Interview with Sam MacGregor on OffFest (Offies) nominated show,
Hold The Line
Interview by Louise Cannon
Hold The Line sits at the juxtapositions of comedy and getting across a really serious job and matter. This is a chance to see behind the scenes from Sam MacGregor’s real life experiences as an NHS worker on the front-line working as an NHS 111 call hanlder.
I recently had the privilege of interviewing Sam MacGregor about NHS 111, what the public don’t always see and about how he has brought his real life experiences together to create and star in his critically acclaimed theatre show, Hold The Line. There’s more to it than meets the eye and what he has to say is fascinating and important…
The play, that debuted successfully at the Edinburgh Fringe Festival is on tour from the 22nd April. Links to tickets and a trailer can be found at the end of the interview.

“Most people think of NHS 111 as the number you call for minor ailments – a twisted ankle, a high temperature, a late-night worry – but for the people on the other end of the line, the stakes can be just as high as those faced by paramedics and emergency responders. This hidden, high-stress side of the job – where even a ‘routine’ call can become a life-or-death crisis – is at the heart of Hold the Line, revealing the unseen strain of a role that asks people to absorb trauma in real time, with no time to process, pause, or recover.“
Set over the course of a single, nightmare shift in a London call centre, the play takes audiences into the rarely seen world of the unsung heroes of healthcare – the call handlers who juggle relentless targets, limited resources, and human lives on the line.
When Gary, a health adviser and unlikely everyman, picks up a routine call from a panicked son whose father is slipping into a diabetic coma, a normal shift suddenly spirals into chaos. With escalating stakes, impossible decisions, and the constant pressure to keep the lines moving, Gary is forced to confront the emotional and moral toll of a job that demands constant composure – even when lives hang in the balance.”
Without further ado, let’s welcome Sam MacGregor to Bookmarks and Stages.
Hold The Line is based on your real-life experiences working within NHS 111.
What made you decide to create a show and how did you decide what life stories and experiences to portray on stage?
It wasn’t until a few years into the job that I realised there was potential for a story to be made here. I’ve seen enough medical dramas such as Doctors and Scrubs to know what would be interesting to the public. I knew that there was nothing like this in terms of NHS 111’s exposure to the public, so I wanted to make some kind of story. I thought long and hard about what stories to use, as there are a lot of complex and potentially interesting angles to look at. In the end I decided on there being two main patient/caller storylines that I thought would be a good story to follow. We have one call handler who deals with multiple medical calls on shift and two of them are particularly complex and are the bulk of the story we encounter.
How did it feel writing and knowing you were going to perform your experience of working in the NHS. Did you get something out of it and what do you feel at the end of each performance?
I think it’s quite empowering telling this story. I always get a rush when I perform on stage, but there’s extra satisfaction knowing it’s something you’ve written yourself, especially when it’s about a subject you have a personal connection to. I also think the audience appreciates that, as there have been times (at the Edinburgh Fringe for example) when people would be pleasantly surprised when I told them I had also written the show they had just enjoyed watching. Each performance can be different, so how I feel at the end can change every time. Usually I have a sense of pride in not only myself but my co-actor on stage (Gabi).
Have your colleagues seen it and what do they think of your show?
A fair few of the office staff came and watched it last year during our Edinburgh Fringe previews and had nothing but good things to say. For some staff it was the first time they had ever stepped foot in a theatre, so that is also lovely to hear!
People have called NHS 111 for all sorts of ailments, what the public aren’t shown is what happens behind the scenes when things turn from minor to serious and suddenly there’s a life or death situation.
How does the responder handle this change?
If you’re an experienced call handler, and if a call goes from mundane to serious very quickly, you know what you have at your disposal. There’s a nurse and a supervisor, or even colleagues, who can step in and offer any assistance if need be. It’s a matter of keeping calm, remembering to breathe and just focusing on the patient’s needs for the duration of the call.
There’s both humour and tension in your show. How did you keep that balance and why do you feel it’s important to portray the highs, the lows and unexpected twists in what can happen in a single shift?
Most good comedies walk the line well between drama and comedy and I think Hold the Line does this well. The job itself is very up and down in terms of the types of calls you can get and the people you encounter, so I wanted to do it justice. There are parts of the play that hit quite hard, so I knew that there needed to be some light comic relief after these moments.
NHS 111 call handlers are under more pressure and stress than the public may realise. How do you deal with that and how do you portray the effects of mental health on stage so the audience really understands what is going on with some call handlers internally and externally?
Essentially you deal with it by finding a good balance between taking lots of calls but taking breaks, keeping hydrated and having lots of snacks. We usually have to remind the public how busy we are due to demand, and most of the time the public is very receptive to hearing this from us. I think frustration, tiredness and low moods are the main feelings expressed throughout Hold the Line between the staff in the play.
You expose the contradictions of a workplace where “productivity is key” – targets must be met, calls must be answered, and efficiency is always under scrutiny – yet where the fundamental mission is to keep people safe and well. How do you feel about that within the NHS and how do you portray this in your show?
It’s a tricky one because on the one hand I don’t think its helpful putting such a subjective and personal thing in strictly just an objective/numbers and data based way. However, if you didn’t keep an eye on these things then who knows what the NHS might look like. In our play, in the world in which we meet Gary (health adviser) we are constantly reminded of how busy the service is. The audience is privy to the data and numbers side of the job at the same time seeing how this effects not only Gary but the patients/service. I want people to understand Gary’s frustration and be affected by how this causes issues within the story. I don’t want it to be too jargon heavy and too obvious for the patients at how inundated the 111 service gets, but I think the play walks the line well between explaining enough but not too much so that the audience feels like its exposition heavy.
What does when human emotion collides with institutional indifference, how does it affect call-handlers who have more calls to take and whole shifts to do?
What do you feel needs to change to make the institutional indifference attitude better?
There is always time for reflection or some downtime if your shift is getting particularly hard or upsetting, but the calls always keep piling up, and you are always reminded of this. There is always someone higher than your line manager who has to keep an eye on the quantitative side of things, like a pyramid of hierarchy. So despite being great at your job, if you take lots of breaks or maybe you aren’t hitting certain targets, you will be reminded about this.
What do you hope audiences take away with them?
Hope. Hope for a better and more productive NHS service. I want people to understand the humanity of the play, to care for a stranger if you have to, to listen and show understanding.
Not to get too political, but to really take home how precious the 111 service is as well as the NHS. People who probably use private healthcare are making important decisions that affect those who use public services, a service which they themselves (the politicians) don’t use.
Where can people follow across social media?
Instagram- @holdtheline_play
Instagram- Writer/performer- @samhazamacg- Sam Macgregor
Instagram- Performer- @gchanova- Gabriel Chanova
Instagram- Director- killeenmesoftly- Laura Killeen
You can watch the trailer on the link HERE.
Tickets are available HERE.
‘While the theme is deadly serious, shards of humour lighten the darkness’ ★★★★ The Times
‘Gripping and thoughtful production’ ★★★★★ LondonTheatre1
‘Thoughtful, well-performed and quietly damning’ ★★★★ One4Review
‘Sharp, darkly comic episodes and poignant moments combine for a heartfelt drama’ ★★★★ The List














