
– poor law infirmaries, asylums for pauper lunatics and fever and isolation hos-
pitals
13
– was also part of the wider municipal policing function, providing pro-
tection to the community not the individual, by segregating those who posed a
moral, social or physical threat. However, the meaning of public health changed
after , with a greater emphasis on education and prevention. Medical
Officers of Health (MOHs) began to tackle infant mortality and TB,
Huddersfield opening a milk depot for poor mothers as early as , whilst
eugenic concerns following the First World War prompted the establishment of
clinics for mother and infant welfare and venereal diseases.
14
The right to provide
acute general hospitals was extended to the municipalities in , when control
of the poor law medical facilities was transferred to Public Assistance
Committees. Municipal medicine flourished in the London area and the North-
West, but facilities varied greatly as some authorities placed stress on providing
services for mothers and children, rather than general hospitals.
15
Overlapping with the concern for public safety was the need to provide and
maintain a satisfactory urban infrastructure. Public health related amenities, such
as cemeteries, sewers and drains, were a major element in municipal expenditure,
as was the provision of water, with the vast majority of urban water supplied by
municipalities by .
16
Many councils promoted major capital projects, coastal
towns redeveloping their ports and harbours, whilst resorts like Brighton built
sea defences, promenades and pleasure grounds. Developments in transport
prompted spectacular interventions, like Manchester’s controlling interest in the
Manchester Ship Canal, whilst motor cars created novel problems with traffic
flow and parking, necessitating a different approach to road building. From the
mid-nineteenth century, through by-laws and general legislation, councils were
able to regulate and demolish housing, facilitating major slum clearance projects
which saw insanitary dwellings replaced by impressive commercial or civic build-
ings reflecting the power and prestige of the locality.
17
However, housing and
slum clearance legislation from onwards provided a framework for munic-
ipal intervention in the housing market, making many interwar local authorities
the main residential developer in their area. Councils erected almost . million
The changing functions of urban government
13
V. Berridge, ‘Health and medicine’, in F. M. L. Thompson, ed., The Cambridge Social History of
Britain, –, vol. : Social Agencies and Institutions (Cambridge, ), p. ; S. Cherry,
Medical Services and the Hospitals in Britain, – (Cambridge, ).
14
H. Jones, Health and Society in Twentieth-Century Britain (London, ), chs. and ; H. Marland,
‘A pioneer in infant welfare: the Huddersfield scheme, –’, Social History of Medicine,
(), –.
15
Cherry, Medical Services, table ., p. ; M. Powell, ‘Did politics matter? Municipal public health
in the s’, UH, (), –; M. Powell, ‘An expanding service: municipal acute med-
icine in the s’, Twentieth Century British History, (), –.
16
R. Millward and S. Sheard, ‘The urban fiscal problem, –: government expenditure and
finances in England’, Ec.HR, nd series, (), ; Waller, Town, p. .
17
A. Mayne, The Imagined Slum (Leicester, ); H. Carter and C. R. Lewis, An Urban Geography
of England and Wales in the Nineteenth Century (London, ), pp. –.
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