For nearly four decades, one man has stood at the heart of Holby’s ED: Charlie Fairhead. Played by Derek Thompson since the very first episode in 1986, Charlie became more than a nurse, more than a leader — he became the soul of Casualty. His exit in 2024 marked the end of an era, but his greatest moments ensure that his spirit will never truly leave the ED.

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The very first shift (1986)

Charlie’s first appearance in Casualty set the tone for everything that followed. Calm under pressure, compassionate to patients, and protective of his team, Charlie established himself as the backbone of Holby General. From that moment on, viewers knew they were in safe hands.

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Facing danger head-on

Throughout the years, Charlie was often thrown into the same life-or-death emergencies as the patients he cared for. From bomb scares to car crashes, Charlie repeatedly risked his own safety to protect others. These storylines reminded viewers that his bravery was not just professional, but deeply personal.

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The hostage crisis (1998)

One of Charlie’s most iconic episodes saw him held at gunpoint in the ED. The tension was unbearable, but Charlie’s calm and empathetic approach helped save lives. The storyline highlighted his ability to connect with people even in the darkest of circumstances, cementing his reputation as a true leader.

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Surviving a heart attack (2004)

In 2004, fans feared they were about to lose Charlie when he collapsed with a heart attack. The gripping storyline showed the ED staff rallying around the man who had supported them for so many years. His survival wasn’t just a relief for the characters, but for the millions of fans who couldn’t imagine the show without him.

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Mentor to generations

Charlie wasn’t only a nurse — he was a mentor, guiding countless new doctors and nurses through the chaos of Holby. From comforting Noel Garcia to sparring with Connie Beauchamp, Charlie’s influence shaped careers and built the ED’s legacy. His compassion and humour made him a role model both on and off screen.

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Saying goodbye (2024)

When Charlie finally walked away from Holby in 2024, fans around the country shed tears. His farewell was a moment of reflection not just for the ED, but for Casualty itself. For nearly 40 years, Charlie had been a symbol of dedication, resilience, and humanity in the NHS. His exit felt like saying goodbye to a dear friend.

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Why he’ll always be the soul of Casualty

Charlie Fairhead wasn’t flashy, arrogant, or loud. He was steady, loyal, and endlessly kind. In a show defined by chaos, he represented stability. In a department scarred by tragedy, he reminded everyone why they fought to save lives. His greatest legacy isn’t one single moment, but the countless small acts of compassion that made him unforgettable.

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💬 What was your favourite Charlie Fairhead moment? Do you think Casualty will ever feel the same without him?