social infrastructure audit 2010 - city of london · city of london corporation . core strategy ....

39
City of London Corporation Core Strategy Social Infrastructure Audit May 2010

Upload: vuphuc

Post on 29-Jun-2018

213 views

Category:

Documents


0 download

TRANSCRIPT

City of London Corporation

Core Strategy Social

Infrastructure Audit

May 2010

2

3

CONTENTS

1. Introduction Page 4

2. Context Page 5

3. The Social Infrastructure Audit Page 8

4. Early Years, Primary and Secondary Schools Page 9

5. Childcare Page 11

6. Community Centres Page 14

7. Libraries Page 15

8. Health Page 17

9. Emergency Services Page 20

Appendices

• Appendix 1: Key Characteristics of the City (2001 Census) Page 22 And Super Output Areas Exceptional Features

• Appendix 2: City Corporation Decision Making Organisational Chart Page 24 • Appendix 3: The City Together Membership Page 25 • Appendix 4: Findings of Social Infrastructure Audit Page 27 • Appendix 5: Maps of Findings Page 39

4

INTRODUCTION

1.1 The Government’s Planning Policy Statement 12 (Creating Strong Safe and Prosperous Communities through Local Spatial Planning) makes clear that spatial planning exists to deliver positive social, economic and environmental outcomes and requires planners to collaborate actively with the wide range of stakeholders and agencies that help shape local areas and deliver local services1. It also calls for core strategies to be informed by good infrastructure planning and for planners to engage with ‘delivery stakeholders’.2

1.2 This note seeks to:

• Set out the context for social infrastructure planning in the City;• Report on the findings of a social infrastructure audit;• Outline the relevant strategies, planned provision, key issues and delivery mechanisms for

six different service areas; and• Establish an evidence base for the Core Strategy.

City of London

1 PPS12: Creating Strong Safe and Prosperous Communities through Local Spatial Planning (Para. 1.5) 2 As above, Paras. 4.8-4.12 and 4.27-4.29

5

CONTEXT

2.1 The City has very particular characteristics in relation to planning for social infrastructure and the structure of the City Corporation and Local Strategic Partnership (The City Together) reflect this.

THE CITY AND ITS PEOPLE

2.2 The City of London is an area like no other in the United Kingdom. Although it is little more than one square mile in size, the City is densely developed, has a distinctively international business character and provides employment for over 340,000 workers. It also provides housing for about 9,000 residents.

2.3 The London Plan predicts that there will be substantial increases in the numbers of City workers in the future. Economic growth will expand the City’s workforce from over 340,000 in 2006 to 424,000 by 2026. Although there may be short-term fluctuations from these trends due to economic cycles, this long-term projection is considered robust. There will also be an increase in housing, leading to an increase in the number of residents from 9000 today to 12,000 in 2016.

2.4 A summary of the key characteristics of the City’s existing workforce and resident population based on the 2001 Census is attached as Appendix 1.

THE CITY OF LONDON CORPORATION

2.5 Among local authorities the City of London Corporation is unique; not only is it the oldest in the country but it operates on a non-party political basis through its Lord Mayor, Aldermen and members of the Court of Common Council.

2.6 In addition to the usual services provided by a local authority, the Corporation runs its own police force and the nation's Central Criminal Court, the Old Bailey. It provides five Thames bridges, runs the quarantine station at Heathrow Airport, is the Port Health Authority for the whole of the Thames tidal estuary and runs the capital’s wholesale food markets ( Billingsgate, Spitalfields and Smithfield). It also maintains the Barbican Arts Centre, together with a number of open spaces outside of the City (including Epping Forest and Hampstead Heath).

2.7 The City of London Corporation is organised around seven services; the key relevant ones being Planning and Transportation, Community and Children’s Services and Libraries, Archives and Guildhall Art Gallery. The Corporation’s decision making organisational chart is set out in Appendix 2.

THE CITY TOGETHER

Local Strategic Partnership

2.8 The City Together is the City of London’s Local Strategic Partnership, involving key public, voluntary and private sector service providers, alongside representatives of the City’s business and residential communities. The City Together has adopted a two-tier structure; an Executive Board and Associate Membership. All service providers and community groups can apply to become an Associate Member. The current City Together membership is set out in Appendix 3.

Sustainable Community Strategy

2.9 The City Together approved the City Together Strategy: The Heart of a World Class City 2008-2014 in 2008. The SCS is organised around The City Together: the Heart of a World Class City which… … is competitive and promotes opportunity….supports our communities ….protects, promotes and enhances our environment ….is vibrant and culturally rich ….is safer and stronger

6

Local Area Agreement

2.10 The City’s Local Area Agreement (LAA) 2008-2011 sets out how The City Together partnership will deliver key local and national priorities over the next three years. Medium Term priorities in the SCS and relevant targets in the LAA address social infrastructure service areas.

The City Together Compact Agreement

2.11 In April 2008, a Compact was agreed between the statutory public and third sector organisations working in the City. The Compact partners are: the City’s third sector (voluntary, community and faith organisations, charitable trusts, livery companies and social enterprises), the City of London Corporation, the City of London Police, the City and Hackney NHS Teaching PCT, Barts and London NHS Trust, East London NHS Foundation Trust and City.comm (the City’s Council for Voluntary and Community Service).

2.12 The Compact sets out how these organisations will work together in partnership for mutual benefit and the securing of better outcomes for the City’s communities. It is in the following three parts3:

• Part 1 comprises a Compact Agreement (which includes a shared vision, shared principlesand implementation commitments);

• Part 2 sets out Codes of Good Practice (practical guidelines to support partnership working interms of commissioning, communication, consultation and engagement, ensuring an inclusiveCity and volunteering); and

• Part 3 is an Annual Action Plan.

3 The City Together Compact Agreement (June 2008)The City Together Compact Codes of Practice (June 2008) The City Together Compact Key Priorities 2008/9 (June 2008)

7

PARTNERSHIPS

2.13 The two key partnerships in relation to social infrastructure and the ‘…supports our communities’ theme of the Sustainable Community Strategy are the Children and Young Persons Partnership (CYPP) and the Adult and Social Care Partnership (ASCP). These are sub-groups of The City Together Board and meet 4 times a year. These two partnerships comprise the following partners:

Children and Young Persons Partnership

Adult and Social Care Partnership

• City of London Corporation4

• City and Hackney Primary Care Trust• Sir John Cass Primary School• Cass Child and Family Centre• London Fire Brigade (City of London)• City of London Police• London East Connexions Partnership• Centrepoint• City Parents Group• City YMCA• City and Hackney Safeguarding Children

Board• East London and City Mental Health

Trust

• City of London Corporation5

• City and Hackney Primary Care Trust• Tower Hamlets Primary Care Trust• London Fire Brigade (City of London)• City of London Police• City.comm• The City and Hackney Carers• RSVP• Peel Centre (Chief Executive)• Telecare provider• Member, Older People’s Champion• Chairman, Community & Children’s

Services Committee• Deputy Chairman, Community &

Children’s Services Committee• Service Users (tbc)

2.14 These partnerships are the principal way in which the City Corporation engages with these strategic partners over social infrastructure issues. This reflects the following factors:

• The City’s relatively small residential population and the relatively small impact this has onservice planning and delivery by individual partners;

• The focus that neighbouring borough councils and other partners have on meeting thepressing social needs of City Fringe communities; and

• Staff resourcing issues.

2.15 The Corporation does work with partners at an operational level on particular projects. For example, City Corporation officers sit on the board of the Golden Lane Campus.

CENTRAL LONDON INFRASTRUCTURE STUDY

2.16 Westminster City Council commissioned a study into infrastructure provision, partly funded by Central London Forward in 2009. Part A examines the infrastructure requirements of Central London (including the City) and is focussed on;

1. Basic utilities infrastructure (water, power and telecommunications)2. Transport3. Sub-regional elements of Adult Education, Further and Higher Education and Health.

2.17 The City Corporation has a separate report focussing on these issues in the City. This information has fed into the Core Strategy Infrastructure Delivery Report.

4 Director of Libraries; Assistant Director Economic Development; Families and Young People’s Director; Co-ordinator of the City Drug Action Team; Strategy and Performance Director – Community and Children’s Services; Sports Development Manager and; Adults Services Director 5 Director of Community and Children’s Services; Adult Services Director; Co-ordinator of the City Drug Action Team; Strategy and Performance Director; Family and Young People’s Service Director; Adult Social Care Manager; Sports Development Manager; Commissioning Manager, Adults Services; Head of Adult & Community Learning; Housing Director; Community Safety; Policy Officer, Policy & Communications

8

THE SOCIAL INFRASTRUCTURE AUDIT

3.1 A social infrastructure audit was carried out between June and October 2008 based on the following six service areas: • Nursery Class, Primary and Secondary Schools; • Childcare; • Community Centres; • Libraries; • Health; • Emergency Services.

3.2 The City Corporation does not consider that the City is the most suitable environment for day-care or residential homes for elderly people and the City Corporation chooses to purchase places in homes throughout London rather than provide facilities itself. These facilities were therefore not included in the audit. Supported housing (including sheltered housing and hostels for homeless people) was also not included in the audit.

3.3 This audit compliments the Corporation’s Play Strategy (2007), which identifies existing formal play facilities in the City of London, and the Open Space Audit (2008) and Open Space Strategy (2008), which identify existing open space and sports and recreation facilities.

3.4 The audit identifies the facilities that currently exist in the City and, for those service areas where there is likely to be significant cross-borough movements, those facilities in the ‘City Fringe’ (approximately 800m from the City boundary).

3.5 Facilities in the City were identified in collaboration with officers in the Community and Children’s Services and Libraries and Archives Departments. Brief details of the facilities were collated and an external visual inspection made. Facilities in the ‘City Fringe’ were identified via a search of relevant websites only (details of the facilities were not collected, nor site visits made). The findings of this audit are set out in table and map form in Appendices 4 and 5.

9

EARLY YEARS, PRIMARY AND SECONDARY SCHOOLS CONTEXT

4.1 The City Corporation maintains one voluntary aided primary school, the Sir John Cass’s Foundation V.A. Primary School (inherited in 1990 from the former Inner London Education Authority) and no secondary schools. There are unlikely ever to be sufficient numbers of children of secondary-age living in the City to justify a viable maintained secondary school. The needs of the small resident population of school age children is currently met as follows: Primary

4.2 The Sir John Cass’s Foundation V.A. Primary School is a one form entry school offering a maximum of 30 places each year. The School admits both City resident and non-resident pupils. Boundary changes in 1994 meant that pupils from the Mansell Street Estate moved from non-resident to resident status. Other resident primary age pupils attend schools in neighbouring boroughs including provision in Roman Catholic primary schools. The school also runs the City’s Children’s Centre and Extended Schools programme delivering, in partnership, all elements of the core offer. The City Corporation also part funds the Moreland Primary School in Islington which City residents can attend. Secondary

4.3 There are sufficient places currently available in neighbouring boroughs. The City Corporation supports parents in seeking appropriate places in neighbouring borough schools. Additionally, through its private funds, the Corporation sponsors three academies (in Hackney, Islington and Southwark) which provide a number of priority places to any City resident children (11-18 years). Special

4.4 The Corporation does not maintain a special school. Individual pupils attend appropriate schools in accordance with their statements of special educational need in or out of the City. Independent

4.5 A number of City resident pupils attend one of the four independent schools in the City (see Audit Findings). Whilst the facts aren’t known, it is considered likely that a relatively high proportion of City children are educated in the independent sector. AUDIT FINDINGS

4.6 The City accommodates the following Nursery Class, Primary and Secondary Schools: • Sir John Cass’s Foundation Primary School (voluntary-aided CoE) and Cass Child and Family

Centre, St James' Passage,27 Duke's Place • City of London School (Independent Secondary), Queen Victoria Street • City of London School for Girls (Independent Secondary), St. Giles Terrace, Barbican. • St. Paul’s Cathedral (Independent), St. Paul’s Cathedral, 2 New Change. • Charterhouse Square (independent), 40 Charterhouse

4.7 There are 31 Primary and Secondary Schools within the City Fringe. Strategies Relevant Sustainable Community Strategy medium term priorities for the supporting our communities theme: 1. To strengthen support for parents and carers. 2. To ensure choice, independence and involvement for service users leading to independent

living and into employment. 3. To empower children and young people to achieve their full potential in learning and other

areas of their lives.

10

4. To strengthen provision for health intervention in schools for the prevention of drug and

alcohol abuse, teenage pregnancy and sexually transmitted infection. 5. To improve the provision of public play areas and activities/programmes for children and

young people.

6. To deliver the Children’s Centre and Extended School programmes to meet Every Child Matters outcomes for children.

Relevant Local Area Agreement Targets 1. Enriching individual lives, strengthening communities and improving places where people

live through culture. Other Strategies School Organisation Plan 2003-2008 City of London Children and Young People’s Plan (2006-2009) CYPP Action Plan 2007/08 PLANNED PROVISION IN THE CITY

4.8 There is currently no planned provision in the City. KEY ISSUES AND DELIVERY MECHANISMS

• Greenwich Ruling. Children living in the City are able to attend state run schools in neighbouring boroughs, providing that they meet the admissions policy of individual schools. The ‘Greenwich ruling’ (a law lords ruling in 1989 based on a case brought by parents of a child against the London Borough of Greenwich) means that Local Education Authority maintained schools must not give priority to children simply because they live in the borough.

• Lack of Statistics. There are no formal statistics on how many City children are schooled in

neighbouring boroughs, although children living in the City are known to attend a number of primary and secondary schools in neighbouring boroughs.

• Monitoring Capacity. There is currently no systematic way of monitoring the need for

primary school capacity. Officers do, however, monitor a number of indicators, including the number of appeals and children without school places – particularly at the secondary school phase. The predicted residential growth rate is also reviewed on a year by year basis.

11

CHILDCARE CONTEXT

5.1 Childcare covers the following facilities: crèches, childminding, full day care and sessional care (including after school and holiday clubs). It covers Private, Voluntary and the Independent sector (PVI) group settings, maintained provision and childminders.

5.2 The majority of providers must register with the Office for Standards in Education (OFSTED), this is a statutory requirement and all providers are first registered and then inspected on a rolling programme. The providers do not have to register with the City Corporation in an official capacity, however, if they wanted to deliver free nursery education (funded provision for 3 and 4 year olds) then they do have to. Most providers are registered on the City Corporation’s data base and officers also keep specific details about their services including general OFSTED information as well as the staff’s qualifications and training plans. All providers have an allocated support worker and are visited by officers on a regular basis Childcare (0-5)

5.3 The City of London Corporation Childcare Sufficiency Assessment (March 2008) established that the City has a total of 213 OFSTED registered childcare group setting places and childminder places combined across the private, voluntary and maintained sector and a grand total of 287 total places which includes stand alone three and four year old places across the local authority. In addition the City of London also purchases six full day care places (birth-five) and six nursery education places from Golden Lane Children’s Centre (in Islington). The City therefore has a total of 80 stand alone nursery education places for children aged three and four of which 28 are at no cost to parents and the remaining 52 are within the independent sector.

5.4 Numbers of registered places

SOA 001A 001B 001C 001D 001E TOTAL

Number of available childcare registered PVI group setting places (including children’s centre and six places purchased from Islington)

2 54 56 75* 20** 207

Number of free 3 and 4 year old places within the PVI settings

2 24 8 10 12 56

Childminders 3 3 6 0 0 12 Total PVI + childminders

5 57 62 75 20 219

Maintained Nursery Places (including Islington provision)

2 2 2 22 0 28

Independent providers (not registered to deliver free nursery education)

26 0 0 26 0 52

Source: City of London Corporation Childcare Sufficiency Assessment (March 2008)

5.5 Goldman Sachs has found that its on-site emergency childcare has enabled staff to remain in work if they are let down by childcare arrangements. A certain number of places at its workplace nursery are reserved each day for emergencies, which staff can book up to two months in advance.

5.6 Dedicated back-up centre onsite ensures employees have access to high-quality back-up childcare, should, for whatever reason, their usual childcare arrangements become unavailable. The nursery is open every weekday between 7am and 6.15pm, is available for children aged three months to 11 years. Each employee is allowed up 20 days care per child a year, and new mothers receive an extra 20 consecutive days on their return from maternity leave.

5.7 There are also a range of early years services available to City families, which include:

12

• Play and Stay

• Parent and toddler groups

• Children’s Centre activities

• Recreation and leisure activities

• Health promotion and group activities/sessions

• Community and library services Childcare (5-13)

5.8 There are three after-school facilities that City resident children can access both after school and during the school holidays. AUDIT FINDINGS

5.9 The City accommodates the following 0-5 childcare settings: • Barbican Playgroup, 01/02 Level, Andrews House, Barbican • Bright Horizons City Child Nursery, 1 Bridgewater Square, Barbican • New Park Childcare Centre Nursery, 1 St. Giles Terrace, Barbican • Tower Hill Nursery, London Metropolitan University, 100 Minories (University students only) • Goldman Sachs Creche, Peterborough Court, 133 Fleet Street

5.10 The City accommodates the following 5-13 childcare settings: • Colcec After School Club, City of London Community Education Centre, 99 Golden Lane • Sir John Cass Playcentre, based at Sir John Cass Primary School, St James' Passage,27 Duke's

Place • Middlesex Street Community Centre, Middlesex Street.

Strategy Relevant Draft Sustainable Community Strategy medium term priorities for the competitive and promotes opportunity theme: 1. To tackle the barriers to employment faced by disadvantaged groups within the City of

London and the fringe areas.

2. To secure sufficient childcare for parents who work, those on low incomes and for families with a child with disabilities or special educational needs

Other Strategies Childcare Sufficiency Assessment Summary: Gap Analysis (March 2008) PLANNED PROVISION IN THE CITY

5.11 None that officers are aware of.

13

KEY ISSUES AND DELIVERY MECHANISMS • Closer working between Community and Children’s Services and Planning Departments.

Planning needs to inform Community and Children’s Services (CCS) of any applications for premises for childcare. CCS could then provide a range of support to the provider including pre and post OFSTED support, building design recommendations, service planning, business and marketing support.

• Overcoming hurdles to better provision. CCS have development and support workers who

work with all providers and support across a wide range of issues: o Training o Qualifications o Quality o Inclusion o Good practice o Pre and post OFSTED advice o Business and marketing o Funding and grants

• Affordability. This is currently under review by CCS. There are some subsidised services which

are delivered through the maintained sector (Cass Child and Family Centre and Play Service) and all settings registered to deliver free nursery education cannot charge parents for that particular part of the service. The free entitlement is being increased and by 2010 all 3 and 4 years olds will have a minimum free entitlement of 15 hours per week for 38 weeks. We promote the tax credit system and provide individual support for families to support the application process. Fee structures and affordability (access) issues currently being examined and CCS officers are seeking innovative solutions to support those on the lowest incomes.

14

COMMUNITY CENTRES Context 6.1 Community Centres are defined as community meeting spaces such as community halls,

rooms on housing estates used by residents and meeting rooms in churches. They are used by a wide range of residents as well as workers in the City.

Audit Findings 6.2 There are 5 community halls on the housing estates in the City (Middlesex Street, Mansell

Street and Golden Lane), 12 community spaces within churches and 36 other halls available for hire, many in Livery Company premises.

6.3 Working in partnership with the Children’s and Community Services Department, Shoe Lane Library hosts ESOL classes on Saturdays when the library is closed to the public and all three Lending Libraries offer Skills for Life resources and support.

Strategies Relevant Draft Sustainable Community Strategy medium term priorities for the competitive and promotes opportunity theme: 1. To tackle the barriers to employment faced by disadvantaged groups within the City of

London and the fringe areas. 2. To maximise access to community-based programmes to raise levels of language and

literacy among adults, particularly within the more deprived areas of the City of London and the fringe areas.

Other Strategies City of London Change Up Consortium Infrastructure Development Strategy (2008-2014) City and Hackney Healthy Weight Strategy 2009 PLANNED PROVISION IN THE CITY 6.4 There is currently a good provision of community centres in the City for residents and

workers, with a range of premises available. Community centres on the Mansell Street Estate need updating when resources become available. The Middlesex Street Estate community centre will be renovated as part of the comprehensive redevelopment of the estate which was given permission in 2009.

KEY ISSUES AND DELIVERY MECHANISMS 6.5 S106 funding is the most likely source for achieving community centres. Funding from the

Frobisher Crescent development on the Barbican Estate was used to develop a number of affordable housing units on the Middlesex Street Estate. The opportunity of redevelopment was used to improve the existing community centre on the estate.

15

LIBRARIES CONTEXT

7.1 Membership of the City Corporation libraries is open to anyone who:

• Lives in the City, is on the electoral roll or can produce proof of address

• Can produce proof of address and of their student status

• Can produce proof of address and of their employment status

• Can produce proof of address and of their local public library membership 7.2 The Corporation’s libraries are used extensively by people living outside of the City (approximately

34,000 users) and residents of the City (approximately 3,900). AUDIT FINDINGS

7.3 The Corporation provides five libraries, as follows: • Barbican Centre (General Lending). This is the largest of the City’s Lending Libraries and

includes specialist Children’s and Music Libraries. • Camomile Street (General Lending). This library aims at a good general subject coverage and

also includes spoken word, music, film and TV recordings as well as a good stock of large-print material, maps and travel guides, children's books and recordings. Free access to the internet and on-line reference materials is also provided. Each Friday there is a Bookstart Rhymetime session for babies and toddlers and the Library also has a reading group for adults which meets once a month.

• City Business (Reference). This library specialises in current business information which is

intended to be of practical use. The library was relocated from Brewer’s Hall Gardens to the Guildhall complex in 2010.

• Guildhall (Reference). This library specialises in the history of London, especially the City, as well

as having other significant collections of national and international importance divided into three sections (printed books, manuscripts and prints, maps and drawings).

• Shoe Lane (General Lending). This library aims at a good general subject coverage and also

includes DVDs, CDs children's books, books in large print, foreign fiction and some spoken word recordings. There is a Fun Time session for the under fives every Friday and Rhyme Time sessions, also for the under fives, on Tuesday mornings. There are two reading groups which both meet once a month

7.4 There are also a number of specialist reference libraries in the City, including;

• Bishopsgate Institute Library. This library provides collections on London, labour, freethought

and co-operation.

• Chartered Insurance Institute (CII) Library. This library, for CII members only, is a specialist library dedicated to insurance, risk and related financial services.

• London Chamber of Commerce and Industry (LCCI) Library. This library and research centre,

for LCCI members only, specialises in London business matters.

• St Paul’s Cathedral Library. This library, accessible by researchers, specialises in theology and church history.

• St Bride Library. This library specialises in printing technique, visual style, typography, graphic

design and calligraphy.

16

Strategy Relevant Draft Sustainable Community Strategy medium term priorities for the supporting our communities theme: 1. To strengthen support for parents and carers. 2. To ensure choice, independence and involvement for service users leading to independent

living and into employment. 3. To empower children and young people to achieve their full potential in learning and other

areas of their lives. Relevant Local Area Agreement Targets 4. Enriching individual lives, strengthening communities and improving places where people

live through culture Other Strategies Libraries, Archives, and Guildhall Art Gallery Department Business Plan (April 2008 – March 2011) PLANNED PROVISION IN THE CITY 7.5 A replacement for the current Camomile Street Library is planned as part of the proposed

redevelopment of the site. 7.6 A major refurbishment of the Guildhall Library has commenced and is scheduled for

completion in December 2010. KEY ISSUES AND DELIVERY MECHANISMS • Worker and Resident Communities. The requirement to serve two distinct groups with different

requirements (most obviously in terms of required opening times) poses particular challenges.

17

HEALTH Context Health Scrutiny Sub (Community Services) Committee.

8.1 The Corporation’s Health Scrutiny Sub Committee meets quarterly and provides a forum for the NHS Trusts that operate in the City to be accountable to the City Corporation. The five Trusts that operate in the City are as follows: NHS Trust Service provision City & Hackney NHS Teaching Primary Care Trust

Provides primary healthcare facilities for the majority of the City.

Tower Hamlets NHS Primary Care Trust Provides services for residents of the Mansell Street Estate. Approximately 897 City residents are registered with THPCT Practices (657 of whom are registered at the Spitalfields Practice (see Appendix 4)6.

East London NHS Foundation Trust Provides services for people with mental health difficulties, also provides forensic psychiatry and substance abuse service.

Barts and the London NHS Trust Provides acute health services from St Bartholomew’s Hospital in the City and The Royal London Hospital and London Chest Hospital in Tower Hamlets. Also provides Minor Injuries Clinic at St. Barts.

London Ambulance NHS Trust Provides ambulance services for the whole of London, including the City.

Joint Strategic Needs Assessment (JSNA).

8.2 A joint assessment which describes future health and social care needs is required by the Local Government and Public Involvement in Health Act (2007). The City Corporation and Hackney Council are working with CHPCT to jointly assess the health and well-being of their local communities and the Corporation is represented on the steering group by its Commissioning Manager (Keith Manaton).

AUDIT FINDINGS

8.3 The audit looked at NHS and private Hospital, Walk-in-Clinics and GP facilities in the City. It also identified NHS and private Hospital, Walk-in Clinics and GP facilities in the surrounding area. The key findings are:

8.4 In the City: • Two NHS GP surgeries (Neaman Practice and Portsoken Health Centre) • 12 private health care facilities offering GP services • St Bart’s Hospital and Minor Injuries Clinic • Liverpool Street Walk-in Centre

6 City Health Strategy 2007-2010, page 6

18

Strategies Relevant Draft Sustainable Community Strategy medium term priorities for the supports our communities theme: 1. To encourage healthy lifestyles and protect and improve our communities health and well-being. 2. To make public health services accessible to all residents and where possible to other City

communities. 3. To discourage smoking among City residents and workers. 4. To improve health outcomes for vulnerable and at risk groups. 5. To empower people of all ages to take an active role in improving their health and well being,

working more closely with the City’s communities and the third sector. Relevant Local Area Agreement Targets 1. Improving health outcomes through reduced smoking levels 2. Improving health outcomes for the City’s vulnerable and at risk resident groups Strategies Relevant Draft Sustainable Community Strategy medium term priorities for the supports our communities theme: Other Strategies Choosing Health: making healthier choices easier (DoH White Paper, November 2004) Our health, our care, our say: a new direction for community services (DoH White Paper, January 2006) Healthcare for London: A framework for Action (London Strategic Health Authority) City + Hackney Commissioning Strategy 2007/08 (Nov 2006) City and Hackney Health Improvement Plan: The Annual Report of the Director of Public Health 2006-2009 City and Hackney PCT Annual Report 2006/07 Revised Primary Care Service and Estates Strategy (City + Hackney PCT Primary Care Trust, November 2007) Tower Hamlets PCT Health and well being strategy (2006-2016) NHS City and Hackney Commissioning Strategy Plan 2010-2015 (2010) London Ambulance Service NHS Trust – Strategic Plan 2006/07 to 2012/13 (July 2007) City of London Corporation Health Strategy 2007-2010

PLANNED PROVISION Primary Care.

8.5 The CHPCT’s Revised Primary Care Service and Estates Strategy (2007) develops the themes set out in it’s draft strategy (‘Bigger Brighter Better’) published in October 2006. The revised strategy promotes the establishment of four Primary Care Resource Centres (PRCs), a similar model of care to ‘polyclinics’ as advocated in the Healthcare for London report. These PRCs would be supported by around seven ‘satellite’ GP surgeries.

8.6 The City does not have a sufficiently large residential population to warrant a PRC – with the nearest one to the City being at St. Leonards on Kingsland Road (in the PCT’s South West Cluster 1). The St Leonard’ project will also see three GP practices accommodated on this site (Lawson Practice, Whiston Road and its Southgate Road branch and Kingsland Surgery), together with a Primary Urgent Care Centre (similar to walk-in centre) and Community Dental Services.

19

8.7 Whilst the City does not have a sufficiently large residential population to warrant a PRC, the CHPCT do want to add some services to the Neaman Practice in the City to reduce the need to travel to the St. Leonards site.

8.8 The Pharmacy First initiative aims to make more use of the skills of pharmacist’s in advising patients and reducing the burden on GPs (e.g. advice on emergency contraception and minor ailments). Public Health

8.9 The CHPCT is looking to develop a co-ordinated programme of health promotion and ‘social marketing’ to encourage people to adopt an active and healthy lifestyle. This will continue to focus on alcohol misuse, drug use, smoking, eating healthily, reducing infant mortality, reducing teenage pregnancies, cancer and STD screening, increasing physical activity (e.g. ‘Young at Heart’ programme) and other priorities identified in the Community Strategy. Bart’s Hospital

8.10 The Bart’s and the London NHS Trust is currently implementing a major redevelopment programme which includes the refurbishment/redevelopment of the existing Bart’s Hospital site into a Cancer and Cardiac Centre of Excellence, incorporating services from the existing London Chest Hospital in Bethnal Green (which will close on completion of the scheme in 2010). Minor injuries will continue to be treated at Bart’s and Sexual Health Services and the Trust’s Centre for Reproductive Medicine and an integrated rehabilitation centre will also be located at the hospital. KEY ISSUES AND DELIVERY MECHANISMS • Information sharing and co-ordination. Directors of Public Health and Commissioning at

CHPCT to meet with City Corporation Planning Policy Team officers in September of every year to review issues, with other meetings as necessary. Similar arrangements for the THPCT and Bart’s and London Hospital Trust.

• CHPCT need to monitor permitted and built residential schemes in the City. This is so that

provision of primary care services can be monitored and additional facilities planned for. The CHPCT is to use the City Corporation’s Annual Monitoring Report (published each December) to do this.

• City Corporation to develop planning policy to safeguard existing NHS services and

manage private health care facilities. There is a need to safeguard existing NHS premises in the City from the change of use to other uses and to ensure that suitable facilities are re-provided upon redevelopment. Pharmacies, which often form part of a larger chemist like Boots in the City, fall into the Retail (A1) use class and it is not possible for the Corporation to protect these uses specifically by way of the planning system. Policies to be included in Core Strategy and Development Management DPD.

• City Corporation to develop planning policy in relation to Healthy Urban Development.

Scope to address health issues in policies which address offices, housing, retail, transport, open space and recreation and the design of the public realm in the Development Management DPD.

20

EMERGENCY SERVICES CONTEXT 9.1 Emergency services in the City of London (police, fire and ambulance) serve a large

catchment area which extends outside the City’s boundaries. For the City of London Police the impact of the City is far wider than the Square Mile, with hundreds of international banks and multi-national company headquarters located here. The City of London Police are committed to tackling economic crime, countering terrorism, maintaining public order and promoting community safety.

9.2 Fire stations and fire engines work across local authority boundaries, therefore it is difficult to assess fire station provision in a local authority basis. New developments in the City affect fire service provision as each new development is assessed in terms of the time it takes for fire services to reach them. Increases in the number of commercial buildings increases the number of false alarms and therefore pressure on the fire service.

9.3 The London Ambulance Service is under pressure from increased number of 999 calls. Despite the current levels of demand, the service is continuing to reach more patients, more quickly than ever before.

Audit Findings 9.4 Police Service There are 3 police stations in the City, Wood Street Headquarters and Bishopsgate and Snow

Hill stations which are open 24 hours a day. There are also satellite police offices on the Barbican, Golden Lanes and Mansell Street estates.

9.5 Fire Service

Of the 20 fire stations in Central London, one is within the City of London (Dowgate). 9.6 Ambulance Service

Of the 6 ambulance stations in Central London, one is within the City of London (Smithfield Ambulance Station).

Strategies Relevant Draft Sustainable Community Strategy medium term priorities for the safer and stronger theme: 1. To reduce the likelihood and potential impact of terrorist activities in the City. 2. To promote collective security measures and promote business continuity planning within the

City. 3. To minimise the detrimental effects on the City of the emerging night-time economy. 4. To maintain low levels of crime and antisocial behaviour and reassure the public by reducing the

fear of crime and disorder. 5. To reduce the impact of drugs and alcohol misuse. 6. To create a safe environment on the streets and in licensed premises and provide support for

victims of crime and for vulnerable people in our communities. 7. To encourage improvements to transport safety, especially road safety.

21

8. To encourage people of different ages, backgrounds and abilities to respect and understand each other to help build greater community cohesion.

9. To engage more City workers and residents in volunteering opportunities. 10. To provide better and timelier information to enable people to make the informed choices and

promote active engagement in service delivery decision making. Relevant Local Area Agreement Target 1. Reducing violent crime and increasing the reporting of domestic violence Other Strategies City of London Police Policing Plan 2008-2011 London Ambulance Service NHS Trust – Strategic Plan 2006/07 to 2012/13 (July 2007) London Safety Plan 2008/2011

PLANNED PROVISION IN THE CITY 9.7 The City of London Fire Station on Upper Thames Street is currently being enveloped in a new

office building (500,000sq.ft Watermark Place) and is remaining open throughout the development. There are no formal plans to build additional fire stations in Central London whilst there is a focus on rebuilding and refurbishing the existing ones.

9.8 The City of London Accommodation Strategy is likely to include the following options:

Replace Wood Street, Bishopsgate and Snow Hill Police Stations with a single main station, together with a small number satellite stations; or Buy/extend lease on 21 New Street and close Bishopsgate and Snow Hill.

9.9 Ambulance: The London Ambulance Trust if currently reviewing its Estates Strategy so there are no formal plans for investment and provision in the near future. KEY ISSUES AND DELIVERY MECHANISMS ● A Police Accommodation Strategy Group (with representatives from the Town Clerk and City

Surveyor Departments) is overseeing a review of property requirements. A confidential report is due to be considered by the Police Committee at its meeting in November. It is then intended to appoint property consultants to help deliver the strategy.

22

APPENDIX 1: KEY CHARACTERISTICS OF THE CITY (2001 CENSUS) City Workers: • The workforce is biased towards younger workers (20-29 and 30-39 age groups), especially

amongst women; • The workforce is overwhelmingly white (84% compared with 79% for Greater London); and • The majority of workers work in managerial or professional occupations (72%). Resident Population: • The City has a relatively old resident population, with relatively few 0-14 year old children (9% as

opposed to 19% for Greater London) • The City’s population comprises a greater proportion of white people than Greater London (84.5%

as opposed to 71%), with lower proportions of Asian or Asian British people (6.8% as opposed to 12.1%) and Black or Black British people (2.6% as opposed to 10.9%)

• The City’s working population are much more likely to work as managers or in the professions

than that for Greater London as a whole (59% as opposed to 34%) • The City’s households are relatively small, with, for example, 60.5% being one-person

households as opposed to 34.7% for Greater London • Relatively few City households include children (12.2% as opposed to 58.6% for Greater London) • A relatively high percentage of dwellings are not the household’s main residence (9.6% as

opposed to 0.5% for Greater London). The City Corporations’ Annual Monitoring Report 2007 estimates that 24% of residents view their City property as a second home, living there 5 days a week and at their family home at the weekend.

• A relatively large proportion of City residents walk to work (50% as opposed to 10% for Greater

London), suggesting that a large proportion of City residents work in the City or near by. This suggests that there may be an element of double counting in terms of the working day day-time population.

The City of London is a relatively affluent area ranking as the 88th least deprived area in the country and 6th least deprived in London in terms of the Index of Multiple deprivation. In contrast, all seven boroughs bordering the City (the City Fringe) are within the 10% most deprived boroughs in England. However, within the City boundaries, the distinct residential populations show a marked disparity in deprivation levels. Whilst according to the Government’s Index of Multiple Deprivation (2004) both districts of barbican (East and West) are in the top 15% least deprived areas in England, Golden Lane (comprising the Golden Lane local authority estate) is in the middle of the index and Portsoken (comprising the Middlesex and Mansell Street local authority estates) is amongst the 25% most deprived areas. The City comprises five Super Output Areas (SOA’s), as illustrated below. Appendix 1 summarises the exceptional features of each of these SOA’s (based on the ‘City of London Resident Population Analysis, April 2007, commissioned jointly by the City + Hackney PCT and the City Corporation). This summary reinforces the fact that the Portsoken Ward (SOA 001E) is the most deprived area of the City, followed by the Golden Lane Estate (SOA 001C).

23

SOA Exceptional demographic features 001A High proportion of 40-59 year olds

Low rates of income deprivation High proportion of owner occupiers

001B High proportion of 40-59 year olds Low rates of income deprivation High proportion of owner occupiers

001C High rates of income deprivation High proportion pensioners living in one person households Low proportion of social groups AB. High proportion of social groups D and E Higher multiple deprivation rate High rate of self-reported ‘not good health’ High proportion of council rented households

001D High proportion of 20-39 year olds High proportion of second homes High proportion of one-person households not occupied by pensioners High proportion of non-British whites High proportion of private rented households

001E Highest rate of multiple deprivation Lower population High proportion of 0-19 year olds High rate of income deprivation (including high rate of child income

deprivation) Low proportion of social groups AB. High proportion of social groups S and

Es High proportion of family households High unemployment rate High economic inactivity rate Large Bangladeshi population High proportion of Muslims High rate of self-reported ‘not good health’ ■ High proportion of council and other social rented accommodation

Source: City of London Resident Population Analysis (April 2007, City + Hackney PCT and the City Corporation)

24

Appendix 2: City Corporation Decision Making Organisational Chart

Source: City of London Community Strategy

25

APPENDIX 3: THE CITY TOGETHER MEMBERSHIP Membership of the Executive Board (November 2005):

• Association of British Insurers

• Bart’s & the London NHS Trust

• British Bankers Association

• Chairman of Children and Young People's Strategic Partnership

• Chairman of Vibrant and Culturally Rich City sub-group *

• City and Hackney Teaching Primary Care Trust

• City Citizen’s Advice Bureau

• City of London Police

• City residents representatives (two places – one is a member of the Court of Common Council, the other place is currently vacant)

• Cities of London and Westminster Trades Council (Representing City workers)

• City of London Corporation (three places)

• Faith communities representative (currently the Archdeacon of London)

• Futures and Options Association

• ONE Railway

• London Fire Brigade

• London Metropolitan University

• London Travel Watch

• London Symphony Orchestra

• Liveable City Forum

Associate Membership (November 2006):

• Alzheimer's Society, Hackney and City Branch

• Barbican Association

• Barbican Tuesday Club and The Forum for Older People in the City of London

• Bart’s City Life Savers

• British Land

• City of London Access Group

• City of London Retail Traders Association

• City and Hackney Carers

• City Retired and Senior Volunteer Programme

• Gresham College

26

• Leadenhall Market Traders Association

• Marlin Apartments

• Queens Quay Residents' Association

• St Magnus the Martyr Church

• Stadium Housing Association

• The City Lit Institute

• The City Property Association

• The Institute of Chartered Accountants in England and Wales

• Tudor Rose Court Residents' Association

• University of London

27

APPENDIX 4: FINDINGS OF SOCIAL INFRASTRUCTURE AUDIT This appendix sets out the findings of an audit undertaken during June to August 2008. 1. Early Years, Primary and Secondary Schools Early Years, Primary and Secondary Schools in the City:

Brief Details Photograph A Sir John Cass’s Foundation Primary

School (voluntary-aided CoE) and Cass Child and Family Centre, St James' Passage,27 Duke's Place, EC3A 5DE School - Boys and girls school for 3 – 11 years. One form entry, max. 30 pupils per year group.

B City of London School (Independent Secondary), Queen Victoria Street, EC4V 3AL. Boys day school for 10½ - 18 years.

C City of London School for Girls (Independent Secondary), St. Giles Terrace, Barbican, EC2Y 8BB. Girls day school for 7 – 18 years.

D St. Paul’s Cathedral (Independent), St. Paul’s Cathedral, 2 New Change, EC4M 9AD. Boys and girls boarding school for 4 – 13 years.

E Charterhouse Square (independent), 40 Charterhouse, EC1M 6EA. Boys and girls day school for 4 – 11 years.

28

Early Years, Primary and Secondary Schools in the Surrounding Area: 1 Christopher Hatton Primary (Camden), EC1R 4PQ 2 Great Ormond Street Hospital (Camden) WC1N 3JH 3 St. Alban’s Church of England Primary (Camden), EC1N 7SD 4 St. Joseph’s Roman Catholic Primary (Westminster), WC2B 5NA 5 1a Children’s Centre (Camden), EC1R 4SR 6 St. Clement Danes Primary (Westminster), WC2B 5SU 7 St. Joseph’s Roman Catholic Primary (Southwark), SE1 1LB 8 Clerkenwell Parochial Primary (Islington), EC1R 1UN 9 Golden Lane Campus - Prior Weston/Richard Cloudsley Primary + Fortune

Park Children’s Centre(Islington), EC1Y 8JA 10 St. Luke’s Primary (Islington), EC1V 3SJ 11 St. Peters and St. Paul’s Roman Catholic Primary (Islington), EC1V 0UE 11a Italia Conti Academy of Theatre Arts (Independent Secondary), EC1M 7AJ 12 Central Foundation Boy’s Secondary (Islington), EC2A 4SH 13 St. John the Baptist CE Primary (Hackney), N1 6JG 14 St. Monica’s RC Primary (Hackney), N1 6NT 15 Virginia Primary (Tower Hamlets), E2 7NQ 16 Columbia Market Nursery (Tower Hamlets), E2 7PG 17 Thomas Buxton Infant + Junior (Tower Hamlets), E1 5AR 18 English Martyrs RC Primary (E1 8DJ) 19 Cannon Bonnett Primary (Tower Hamlets), E1 7RQ 20 Christ Church CE Primary (Tower Hamlets), E1 6PU 21 St. Mathias Primary (Tower Hamlets), E2 6DY 22 William Davis Primary (Tower Hamlets), E2 6ET 23 St. Anne’s Primary (Tower Hamlets), E1 5AW 24 Osmani Primary (Tower Hamlets), E1 5AD 25 Kob Nazrul Primary (Tower Hamlets), E1 1JP 26 Harry Gosling Primary (Tower Hamlets), E1 1NB 27 Shapla Primary (Tower Hamlets), E1 8HY 28 St Paul’s CE Primary (Tower Hamlets), E1 8HY 29 Hermitage Primary (Tower Hamlets), E1W 2PT 30 Bethnal Green Technology College Secondary (Tower Hamlets), E2 6NW

29

2. Childcare (0-5 and 5-13) In the City:

Brief Details Photograph Care for Children aged 0-5

A Barbican Playgroup, 01/02 Level, Andrews House, Barbican, EC2Y 8AX. 28 Registered Places (2.5 – 5 Years).

B Bright Horizons City Child Nursery, 1 Bridgewater Square, Barbican, EC2Y 8AH 54 registered places (3 months – 5 years).

C New Park Childcare Centre Nursery, 1 St. Giles Terrace, Barbican, EC2Y 8DU. 24 registered places (4 months – 5 years).

D Tower Hill Nursery, London Metropolitan University, 100 Minories, EC3N 1JY. 20 registered places (2 – 5 years) (for Metropolitan University students only).

E Golman Sachs Creche, Peterborough Court, 133 Fleet Sreet, EC4A 2BB. ‘Emergency’ crèche for employees children.

Childcare for children aged 5-13 F Colcec After School Club, City of

London Community Education Centre, 99 Golden Lane, EC1Y 0TZ For children aged 5-11. The centre can accommodate up to 32 children per day in mixed aged groupings, dependant on staffing.

G Sir John Cass Playcentre, based at Sir John Cass Primary School, St

30

James' Passage,27 Duke's Place, EC3A 5DE. After school club for children aged 6-11 (term-time only).

H Middlesex Street Community Centre Middlesex Street London E1 7EB After school club for children aged 5-13 (term-time only). E1 City holiday playscheme for children aged 5-9

31

3. Community Centres Community Centres in the City: Brief Details Photograph

A Mansell Street Community Centre, Mansell Street Estate, Little Somerset Street, E1 8AH (co-located with Portosken Health Centre)

B City of London Community Education Centre, 99 Golden Lane, EC1Y 0TZ

C Middlesex Street Community Centre Middlesex Street London E1 7EB

32

4. Libraries Libraries in the City: Brief Details Photograph

A Barbican Centre (General Lending), EC2Y8DS

B Camomile Street (General Lending), 12-20 Camomile Street, EC3A7EX

C City Business (Reference), Aldermanbury, EC2V 7HH

D Guildhall (Reference), Aldermanbury, EC2V 7HH.

E Shoe Lane (General Lending), Little New Street, EC4A3JR

F Bishopsgate Institute Library (Reference), 230 Bishopsgate, EC2M 4QH.

Libraries in the Surrounding Area:

1 Finsbury (General Lending/Local History), 245 St. John Street, EC1V 4NB 2 Holborn (General lending/Local History), 32-38 Theobalds Road, WC1X 8PA

33

5. Health GPs/Health Centres in the City (NHS and Private): Brief Details Photograph

A

Neaman Practice (Doctors Vasserman, Loh, Vevene + Char), 15 Half Moon Crescent, EC1A 7Hf. City and Hackney NHS PCT, co-located with the City Corporation’s Social Services office.

B

Portsoken Health Centre, Mansell Street Estate, 14 Little Somerset Street, E1 8AH (co-located with Mansell Street Community Centre) Tower Hamlets NHS PCT

C Dr Wood Carine, 103 Mountjoy House, EC2Y 8BP (Private)

D Prestige Health Ltd/Nuffield Proactive Health, 25 Hosier Lane, EC1A 9PH (Private)

E Dorothy Kelly & Associates PLC + Dr Jeremy Royds, 65 London Wall, EC2M 5TU (Private)

F Blossoms Inn Medical Centre, 21-26 Garlick Hill, EC4V 2AU (Private)

G Rood Lane Medical Group, The Point, 164 Bishopsgate, EC2M 4LZ (Private)

34

H Medicentre, 150 Fenchurch Street, EC3M 6BB (Private)

I BUPA Wellness – Fleet Street 10 Gough Square, EC4A 3DE (Private)

J Fleet Street Clinic, 29 Fleet Street, EC4Y 1AA (Private)

K BUPA Wellness – London, City 2-6 Austin Friars, EC2N 2HD (Private)

L Medicentre, New Liverpool House, 15 Eldon St, EC2M 7LA (Private)

M Medicentre, 80 Cheapside, EC2V 6EE (Private)

N Fleet St Medical Centre, 2-3 Salisbury Court, EC4Y 8AA (Private)

35

GPs/Health Centres in the Surrounding Area: 1 Drs Thom, 197-199 City Road (Hackney) (Private), EC1V 1JN 2 City Road Medical Centre, 190-196 City Road (Hackney) (Private), EC1V

2QH 3 The Pine Street Medical Practice/Clerkenwell Medical Practice, Finsbury

Health Centre (Islington), EC1R 0LP 4 The Amwell Practice, 4 Naoroji Street (Islington), WC1X 0GB 5 Grays Inn Road Medical Centre, 77 Grays Inn Road (Camden), WC1X 8TT 6 Strouts Place Medical Centre, 3 Stouts Place (Hackney), E2 7QU 7 Health E1 Homeless Medical Centre, 9-11 Brick Lane (Tower Hamlets), E1

6PU 8 The Holborn Medical Centre, 64-66 Lamb’s Conduit Street (Camden),

WC1N 3NA 9 The Spitalfields Practice, 20 Old Montague Street, E15PB

10 Bethnal Green Health Centre, 60 Florida Street, E26LL 11 Pollard Row Surgery, 47 Pollard Row, E26NA 12 King’s College Health Centre, Macadam Building, Surrey Street, WC2 2LS 13 Blackfriars Medical Practice, 45 Colombo Street, SE18EE 14 St. Katharine’s Dock Practice, 50 St. Thomas More Street, E1W1UA 15 Waterloo Health Centre, Lower Marsh, SE17RJ 16 St. Phillips Medical Centre, LSE, Sheffield Street, WC2A2AE 17 Tower of London Medical Officer (Dr Vasserman), EC3N 4AB 18 CityDoc, The City Clinic, 16 City Road, EC1Y 2AA (Islington)(Private)

Hospitals and Walk-in Clinics in the City Brief Details Photograph

A St. Bartholomew’s Hospital, West Smithfield, EC1A7BE

B NHS Walk-In Centre, Liverpool Street, Exchange Arcade, EC2M 3WA.

36

Hospitals and Walk-in Clinics in the Surrounding Area: 1 Moorfields Eye Hospital, 162 City Road, EC1V 2PD 2 Mildmay Mission Hospital, Hackney Road, E27NA 3 The Eastman Dental Hospital, 256 Grays Inn Road, WC1X8LD 4 St. Clements Hospital, 22 Commercial Street, E16LP 5 Great Ormond Hospital, Great Ormond Street, WC1N3JH 6 London Bridge Hospital, 27 Tooley Street, SE12PR 7 Royal London Homeopathic Hospital, 60 Great Ormond Street, WC1N3HR 8 Royal National Throat, Nose and Ear Hospital, 330 Gray’s Inn Road,

WC1X8DA 9 National Hospital for Neurology + Neurosciences, Queen Square,

WC1N3BG 10 Guy’s Hospital, Great Maze Pond, SE19RT 11 York Clinic, Thomas Guy House, 47 Weston Street, SE13RR

37

6. Emergency Services Fire Stations in the City: Brief Details Photograph

A Dowgate, 94-95 Upper Thames Street, EC4R 3UE.

Fire Stations in the Surrounding Area:

1 Clerkenwell (Islington), EC1R 4RN 2 Shoreditch (Hackney), EC1V 9EY 3 Southwark (Southwark), SE1 0EG

Police Stations in the City: Brief Details Photograph

A Headquarters, 37 Wood Street, EC2P 2NQ

B Bishopsgate, 182 Bishopsgate, EC2M 4NP

C Snow Hill, 5 Snow Hill, EC1A 2DP

Police Stations in the surrounding area: The Surrounding area

1 Holborn (Camden), WC1N 3NR 2 Shoreditch (Hackney), N1 7LF 3 Brick Lane (Tower Hamlets), E1 6PU

38

Ambulance Stations in the City: Brief Details Photograph

A Smithfield, West Smithfield, EC1A 9HY. Small Station, with on-street ambulance parking. Unaffected by the redevelopment of Bartholomew’s Hospital.

Ambulance Stations in the Surrounding Area:

1 Shoreditch (Hackney), E2 8AE

39

For Maps of findings please contact Lisa Russell on 020 7332 1857.