BRITISH LIBRARY OF POLITICAL AND ECONOMIC SCIENCE LONDON SCHOOL OF ECONOMICS AND POLITICAL SCIENCE lO,PORTUGAL STREET, LONDON WC2A 2HD Tel. 01-405 7686 fabian tract 469 a radical agenda for London chapter 1 London's politics 1 2 London's economy 2 3 London's tourists 8 4 London's transport 11 5 London's education 16 6 London's housing 24 7 London's health 29 8 London's government 36 appendix the contributors 40 acknowledgement Thanks are due to Lord Sainsbury and to Sir Sigmund Sternberg whose generosity enabled us to employ a re,search assistant on this project. Without their help, the pamphlet might never have seen the light of day. this pamphlet, like all publications of the Fabian Society, represents not the collective view of the Society but only the views of the individuals who prepared it. The responsibility of the Society is limited to approving publications it issues as worthy of consideration within the Labour movement. Fabian Society, 11 Dartmouth Street, London SW1 H 9BN. May 1980 ISSN 0307 7535 ISBN 7163 0469 4 1. London's politics HC :2 s~ d-b 29 I5 J2-Q 1C12 In May 1981, the peop'le of London goto the polls to elect a new Greater London Council--..Jby far ·the biggest, and theoretic~lly one of the most responsible, of the local authorities in our reorganisedlocal government structure in Britain. Though the 620 square miles df the GLC area now contain fewer than seven million peop'le-a drop of 1t million since the peak at the onset of the second world war-the task of running London effectively and efficiently is one of the biggest faced by any loc~l authority anywhere. So it will doubtless be ironic that, as usual in casting their votes the elec. torate .will be expressing a view on the performance of the Westminster Government rather than on the right prescription for London. That may be an existing faot of life, but it is one that badly needs changing. London politics are not in a healthy state. Voter turnout is Jow; the issues are often muddied, seemingly designed as gimmicks to win support then to be abandoned. This is supported by the abundant evidence that both Labour and Tory GLCS have run away from the endemic problems that beset London~the allocation of council houses within and between the boroughs ; the management of traffic on the streets ; the relationship between health care and social services and, above all, the regeneration of London's declining economic base. It would be a mistake, however, to assume that all the prdblems raised in this pamphlet could be solved at GLC level alone. Some of ·our recommendations will need legislation, or !financial assistance from central ·government. Some cail for a chang.jng relationship with the boroughs. Some, such as those in the field of health, involve areas .over which the present GLC has no. direct c~ntrol. Others point to a change m authontyboundaries or are aimed at the Labour Party itseif. Whilst attention in the next year will be turned towards the GLC, any long term strategy ~ust involve a greater degree o'f coopemtwn !between authorities. for over 18 months to provide a coherent policy ~genda {or the capital. Involving over 50 people, they divided themselves into specialist •groups to handle majorpolicy areas such as the economy, housing, education, health and transport. The chairmen of e~ch of these groups then met in a series of discussions to presenttheir .groups' pol'icy ple. There is little point in expanding the range of employment available if people are not equippedto take up the opportunities. In this respect, .the " mis-1natch " between vacancies and the unemployed in London is particularly serious. Local authorities have a vita-! role in bridging the ga:p between employers and employees, assuring employers that their needs are being taken into account in formula·ting policy in areas such a·s education. They can also help ensure that employers' selection procedures and internal careers structure are in touch with employees'needs and that employees are given better advice on what jobs are available. A major problem for the development of skilled labour is that many small firms are exempt from Training Board activity and are too smaU to make other arrangements. The " mis•match " can be eased by better contact with the education system (see chapter 5). There is also a need for more effective training to improve ·the earning ca,pacity of those with least advantages and without formal qualifications. The great potential for expansion in "the office sector" wouJd not con'tradict other La:bour policies for the cap•itaL This is because the justification for the original restrictive land use policies otf the 1960s and 1970s no longer applies : there is little or no growth in London's economy which could he directed to the "depressed regions", while the need to decongest centra:! and inner London has disa:ppeared. In the current economic climate, office developments are unlikely to create an inflation of land values, especially with careful .\and use policies. There is a fear that technological change will make new office developments redundant within I 0 years. Increased automation of work in offices should, however, have a limited impact on the two major types df firms which we wish to support: the small firm and the inter· national headquarters. These involve only a small proportion of routine jobs and they are likely to prove the least susceptible to technological change, in contrast to routine activities of major banks and insurance companies, most of which have already /been located outside London. Land use policies should therefore be greatly relaxed especia-lly in the case of small office redevelopment or conversion schemes, and where there is a named 'tenant. In central sensitive areas, such as the " urban villages " of London (Covent Garden, Soho, Bloomsbury) care should be taken to restrict the amount of new office uses so as to maintain their unique social and environmental character. Suitable locations for new major develop- ments-offices, conference and other ancillary facilities-should be defined in high accessibility areas such as around railway termini in central London, town centres in the boroughs, and selected parts in the belt immediately around central London, which has been mos't seriously affected by the decline in small workshop industry. This clear and selective policy should allow the continuation and improvement of the mixed employment and residential uses in ~his belt. The need, therefore, is to relax office controls~but in the context of a careful, positive land use policy. This would end the climate of office land scarcity and would help realise London's greatpotential in office based jobs. The basic economic land use strategy, however, needs supplementing by parallel action on other fronts. Housing. It is very hard for some of the groups who are crucial to London's economy to find somewhere suitable to live close to the centre. Yet oHen tower blocks could provide flats for youngsingle people and childless couples, while waste land could be used to build the kind of houses and environment that skiHed staff leave London to obtain. Transport. In the East End of London, it is essential to build some new roads and river crossings so that industry can operate efficiently, and to use some of the smaller waste sites for car parking. At the same time, public transport must he improved, and some routes altered, to make it easier for people to get to work. Education. Greater preparation is needed for life and work for those who leave school without any further education. This will 'involve building 'better links between school and work, so that children can acquire the basic skills they will need to survive ·and so tha-t employers can lbe ·induced to provide beHer education. Environment. One of the worst aspectsof run down areas is the look of the environment with rubbish, graffiti and dereliction. Environmental task !forces are required with imaginative programmesthat put unemployed :people and land to good use and create confidence ·in the area's future. new agencies The difficulties of securing coordination between large organisations where com- p'lex tasks are involved suggest that several new types of ·organisation should be set up to promote economic develop· ment in partnership •with the local authorities, community ·groups, privatebusiness and financial :institutions. Commercial Premises Associations. A ma!jor problem for small !firms 'has been finding suitable workspace in which to operate or expand. Local authorities should therefore sponsor the commercial equivalent o:f housing associations to ensure that small firms have a better chance of premises and that empty land and buildings are put to good use. These associations would be privately run and, like housing associa·tions, would reinvest their surpluses . .Local government's main role will be in guaranteeing rentals so that the bulk of 'the money can come from private financial institutions. It would be a,ppropriate to have at Jeast one in eaoh borough, with •the GLC monitoring the provision and .providing a central body of expertise. Most of the staff of the GLC's 'Industrial Centre need to be decentralised to >borough l·evel to support these initiatives. Developmentand other controls over .businesses that do not cause concern to others might also be relaxed, so increasing the supply of business premi•ses. Local Enterprise Trusts and Smai'l Enterprise Centres. Local ·government has a crucial role ·in ensuring tha,t firms that are too small to do everything for ·themselves can ·gain advice and encouragement. The lbest way is through backing independent collaborative organisationswhich aim to promote ·the interests of a particular area or sector -of industry. This includes expansion of Chambers of Commerce and Trade Associations. These can, for examp>le, ·organise marketing, training and other services and can promote cooperatives and other db}ectives. They can draw their initial member5hip from both public and private >bodies and thus create the links .that are needed. Support should also >be given to settingup locally .based design and innovative centres to make !full use 01f London's technological .and design know-how, and generaUy .provide support to new businesses. London Development Agency. There are s-ome areas of waste .land, often as large as 10 to 25 acres, that need :inves·tment in a wide range of facilities •before they are attractive to live or rwork in. Resolution of many inter-agency conflicts is also required. Here a body is needed that can ·operate with the •fiexilbili1y, resources and time span of a New Town Development Corporation, but with local project committees, and implementing planning policies that have .already been approved. Individual boroughs .will be offered the opportunity of draJWing on the rugency's expertise and resources. There are also advantages in this Ag·encytaking a more strategic role. For exrumple, there is a danger of industrial estates in neighbouring boroughs competing with ·each other. The new .body must be able to take into account strategi.c needs, be able to ·commit funds for a relJJSonable period df time without fear of unexpected cutbacks, and have the size and expertise to ensure influence in negotiation with outside bodies. It should therefore be run lby a Board :with either Ill majorityof GLC members or a 50 / 50 GLC / LBA split. The majority of members should be experts in development. The new Agency would therefore enter into an agreement with the borough(s) concerned and private agencies and set up partnerships to develop individual sites. Each partnership >would have its own project committee and developmentteam, which would have delegated powers over devel·opment and access to long term sources of finance. A variant of the successful garden city fo.rmula is required, with surpluses reinvested in improved facilities or expanded development. The Agency would be able to sell completed developments to financial institutions and thus draJW on substantial funds of the pension and insurance ·companiesto regenerate the inner city areas. A key element should be well designed industrial parks. Care should be taken to create balanced communities with a wide choice of facilities, by .breaking larger areas of land, like the docklands, into sites that are small enough to .attract most types of developer. London Enterprise Board. Ways must he found of .funding the growth of innovative and expanding enterprises. At presentthere is no oflganisation capable of playing the role of the NEB, the Scottish and Welsh Development Agencies and the Council rfor SmaH ·Industries in Rural Areas rwithin •the Metropolitan conurbation. A body is required, involving experienced industrialists, to peflform functions of particular importance to London's economy. These would include tapping the expertise of London's research organisations and universities in new fields, such as microprocessors. The Board might enter into agreements with bodies like the NEB and private !financial institutions to encourage growth 1n specific sectors. The best way of working would be for it to provide guarantee'> through the clearing banks, using either the powers of the Inner Urban Areas Act or a possible national .Joan guaranteed scheme if one is introduced. lt would also work through the ·boroughs' Industrial Development Officers and would advise the boroughs in connection with their planning agreements with majorlocal firms. It would focus attention on three areas of activity: (a) small / medium size firms or projects which would be too small for NEB involvement; (b) sectors of the economy which are particularly important for London's future and need extra support; and (c) assistance to new coopera•tive enterprises. Manpower Development. Adapting to new technology and the opportunities in service employment requires a massive increase in ·training. It also need much more coordination ·between schools, further education, vocation training and employers. At present, the division of functions lbe~ween the eduoa·tion a·uthorities and the Manpower Services Commission (Msc) inhibits thi and the problem is aggravated by the cutback in the ·training provided by large organisations. Respons"ibility for organisingtraining hould be reallocated to the education authorities. Stronger econom ic development department within each local authority hould administer employment services and assess what extra train'ing i needed to complement that provided by employers. In the case of small firms, much more assistance should be given to group training schemes on a sectoral and area basi , with the public sector funding the admini~trative co~t~. the special problem of docklands Thedockland area compri es some 5,000 acres of land and water owned by the Port of London Authority and the Briti~h Gas Corporation, along with a thin strip of riverside warehou es, and some local authority hou ing. It form part of the larger Victorian industrial 'belt encircling the city, and uffer from the arne prob !ems : a declining economic base and an ageing residential population whose skill are no longer relevant to London's changing economy. But the very scale of the dereliction offers a unique opportunity. Development here can redress the historic imbalance bebween the east and west ends, and can provide room for a whole range of activities to operate in spacious surroundings. However, little can happen without major publ·ic investment, estimated at up to £2,000 million. Money will have to be spent not only on houses, factories and .public bu'ildingsbut also on preparing the land for build •ing. Furthermore, lit-tle private industria·! development can be attracted without overcoming the ·area's relative inaccessibility- and this means ·bu'ilding new river crossings and relief roads. Planning has so far achieved relativelylittle •because :it has been unable to attract sufficient public and privatefinance and political consensus to overcome the basic problems. The search for grand solutions, !'ike trade marts and the Olympic Games, has diverted attention from the basic problems. The policy questions to be resolved, therefore, are what pattern of development should be sought, what level of public investment should be made, and what form of development agency should be used. It ·is unrealistic to rely on grand scale development. Rather, an incremental approach is needed, building on what already exists. Medium size sites, which require only limited improvementand can be adequately serviced with the existing infrastructure, should be developed first. Priority should go to a mixture of middle income housing for rent and ale plus modern ·indu trial estates, while essential improvements to infrastructure are made. Meanwhile, !;orne of the remaining land would lbe allocated to permanent recreabion uses. Other parts would go to a variety of interim uses, by leasing the land cheaply to various enterprises or providing low cost amenities through "clean up" pro- grammes, such as grassed areas or urban farms. Later, these interim uses will give way to permanent one , in accor dance with a flexible and real:istic land use strategy. The aim should be to create balanced communities in which the main needs can be satisfied without ·travelling far. The model should ·be that of the urban village. The main economic catalyst should be a range of premises for smaller firms in attractive surroundings. The most crucial public commibment required is to better transport. Some new roads and river crossings will be the key to unlocking private investment. Existing rai1way tracks-some abandoned but capable of revival-could provide a low cost option for achieving improved public transport links with central London. Parks, commons and playing 'fields should be created on the large areas of waste land, to proV'ide much needed amenities and an attractive back-drop to new developments. However, it would be wasteful 'beyond that to divert public resources from regenerating the adjoining inner areas where far more peoplelive and work. There is a very difficult problem of administration here. One reason for the slow progress in implementing plans is that loca•l authorities are clearly not able to make long enough commitments of resources, or to secure coordinated and swift actions through the normal committee system. Hence the argument for a new-town style urban developmentcorporation. The problems are that it ignores the need to relate development to closely related areas in the same boroughs; and that it is non-democratic. As an alternative, the •local authorities could work through local developmentagencies, with delegated powers and resources, under the umbrella of the London Development Agency, as proposed 3Jbove. A 1ow cost incremental development strategy for the Docklands would have many advantages ·over the a:mb1itious plans put forward in recent years. It would not divert resources away from inner London and the East End. It would be possible to achieve to a large extent in the medium term, over say the four year term of a Labour administration. Finl!ll!y, because of the sma11er amount of total resources required, public authorities would be able to exercise fuller control over the 'future of Docklands, something virtually impossible in the case of strategies based on OlympicGames, trade marts and grandioseprojects. conclusion Docklands is thus an extreme version oif the malaise that grips many of Lon- don's inner areas-but l!ilso of the opportunities that exist to remedy the problems. Only new public agencies with new powers, acting in an entrepreneurial way 'in coordination with private enterprise, can reverse the spiral of decline in docklands and throughout London's decayingVictorian city. ·3. London's tourists Tourism is one of the few industries that has continued to •gww in London duringthe 1970s. So it merits speci·al attention in any Radical Agenda. l'l has ·two faces: a positive and a negative. On the one hand, it is clearly the stimulator o•f growth and a creator of jobs. On the other, it does have some nega~tive effects -both for native Londoners and for tourists themselves. It can be argued that the British arrd London Tourist authorities have been too ·concerned with development and expansion, rather than with a ba•lanced policy. This chapter tries to seek such a policy-with two objectives. First, it argues the need to develop the industry to produce maximum !benefit -for London's economy in general and for its beleaguered public services 'in particular. But secondly, it sees the need to do this accounta,bly-above all, with proper regard for the quality of .Ji'fe in London, the very quality that touri~ts seek but that, unwittingly, their presence may threaten. benefits and opportunities As a boom industry, London's tourism is far from stable. Alfter the ·golden years of 1977 and 1978, 1-979 saw an actual decrease in some particularly lucrative markets such as North America. But the opportunities sti[.J exist for a vast increase in young, first time visitors looking for hol·idays that are unplanned and, a.bove aU, cheap. Though they spend J:ittle individuaHy, collectively they spend a great deal. Furthermore, i'f they learn to like London, they will surely •come back at the more prosperous stages of life. Paral•lel to this, as American tourists decline, big increases are l•ikely to occur in visitors from South America, the Middle East, Australia and •from Scandinavia. These growing sources of tourist income wiH be vital if Brita,in as a whole is to maintain tourism as one of our leading export industries-accounting in 1977 ,for nearly 18 per cent of invisible exports and 6 per cent of total exports. The income thus generated already brings a 'big benefit to the exchequer. Revenue !from VAT on tourist purchases of goods and services was estimated as at £250 milhon in 1977-apart from contribu •tions to other taxes suoh as those on tobacco, a-lcohol and petroL But more specificaHy, tourism bene'fi·ts London through the extra revenue from rates on many commercia.[ premises, and from the extra fares income to London Trans· port. But one critical ll'im of policyshould be to enhance ·the public share o.f earnings. A modest tax on arriva•ls or on hotel beds is one obvious poss·ibility, which would be relatively cheap and simple to administer. A sales tax, levied on those goods tha:t tourists particuJ. arly buy, would be another. Yet another would be a ·greater pubhc sector involvement in direcbly retailing tourist goods. In particular, the London Tourist Board-which already possesses some peak retail'ing sites-could sell a much wider range of goods and services, thus aiding the Board's finances and channel- ling iback resources .into the development and marketing of London's tourism. Rate revenues on prime city centre retai ·ling outlets, restaurants and hotel·s could be levied on a more realistic assessment based on saleable as opposedto rentable values. And the abolition of the Oity of London as a separate rating authority, proposed elsewhere in this Agenda, would ensure that public revenues would be distributed more equitably. London's tourism is a major creator of emp.Joyment. Nearly 300,000 hotel and catering jobs are estimated to exist in the South East and East Anglia. Not all these can be directly related to tourism -but the British Tourist Authorityestimates that, in Britain as a whole, some half a mil·lion people owe their jobsdirectly or indirectly to tourism, and perhaps 200,000 of ·these are located in the South East. It has to be recognised, though, that not all these jobs are good jobs. Many have appalling pay and conditions, and so have proved unacceptable to native Londoner·s. Accommodation for hotel workers, in particular, is often a scandal. There is therefore an urgent need for public action-to guarantee minimal wa;ges, and through local authority licencing to ensure that adequate accommoda tion is provided. However, tourism al·so 1br.ings wider, less direct benefHs to Londoners. It brings them into close contact with people of different cultures, and is thus educative in an 'informal sense. It potentially encourages more Londoners to developtheir linguistic abilities-especially in schools and colleges. It is particularly valuable in increasing contacts and understanding among the younger genera·ti cn. These wider benefits could be enhanced -above a;J.l .by more intens-ive and more effective language tra•ining for those who come into close contact with visitors in informa1ion centres and elsewhere. problems and challenges It is no use denying that the very success of London's tourism has brought with it fairly massive problems. The most obv'ious is one ·that affects -tourists themselves: the massive congestion, espedially at peak periods, which helps give London a bad international reputation as a hi·gh cost, low quality tourist centre. Often, hotel rooms are small. old 'fashioned, badly equipped and over priced. This is particularly true at the lower end of the market, for youngerpeople, where there is a major lack of accommodation. Present indications are that the shortage -is likely to grow. This is a prdblem that could be solved by vigorous public action. There is a need for hostels and cheap, perhapsmunicipally owned, campsites, particularly where land is readily ava-ilable. Existing public buildings '(such as schools and univers-ities in the summer vacations) could be used to meet the demand for cheap, fairly basic accommodation. Not only could th'is make a major contribution to solve the problem ; it could also be a most useful source of revenue to local authorities, ILEA and the universities. More generally, there is an urgent need to develop a grading system-such as ha·s long been used in a~most every other European country-to list all London's hotels with fixed prices of accommodation and meals, which would be displayed in every hotel isitors are estimated to contribute around 20 per cent o·f London Tra:n~poi't's revenue, much of it at off peak periods. Museums and other faci1iries are so overcrowded and overstrained that there may be too little •time for organ'ised school parties. This could be overcome by an extension of the time reserved for such groupson off peak days and at off peak t·imes. Part of the indirect strain on London and Londoners arises from the need of millions of •tourists to obtain information. Here much more could be done to develop a professional informat'ion serv ·ice. In particular, London TransportInformation Centres----where there is no requirement for staff :to speak any foreign language-are quite inadequate. Genera: lly, information fadlities in London tend to be too small, too few, and to have too rigid hours. There is an urgentneed to improve them. At a more ·local level, the lack of professional attention to tourism can be seen not only in the poor standards of hotel accommodation, but in the deplorable presence of "cowboy" operators ·in the streets-as we'll as in the poor standards of cleanliness on ·the ·streets and in pu'blic places. Only local authorities, with the cooperation of the police, can improve the deplora!bly low standards which •appal so many vlisitors to London. Finally, i'f London's tourist indus•try is to grow without unbearable strains for all those ·who live and work in London, there is a need to ensure that the promoting and contro11'ing institutions develop a balanced poli·cy ·in the publ'ic interest. The Briti·sh Tourist Authority'smain task, as defined in the 1969 Development of Tourism Act, is the promotion of British tourism. Logically, the Board and 'its Committees •are domlinated by those with an interest-often a commercial one-in expansion. That emphasis is undoubtedly right, but improved. Within such .a framework of s'afeguards and accountability, an expanding tourist industry can make an outstanding contribution to London's future. 4. Londonls transport London's transpor-t problems are of a dlifferent order from those of even the largest other conurbations of Brita'in. Its commuters travel farther and at higher cost and its drivers suffer worse congestion 'for longer periods than those of Manchester, Birmingham or Glasgow. Its system is also more complex and fragmented, being the responsibility of a whole host of different authorities : the GLC, the 32 boroughs and the City, five county councils outside London, Br·itish Rail, -the National Bus Company (GreenLine), the Department of Transport and the Metropolitan Police. This divided responsibility is the curse of transportin London. The chaotic conditions d travel ·in London-whether by rai-l, bus or car-are ·in no small measure due to the fai-lure to grasp the nettle of administrative reform. As it is, -the 'bare facts are evident to any travelling Londoner. London's transport system is a logisti·cal, economic and admin'istrative mess. Given the blt-ak economi·c reality of stagnation or worse for the coming decade, the realistic view is that things could get even worse. The immediate problem is to avert rapiddecline. There will be no resources for Large scale and ambitious 'improvements-and even if by a miracle the funds were ,forthcoming, they would not bring concrete results 'for a decade or more. There is a danger of calling tfor easysolutions that will fail, leading to further frustration and 'the collapse of electoral confidence. traffic : the policy vacuum The horrendous and deteriorating condition o'f London's traffic, marked bv London Transport's annual reports o.f increased lost bus mileage caused bycongestion, resul•ts from a failure 0f political nerve among London's politicians, .for which Labour bears no small responsibility. Since the GLC came ·into existence in 1965 with a major remit to act as overall transport and traffic authority, the Council has lurched from one policy expedient to another-and has progressively abandoned them all. First the road building plans were completely abandoned. Then 'lorry routes, which were to take their place, were rejected. Then the idea of supplementary 1-icerrcing~ with special charges to enter centre and inner London-went ·the same way. Finally, a radical programme to control car parking was thrown out. None of this was a result 01f lack o'f policy advice. The GLC has one of the largest and most expert-i•f most disillusioned- body of traffic engineers and planners in the world. It was because the politicians funked every decis-ion. Traffic planning in London became a matter of government by pressure group, in which every initiative was stifled because (inevitably) it offended someone. Between them, these groups (freight transport interests, tax·i drivers, conservationists, local amenity groups) have reduced traffic to a state of physical and poli9 paralysis. Yet all the time, experts have been reasonably agreed on a mixture t>hat could work-given the will. The LayfieldInquiry into the Greater London Development Plan stated it in great detai.J m ·its 1972 report. There had to be ·selective road construction in those parts of London where heavy traffic flows, especially environmentally disruptive lorrytraffic, demanded it. But that had to be balanced by a programme of tough traffic restraint -in the congested central and inner areas, especially at the busiest times of day. The:se two programmes could be linked if new road links could be used as cordons, beyond which traffi·c could only proceed on special conditions or on payment of ·supp•lementary charges. Labour in London must return to that sens·ible, balanced policy and take a stand on two main policy platforms. Selective road construction. Labour's blanket a:bandonment of the GLC roads programme in 1973 should be admitted to be the disaster it was. By faihng to bring relief to the decaying dockland and industrial districts of east and south London, -it exacerbated the alreadyglaring ·contrast in accessibility between north west and south east London and made almost impossible the development of a strategy for the regeneration of the latJter. While north and west London have excellent access to the rest of Britain via the new radial mot·oi"Waysand the ·connecDing North Circular, Eas•t London suffers from a notorious lack of river crossings and lfr.om grievouscongestion on main arteries such as the All, Al3 and A2. Fortunately, pressures from the riverside boroughs are forcing a change in these poJii.cies. There ·is reai hope of a consensus on a minimal programme, concentrated .on: '(a) a new river crossing at Barking-Thamesmead, carrying an extension of the North Circular R•oad southward from Woodford to .Jink ·With the A2 'in Greenwich; (b) selective improvement to the North Circular north and west of this point, to link with .the main national rnotorways such as the Ml and M4; (c) completion of the Mil southwards to Old Ford where ·it will join the already completed East Cross route; (d) removing the bottleneck between the East Cr.oss route and the A2 radial at Kidbrooke-Falconwood. In a slightly ·later stage of the pro- gramme, the priority would be the completion of the Northern Docks relief r.oad from Canning Town to Limehouse, giY'ing a high quality radial route from the A13 into central London, and !·inking wi~h the East Cross route. Even later would come the expensive southern relief road, with its twin river crossings. All this wiU take substantial sums of money over a decade 'Or more. But it is not out of ·line with the sums of money that should be ava'ilruble even after cuts .jn the national roads programme. On the other hand, there are some road proposals which Lond·on does not need at any price. The main candidate for the axe should 1be the preposterous plan for an outer ring road on the edge of London, which wiH simply duplicate the brand new M25 as it !is constructed around London in the early 1980s and will decimate suburban ·communities. The first a1im ·of road planning .jn London should .be to a·id economic regenerationof its hard hit inner area:s. Traffic Management and Restrain·!. A new Lrubour GLC must firmly •grasp the nettle, and introduce a supplementarylicensing scheme for central and inner London on the lines twice considered but a'bandoned due to lack of poi·itical will. The main feature will be a supplementary charge to enter inner London, coupled with steeply increased parkingcharges and a ·control of •off-street nonresidential park!ing spaces to guaranteethat they are not used to subsidise car commuting, as now. Certain categories of traffic-buses, taxis, freight, residents-would lbe wholly or part·iaHyexempt from the charges. The aim should be to reduce present traffic v·olume·s by up to one quarter, with 'inestimable benefits to the free flow of the rema·iningtraffi·c : essential commercial traffic as well as buses and taxis. Such a policy, however, wiH collapseunless it is ifi11mly implemented. To this end, the existing force of traffi•c wardens should be augmented and made more mobile, ~o 'become a traffic police force. Fines for parking offences should 'be markedly increased and should then be regularly updated to keep pace with inflation. The present absurdity-wherebyLondon's streets are clogged with thousands of iHegally parked vehicles, because the risk of a fine is minimal and the amount so low-must lbe ended immediately and for good. Traffic pol·icing and wardening must be better integrated •with traffic p1anning-whi·ch suggests a new relationship between the GLC and the Metropol1itan Police, to which we return in the final chapter. improving public transport London's transport system, once the envy of the rest of the world, is now in a sorry state. Its stations and trains are often •outworn, ·its services unreliable to the point of being non-existent and its fare levels are among the highest ~n Europe. Visitors lfrom abroad are shocked by it; Bnitons in Europe are appa.Jled to reahse how !far their system has faHen behind those of their close neighbours. At the root of this malaise is money. London, and British cities generaHy, subsidise their public transport systems to a muoh smaller extent than do other European cities. H we want a better public transport system like theirs, we shaH have to put money into it like them. As a first step, the proceeds from supplementary licensing should go into revenue subsidy f.or London Transport. This above aU should go to a·id London's aii'ing bus servi·ce. Later, there will be an urgent need to invest in new buses, trains and refurbished stations. Such improvements must be a much higher priority for investment than entirely new routes. W1ith one possibleexception, a declining London dots not need to spend vast amounts of money on brand new tube lines. The possibleexception is the highly controversial Jubilee line extension from CharingCross, under the city and the dock:lands, to Thamesmead. On the one hand, Department of Transport economists say that •its social rate of return .is zero or worse. On the other, its advocates saythat it would boost the local economy, improve morale, greatly enhance the qull'lity of life idy to reduce fares thus needs increasing and fares then held down to attract more users. However, for four major reasons, the call for free fares should lbe rejected. I. Any fiat fare policy (free or ·otherwi·se) will, in London, redistribute resources largely from those jn poor areas tQ those in the richer parts of London. The inner areas are the most deprived. A fiat fare policy •would, however, make ·residents here have to pay the same for their (short) journeys as the commuters from Amersham, Watford ·or Harrow. We do not cons·ider such redistribution socialist. 2. V•isitors, whether from outside London or from abroad, would be heavily subsidised by the re!>idents ·Of London. 3. So long as the administrative splitbetween Briti·sh Rail and London Transport remains, a free fare po.Jicy on the latter could not work without distortion of the present distribution of passenger transport. As many ·commuters arrive byBritish Rail than are carried by London Transport, making it difficult to justify a massive subsidy to one but not the other type o'f traveller. Whether passengers would leap off trains as theyentered the London Transport area to take advantage of free fares remains to be seen but is certainly a possibility. 4. Most important of all, however, is the question of what sort of service we want to give London's passengers. Above we have stressed the need for fairlymassive investment in the public transport system. To a1locate at least £600 millJth services in localities as different as Hackney and Essex. SimiJa,rly, vhere w:iH be few people qual-ified to serve on the RHA able to take more than a fairly narrow sectional view. This meallJS that each RHA is continually faced with an endless strugglefor resources between its constituent parts w.ithout there being any common basis for mutual understanding between the parts. The nature of the ex1stmg RHAs makes them very difficult to manage, administer and control. The problem is perhapsm'lde worse by the lack of democratic involvement and accountability. RHAS are not democratically elected, nor do their members even contain a majority of elected (or non-elected) local representatives. This is also true of AHAS. The Secretary CYf State makes most of the appointments to RHAS but with little understanding of local problems and issue . There a•re similar problems at AHA and District level. llhe geographical boundaries of these are rarely co-terminous with those of the •local authorities, presurnaJbly for the arne reasons that applied at RHA level. Efforts are made to ensure that the NHS Community Health Services and the rlocai authority social services in a particuila·r locality work closely together. However, liaison is only achieved by a series of joint meetings aJt member and officer level-s. It is doUibtful whether this is the moot efficient way of ensuring close co-operation. It is pwbably essentiral that, i•f the health services and Iocal social services are to continue to be divided in this way, there should be provision for the appointment of a liaison officer at a fa.i'fly senior level whose sole responsibility would be to elhSure effective co-operation. A few local aubhoroities already have such a person. A more fundamental approach would require examination of Vhe a-dministration of the health service in London to see whether the goals of re-o11ganisationhave tbeen achieved at local .Jevel. The shift in empha-sis from a hospital based service to one based on communi•ty care would imply that local authorities, as tJhe representatives of the locai commun·ities, wou.Jd take over many, if not all, fue functions of the health services. lit has been suggested rhat a more sensible arrangement for London would be a Greater London Reg'-ional Hea:ltlh Authority, respon&tble for regional planning, for ensuring that specialist medical services only ·requi•red on a regional basis are prov·ided, and for support services such as ambulances. This would tbring these mliitters under the direct control of democratically elected GLC members. It would also alllow some revenue to support regional se!'Vices to be mised •Jirom the ratepayers to supplement central government funds from Vhe DHSS. Th·e crucia11 pmblem with a Greater London Regional Health A-uthority is not just -its enormous size, but what would happen to the surrounding counties. Hospitruls are steadily being developed in these counties. As they open, economies have to be found in inner London which is losing population to provide for t:Jhe hospitals in the out:lying counties which are gaining population. This is one rea.son why the sectoral divi-sion of London makes sense. Some compromise must therefore be found that will make the existing Thames RHAs more ·responsive to local need-s. An increase in the number of representatives of loca•l authorities on eacJh RHA might help. The abolition of AHAS and the handing over of their functions to the London boroughs wou1d a!rlow the CommunityHealth Services to be planned in conjunction with the community care and socia:l services work of the boroughs. Again the option would exist for councils to ·raise extra revenue if bhey wished to improve the quality of any service. It may 'be that some London bo·roughs are too small to 'be viliible as health district-s but tJhe RoyatJ Commission supported the simplification of -the NHS administrative structure rby the removal of one of the tiers. Although it did not accept that coterminos-ity of boundaries is essentiarl for effective collatbo•ration between health and social .services, it admitted that in London " problems arise through the lack of coterminosity which affect-s 12 out o.f 16 London AHAs." Reorganisation of the NHS was intended to solve the problem posed by the tripartite structure of tlhe service. In London, the .same problems stirll exist, s~mply because of the historica•l accident of the uneven distrilbution of hospitals. Not every District has a District General Hospital, yet some Districts have two. Thus the effective boundaries for the hospital services and for the communityhealth services administered by an AHA or a District may not be tlhe same. If the boroughs ·were to tacke responsitbil•ity for hospi•tal.s, a move would have to he made towards the concept of every boroughhaving its own local •general hospital. llhis might provide the opportunity for closer links to be forged between primary and econdary medioarl care, but tJhere would be consideraJble objections on the grounds thtrut it would be merely a return to the old system of municipal hospit.rls of the thirties. There are too many acute hospital beds in London in view of the rapidly declining population(see London Medical Education-a New Framework, The Flowers Report, February 1980). It would be wasteful for every borough to try to make itself fully equipped in the main non-regionalspecialities. The point was made earlier about the role of teaching hospitais in primary care ; the presence of a teaching hospital often means that the other services in that area are starved of funds and t;hat hospital~ ·in surrounding dis~ricts suffer. One solution might be to treat all hospitais as teaching hospitals and allocate students at random to any of the general hospitals for their clinical practice. There would of course be consider- a~blle problems to overcome with such a system, not -least the legitimate interests of the existing teaching hospitals. Another problem which would have to ·be tackled is that hospitai catchment areas have little or no relationship to borough boundaries. It might have to be considered whether or not patients could continue to choose to which hospitalthey might go for particular treatment. If there is unlimited freedom of choice, some ho~pita-l•s inevita1bly become over subscribed. This has implications for resource allocation: if no extra central resources are availaJble Vhis strains the budget of the autJhori.ties ·with over sulbscribed hospitals or forces them to run down their community hea-lth servi ·ces, as happens to some extent already : if extra central resources are provided, it is difficult to determine the appropriatelevel of .resource transfer necessary and the least mobile patients end up with a poorly funded "sink" •service. This ·is particularly relevent to the teachinghospita•ls. These are providing a nation1al service and it is doubtf'llll whether this is recognised in their funding. Depriving patients of the right to choose which hospital they go to would be a severe restriction of freedom, particularly in London where individual consultants develop speciai interests , in any case, it is ultimately the GP rather than the patient who makes the choice. Thus something has to be done to overcome the competition for resources between the hospitals and the primary care sector. One possibility would be the earmarking of money for primary care in inner city areas. conclusion A Radical Agenda for London should not be seen as an attempt to make the problems of London seem more important than ·those of other equa.!Jly necessitous areas. It should concentrate on those resource questions anrd administrative features which 1by an act of politicalwill could .raise tJhe qua·lity of London's heal•llh services to the benefit of all those who use and provide .the service. The main ·items of such an Agenda would be: 1. The objectives of the NHS Act 1946 should be re-emphasised in the context of London's healtih pwblems. 2. The building of health centres shouild be a priority to improve the qua·lity of primary care. 3. Since the main opposition to health centres comes from the Family Practitioner Committee, the •recommendation of the Royal Commission that these should be rubolished and their function handed over to the AHAS should be implemented. Tbility of the DHSS. 11his would take into account the nationwide role of the London teachinghospi.tals. 9. There should be a body whose responsibility would be to bring together aH the London Joint Consultative Committees, so that policies on heailth and social services provision can be considered together, in an effort to provide a concept of tota•l patient care. 10. The development of private hospitals and clinics in London should be restricted. 8. London's government In previous cha,ptei'S of this Ra,dical Agenda, more ,than once, London's governmenta< l arrangements have rbeen q_Qestioned and criticised, and alternative sohemes suggested. In particular : * for transport, a new unified authori,ty is needed to devise a common fares structure and an integrated physica1 system ; * for housing, similarly, there was a oaU for a new housing strategic agreement between the GLC and the boroughs to be drawn up and monitored by a joint board with statutory powers of coordination ; * for health, again there was dis·cuss,ion aJbout a new Greater London Regiona•l Health Authority, respons~ble for regional planning, specialist services and ambulances ; plus the transfer of the powers of AHAs back to the London boroughs, where they could be planned in conjunction with social services and community ca·re. However, the idea of a Grearter London Authority, it was suggested, foundered on the declining population of ~he GLC area and the rapidincrease beyond it, necessitating ,reaNocation of resources over a muoh wider area. Behind these particulrar suggestions, though, there is a widesprea,d feelingthat the London government reform of 1963-65 has not produced the effective division of powers that many hoped for. The GLC in particular is seen as an inflated rbureaucracy with few rea!! powers, una:ble to pursue its strategic remit beoause it lacks the capacity to execute or to enforce. Its failure as a strategic housing authority provides perhrups the most glaring example : the outer boroughs have always been able to beat off attempts to achieve a more vigorous policy by spinning out procedures, negotiations rand bureaucratic delays, until the next change of control at County Hall. On traffic and transport, too, the GLC has proved a disappointment : one policy has followed another at bewildering speed, but none has been pursued for very long or even resolutely or successfully implemented. Underlying Vhese rfailures is a basic contradiction in the GLc's position: it can never play a true strategic rooe unless it commands resources to allocate to the boroughs~but that is the central government's jealously guarded privilege. Thus, between the upper mil