Shruti Acharya (Ambika Mod) facing Adam Kay (Ben Whishaw) in a hospital corridor
Series review

This Is Going to Hurt

2022 · Created by Adam Kay · Series

In a sentenceA comedy about a doctor who talks to camera so he does not have to talk to anyone else

An NHS hospital, 2006. Adam Kay (Ben Whishaw) is a junior doctor in obstetrics and gynaecology, working shifts on a labour ward with too many patients and not enough staff, and the shifts run into one another. Around him are the consultant Lockhart (Alex Jennings), the midwife Tracy (Michele Austin), who has seen every kind of doctor and is not impressed by this one, and Shruti Acharya (Ambika Mod), a new trainee who has seen none of it yet. Away from the ward there is Harry (Rory Fleck-Byrne) and Adam’s mother, Veronique (Harriet Walter), and not much time for either of them. Kay adapts his own memoir across seven episodes.

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Fi1m review

Adam Kay’s adaptation of his own diaries gives Ben Whishaw a junior doctor who is funny to us and unbearable to everyone else, and it earns both. The asides to camera wear thin by the middle; Ambika Mod, as his trainee, is the reason to stay.

Adam Kay kept a diary as a junior doctor, turned it into a book, and has now turned the book into seven episodes of television in which Ben Whishaw plays a character called Adam Kay. The setting is a labour ward in 2006, which matters because the series wants you to know that the shortages, the bullying and the rota that runs a man into the ground are not a new story. Lucy Forbes and Tom Kingsley direct. The aim is a comedy about a place where nobody has time to laugh.

It very nearly gets there. This is a sharp, angry, well-acted piece of work that we would recommend to almost anyone who can stand the sight of blood, with the caveat that its one big formal trick starts to cost it around the fourth episode. Most critics have gone a little higher than we have. We think they are forgiving a slackness in the plotting that a series this confident should not need.

Whishaw plays Adam as a man who has decided that rudeness is a form of efficiency. He is good at the job and lets everyone know it, and when a scene threatens to become unbearable he turns to the camera and says something clever. The trick lets us in and shuts everybody else out, which is the point. We laughed at the asides for two episodes, then noticed that nobody in the frame was laughing with him, and stopped. Michele Austin’s Tracy watches him the way you would watch a colleague you have already reported once.

Ambika Mod’s Shruti is the series’ spine. She is on her first job, she has none of Adam’s armour and no time to grow any, and Mod plays her tiredness as something that gets into the shoulders and the voice long before anyone comments on it. There is a shot of her alone at a nurses’ station after a night shift, not crying, just unable to decide what to do with her hands, and we felt something closer to dread than sympathy. Her story takes a turn in the second half that we will not describe.

The ward looks right. Dick Lunn’s production design gives it strip lights, peeling notices, a curtain on a broken rail and a vending machine nobody has filled, and Benedict Spence and Nick Cooke shoot it in the flat white of a place where it is always three in the morning. The car park at night is sodium orange and the only warm colour in the run. Emma Rees dresses everyone in scrubs that do not quite fit, which is accurate. Jo Walker, Peter Oliver and Selina Macarthur cut each shift as a run of interruptions, so that a conversation is rarely allowed to finish, and Serafina Steer and Jarvis Cocker’s music is a handful of notes that keep stopping short, as if they too were owed a break.

The faults are real. Direct address is a hard habit to keep fresh, and by the middle episodes Whishaw is turning to us out of reflex rather than need. Harriet Walter is given a disapproving mother and not much else to do with her. Rory Fleck-Byrne’s Harry is patient to the point of furniture. Alex Jennings is enjoyable as Lockhart but the character is a cartoon of a consultant, and a mistake from an early shift that follows Adam through the series is handled like a thriller in a drama that does not need one. None of this is fatal. It is what stops a very good series from being a great one.

Jed Mercurio’s Cardiac Arrest and Bodies did the anger before this, and did it with less charm. Kay’s advantage is that he is willing to make his own stand-in the problem. The series does not ask us to like Adam. It asks us to notice what the building has done to him and what he is doing to Shruti in turn, and by the end we had.

It carries a 15 certificate, for the blood and the language, and there is a great deal of both. If anyone in the house is pregnant, or was recently, be honest with yourselves about whether tonight is the night.

Critical consensus AI synthesised

88
Positive
9
Mixed
0
Negative
0

The reviews are unanimous in approving and nearly so in tone: most critics find the adaptation of Adam Kay’s memoir both funny and sad, often in the same scene, and praise it for showing the exhaustion and understaffing of a maternity ward without softening anything. The praise gathers around Ben Whishaw, whose prickly, blood-soaked junior doctor is described as hard to like and hard to stop watching. Several critics note that the character’s arrogance and bitterness are left intact rather than sanded down.

Reservations are few and small. The Telegraph finds some of the vulgarity carried over from the book unwelcome, and The Guardian, the coolest of the nine, treats it as a solid addition to a familiar line of unflinching NHS dramas rather than anything new. The Evening Standard is alone in putting Ambika Mod ahead of Whishaw, and Empire is the only one to credit the directors, Lucy Forbes and Tom Kingsley. The spread is narrow and nobody dislikes it.

Radio Times
7 February 2022 · ★★★★★ · Lauren Morris
100

The critic calls the series a hilarious yet heart-breaking tribute to the NHS and an emotional rollercoaster. They single out Ben Whishaw's excellent performance as the initially unlikeable but compelling Adam.

Read the full review →
The Times
8 February 2022 · ★★★★★ · Carol Midgley
100

The adaptation is excellent and succeeds at being both laugh-out-loud funny and profoundly sad, with Ben Whishaw excelling as the exhausted, blood-soaked junior doctor navigating pandemonium. It captures the gallows humour and grim realities of understaffed maternity wards without sentimentality.

Read the full review →
Empire
8 February 2022 · Boyd Hilton
90*

The critic praises the series for mixing tragedy and comedy to powerful effect and turning personal experiences into compelling TV. They highlight Ben Whishaw's superbly judged performance and the vivid direction by Lucy Forbes and Tom Kingsley.

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Evening Standard
8 February 2022
90*

This superlative adaptation is funny, chaotic and heartbreaking, delivering a nuanced tribute to the NHS through its mix of dark humour, stress and anger at systemic failures. Standout performances, especially from Ambika Mod, bring to life the disillusionment and resilience of junior doctors.

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The Hollywood Reporter
1 June 2022 · Daniel Fienberg
85*

The critic deems it one of the best medical dramas in years for its emotionally complex and uneasily hilarious examination of the NHS. They single out Ben Whishaw's prickly, funny character study for praise.

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IndieWire
15 July 2022 · Steve Greene
80*

The critic describes the series as another strong 2022 TV portrait of burnout. They highlight its dark humor and the visceral anxiety around the blurred boundaries of a demanding job.

Read the full review →

Straight answers AI written, from our review

Is This Is Going to Hurt worth watching?
This Is Going to Hurt is worth watching for anyone who can stand the sight of blood, and we scored it 84. Ben Whishaw is funny and unbearable in the right proportions, and Ambika Mod, as his exhausted trainee, is the reason to stay. The asides to camera wear thin around the fourth episode, which is what keeps a very good series from a great one.
Where can I watch This Is Going to Hurt in Poland?
This Is Going to Hurt is not on any streaming or rental service in Poland at the moment. It is available in 7 other countries; change your country at the top of the page to see where. Availability is checked daily.
How violent or frightening is This Is Going to Hurt, and is it suitable for children?
This Is Going to Hurt carries a UK 15 certificate for blood and strong language, and there is a great deal of both. It is set on a labour ward, so the medical scenes are frank, and it is not suitable for children. If anyone in the house is pregnant, or was recently, think carefully before watching it tonight.
How does This Is Going to Hurt compare to Fleabag?
This Is Going to Hurt and Fleabag both have a narrator who talks to camera to avoid talking to the people around them, but Kay's series is the angrier and the bloodier of the two, set on an understaffed NHS ward rather than in one woman's grief. Fleabag keeps its trick fresh across two short series; here it tires by the middle. Choose Fleabag for precision, this for its fury about the building.

Cast

If you liked this, try…

  1. Getting On (2009) · not reviewed yetJo Brand’s geriatric ward comedy, quieter than this and just as unsparing about the NHS.

  2. Cardiac Arrest (1994) · not reviewed yetJed Mercurio’s junior doctors, furious and sleepless, three decades before Adam Kay.

  3. The Kingdom (1994) · not reviewed yetLars von Trier’s haunted Danish hospital, where the ghosts are the least of it.

  4. Hospital (1970) · not reviewed yetFrederick Wiseman’s documentary of a New York casualty department, with no music and no mercy.

  5. Fleabag (2016, Fi1m 90)Another narrator who talks to camera to avoid talking to the people beside her.

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