I don’t normally like medical dramas. They are far too serious and po-faced whilst also somehow being so ludicrously melodramatic you have to significantly suspend your belief. It just doesn’t feel human, or warm. Plus too much blood and gore.
So why did I watch This is Going to Hurt? Well, for a start I had always been tempted to read the book, having found the excerpts I had come across funny and genuine. Plus it seemed to be a lot more ‘real’ so to speak. I instantly felt there was going to be a sincerity to it.
Essentially, the show is an adaptation of Adam Kay’s book of the same name. It is a memoir of a junior doctor on the maternity and gynecological ward (or ‘Brats and Twats’ as it is known) and tells the story of the pressures the NHS faces. Quite simply, a population that will not or cannot look after itself and an institution that has too few resources.
All of this could be quite grim, but the show is far from it. Adam himself is a rich, complex person. Yes there is a scathing dark humour about him and a touch of arrogance. But he is also capable of empathy, cares for his patients and has some charm. We also feel sympathetic as his personal life suffers in the face of professional pressures. Ben Wishaw plays him perfectly, and you immediately take his side against superiors, bureaucrats and idiots that surround him.
This is what makes this show worth watching, the fact it feels it has a very human face. We aren’t dealing with people who have ridiculous love triangles or are psychopaths. Adam is a normal person facing extraordinary situations.
It would have been easy to have made this a saccharine love letter to the NHS. But it isn’t. It’s honest about the failings not just of the institution itself, but of the general population who misuse it. We see people make mistakes and crack under the pressure, but we also see them sacrifice the rest of their life to make it work. It would be amazing if politicians watched this so they could think about how to protect it long term. But they won’t. Presumably not enough melodrama for them.