(4 days, 8 hours ago)
Commons ChamberI beg to move, That this House disagrees with Lords amendment 1B.
With this it will be convenient to consider the Government motions to disagree with Lords amendments 5B, 8B and 21B.
I welcome the opportunity to consider the new Lords amendments to the National Insurance Contributions (Secondary Class 1 Contributions) Bill. I start by repeating my thanks to Members of both Houses for their careful scrutiny and consideration of the Bill. Four new amendments have been made during consideration of the Bill in the other place, which we will seek to address today.
As I reminded hon. Members last week, when we entered government, we inherited a fiscal situation that was completely unsustainable, and we have had to take difficult but necessary decisions to repair the public finances and rebuild our public services. The measures in the Bill represent some of the toughest of those decisions, but they, along with other measures in the Budget, have enabled us to restore fiscal responsibility and get public services back on their feet. The amendments from the other place before us today put at risk the funding that the Bill seeks to raise. Let me be clear again: to support the amendments is to support higher borrowing, lower spending or other tax rises.
It is with that in mind that I turn to the first group of amendments: Lords amendments 1B, 5B and 8B. These amendments seek to create powers as part of the Bill to exempt certain groups from the changes to employer national insurance rates and threshold in the future, including exemptions for care providers, NHS GP practices, NHS-commissioned dentists and pharmacists, charitable providers of health and care and those providing hospice care. It also includes powers to exempt businesses or organisations with fewer than 25 full-time employees from the changes to the employer national insurance threshold.
I thank the Minister for giving way so early in his speech. I just want to understand very clearly why the Government think that the NHS, under the banner of NHS England, should—rightly, in my opinion—be exempt from national insurance contributions, but that other parts of the NHS, such as GP surgeries, dentists and hospice care, should not.
As I set out during consideration of Lords amendments last week, and, indeed, at pretty much every other stage of consideration of the Bill, the response to the changes in employer national insurance contributions that we are undertaking as a Government is in line with what the hon. Gentleman’s Government did with the health and social care levy in the previous Parliament—namely providing direct support for public employers, meaning central Government, local government and public corporations. That is the standard way in which support for employer national insurance contribution changes is responded to.
As I have set out, the revenue raised from the measures in the Bill will play a critical role in repairing the public finances and rebuilding our public services. Clearly, any future changes that would exempt certain groups from paying national insurance would have cost implications, which, as I have made clear, would necessitate higher borrowing, lower spending or alternative revenue-raising measures. It is for that reason that I ask the House to support the Government’s position by disagreeing to amendments 1B, 5B and 8B.
The Commons’ disagreement to Lords amendment 1, debated last week, states that the amendment
“interferes with the public revenue, and the Commons do not offer any further Reason.”
Does the Minister not think that those we represent would—just perhaps—prefer to see their taxed income generously donated via spending on children’s hospices, rather than spent on an idiotic deal to spend millions of pounds on the Chagos islands?
The right hon. Gentleman raised the question of hospices during last week’s debate on amendments from the other place. As I made clear at the time, although hospices do not receive support to meet the changes in employer national insurance contributions, we greatly value the work they do. I pointed to the wider support that the Government are giving the hospice sector—namely, the £100 million boost for adult and children’s hospices to ensure they have the best physical environment for care, and the £26 million revenue to support children and young people’s hospices.
The right hon. Gentleman also referred to people giving to hospices, which are established as charities. Of course, the Government provide support for charities, including hospices, through the tax regime, which is among the most generous in the world, with tax reliefs for charities and their donors worth just over £6 billion for the tax year to April 2024.
Lords amendment 21B would require the Government to conduct assessments on the economic and sectoral impacts of the Bill. As we have discussed previously, the Government have already published an assessment of this policy in a tax information and impact note published by His Majesty’s Revenue and Customs. That note sets out that, as a result of measures in the Bill, around 250,000 employers will see their secondary class 1 national insurance contributions liability decrease, and around 940,000 employers will see it increase. Around 820,000 employers will see no change. The Office for Budget Responsibility’s economic and fiscal outlook also sets out the expected macroeconomic impact of the changes to employer national insurance contributions on employment, growth and inflation. The Government and the OBR have therefore already set out the impacts of this policy change. The information provided is in line with other tax changes, and the Government do not intend to publish further assessments. However, we will of course continue to monitor the impact of these policies in the usual way.
I hope that right hon. and hon. Members will understand why we are not supporting these amendments from the other place. The measures in the Bill will play a crucial role in fixing the public finances and getting public services back on their feet. The amendments require information that has already been provided, do not recognise other policies the Government have in place or, most seriously, seek to undermine the funding that the Bill will secure. I therefore respectfully propose that this House disagrees with these amendments, and urge all hon. and right hon. Members to support the Government on that disagreement.
My right hon. Friend makes an excellent point, echoing one made by the hon. Member for Angus and Perthshire Glens (Dave Doogan). That is correct: there will inevitably be a net cost to the Exchequer because of this policy. He is right that home care has not been touched on but will be affected. Home care companies in my constituency will not be able to expand their staff, which is vital to meeting people’s needs.
Pharmacies, which we have not touched on a lot, are in the same position. A few weeks back, I visited Badgerswood pharmacy in Headley in my constituency, and I was told that the measure will hit it hard and cause a real problem in service delivery for my constituents.
This measure will not only have a massive effect on those businesses—GPs, pharmacies, the hospice sector and the home care sector—on the economy, because there will be a net cost, and on patients, who will not receive the services in the wider NHS family that they deserve, but it runs entirely contrary to the Government’s stated policy of wanting to bring healthcare close to home and close to the community. Although they are exempting acute hospital care, which takes place away from the community, they are taxing the bit that they say they want to expand. It is totally illogical, even on the Government’s own policy. I hope that the Government have an 11th hour change of heart, either today or at the emergency Budget tomorrow, because it is vital that we support these sectors.
We see with Lords amendment 21B that the proof of the pudding is in the eating, as it were. If the Government were so convinced that their policy was the right, just, fair and proper one, they would allow a review to go ahead so that we could see its impact. The fact that Government Members will be walking through the Division Lobby to hide this policy from the British people tells us all that we need to know: they know that this policy does not stand up to scrutiny, and they are running from it.
With the leave of the House, I will respond briefly to some of the comments made by Opposition Members.
Although I feel that the Liberal Democrat spokesperson, the hon. Member for St Albans (Daisy Cooper), will not support us on the Bill, I none the less recognise that she seems to support the extra funding that we put into public services in terms of GPs, dentists, hospices commissioned by the NHS and so on. Although she will not agree with the difficult decision that we have taken to raise that funding, I got the impression that she supports our spending on those public services.
I turn to the official Opposition. The shadow Minister, the hon. Member for Grantham and Bourne (Gareth Davies), claimed that very small businesses will feel the greatest impact from the changes in the Bill. I can only conclude, therefore, that he has not read the Bill, because he would have seen that we are doubling the employment allowance to £10,500, with the result that the very smallest businesses will not pay any national insurance contributions at all when they are employing up to four people earning the national living wage.
More widely, the shadow Minister and many of his Opposition colleagues refuse to take any responsibility whatever for the state of the public finances or the public services after 14 years of the Conservative party being in control. They also resisted the opportunity to acknowledge that the approach we are taking in government to compensate the public sector for changes in employer national insurance contributions is the same one that the previous Government took with the health and social care levy. That came up time and again, and even when the shadow Minister was intervened on, he missed the opportunity to acknowledge that our approach is the same one that he and his colleagues took in government.
The amendments from the other place would require information that has already been provided. Either they do not recognise other policies that the Government have in place, or—most seriously—they would undermine the funding that the Bill will secure. Let me be clear: to support the amendments that create exemptions is also to support higher borrowing, lower spending or other tax rises. I therefore ask the House to support the Government’s position by disagreeing to Lords amendments 1B, 5B, 8B and 21B.
Question put, That this House disagrees with Lords amendment 1B.