Exactly 250 years ago today, on 20th September 1757, the Royal London Hospital in Whitechapel opened its doors to the public. This doesn't make it the oldest hospital in the country, but a quarter of a millennium is still a very long time to have been serving the medical needs of some of the poorest communities in the country, and well worth celebrating. If you live in East London this'll be a hospital you'll know well. It's huge, for a start, and the hospital's benefactors also had the sense to build right next to a busy main road. None of this modern greenfield miles-from-anywhere rubbish, where every hospital visit means hopping in your car or catching two buses. The Royal London is where the capital's Air Ambulance service is based, so you've probably seen their big red helicopters either in real life or on a TV documentary. And later this year the BBC will be bringing you Casualty 1907, a historical drama series based on genuine Royal London medical records of the era. Alas infamous hospital resident JosephMerrick (the "Elephant Man") won't be appearing in any of the stories because he died two decades earlier.
As part of my continued commitment to report back to readers on important London events, I paid a special 250th anniversary visit to the Royal London back in May. It's ever so easy to gain free admittance - just dial 999 from any home in the neighbourhood and a kindly chauffeur will arrive at your front door within minutes to whisk you off to the main entrance. I arrived at half past six in the morning, when admission queues were at their quietest, and was given exclusive access to the A&E department's resuscitation room. This is a long off-white gallery with three separate trauma bays, each with various screens, scanners and gadgets hanging from the walls and ceiling. Most visitors only ever get to see the ceiling. As I waited on my trolley for the day shift to arrive it was sobering to reflect that more people have probably died here, four feet off the ground in this windowless room, than in any other location in the whole of Tower Hamlets. Mine, thankfully, was always going to be a two-way visit.
My grand tour next took me to one of the nearby wards, in a desirable location overlooking the snooker club and McDonalds in Whitechapel High Street. I was one of eight special guests taking advantage of the 24 hour full board experience, although not everyone was enjoying the experience (or even conscious of it). Here the courteous staff attended to my every need with a smile, perhaps because I wasn't the moaning one-legged bitch in the corner repeatedly demanding that the nurses remove his catheter, lift him out of the bed and wheel him to the toilet. There was a genuine tropical atmosphere in the ward, due in no small part to the air conditioning having irrevocably broken down some weeks earlier, and those of us tethered to our beds were forced to endure permanent sweaty steam-room conditions.
Brief respite came when I was offered a wheeled excursion of the hospital's lower levels. Naturally I leapt at the opportunity to explore more of this fascinating building. My tour guide pushed me straight through the main entrance hall, past the little shop that sells flowers, chocolates and souvenir model helicopters. On along the main ground floor corridor, its dour architecture somewhat reminiscent of a crumbling Victorian asylum. Then down a level in the spacious silver lift, avoiding the spiralling institutional staircase with its shiny stone steps and curly iron banister. And finally along a grim basement corridor, deftly avoiding oncoming electric vehicles transporting their cargoes of pristine bedlinen, stained gowns and discarded swabs. As I rose from my chair to wait for my two o'clock appointment, I stared out of the back entrance towards the vast building site at the rear of the hospital. 250 years on, the Royal London is being almost completely reborn. A twin-towered 17-storey glass block is being erected immediately behind the existing main building, and within a few years it'll completely dominate this part of East London. My local hospital will be the biggest, most cutting edge, gleaming-est hospital in the whole wide NHS, so they promise. Let's hope they fix the air conditioning as well.
I enjoyed my anniversary visit so much that I've booked to go back again at regular three monthly intervals. It's lucky I'm not sick or anything.
1907 The door to Morlock's bakery is wedged open and welcoming, wafting the smell of fresh-baked bread out into the high street. A flat-capped East End husband waits patiently outside while his wife buys buns and scones for afternoon tea. The flower seller beneath the gaslit lamppost is pinning a buttonhole to the lapel of a gentleman's jacket. Yes, she has change for a sixpence, thank you kind sir. Across the street it's opening time at the Rose and Crown. Above the doorway hangs a shiny glass lantern bearing the name and logo of the local brewery. Jack and his mates from the docks will be propping up the bar and downing the landlady's finest ales until she throws them out at the end of the evening. Jack hopes he'll make enough money down by the wharf tomorrow to be able to get the wife's engagement ring back from the pawnbroker. Business is quiet at the undertakers, and Selby's fine-trimmed horses pass the time by depositing steaming manure onto the cobblestones. Two petticoated servant girls arrive at Mrs Edwards' steam laundry to collect the household's fresh-pressed bedlinen. One of them catches sight of her sweetheart leaning against the drinking fountain on the village green, and giggles and blushes. Business is brisk at a dozen market stalls along the roadside. Candles are four a penny, firewood is plentiful and cheap, and the greengrocer even has oranges in stock. Grubby children in Board School uniform run rings around the horse trough, shrieking and laughing before their parents summon them home for bed. Miss Mary Anne Read rushes from the schoolroom to the butchers to buy herself a brown paper bagful of braised liver as a special suppertime treat. At number 12 Mr Samuels the fishmonger scrubs his green and white tiles clean of scales and slime, before raising the awning and closing up shop for another day. A queue of orphans, invalids and chancers has built up outside the Good Shepherd Mission Hall, hoping for overnight shelter and charity. Perhaps they'll be fortunate tonight. Poverty has aways been visible here on the streets of Bromley. Nothing changes.
2007 The shutters at the newsagent have come down early. A pot-bellied East End bloke pops into the chemists nextdoor for three months supply of tubular bandages. He banters semi-incoherently with the headscarfed lady behind the counter as she drops his boxes into a plastic bag. With a grin he exits, turns left and pauses for breath outside the boarded-up pub. Three centuries of drinking came to an end last year, the last remaining slice of history in this Blitz-ravaged high street. All the windows at the Rose and Crown have been nailed shut, and the paint across the lintel has started to peel. Above the doorway hangs a grimy glass lantern bearing the name and logo of a former local brewery. Several of the pub's regulars have shifted allegiance to the neighbouring betting shop and are stood, or slumped, outside the open doorway clutching cans of value lager. Their faces are glum and grizzled, and only a winning raceslip can brighten their narrow-focused world. The local barber shop has moved away to a brighter location on the main road. Three hooded youths are intently inspecting the graffiti on its whitewashed wall. "Kombat E3" woz ere. "We set the levels". They appear to approve of what they see. A single midweek market stall has been erected on the concrete piazza, just outside the Bangladeshi greengrocers. A white-bearded man sits patiently while two fully-cloaked women haggle over the price of south Asian vegetables, then shuffle off home with this evening's meal in a blue and white striped plastic bag. In the chippie the smiling Polish fish fryer waits while a family of five select unbranded fizzy drinks from the chiller cabinet. A plump old lady in a pink fleece sits alone at the front formica table dining on Pukka pie and chips - best meal of the day. She watches through the window as two young kids cycle round and round in vicious circles before zooming off towards the dry cleaners at great speed. Regeneration has passed this corner of East London by. Nothing changes.
10pm, Central line: The carriage is a complete mess. A carpet of at least 20 free newspapers lies scattered all across the floor - two left over from the from the morning and the rest a fairly even split between Lites and Papers. There are a couple more on the ledge beneath the window, wedged inbetween empty lager cans and rotting apple cores. And I'm forced to pick up yet another off the seat as I sit down. Damn, it's a London Lite, but I guess it'll pass the time between here and Mile End. Two girls enter the carriage at the next station. "Oh hell, what a mess!" says one to the other, before reaching down to the floor and picking up a copy to read herself. Most of the other seated passengers are doing the same. It's late - well after the last freesheet distributor has left their post and gone home - so everybody's reading a recycled paper. Don't even think about where your copy's been since it was thrust into an eager hand several hours ago. Later, as passengers get off, they dump their paper back where they found it ready for somebody else to flick through. And yes, I'm leaving mine back on the seat too, because there's nowhere nearby to dispose of it properly. Somebody'll thank me for it, but probably not the litter collector with their big plastic bag at the far end of the line. Assuming they haven't gone home too.
Multiply this scene by a few hundred and you start to get some idea of the environmental drama playing out every weekday night in every train carriage in London. Things were bad enough when we just had a free morning paper, but the evening freesheet battle raises the stakes to ridiculous new heights.
And whose fault is litteredLondon? Is it the evil press barons merrily flogging advertising space in content-lite gossip rags? Well partly. Is it the in-yer-face distributors standing outside stations yelling "Lite! Lite!" like demented automatons whilst thrusting newsprint into the face of every passer-by? Well sort of. But I lay most of the blame at the feet of those whose job it is to run our stations and our streets. Because there are never any bloody litter bins around when you want to use one!
You're getting off your train in the evening, free paper in hand. Where do you chuck it? Not on the platform, because there are no bins on the platform. They'd only get in the way and slow down passenger movement, apparently. Not in the ticket hall, because there are no bins in the ticket hall. Typical, stations can find always room for a rack of fresh Metros in the morning, but there's never any space for a bin in which to discard your London Paper later in the day. Not on the street outside the station either. You might find one of those special newspaper recycling bins on the pavement in Zone 1 when you're going to work in the morning, if you're lucky, but in the evening there aren't anywhere near as many of them in the suburbs as there ought to be (and if there are they've usually already been filled to overflowing with other non-paper-based litter anyway). So what do you do? You leave your paper on the train instead, that's what. If there's only a very small chance of having somewhere to chuck your freesheet after you've got off, the obvious alternative is to dump it in the carriage.
If clearing up after discarded freesheets costs so much, why doesn't somebody invest in a series of recycling bins outside every London rail and underground station? No matter what our homeward journey, we'd know there'd always be a receptacle at our destination station in which to dispose of our tabloid leftovers. OK, so not everyone would use them, but surely if you gave the public a guaranteed opportunity to dispose of their rubbish properly outside every station, a significant proportion of the litter problem could be cleared up. Hell, why not go the whole hog and introduce litter bins inside stations too. Sorry, I don't buy the "but they might be used by terrorists to hide bombs inside" excuse. It doesn't happen, does it? Just ensure that these new bins have a newspaper-sized slot in the front to make them rucksack- and gelignite-proof, and there'd be no problem anyway. And then we could all use these bins to recycle our disposable reading material, and not just end up dumping them all over our trains, stations and streets. Come on TfL, come on Ken, come on London boroughs. If you'd like us to act responsibly, at least give us the opportunity.