

Kay began his medical training as a House Officer in 2004 with the United Kingdom's National Health Service after attending Dulwich College and Imperial College School of Medicine.

This event motivated Kay to respond to this accusation by releasing This is Going to Hurt, which illustrates his own experiences as a junior doctor. Around this time in 2015, junior doctors entered contract disputes with the NHS leading the Secretary of State for Health and Social Care, Jeremy Hunt, to accuse junior doctors of being greedy. Five years after his resignation, Kay was officially removed from the medical register which prompted him to dispose of all the medical files he had been storing, leading him to review his reflective journal. It was recommended to Kay to write this diary as a "reflective practice" in which he could log any interesting clinical experiences he experienced throughout his training. This is Going to Hurt is mostly composed of diary entries Adam Kay wrote during his medical training under the National Health Service. Kay accomplishes this by incorporating humour into his personal anecdotes that depict his life as he progresses through his medical training, and his eventual resignation from this career. Kay's book discusses political issues in the health care system of the National Health Service in the United Kingdom and societal conflicts between the general population and neglected doctors. It is a collection of diary entries written by Kay during his medical training from 2004 to 2010.

This edition includes extra diary entries and a new afterword by the author.This is Going to Hurt: Secret Diaries of a Junior Doctor is a nonfiction book by the British comedy writer Adam Kay, published in 2017 by Picador. Sunday Times Number One Bestseller for over eight months and winner of a record FOUR National Book Awards: Book of the Year, Non-Fiction Book of the Year, New Writer of the Year and Zoe Ball Book Club Book of the Year. Hilarious, horrifying and heartbreaking, this diary is everything you wanted to know - and more than a few things you didn't - about life on and off the hospital ward. Scribbled in secret after endless days, sleepless nights and missed weekends, Adam Kay's This is Going to Hurt provides a no-holds-barred account of his time on the NHS front line. The pain and the funniness somehow add up to something entirely good, entirely noble and entirely loveable.' - Stephen FryWelcome to the life of a junior doctor: 97-hour weeks, life and death decisions, a constant tsunami of bodily fluids, and the hospital parking meter earns more than you. The multi-million copy bestsellerBook of the Year at The National Book Awards'Painfully funny.
