WAF 50: A stitch in time…….

It was the penultimate evening of 2024, the last of our guests had departed, and I had just settled down to start reading a very welcome Christmas present – Michael Sandel’s Democracy’s Discontent – when an SMS popped up on my iPhone: 

Hi Paul. This is Sukh from the LBC. 

Then that little message that says, Sender is typing. I waited pensively but that was it. Nothing came through.

Sukhmani Sethi is the producer who manages the Andrew Marr evening show on media outlet LBC tv weekdays, and Matthew Wright’s morning radio slot on weekends. She is incredibly sharp and always on the cusp of breaking stories. So what was up? 

Five minutes ticked by. Still no follow-up.

Then my mobile rang, and it was Sukh wanting to know if I would do an interview with Matthew at 07.45 the following morning. Topic: the previous day’s Guardian leader about ‘England’s run-down hospitals’, an issue which the paper has been highlighting consistently. Here’s a sample few of its headlines during 2024:

26 Jan: Crumbling hospitals cause over 100 care disruptions a week, NHS figures show – 27,545 incidents in five years because of fires, leaks and infra-structure problems

15 April: More than 2,000 buildings in England older than NHS, figures show 

8 May: Chronic underfunding, broken equipment and asbestos in the ceilings: this is the NHS

17 October: Repair bill for crumbling NHS buildings in England soars to almost £14 billion

Then, one to wrap up the year.

30 December: Matthew Taylor, chief executive of the NHS Confederation, said parts of the health estate (are) ‘so run-down that some patients are being treated in. . . outright dangerous facilities’  

Taylor pinned the blame ondecades of underinvestment’ in the health service capital budget, which meant the NHS received ‘woefully’ less funding than comparable countries.

With this invitation came a 283-page set of minutes from a board meeting of the Stockport NHS Trust: Sukh’s briefings are nothing if not thorough!  Pushing my book aside, I began to ponder. How should I play this interview? How could I make a positive impact in this dire situation? More noise? Endorse the findings? Amplify the complaints? Sooth the troubled waters?

The next morning, 07.42: Refreshed after a good night’s sleep I waited courtesy, of an online video connection, as Matthew Wright rounded off his previous interview and began a summary of the Guardian’s latest findings. Of particular note to him, among a long list of crumbling buildings, was the Bobby Moore cancer unit at Stepping Hill Hospital. Opened in 2000, he had helped raise the funds: how could a building so new have deteriorated so badly and so quickly? 

Intro completed, and clearly incredulous, Matthew turned to me and asked: ‘How bad is it? Some 1.7 million equally incredulous listeners awaited my answer. 

As a ‘Blood Biker’, with seven or so years of experience delivering emergency samples and platelets into hospitals, I have seen enough to know that in places it’s very bad. But the story is patchy: within the landscapes of many of our cities there are also plentiful examples of gleaming new hospitals – citadels of excellence that match world’s best standards. Projects that any UK community should be proud of; projects that every UK community should have.

Matthew’s question therefore offered me a generous opportunity to segue into some interesting territory, so I simply endorsed Mr Taylor’s report (after all, he is at the pit face so why would I doubt him?) and moved quickly on. 

I pointed to the enormous amount of capital the Private Finance Initiative and PF2 investment injected into the health care estate, from 1998 to 2018, when the then Chancellor of the Exchequer called a halt to any further PFI funding, describing the process as being ‘inflexible, overly complex and a source of significant fiscal risk’.

As of March 2021, there were 694 completed PFI projects, with a capital value of £54.7 billion. Of these, about 140 relate to healthcare buildings and facilities. So, while making it clear that I am certainly no fan of PFI, I suggested that it would be wrong to think that there has been no investment in healthcare infra-structure. The new Royal London hospital alone represents a £1.2 billion spend.

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Royal London Hospital

True as the Guardian reports might be in relation to some parts of the NHS estate, the picture for the estate as a whole is very uneven, with many hospitals being maintained to high standards by their respective PFI operators. But, as we know from a multitude of reported cases, there are many ongoing disputes between health authorities and their PFI partners in terms of alleged maintenance failures.

Then there’s the bigger story of which we should all be concerned: the PFI contracts mostly have 25- or 30-year lives (one notable exception has a 52-year life). When the contracts end,  PFI buildings/facilities revert to NHS ownership. In most cases, there is a lease obligation that they be returned in the condition equivalent to ‘two years of usage’. 

Two huge questions arise here. First, will those facilities be returned in that prescribed condition and what can we do to ensure that this happens? And, as important, who will determine whether those conditions have been met?

Second, how will the NHS organise and fund future repairs and ongoing facilities management? This problem is coming down the tracks like an express train.

The NHS estate is huge. There are 1,148 hospitals, many comprising multiple buildings. And beyond those thousands of buildings, the NHS has a myriad other associated non-healthcare facilities.

Sadly, the UK has a generally appalling record on building maintenance, especially in the state sector. Our schools are too often in a poor condition. One of the major drivers for the Thatcher initiative to sell  council housing at a discount to tenants was (say some critics) the resulting unloading of maintenance and repair obligations. 

The NHS, with all the other far-reaching challenges that it faces, must get to grips with the financing of repairs and ongoing maintenance of buildings as a discrete matter. 

As any competent property manager knows, well planned and ongoing maintenance programmes (clearing and unblocking the rainwater gutters, downpipes and gulleys, replacement of mastics and sealants to modern facades, redecorating older forms of construction), are critical to ensuring that simple neglect does not lead to major building defects.

Twenty years is a very short period in what should be the long lifetime of a building. Bobby Moore’s oncology centre at Stockport is a timely reminder: that a properly funded and executed ‘stitch in time’ is as important as delivering the new; a message that both public and politicians need to acknowledge.

ends 

231019 WAF 39

The milkman was once an essential service available to all households but by 1995 doorstep delivery had declined to just 45% of the retail milk market. Today it is a mere 3%, and still falling.

Our milk came from Bartonsham Dairies located alongside the east bank of the river Wye, just south of Hereford. As a child I well remember the Friesian cows, interspersed with a few Jerseys grazing those pastures, all part of the alluvial flood plain that, through its annual flooding, supported grasses so rich in nutrients. 

We of course loved the Jersey cows with their gentle nature and light brown colouring, but commercial realities had already led to a strong preference amongst dairy farmers for the ‘Black and Whites’ as descended from the cattle of Friesland in north Holland and the Schleswig Holstein herds of northern Germany. 

Friesians are now the dominant breed in industrial farming worldwide, partly because of their robust health but mainly because of the comparatively high milk yields: 17.6 kgs against 11.7 average per day for Jerseys. Against that, Jersey milk is 15% richer in protein and calcium and contains considerably higher concentrations of the essential vitamin B12….and it tastes better! 

Gold, silver or red foil capped bottles which were delivered to our side door (tradesman to the side!) by 7 a.m. each morning, all against the night-time ritual of leaving ‘empties’, well rinsed and clean, on the doorstep for collection. I will never forget the chinking of bottles in their crates, the whirring of the electric battery-powered milk-floats as they stopped and started in the street outside, and of course the routine of Friday evenings when the milkman would call, leather money bag over his shoulder, collecting cash for the week’s deliveries.

Those milk floats, often to be seen ‘struggling’ back to the farm at walking pace with batteries deplete, were invented by Philip V Pocock who created SPEL Products, a company now dedicated to the manufacture of a wide range of products including GRP cladding panels – but that is another story… 

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The point of all this is that I had, as a child, a clear understanding of where our milk came from: I often visited the farm when sent by bicycle to buy another ‘pint of gold top’ or some cream; and I walked the fields where the cows grazed and canoed the river adjoining the farm; I even knew the milkman. Likewise, the baker, the butcher and a host of other local service providers. Even where I did not know the producer, I was aware that much of our food – meat products, fruit, vegetables, and of course cider – were all sourced locally by our shopkeepers.

But those days, the ‘50s turning ‘60s, saw the closing of the era of (predominantly) local supply: indeed, during my grandparents’ lives, food had travelled an average of just eight miles before arrival on the table. Today, within the UK, the average food item travels 1,837 miles to get from farm to plate – it’s 1,500 miles in the USA, 1,864 in Canada and a staggering 43,496 miles per dish in Melbourne Australia!  If you want to stretch that further in the UK buy a MacDonald’s Big Mac for which the combined ingredients will have clocked some 8,000 miles en route to you.

And ‘waste’ is just as bad: everything that ‘emanated’ from the house of my uncle and aunt just outside Hereford ended up in the soil: they had an earth closet which was dug out regularly, the contents being dispersed across the garden as fertiliser; other rubbish was burned periodically, and nothing was wasted. The plastic and polystyrene packing and wrappings of today would have been rejected out of hand as they had no way to safely dispose of such dangerously toxic and carcinogenic materials…….

But it is not the issues of sustainability that I address here. Rather I wish to focus on the astonishing transformations to the fabric, rituals and ‘choreography’ of our cities and city-life that have taken place in the recent decades consequent upon the revolution in retail supplies and delivery. 

My first proper job was as a van driver employed by the local town grocer delivering orders around Hereford and to remote locations in and around the villages across the county, right up into the Welsh borders. That world came to a crashing end with the arrival into town of the supermarket chains. Buying patterns of generations were upended, seemingly overnight, as these new stores with their underground or closely adjoining carparks attracted shoppers to a single supply source: bread, meat, fish, fruit, indeed all groceries and the rest under one roof, transactions at one till. Rapidly all the local specialist food suppliers within the city centre were forced to close, their offerings (irrespective of the quality of product or service) too expensive and too inconvenient. 

This, of course, coincided with the shift to full time working for most women, so late opening and single point sourcing of supplies with convenient parking became agents for such change, and I get that, but gone for ever were the sights of locally trapped rabbits and pheasants, and the pungent smell of fish, in the stalls that had for centuries adorned the town’s historic and lively Butter Market. And gone forever was a way of life for traders and those who serviced and supplied them, for customers, and indeed for the entire city.

As with smaller towns across the country, Hereford was thus left with an abundance of clothes shops and other retailers but even there, as with food, ‘local’ was lost: the likes of Burtons, Dorothy Perkins, Stead and Simpson for clothes and shoes; Smiths and Menzies for magazines, Boots pharmacy and so on: these were the national retailers whose names and brands became the familiar backdrop to our provincial ‘high streets’. They now called all the shots, and they called them with little or no sympathy for local interests or tradition.

So, with their arrival came the rapid de-populating of town centres, for gone were the local retailers and with them the tradition of living (or at east letting out rooms) ‘over the shop’. The national brands would yield no space for access to upper floors (100% shop front being the mantra), and they would countenance no messy residential letting operations or problems with washing machines leaking from flats over into their retail outlets.

So, over the decades, those lovely provincial shopping streets with their three and four storey Georgian, Victorian and Edwardian buildings, hitherto occupied across all floors, became (save for some commercial lettings to small professional businesses) largely unoccupied save for the ground floor retail. You only had to look in winter months at the darkened upper floors in places as far afield as Canterbury, Tewksbury, or Blackburn for the evidence. Terry Farrell’s ingenious work for the Comyn Ching development in Covent Garden proffered an alternative to such waste, but alas, national retailers cared nothing for the towns that they exploited. 

So fast forward to today and the crisis in retail and I can see nothing but more seismic changes to come: Ocado – you now see their vans everywhere – are fast set to render the Supermarkets of Tesco et al completely redundant in another twist to the story of food distribution. (What is it about the British and grocery trades? Founded in 2000 in a single room in London this is now a £2.5 billion operation with major expansion into Europe, Canada, and the Far-East). 

Headquartered in Hatfield, they have no shops…simply warehouses such as their huge unit at Andover, full of high-speed ‘bots’ which ‘whizz’ about ‘picking’ products for customers’ orders from atop a 3D grid of crates packed with items. A 50-item order is completed in minutes, then bagged ready for transport. These videos and the photo below give a taste of tomorrow… today.

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Put simply, why would you contemplate the grim chore of pushing a trolley round a store, loading up the Weetabix and trooping home by car, when you have Ocado delivering to your home at pre-agreed times against an on-line order. 

And then there is the future of delivery by air not road: tomorrow’s tomorrow looks more like the world of Dan Dare comics with drones flashing about the skies, ‘dropping’ parcels to our garden pads! Fantasy? No…. it’s already in train with Amazon: 

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A drone carrying a box

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Take a look at this video for the story: https://www.bbc.co.uk/news/business-67132527.

What does this mean for the Basildons and the Barnsleys, the Peterboroughs and the Prestons of the UK? Quite simply this: Good News! With the demise of the dreadful supermarkets and national retailers we can now completely rethink the meaning of town. Remember Cedric Price’s adage: 

  • Medieval towns were like boiled eggs – citizens slept safely inside the gated walls and worked in the surrounding fields by day.
  • Industrial towns were like fried eggs….we worked in the centre by day and left to sleep in the suburbs.
  • Modern cities are more like scrambled eggs with the spread of work and residence well intermixed.

We now face a new era of great transition where we can turn our cities into the utopia that they really should offer….places of culture in its widest sense where we live in homes which are supplied with all our essential needs by robots. 

Incredible………And in terms of architecture and planning: nothing but opportunity as we completely re-think citizenship and the fabric within which it is hosted.