently on British television. None of those hospitals is recognisable as any I have ever been in. Where are the groups of nursing assistants gossiping at the admin desk but doing nothing? Why is a consultant wandering around the ward waiting for something to happen? Why are the staff talking in English voices? How did any patient get treatment within three hours? How on earth did they find a nurse who knew the patient's name? And where did they dig up the awful chavs who have family rows by the hospital bedside? If there's one thing that impresses me about hospitals, it's how quiet, considerate and well-mannered the visitors are – and my local hospital is the West Middlesex. What are doctors doing having affairs with nurses or each other? Have you seen real doctors and nurses? Would you have an affair with them? Anyway, that myth grew up in the time when a fair number of nurses came from the same strata of society as the doctors – rather as airline stewardesses came from a similar strata as their passengers in the Fifties and Sixties, when airline travel was for an elite, not you and me.
You have to like your characters to tell stories about them – even the bad guys, in fact, especially the bad guys. You can't like them unless you let them into your head. And who would want to let the endless parade of chavs, dysfunctionals, mediocrities, uglies and nobodies who make usual people in The Bill? It's as if there is a guideline that attractive, intelligent, well-balanced and communicative people must not be portrayed.
You also have to understand the world of your characters, and by the nature of the job of writing, what most writers understand is the world of the freelance and the edges of the State arts bureaucracy and the BBC. They have never worked in a public- or private-sector management role and don't know what happens there. They haven't worked on the railways, in a hospital, a local council, a bank, a retailer or anywhere else. They have no idea how modern corporations and institutions work. I'm not expecting every writer to be Neil Simon, but they ought to do better than the utterly unrealistic portrayal of journalism and politics that is State of Play. Any journalist who behaved as the Kelly MacDonald character did would never keep a job on a national newspaper.
The major employers of writers in the UK are the Big Soaps. Soap operas have strict conventions, the most important for our purposes is that the characters cannot develop, only suffer random setbacks that result from the clash of circumstance and their static character (in tragedy, the setback arises from the character, not a car crash). Hence no-one can learn, there is no development: slimy Nick Cotton is down but will return, as nasty as ever, in a few episodes' time. In a Soap, these defined and stable characters meet life's insults, challenges, whips and scorns and fight back, break down or run away and cry, as they might. But never change – even when they are written out. (Okay, the best cop show ever made – The Shield – has the structure of a soap opera, as does The West Wing. Sometimes it can work. )
Soap characters live in the most heavily-populated town in England: Denial. They cannot believe this could happen, nor that you could have done it to them. What were you thinking? You're in trouble now, this could ruin everything. I can't believe this has happened. It can't be true. Not only are English soaps are set in Denial, they are set in the lower-income end at that, Denial-by-the-Industrial Estate. This limits the characters even more, as they have no money or time for any moments of contemplative life, their every waking moment taken up with the daily round, dodging, diving, grafting and, oh yes, drinking tea and beer. This ensures the viewer never thinks to ask why the characters don't do something about their lives. The Soap inhabitants of Denial are nothing like the people who really live there but a parade of stock characters, who appear in every Soap, sometimes wearing a stethoscope, sometimes pulling a pint, sometimes teaching a class.
Because the Soap cannot countenance change, it is not drama. Drama is about change: characters develop through meeting or not the circumstances they find themselves in. The Soap therefore has to substitute conflict and confusion for drama (there's nothing wrong with either as plot devices - Romeo and Juliet has a plot based on the conflict between the Capulets and Montagues, but it's a love story). Writing conflict and confusion is a lot easier than writing drama: all you need are people shouting at each other because they thought that he was cheating on her with Sally Evans, when all he was doing was hiding her birthday present there. It's why Soaps are reassuringly unrealistic, as our daily lives are carefully organised to reduce the possibility of conflict and so little happens in them that there is very little room for confusion.
Soaps corrupt writers. A writer's job is drama, and there is no drama without change, development, a character's strengths holding them up through a crisis as their weaknesses threaten something fundamental about their existence. This can be done without guns, crossed messages, mis-communication and fist-fights: it can be done without conflict. Eric Rohmer's charming little ditties are drama on exactly this level.
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