Restoration and Renewal Debate

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Department: Leader of the House

Restoration and Renewal

Chris Bryant Excerpts
Thursday 16th July 2020

(3 years, 9 months ago)

Commons Chamber
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Jacob Rees-Mogg Portrait Mr Rees-Mogg
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I think that my hon. Friend may be alluding to the mention of York in the Prime Minister’s letter. I would remind my hon. Friend that between 1301 and 1325 Parliament met in York 11 times, but when Edward IV tried to get it to move to York, he was unsuccessful. It will end up being a matter for parliamentarians where this House sits, though strictly speaking the meeting of Parliament is called by the sovereign to her palace at Westminster. That, I think, is something that would be highly unlikely to change without the acceptance of parliamentarians. I hope that answers my hon. Friend’s question.

I want to conclude by quoting Caroline Shenton’s book about the construction of the Palace a century and a half ago. She raised the question of the difficulty faced by Barry and Pugin when she wrote:

“But who should be given the upper hand? The government… funded by the Treasury? Parliament as an institution made up of two legislatures occupying a single building… Or—most difficult of all—over a thousand MPs and Peers”—

this must be referring to peers rather than MPs, but never mind—

“fractious, opinionated…partisan, and…with as many individual views on how the work should progress as there were members? Deciding who was the real client at any particular moment would prove to be a mind-bending task for Barry over the next four and twenty years.”

I am a great admirer of much that was achieved by our Victorian forebears, but in this instance, this one instance, I believe the 21st century may—and I sense the shock around the Chamber—have the edge over the 19th century.

Chris Bryant Portrait Chris Bryant (Rhondda) (Lab)
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You should write a book about the Victorians.

Jacob Rees-Mogg Portrait Mr Rees-Mogg
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I did. It is still available, probably heavily discounted, in all second-hand bookshops. For once, we have truly, in that most tiresome of clichés, learned the lesson of history. We have our client, which is the Sponsor Body. Its strategic review is setting the scope for the programme, and then the Delivery Authority will draw up fully costed proposals for us to consider. At that point, we will arrive at the moment we have been steadily working towards for some years, when we will be able to decide how to do so in a way that offers the consistent political support the programme needs.

The last Parliament set us on the path of action over inaction, but it is this Parliament that will act, meeting our collective responsibility of protecting this building, the throne, the palace of our democracy.

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Chris Bryant Portrait Chris Bryant
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When I was on the Joint Committee and chair of the Finance Committee, we wanted additional work to be done now because that was clearly important—for instance, on the cloisters, which are among the most beautiful parts of the whole estate—but we constantly found that there simply was not enough physical capacity on the estate to allow us to get the work done now. Is there not a danger that further delay will result in the backlog getting bigger and bigger?

Damian Hinds Portrait Damian Hinds
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The hon. Gentleman is undeniably right about the effect of the passage of time, and of course that is all reflected in the outline business case. The fire at Notre Dame was a stark reminder of the importance of protecting the world’s most treasured historic buildings. Here, the risk of fire is so acute that fire wardens patrol 24 hours a day. This House rightly recognised the significance of that terrible event and passed the Parliamentary Buildings (Restoration and Renewal) Act 2019 shortly afterwards. Colleagues will know that a vast amount of work is also needed to replace all the heating, ventilation, water, drainage and electrical systems.

It has been almost five years since the plan was drawn up, and much has changed since, including two general elections, our leaving the European Union and, of course, the current pandemic, which is not only illustrating the possibility of different ways of working but placing severe new demands on the public purse. There is also more evidence now about the state of the buildings, through extensive modelling and surveys, and more is known about the cost and the challenge of building like-for-like temporary Chambers. As the Leader of the House and the shadow Leader of the House mentioned, the bodies charged with overseeing and delivering this work have become substantive in the last few months, and it is now appropriate to review where we are and how we should proceed.

There have always been the same three overall pivotal questions that affect the length and cost of the works involved. The first relates to the balance between restoration and renewal—in other words, the extent to which the project goes beyond just fixing the buildings and embarks on improving things. Examples include disability access, which is currently woeful, and various other enhancements. The second relates to pace: should we proceed at a slow speed, estimated at some 30 years, working around current operations with the extended disruption and risks that that entails, or should we move out, in whole or in part, for a period? That would expedite the project and could lower the overall cost, but it would bring that cost forward. The third relates to how closely, during any decant period, Parliament’s physical layout and function has to be replicated and to what extent the location has to be kept close to the Government Departments we are here to scrutinise and hold to account.

Value for money and affordability have always been vital, but they have become even more pressing as the full economic impact of the post-covid environment becomes more evident. Of course, we can all say what we want to see retained and what we want to see enhanced, and that is important, but for this review to be effective in delivering value for money—assuming that we decant somewhere—we also need to say what we could do without. There are some factors that could make a material difference, and I encourage hon. Members, in this debate and when making submissions to the review, to consider these factors in particular when thinking about the decant.

First, while in-person voting is a long-standing feature of our system, how sacred is the exact system and the layout of our Lobbies? Seeking to replicate the current Lobby configuration is a significant factor in the space requirements for a temporary Chamber. Secondly, what flexibilities could there be in the numbers of MPs’ staff who have to be accommodated on the estate? 

More flexibility on that could mean lower costs.

Yesterday’s letter from the Prime Minister to the Sponsor Body and Delivery Authority, which my right hon. Friend the Leader of the House mentioned, called for the full range of options to be looked at, from a minimum safe viable product to fundamental refurbishment, and the different possibilities of full decant, partial decant and remaining in situ—all, of course, with costs kept to a minimum. These different approaches have already been analysed and will be re-evaluated in the light of what more we now know. I reassure colleagues that that does not mean only looking at one decant option. The suggestion to examine decant locations beyond Westminster has not been part of the programme’s mandate to date, and the programme will of course be discussing this further with Mr Speaker and the Lord Speaker.

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Chris Bryant Portrait Chris Bryant (Rhondda) (Lab)
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I, too, wish we were debating something else. I would like to be debating, for instance, the way British Airways is treating its staff and, for that matter, its customers, but we have this debate this afternoon. I could just say, “I refer hon. Members to the speech that I made last time”, or to the one before, but, unfortunately, I am not going to do that.

I do love this building. Sometimes, it is the small quirky bits of the building that I love. It is not just the obvious historical bits. When one walks through St Stephen’s Hall, there is the painting of Wolsey demanding more money from Thomas More, who was Speaker at the time. It is a great moment of British history. I love it because it was painted by Vivian Forbes and his lover Glyn Philpot. The sad story is that, when the painting was finished and Glyn Philpot died, Vivian Forbes took his own life 24 hours later. There are so many different layers of history in this building—it is woven into every single aspect of our history—and I think that we need to preserve it, not in aspic, but we need to preserve it.

There are lots of things that have not changed since the last debate. The truth is—notwithstanding the comments from the SNP earlier, or, for that matter, from the Prime Minister in his letter yesterday—we are not going anywhere else. As I am sure the Leader of the House will remember, when they tried to get Parliament to go to York in the1460s, there was no business to transact, so it ended up not sitting properly at all. And when Parliament met in York in the 14th century it only did so because the king was terrified of an invasion by the Scots. I do not think that that is the concern of the Prime Minister at the moment, although there are some worries about a border.

I made an important point earlier about the capacity for doing additional work here in the Palace. It seems crazy, but we emptied out the cloisters to do work immediately, we got rid of all the staff who were working there, and the cloisters are still completely empty; there is no extra space on the parliamentary estate to put extra workers to be able to get the work done. That is an increasing problem. There are projects that have been done very successfully. The cast-iron roofs have been done on time and on budget. It has been an excellent project. The inside of the roof in Westminster Hall has been attended to very well. There are projects that are going well, but we are accumulating, every year, more and more additional projects, and the backlog is getting worse.

Richmond House is still contiguous to the Northern Estate where most of our parliamentary offices are. That was one of the main reasons, when I was on the Joint Committee, that we considered using Richmond House. It diminished the security threats of crossing over to some other building across the road. It is not about the convenience of Members; it just made it possible for people to do their jobs safely.

Edward Leigh Portrait Sir Edward Leigh
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When the hon. Gentleman was on the Joint Committee, there was not a proposal to demolish the building.

Chris Bryant Portrait Chris Bryant
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Actually, there was. The memory of the right hon. Gentleman is failing him, I am afraid. There was a proposal to demolish it. The bit that I think he differs on is whether there was a proposal to demolish the staircases, which some people think are intrinsic to Richmond House. Personally, I think that they are the ugliest bit of the building. The truth is, as my right hon. Friend the Member for Alyn and Deeside (Mark Tami) said earlier, it would be perfectly possible if people like the right hon. Gentleman had not been complaining that we had to have a Chamber that was identical to this Chamber—[Interruption.] If I am diminishing the right hon. Gentleman, my memory is different from his. If we wanted to go to a system where we slightly changed the parameters of what is in there, I am up for that, but it remains a fact that Richmond House is the only piece of land that is contiguous to the rest of the parliamentary estate and therefore safe.

As for the other things that have not changed, the building was designed as a whole, not from the very beginning, but after the fire. After 1834, one of the great, clever things that Barry and Pugin did was to amalgamate the estate into a single proposition about the British constitution, from the Commons through to the Lords and the monarch and incorporating the ancient Westminster Hall from the 11th century. That poses a real problem for those who want us to decant in part, because there is one central heating system, which is steam under high pressure; there is one electricity system; there is one drainage system; there is one water system; and there is one basement, interconnected, with a set of risers that connect it to the one attic and roof. That is the problem for the future safety of the building.

The reason I completely disagree with the hon. Member for The Cotswolds (Sir Geoffrey Clifton-Brown)—it is rare for us to disagree on matters of this kind—about the idea of a partial decant, and the Commons going down to the Lords while the Lords go elsewhere, is that the Lords is not contiguous to the offices on the northern estate. So a safe passageway would be needed for votes and for people to be able to take part in debates, or people would have to walk along the pavements outside. All the advice that was given to us was that that was a security risk for us. More importantly, one of the problems with trying to keep us in the Lords—which, incidentally, is too small a Chamber with far too few seats for the House of Commons to be able to sit in—is that if we kept this building working while it was a building site, we would dramatically increase the risk of a further fire and we would increase the risk to the staff who were working in it. That was precisely the problem in Notre Dame, and that is what led to the massive fire there.

Chris Grayling Portrait Chris Grayling
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It is probably unusual for the hon. Gentleman and me to be in strong agreement and for me to disagree with my good and hon. Friend the Member for The Cotswolds (Sir Geoffrey Clifton-Brown), but I agree with everything that the hon. Gentleman has said. Of course, there is one other small factor that one has to take into account, which is, of course, that the plans need to be approved by both Houses of Parliament. There was always a slight question mark over whether the Lords would agree to be thrown out.

Chris Bryant Portrait Chris Bryant
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I do not think there was a slight question mark. It was absolutely clear that the Lords would not move out merely so as to accommodate the Commons sitting in the House of Lords.

Geoffrey Clifton-Brown Portrait Sir Geoffrey Clifton-Brown
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I did make it very clear in my speech that my preferred option was a full decant, but the world has changed as a result of covid. This is a different Parliament. The political imperative is different now, and I still say, as a surveyor, that it would be possible to do it in two halves.

Chris Bryant Portrait Chris Bryant
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Well, all the advice we were given was that, as an engineering feat, it would dramatically add to the cost, it would significantly add to the risk of a catastrophic failure to the building, and it would increase the danger to the staff working either as contractors or as Clerks and others working in the building. On all three counts, the imperative still lies with the hon. Gentleman’s preference, and I am right behind his preference on this.

There are some things that have not changed since the 19th century. The Leader of the House rightly referred to Caroline Shenton, who wrote two books. The first was about the fire and the second was about Mr Barry’s war. The latter makes it absolutely clear that the biggest problem for Barry and Pugin was not the River Thames or the drainage system, it was MPs and peers who stayed on site and were constantly meddling. Governments kept on changing their mind about whether it was a Government project or not, and that dramatically added to how long it took to get the Commons back in. It was not until 1850 that the Commons was back in, and then all the MPs hated it and demanded changes, so Barry said he would never step inside the place again.

We focus on the risk, and the hon. Member for Cities of London and Westminster (Nickie Aiken) said earlier that the cost is terrible and there are risks. That is true, but there are also significant opportunities here. This building is now wholly inappropriate for anybody with any kind of disability. We often focus on those who need a wheelchair, and it is true that it is catastrophically difficult to get around the building in a wheelchair, but it is very dark as well. The most common form of disability is poor eyesight, and many people simply cannot use the building for that reason.

We need a building that is better attuned to today’s democracy, so that the public can come in more readily and easily to understand our business than the present Chamber allows. The archives are very badly kept at the moment, not for lack of will from the staff working there, but simply because the Victoria Tower simply cannot accommodate the facilities that we need in the modern era. We also do not have an education space that will last beyond another couple of years, because it only has 10 years from Westminster City Council.

My final point is that we should be seeing this as a training and employment opportunity for the whole country. If this infrastructure project is to succeed, we will have to have people coming from every constituency in the land, learning trades that they have never had, whether that is in encaustic tiles or wood panelling, as well as modern technology. We should see that as an opportunity. My fear is that we will keep on shilly-shallying and call for endless reviews, more papers and more consideration. The danger is that we will fail in our duty to this building. I think that there should be an eighth deadly sin for a Government Minister: procrastination.

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Meg Hillier Portrait Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)
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It is always a pleasure to follow the right hon. Member for Gainsborough (Sir Edward Leigh), but I do rail a little against his comment about group-think. If I remember rightly, there was a group-think that we must stay here come what may, until we had a vote— I remember it very well—on 31 January 2018, when the House decided that the best option was to work up one option in detail and move out.

As the right hon. Gentleman said—he is an illustrious predecessor of mine as Chair of the Public Accounts Committee, and I am delighted to be here today with the deputy Chair, the hon. Member for The Cotswolds (Sir Geoffrey Clifton-Brown)—we do, all of us, value spending and watch how taxpayers’ money is spent. It is not our money that is being spent on this place, nor is it our place. It is the nation’s and the world’s: it is a UNESCO world heritage site.

The hon. Member for Harwich and North Essex (Sir Bernard Jenkin) talked about what makes big projects work. We know that there are many multiple projects within this big project—everything from how the stone masonry will be dealt with to the education centre, how the archives will be stored and the wood carvings, let alone all the mechanical and technical work that goes on. However, the challenge of a major project is to bring all those together and make sure that each is delivered in a time that means the others can carry on.

We therefore see the need for integration, and I refer to the comments by my hon. Friend the Member for Nottingham South (Lilian Greenwood) about the rail system. The integration of our rail system has been one of the big problems about delivering such projects. We can deliver the tracks, the trains and the signalling, but if they do not work altogether at the same time, passengers do not get a benefit. That is the challenge, and that is why we set up the Sponsor Body, after a lot of work by a number of us.

It is interesting how this House has divided today between those who have been very heavily involved in meetings, discussions and papers on this project and, hearteningly, a lot of new Members who have probably had less time to get into the subject. I hope that they have been listening carefully to those of us who have been very closely invested in this project.

The project will cost money, but it is not an either/or. On the idea that we should not spend money on a place that everybody who has spoken so far agrees is a huge fire risk and a huge health and safety risk, that money will not be available to spend on other things. Under UNESCO rules, as the right hon. Member for Epsom and Ewell (Chris Grayling) highlighted, the Treasury is responsible within the Government for paying for this project.I have checked this out, and the Treasury is ultimately responsible for making sure that this place does not crumble and for maintaining it to UNESCO standards. It is vital that that work is done. As I say, fire is a real risk, and there is an important question here for the Leader of the House about who is ultimately responsible for the health and safety of all who work here and all who visit here.

I disagree with the right hon. Member for Gainsborough again on the point about the visitors who would come here if we did it in parts. I would not ask schoolchildren from Hackney to come to this building if we were ripping out asbestos and there were building works going on. I would not expect my staff or the staff of this House to come here. I hope that the Leader of the House is taking that very seriously. Has he been talking to the trade unions and staff representatives, whom I have had the privilege to meet on a number of issues, and who are very thoughtful and considerate? They love this place, but they want people to be safe, just as I hope we do.

Value for money is absolutely vital, which is another reason we wrote in the role of the National Audit Office, to get it involved now, before any work is done. One thing I have been trying to promote as a member of the Public Accounts Committee—I put the implication out there, although there is only one Government Minister present—is to do more looking at projects before they go wrong, ensuring that the assurances and the methodologies are in place. We need to ensure that the Sponsor Body is set up well to do its job and to hold the Delivery Authority to account for whatever is ultimately delivered.

But how much longer? We have been waiting a long time for this. Some have talked about 2013, some about 2015, 2016 or 2018, but it is 40 years, really, that we have been having to look at this. The amount of money and time spent on patching this place up is no longer justifiable. It is still taxpayers’ money; we just do not see the big tag. Let us not kid ourselves that by avoiding doing it in one hit as a major project—actually, this building is a major project whichever way you cut it up—we will save money. That is a myth. Obviously, the full figures have to be worked up, but we would still be spending millions and millions.

Let us take the risers with some of the electrical and other facilities in them. For work to be done to take asbestos out, all that has to be removed and rebuilt outside the building, while ensuring that the connections are not lost. Then the asbestos is removed in roughly half-hour slots by someone in asbestos gear. It takes more than a year and costs multi-millions of pounds to do each one. There are contractors rubbing their hands with glee as we keep dodging the decision about getting on with this. A lot of people are making a lot of money out of the taxpayer’s pockets—our constituents’ pockets—and we need to get on with this quickly.

We need to be careful about the smoke and mirrors around whether there should be an exact replica of the Chamber in Richmond House. I agree with my hon. Friend the Member for Rhondda (Chris Bryant); I remember that there was a very loud cacophony of voices here saying, “We will not consider leaving this Chamber unless we have an exact replica.” I am not wedded to an exact replica. I can do my job pretty much anywhere. I do not need this Chamber. I love this Chamber; it is a great place to debate, it is very atmospheric and it provides a lot of opportunities for us to get our constituents’ points of view across. But we do not need to have it precisely like this. We can compromise, as the past few weeks have shown. We have adapted very well.

We need to be aware, as well, of the smoke and mirrors from No. 10 Downing Street’s suddenly announcing the suggestion of a move to York. I put the move to York for the House of Lords in the same category as the bridge to Northern Ireland or the estuary airport.

Chris Bryant Portrait Chris Bryant
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Or the garden bridge.

Meg Hillier Portrait Meg Hillier
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Or the garden bridge, indeed. Only £30 million of taxpayers’ money went through the Department for Transport to the garden bridge, so that was a relatively cheap proposal by the current Prime Minister. We need to be careful: it is very easy, and very much a tactic of the current incumbent at No. 10, the right hon. Member for Uxbridge and South Ruislip (Boris Johnson), to throw out a random thought and let everyone talk about that, and meanwhile we stop talking about the real issue: that this place needs to be sorted, and it needs to be sorted now.

I turn to the Leader of the House again and ask him who is responsible if someone gets injured or hurt. Who would be responsible for asbestos poisoning in this place? I think it would end up being the Clerk of the House and the corporate body of the House of Commons. That means that the Leader of the House is sitting there and everyone is waiting for the musical chairs to stop, hoping that they will not be standing at the moment when a disaster happens in this House.

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David Simmonds Portrait David Simmonds (Ruislip, Northwood and Pinner) (Con)
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As a relatively new Member of the House, I have not been party to many of the debates that have been referenced in the speeches of right hon. and hon. Members this afternoon, but I have found it enormously illuminating to hear the experiences that have been shared and, in particular, the insights into the advice that the House has received over many years about securing the long-term future of the building.

I am conscious that there are not many Members of the House who have detailed technical experience of the building trade, but there are a good many who have experience of the political oversight of major capital projects. That may be directly, in my case through projects such as Building Schools for the Future, the Priority School Building programme and the decent homes standard, or as stakeholders and consultees in those projects when the NHS or our public transport providers undertake major rebuild works.

From that experience, the warning signs are there of a major capital project that is running into some degree of difficulty. In particular, I highlight something that has been referenced by a number of Members: the somewhat confused governance about driving the project forward. Who owns each of those decisions? Who owns those risks? At which point do those decisions need to be made to address the issues that have been highlighted by many Members on both sides of the House?

I have had the privilege over many years of visiting places that our democracy uses across the country, such as the Senedd in Cardiff bay, the Scottish Parliament and many of our town halls, although sadly not yet Stormont. A key characteristic of all those places is that they are first and foremost places of work and places in which our democracy delivers for the people.

We cannot open a commentary about the British economy without spotting references to that British disease, the lack of investment in our productivity. When we talk to the people about the rationale behind investing in new hospitals, new schools, new roads and improved railways, the same rationale applies to the need to invest in our democratic institutions. It is about ensuring that, in this place of work, we can be productive in the service of all our citizens. That is not about gold-plating, which has been referenced a number of times; it is absolutely right to raise that as a criticism.

In all those town halls and each of those regional and national Parliaments, the focus has been not on making a major statement of national confidence necessarily, but on how we can do our job well in those institutions on behalf of the people, and on ensuring that the physical nature of those buildings supports the delivery of that agenda. That includes making sure that, whether it is the leaking school roof that puts the IT department out of use, or the inadequate wi-fi that means constituents cannot get a response, we have adequate facilities so those places do their job effectively.

There are many projects to learn lessons from. Building Schools for the Future is a good example of a project that started with good intentions but morphed into something that was about creating temples to learning. It became astonishingly expensive and, in far too many cases, ended up delivering nothing practical to school teachers and children who, to this day in some cases, are in buildings that were not fit for purpose 20 years ago.

The learning from that project informed the Priority School Building programme that said we need to focus on doing what makes it easier for people to do their job in that environment at an efficient cost. That has resulted in a better spend of taxpayers’ money and a faster renewal of many of those buildings, and it has ensured that those facilities are—that key phrase—fit for purpose for the future.

At a time when our Government nationally and Parliament collectively have set out a very clear commitment to investing capital, which is historically cheap at the moment, in improving our public realm for the benefit of our citizens, there is a compelling argument for investing that capital in ensuring that our political institutions are fit for purpose as well.

I would like to draw to a conclusion by raising two points that I have not yet heard addressed in the debate about this capital project. There are, no doubt, those with more experience who may know about them, but I think it is important to raise them. The first is that there does not seem to be a clear property strategy for Parliament. We have heard reference, for example, to the income-raising capabilities of parts of the parliamentary estate. We have heard about the need for different staff to be based here, and the learning from the virtual working brought about by the covid pandemic and what that means for the future need that this institution has for buildings. There is a very clear programme expressed by the Sponsor Body for how we keep this building intact, but there does not seem to be, as far as I can see, a great long-term strategy that says, “How do we ensure not just that this building here is preserved for the next 40 or 50 years, but the strategy for ensuring that this institution can function in the future?”

Chris Bryant Portrait Chris Bryant
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There is more of a strategy than perhaps the hon. Gentleman is aware of, but one of the things that has plagued the House for some considerable time is that, because we have been bound by Government pay scales, it has been quite difficult to get really high quality personnel to engage in some of the projects here. Sometimes that has meant that we have had to buy in consultants, which of course ends up being far more expensive. That is one of the things the Finance Committee has returned to time and time again, and it is why we set up the structure with the arms-length body so as to be able to bring in that expertise at the very highest level, rather than constantly having to reinvent the wheel.

David Simmonds Portrait David Simmonds
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I am very grateful for that intervention, which is illuminating. It sounds like a suggestion from both us is that it would perhaps be helpful for the Leader of the House and colleagues to consider a clear exposition to Members and some thinking about what a long-term property strategy for Parliament looks like, so we can ensure we have the office space and the facilities for our security staff, our Members and our visitors which mean we can sustain this institution for the long term.

I would like to finish on this point. One thing that is very characteristic of all such major capital projects—we discussed this under the very able chairmanship of the hon. Member for Nottingham South (Lilian Greenwood), the Chair of the Finance Committee—is that there reaches a point where a decision has to be made and the absence of a decision becomes a bigger problem than almost any decision that could be made to achieve progress. I saw that happen when my local authority, the London Borough of Hillingdon, spent £24 million with consultants on the Buildings Schools for the Future programme without a single brick being laid or sod being turned, because the project management structure was so complex and expensive, and it was not set up to deliver.

The recommendation that we make progress now on the refurbishment of Richmond House and the decant of Norman Shaw North is a wise decision that enables us to ensure that our staff and the Members directly affected are able to continue to do their jobs in a sufficient and adequate working environment. I think that was the outcome of the views debated in the Finance Committee last week. I very much hope, as my right hon. Friend the Member for East Hampshire (Damian Hinds) set out in his introduction to the debate earlier on, that the review being carried out is one that results in swift decision making, so we can ensure that the accusation of fiddling while Rome burns is not justified, and that we can make decisions and our constituents can see that, as we are doing in respect of our public transport, roads, schools and hospitals, we can make decisions about our democratic institutions, so they continue to function productively and efficiently in the interests of the people.