The Royal is a British period medical drama, produced by Yorkshire Television (later part of ITV Studios), and broadcast on ITV1 from 2003 until its cancellation in 2011. The series is set in the 1960s and focuses on the lives of the staff at the fictional "St Aidan's Royal Free Hospital", an National Health Service hospital serving the fictional rural seaside town of Elsinby and its surrounding area. The programme began originally as a spin-off of ITV's period drama series Heartbeat and the first three series featured crossovers with Heartbeat and appearances by its cast members. From the start of the fourth series, the crossover elements were removed, and The Royal focussed on stories involving its own cast.