centred on provision of adequate paving, water supply, fire fighting and control of development. In 1853 a group of ratepayers initiated moves to improve local administration. This led to a public enquiry by Charles Dickens' brother Alfred, a medical officer, who published a report in 1855 severely critical of conditions in the slum areas.

Accordingly, the Public Health Act 1848 (11 & 12 Vict. c. 63) was applied