As mentioned, you really want a dynamic loop, some up trains spend a lot of time at West Ruislip, so four tracking West Ruislip to South Ruislip makes more sense. I've often wondered about double tracking from South Ruislip to Old Oak and running into Paddington. At one stage this stretch of track was well maintained for the one train in each direction per day, and there was plenty of track capacity, and you could have built additional platforms at Paddington goods shed. This area has been developed, the Elizabeth Line has arrived on the scene and there are more trains into Paddington mainline, so its no longer as simple.
There was a proposal for Chiltern Metro with an enhanced service at inner stations which I thought attractive. The management at the time were not at all interested in the inner stations. (Mind you, when I joined the railway in 1981 there was talk of closing Marylebone station and making it a bus way. Luckily that is now off the table.)