Just as agriculture and urbanisation cannot be separated, food and architecture have been intrinsically linked since settlement began. Our evolving relationship with food and a renewed environmental awareness and responsibility to waste will inform the new public health paradigm. This paper will trace a history of the home, looking specifically at back to back housing in Leeds and Public Health Initiatives to propose a new neighbourhood utility. The proposition re-appropriates the obsolete sites of previous communal wash and latrine facilities to address current needs including waste disposal, energy and food production. The new model can be utilised as a strategy to reuse leftover urban space through the setting up of an enabling infrastructure that is taken over by local residents.