Raffaello "Raf" di Lucca is a fictional character from the BBC medical drama Holby City, played by actor Joe McFadden. He first appeared in the sixteenth series episode "Prince Among Men", broadcast on 28 January 2014. Raf is a Registrar General Surgeon, who joined the Acute Assessment Unit staff. He was introduced along with two other regular characters by the show's executive producer Oliver Kent in a bid to "shake things up". McFadden's casting was announced in September 2013, and he began filming the following month. He initially received a one-year contract with the show. To help him prepare for the role, McFadden watched open-heart surgery. McFadden departed in the nineteenth series episode "Group Animal, Part Two", broadcast on 7 December 2017, and returns for a single episode in the twenty-second series, broadcast on 21 July 2020. Raf is portrayed as "highly driven", passionate, moral and "very sensitive". McFadden took inspiration for some of Raf's personality traits from his Italian brother-in-law. Raf specialises in trauma and uses cutting-edge techniques in his work. The character's introductory scenes saw him save a young patient's life with improvised equipment, leading to conflict with the hospital's CEO Guy Self (John Michie). Raf's wife, consultant pharmacist Amy Teo (Wendy Kweh), was introduced two months later and it soon became clear that their marriage was strained by their fertility issues. Amy later conceived a child with Raf's rival Harry Tressler (Jules Knight), following a one-night stand. Raf struggled to comprehend Amy's infidelity and McFadden called the situation "tragic". Raf embarked on a revenge scheme against Harry and attempted to ruin his career by risking a patient's life. The storyline divided the audience, with some believing Harry deserved everything he got, while others thought Raf had gone too far. Following the end of his marriage to Amy, Raf became more humble and he began to lighten up. He also developed a close friendship with Adrian "Fletch" Fletcher (Alex Walkinshaw). In June 2015, nurse Cara Martinez (Niamh Walsh) was introduced to AAU, and she and Raf had a brief "will-they-won't-they" romance, which became popular with fans. Raf later begins a relationship with Essie Harrison (Kaye Wragg), which results in their marriage. Shortly after, Raf dies after being shot by Fredrik Johansson (Billy Postlethwaite).
Casting On 17 September 2013, Daniel Kilkelly of entertainment website Digital Spy announced that actor Joe McFadden had joined the main cast of Holby City as new registrar Raffaello "Raf" di Lucca. McFadden's casting was announced alongside Petra Letang, who joined the cast as healthcare assistant Adele Effanga, and David Ames, who returned to his role as Dominic Copeland. The show's executive producer Oliver Kent said Raf's introduction would help to "shake things up" and hoped viewers would warm to him, Adele and Dominic. McFadden had previously appeared as a patient in Holby City's sister show Casualty, which is set in the same fictitious hospital. Of his casting, McFadden stated "I'm absolutely thrilled to be joining the cast of such a successful show and becoming part of the staff at Holby City. I'm looking forward to scrubbing in and showing off Raf's innovative lifesaving skills!" McFadden began filming in October and was initially contracted for a year. To prepare for the role, McFadden watched open-heart surgery. He developed a respect for the surgeons he met, and gained some insight into why his character might have such a large ego. He also watched episodes of 24 Hours in A&E and Grey's Anatomy.
Development
Characterisation and introduction A dedicated, driven and passionate doctor, Raf loves nothing more than being in the medical 'zone'. An expert in resuscitation, he is a true medical pioneer and an energetic force of nature, who is led by his heart rather than his head. Raf was initially billed as being "brilliant and highly driven". Series producer Simon Harper also described Raf as "a highly-driven and passionate character", and added that he would form "a great dynamic" and rivalry with fellow AAU doctor Harry Tressler (Jules Knight). McFadden said Raf was a moral man and "single-minded" in his career. While the show's official website describes Raf as being "demanding" and "stubborn" when it comes to his career. McFadden also told Rick Fulton of the Daily Record that Raf was "very sensitive" and tries his best to reassure people. Raf is Scots Italian and McFadden took inspiration for some of Raf's personality traits from his Italian brother-in-law. Reflecting on the changes to Raf's personality since his marriage breakdown, McFadden said "Raf was a pain when he arrived at Holby. He came in full of bravado, so to have that ripped away from him is brilliant, he's learning to be humble, and he's learning that he isn't perfect." McFadden was pleased when Raf's personality began to lighten up, and he enjoyed portraying his vulnerable and gentler sides. He added that Raf cares about the hospital very much, but he did not want his character to come across as "a real dictator". McFadden told Katy Moon of Inside Soap that Raf specialises in trauma and has acquired some cutting-edge techniques from around the world. The actor described Raf's introduction as "hard-hitting", as he implies that Ric Griffin (Hugh Quarshie) and CEO Guy Self (John Michie) would be stupid not to hire him for a registrar's position on AAU. Raf then showed off his skills by saving a young boy's life using an improvised ECMO machine that he builds out of hospital equipment. McFadden explained, "The procedure is pretty unorthodox and very risky. But Raf is prepared to put himself and the hospital on the line for the sake of his patient. It leads to conflict with Guy, though, because he doesn't want to risk Holby's reputation." During the same day, Raf managed to annoy Harry and Mo Effanga (Chizzy Akudolu), but he befriended nurse Mary-Claire Carter (Niamh McGrady). McFadden assured Moon that there would not be a romance between the characters, as Raf was married. Moon and Sarah Ellis added that Raf's plans to move AAU into the 21st century would not go over well with everyone.
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