It was written by Ian Levine and freelancer Fiachra Trench, who had previously collaborated on the theme music for the TV pilot K-9 and Company, a Doctor Who spin-off from 1981.

When the single was announced in early March, it was rumoured that the recording session would include the Village People alongside Doctor Who fans Elton John and Holly Johnson.

The resulting supergroup recorded the single under the name Who Cares?, with the participation of four regulars from the TV series: Colin Baker (the Sixth Doctor), Nicola Bryant (companion Peri Brown), Nicholas Courtney (recurring character Brigadier Lethbridge-Stewart) and Anthony Ainley (the Master).

This was directed by Keith Barnfather of Reeltime Pictures, a film production company that specialised in Doctor Who-related projects, including documentaries and spin-off video dramas.

In the documentary Trials & Tribulations included on the same disc, Levine admitted that it had been conceived by John Nathan-Turner's partner Gary Downie "in a drunken moment".