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Patrick Spiller is a fictional character from the

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medical drama ''

Casualty Casualty may refer to: *Casualty (person), a person who is killed or rendered unfit for service in a war or natural disaster **Civilian casualty, a non-combatant killed or injured in warfare * The emergency department of a hospital, also known as ...

'', portrayed by actor

Ian Kelsey Ian Kelsey (born 17 December 1966) is an English actor. He is known for his roles as Dave Glover in the ITV soap opera ''Emmerdale'', Patrick Spiller in the BBC medical drama '' Casualty'', DI Richard Mayne in the ITV crime drama '' Blue Mur ...

. The character made his first appearance during the fourteenth series episode "Free Fall", which was broadcast on 11 December 1999. Patrick is a

specialist registrar A specialist registrar (SpR) is a doctor in the United Kingdom or the Republic of Ireland who is receiving advanced training in a specialist field of medicine in order to become a consultant in that specialty. After graduation from medical school ...

in the

Holby City Hospital Holby is a fictional city in the United Kingdom, the setting for the BBC medical dramas '' Casualty'' and ''Holby City'', and the police drama '' HolbyBlue''. It is based on the real city of Bristol, where ''Casualty'' was formerly filmed, and i ...

emergency department, who attempts to advance his career and attain a

consultancy A consultant (from la, consultare "to deliberate") is a professional (also known as ''expert'', ''specialist'', see variations of meaning below) who provides advice and other purposeful activities in an area of specialization. Consulting servic ...

post, whilst having relationships throughout his tenure with

SHO Sho, Shō or SHO may refer to: Music * ''Shō'' (instrument) (笙), a Japanese wind instrument * ''Kane'' (instrument) (鉦), a Japanese percussion instrument * Sho?, a Dubai rock band People * Shō (given name), including ''Sho'' * Shō (su ...

Holly Miles, PC Rachel James and Holly's replacement, SHO Lara Stone. He dies from a head injury following a car crash in the sixteenth series episode "Past, Present, Future" – making his final appearance on 16 March 2002.

Characterisation and development

Kelsey admitted that he was not confident with the medical jargon that he had to say, likening it to learning Russian. He said "I haven't a clue what I'm talking about, but there's an adviser who makes sure we don't point at a patient's nose when we're talking about their feet. I'll have to start writing my lines on the patients' plaster casts." Patrick has been described as "''Casualty'' bad boy" by Marion McMullen of the '' Coventry Telegraph'', who deemed him "arrogant, brusque and bad-tempered". Kelsey has disclosed that viewers of the show sometimes assume that he shares his character's temperament, but that he does not receive any hostility for it, surmising: "It must mean I'm somehow putting across the fact that there really is a nice bloke behind the brick wall that Patrick puts up." Kelsey feels that the only trait of Patrick's which he shares is his "dry sense of humour". He has assessed that Patrick is "very good" at his job, but that his bedside manner becomes worse as the series develops. He has stated, however, that: "Away from the eyes of his colleagues he is perfectly capable of showing real humanity and care." Kelsey believes that Patrick softened in the show's fifteenth series, but that he reverted to form "with a vengeance" in series sixteen. He believes that Patrick would be spoiled for the show's viewers if it was ever explained why he behaves the way he does, and prefers playing Patrick as the "bad guy". Writers created a fictional backstory for Patrick and Senior House Officer Holly Miles ( Sandra Huggett), which is revealed when they meet again. The characters had "a fling" while they were at college together, and Kelsey said that they still fancy each other, so there is a lot of tension. He also expected there would be kissing scenes between them in the future. Discussing Patrick's relationship with PC Rachel James, Kelsey assessed: "Spiller and Rachel just fancy each other - it's all about sex." SHO Lara Stone was introduced as a love-interest for Patrick. Christine Stephen-Daly, who plays Lara, has commented that Patrick is Lara's type, but that they clash often as they are so similar, asserting that they are both: "arrogant, like getting their own way and enjoy being in control." Stephen-Daly feels that Lara is more "caring" than Patrick, whose bedside manner "leaves a lot to be desired." In an interview with ''Inside Soap'', Kelsey revealed he took Patrick's coffin plaque, which is hung in his bathroom underneath the coffin plaque of his ''

Emmerdale ''Emmerdale'' (known as ''Emmerdale Farm'' until 1989) is a British soap opera that is broadcast on ITV1. The show is set in Emmerdale (known as Beckindale until 1994), a fictional village in the Yorkshire Dales. Created by Kevin Laffan, ...

'' character,

Dave Glover David "Dave" Glover is a fictional character from the British television soap opera ''Emmerdale'', played by Ian Kelsey. He made his first appearance during the episode broadcast on 4 August 1994. The character was introduced in a bid to attra ...

. He added he had "got a nice set now!"

Storylines

Patrick arrives at Holby City Hospital as the emergency department's new senior registrar. He discovers he is working alongside

Holly Miles ( Sandra Huggett), who he previously dated. In an attempt to get to know Holly again, he asks her out for a drink on her birthday, but she turns him down. Patrick has an arrogant attitude, which leads to staff nurse Lisa Duffin ( Cathy Shipton) reprimanding him, and sees him invited to work a shift with the

paramedics A paramedic is a registered healthcare professional who works autonomously across a range of health and care settings and may specialise in clinical practice, as well as in education, leadership, and research. Not all ambulance personnel are p ...

after dismissing their importance. When Patrick and Holly become stranded in the snow after Christmas lunch, Patrick reveals that he hates Christmas as his mother died on Christmas Day. He and hospital porter Spencer (

Ben Keaton Ben Keaton (born 1956) is an Irish actor who appeared in ITV soap opera ''Emmerdale'' as Jeff Brannigan, and in BBC's '' Casualty'', playing the part of Spencer between 1999 and 2002. He also appeared as Father Austin Purcell in " Think Fast, ...

) are held hostage when they become involved in a family feud, but manage to escape unharmed. Patrick grows increasingly concerned for Holly when someone begins stalking her. He offers to give her a lift home after a shift, only to discover his tires have been slashed. Holly is escorted home instead by anaesthetist Tom Harvey ( Kieron Forsyth), who is revealed to be her stalker. Holly is later kidnapped by Tom, and Patrick helps to find her. Holly leaves following her ordeal, and Patrick begins dating married policewoman Rachel James (

Amy Robbins Amy Louise Robbins (born 18 February 1971) is an English stage, film and TV actress best known for her role as Dr. Jill Weatherill in the British television series ''The Royal''. Before her role in ''The Royal'' she played Police Sergeant Rachel ...

). He shows an interest in the department's new SHO Lara Stone, who invites him to a Halloween party, but stands him up upon learning that he is already in a relationship. Patrick is turned down for a

post due to his lack of people skills. Rachel dies after being mugged whilst on patrol. Her husband discovers her infidelity and attacks Patrick, attempting to drown him. Lara finds Patrick unconscious and resuscitates him, leaving her boyfriend to stay by Patrick's bedside as he recovers. When Patrick discovers he has been successful in his application for a consultancy in London, he takes Lara on a date to celebrate. Lara is annoyed when Patrick asks her to join him in London. He later proposes to her, but she turns him down. Patrick is involved in a motorway accident, saving six school children from a minibus before being rescued. He and Lara have dinner at a restaurant afterwards, and Patrick decides to turn the position in London down and remain in Holby with Lara. He proposes once more, and this time Lara accepts. Still in shock from the accident, Patrick feels dizzy and collapses. He dies from an intercranial bleed caused by the crash. Lara does not attend his funeral, but later breaks into the crematorium to say goodbye to him.

Reception

Charlie Catchpole of the ''

Daily Mirror The ''Daily Mirror'' is a British national daily tabloid. Founded in 1903, it is owned by parent company Reach plc. From 1985 to 1987, and from 1997 to 2002, the title on its masthead was simply ''The Mirror''. It had an average daily print c ...

'' was keen to see a television doctor who did not like people and cited Patrick as an example. Catchpole wrote, "he's selfish, cruel, bad-tempered, thick-skinned, homophobic and misogynistic. Just wait till we discover what his bad points are." A reporter for '' Daily Record'' noted that Patrick had a "lack of charm", which got him in trouble.

References

External links

Patrick Spiller
at

BBC Online BBC Online, formerly known as BBCi, is the BBC's online service. It is a large network of websites including such high-profile sites as BBC News and BBC Sport, Sport, the on-demand video and radio services branded BBC iPlayer and BBC Sounds, t ...

Patrick Spiller
at The Casualty Files Database {{DEFAULTSORT:Spiller, Patrick Fictional physicians Casualty (TV series) characters Crossover characters in television Television characters introduced in 1999 British male characters in television