These photos demonstrate the phenomenal transformation that has occurred at a former Victorian pumping station in Hackney.
The Grade II listed building is now an indoor climbing centre that is winning awards for its sustainability.
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Inspectors found a culture of bullying and major problems with poor ambulance response times at the trust, which is the biggest in the UK.
More than a tenth of the Piccadilly Line train fleet is out of action because of emergency repairs to damaged wheels.
Rows of students stood and turned their backs before filing out of the lecture theatre.