In 1854, just after his appointment as President of the Board of Health, cholera broke out in London, and Sir Benjamin, as he then was, went to the East End to direct personally the work to combat the disease.
He was so appalled at the conditions there that he piloted a bill through Parliament which 'was the turning point in the sanitary history and evolution of London', which resulted in the creation of the Metropolitan Board of Works, the fore-runner of the London County Council.
Later, as First Commissioner for Works, he was responsible for improving the London Parks, planting trees, shrubs and flower borders, and creating new paths; and it was he who stood firm against the storm of protest aroused by his proposal to open the parks to the public. An even greater storm was created by his proposal to have bands playing in the parks on Sundays - the only free time of the majority of Londoners; but again he stood firm, and in spite of set-backs, the general public were able to make full use of the London parks in their brief leisure time.