(2 weeks, 4 days ago)
Commons ChamberI rather enjoyed that! I hope the hon. Gentleman can take a breather now. May I welcome the new shadow Chancellor of the Duchy of Lancaster to his place? From what he has said today—I should confess that I am not a clinician—I think he may have some amnesia about the performance of his party in government, but maybe the right hon. Member for Tatton (Esther McVey), the former Minister for common sense, can help him find some before he next appears before the House.
May I also welcome the new shadow Chief Secretary to the Treasury, the hon. Member for North Bedfordshire (Richard Fuller), to his place? Madam Deputy Speaker, some Members of this House will know that you, the shadow Chief Secretary and I worked very well together for many years on the Business and Trade Committee. Clearly, some things have changed and some have not. You, Madam Deputy Speaker, are now very much in control in the Chair; I am on the other side of the Table and answering the questions; and the shadow Chief Secretary will still shout at Ministers, irrespective of whether they are Conservative or Labour, for being too socialist.
Every Government come into office seeking to improve the country, but it is now clear that the last Conservative Government did not come into office to improve public services. In a recent report from the Institute for Government, two key conclusions were drawn: first, that most public services are performing substantially worse in 2024 than they were in 2010, and secondly, that public service performance has been damaged by a lack of capital investment.
After 14 years of failure from the Conservative party, this Government will begin the work of implementing a bold programme of public service reform. This Budget starts that work by choosing a different path—by choosing investment over decline. In doing so, we will make sure that every pound is spent well and that reform is baked into our approach to governing, but we have also signed up to the much greater challenge of fundamentally reforming our public services. I see no greater opportunity than modernising the very nature of the state—not to get stuck on the old debate about the size of the state, but to fundamentally rewire and improve the state of the state.
This is a generational Budget. It is a Budget that meets the scale of the challenges we face as a country. To illustrate that more clearly, it is worth the House reflecting on the story so far and on where the country found itself before this new Labour Government came into office. Our national debt was almost the same size as our GDP, our investment share was the lowest of any in the G7 and, perhaps most significantly, our growth lagged behind that of other OECD countries over the course of the last Parliament, resulting in lost opportunities and lost growth totalling £171 billion.
The impact of this is painfully clear in our fiscal picture, because the public finances we were told we had inherited from the last Government have been proven to be a fiscal fiction. Ahead of the election, we all knew that the public finances were bad. That was no secret, but nobody expected to discover the negligent, shameful hidden secret of the £22 billion black hole of in-year spending. That was hidden from this House, from the media, from the Office for Budget Responsibility and from the public—[Interruption.] I encourage Conservative Members to look at the evidence from the OBR to the Treasury Committee today, which makes just this point. These issues were a direct result of 14 years of papering over the cracks in our country’s foundations instead of fixing them.
My right hon. Friend is repeating a statistic that we will all be familiar with—that of the £22 billion black hole—but it is important to make the point that that £22 billion is not the extra money the Conservatives were spending compared with what they were bringing in. The deficit last year was £120 billion. This £22 billion was extra money—worse than the £120 billion deficit we already knew we were inheriting.
My hon. Friend is absolutely right. These were promises made by the last Government that they knew they did not have the money to pay for. This was spending from the general reserve—the money put aside for genuine emergencies each year—that they blew three times over within the first three months of the financial year. Anyone who runs a business, anyone who runs family finances and anyone who is in charge of the country’s finances should know that that is shameful, and the Conservatives should apologise to the country for it. Nowhere is that more true than in our public services, which have suffered as a consequence of the Conservatives’ mismanagement. For example, Lord Darzi’s independent report into the state of our NHS found that the past 14 years had left the NHS in a critical condition.
We very much welcome what the Government are doing in relation to the contaminated blood and Post Office Horizon scandals, but let ask the Minister a very gentle question—a question that needs to be answered—in relation to the WASPI women? When the right hon. Gentleman was in opposition, we all supported the WASPI women, and now he is in government. I understand that the Government are looking at this issue. What will happen to the WASPI women? Can we expect to have that addressed during this term?
As the hon. Gentleman knows, the ombudsman reported to this House before the election, making a number of recommendations, but did not conclude the basis on which a compensation scheme might apply. Further work is therefore required, which the Secretary of State for Work and Pensions is looking at, but I would point him to the fact that this is a Government who honour their promises. If we look at the infected blood scandal or the Post Office Horizon scandal—an issue that I worked on for many years—we were told by the Conservatives that they were doing the right thing by compensating the victims, but they did not put £1 aside to pay for it.
From education to our justice system, we have inherited public services that are on life support, but I do not need to tell working people that. Sadly, they know it all too well, because the last Government lost control of both our public finances and our public services. This Budget and this Government will get both back under control. I will now outline how we should do that, by focusing on one simple word: reform. Reform is urgent, because we cannot simply spend our way to better public services.
This is a Government for working people, and we are determined that they will get the best possible public services for the best possible price, but public service reform is not just about policy or IT systems or procurement, as important as they are; it is about people. It is about the people at the end of each of our decisions: the patient in the hands of the NHS with worry and hope in their heart; the pupil in a school, college or university with aspirations that should be met; and the pensioner who wants to feel safe walking to the shops on their high street. Behind each of those people is a doctor, a nurse, a teacher, a police officer or a civil servant.
These are public servants who have chosen to work in public service to serve the public, as this Government do. They are public servants and people who today feel frustrated by not being able to access public services and not being able to deliver them. These are public services that, when performing well, deliver a well-functioning state and help keep workers educated, well and able to help grow our economy and protect our country. It is for these people that my right hon. Friend the Chancellor confirmed we will deliver a new approach to public services that is responsible, that looks to the future and that balances investment to secure public services for the long term with reforms to drive up the quality of those services today, and with reform as a condition for investment. From the Attlee Government founding the NHS to the Blair Government reforming poorly performing state schools, reform is in Labour’s DNA.
I now turn to some of the points made by right hon. and hon. Members today, and I begin by congratulating my hon. Friends the Members for Broxtowe (Juliet Campbell), for Sunderland Central (Lewis Atkinson) and for Stourbridge (Cat Eccles), and the hon. Member for Yeovil (Adam Dance), on delivering their maiden speeches.
There were many speeches today, so colleagues will have to accept my apologies for not being able to address all 80 contributions individually. However, I join my Labour colleagues in celebrating this Budget, because building an NHS that is fit for the future is one of this Government’s five missions. That is why we have invested over £22 billion, the highest real-terms rate of growth since 2010 outside of the covid response.
I have also heard the voices of hon. Members from Northern Ireland and Scotland, including the hon. Member for Inverness, Skye and West Ross-shire (Mr MacDonald), who encouraged me so dearly to listen to his speech but has not returned to the House for my summing up. Under this Labour Government, the largest real-terms funding increase since devolution began has been delivered for Scotland, Wales and Northern Ireland. This Labour Government are delivering from Westminster for the people of Scotland, Wales and Northern Ireland, and we will work in partnership with the devolved Governments to deliver the change for which people voted, and which we have now given the devolved Governments the money to deliver.
We thank the Minister for that, but will he reassure the Scottish Government right now that their £500 million of national insurance contributions for public sector employees will be given back in full compensation to the Scottish Government, rather than being put into the block grant?
It is the greatest real-terms increase in funding since devolution began. If the devolved Government wish to take responsibility for devolved matters, they should do so. If they do not wish to do so, Labour will happily take over at the next election to deliver better services for the people of Scotland.
Many Members have asked me to comment on the new hospitals programme. As the Secretary of State for Health and Social Care has confirmed, this Government are committed to delivering a realistic and deliverable plan, and we will deliver the outcomes of the review to the House in due course.
Many Members have also asked me about the difficult decision to increase employer national insurance contributions, in the context of Labour honouring its promise to working people not to increase employee national insurance contributions or income tax in their payslips. It is right that the Government are not legislating to exempt non-public sector organisations from these changes but, as the Secretary of State said, we pay for these services and it will be reflected in their settlements. To answer the shadow Chancellor of the Duchy of Lancaster, whether now or in the spring at the conclusion of the spending review, those departmental settlements will be published in the normal way.
Does the Minister not think that it is important that hon. Members see those figures, to see how much the services I mentioned will be taxed, before they vote on this Budget? Would that not be transparent?
The hon. Gentleman perhaps forgets that the vote is tomorrow. No doubt he will come to the House to vote to support the allocation of £22 billion of extra funding so that the national health service can cover the cost of the doctors and nurses who, under his Administration, were striking on the picket line while Ministers refused to talk to them. Under this Government, they are back on the wards and in the theatres delivering for the people of this country.
The Government recognise the need to reform the social care system, and we thank those who work in the system for the work they do to help those in need. That is why we agreed a £600 million funding increase for 2025-26, and we will return to this issue in the second phase of the spending review.
I politely say to Members that I understand the temptation to ask for more spending, as I often did in opposition, but Ministers have to explain how they will pay for it. If Opposition Members want more spending or, indeed, fewer tax rises, they will have the opportunity tomorrow to set out to the House what they would do differently. Would they increase income tax and national insurance on workers once again? Would they increase VAT on people who go to the shops? Would they increase corporation tax for businesses, which we have pledged not to do? Would they reject the investment in schools, hospitals, the police service and the future of our country? Given their behaviour under the last Administration, do they wish just to borrow money every single month to pay the bills, month after month, increasing the national debt and increasing the cost of the national debt, but not investing in the fabric of this country, as this Government will do?
May I take the Minister back to the question of social care? I understand what he is saying and that proposals will be brought forward, but there are two things: immediately, there is a crisis in local government about simply paying for existing social care, and, for families all over the country, there is a crisis about how they will support people who are in care at the present time. Is there an aspiration to bring forward a much more comprehensive model that will provide hope for people who are often going deeply into debt, selling property and all kinds of things, just to support a loved one who is in desperate need of profound social care?
I thank the right hon. Member for his question. This Government have aspirations to improve the social care system, and we will set out further detail on those plans in due course.
Lastly, although not related directly to the NHS or public services, I welcome the supportive comments from Members across the House about the mineworkers’ pension scheme and the Post Office Horizon compensation scheme. As you know, Madam Deputy Speaker, I worked on those issues for many years when in opposition. We failed to persuade the former Government to do the right thing, but the great thing about being in government is that we can just say it is so, and it has been so. That is the difference that a Labour Government can make.
The Labour party has a proud heritage of delivering public services to meet the needs of the nation: the national health service, social security, comprehensive schools, the Open University, academy schools. This new Labour Government will seize the generational need to reimagine public services once again. We have an ageing society, fewer working people paying tax, increasing demand, failing standards and increasing costs. After 14 years of a Conservative Government, that is the legacy they have left this country. We will not walk by on the other side and ignore those challenges. We will set out how we will reform our public services, building on this Budget of investment, choosing it over decline, focusing on outcomes, prevention, devolution and innovation in order to modernise our public services.
As I have set out today, the big opportunity—the opportunity to build the new foundations of the new public sector—is technology. The productivity of our public service is held back by IT systems often dating back to the 1950s and the 1970s: fax machines in the NHS, an inability to share information between public services, tens of thousands of public servants doing their best to administer casework using paper. That situation has not been affected in any positive way over the past 14 years.
This is not about machine-learning algorithms, but about old computers in cupboards with information that is in desperate need of being transferred to the cloud. It is about the un-newsworthy but vital work of integrated software across Departments, an area of spending I protected and encouraged in phase 1 of the spending review. It is about what might seem obvious to people at home who are now used to doing their banking on an app or their shopping online, who cannot get through to a GP surgery, a decision on their universal credit or an answer to their tax question without a lengthy and often unsuccessful attempt to speak to someone on the telephone.
Our new digital centre of Government will drive digital transformation across Government, because modernising public services is not just a great opportunity; it is a non-negotiable requirement for any modern party in a modern Government today. If we had followed the Conservatives’ path of further decline, we would have broken public services that cost more, while failing the public who rely on them and the public servants who work in them. By choosing to invest, this party—this Government—will deliver a modern state that meets the needs of the nation and delivers a bright future for us all. Reform and growth, investment over decline—those are the choices reflected in this Budget and that is the change this Labour Government will deliver.
Ordered, That the debate be now adjourned.—(Gerald Jones.)
Debate to be resumed tomorrow.