National Insurance Contributions: Healthcare

Debate between Alistair Carmichael and Karin Smyth

Thursday 14th November 2024 Commons Chamber

[Karin Smyth]

My hon. Friend has led fantastic work in previous Parliaments on the health and social care system, which he understands very well. He makes an excellent point about ensuring that additional funding goes where we want it to, which is towards supporting our constituents, particularly with social care. We have all seen the situation over the last decade over so. Improving that is critical to the urgent and emergency care system, and to the dignity of those people who need the service. We will continue to talk to them, and to local systems, about the impact of any changes.

[Mr Alistair Carmichael (Orkney and Shetland) (LD)]

I hear what the Minister says about the Government wanting to stop the NHS going into reverse, but that is exactly what risks happening to GP practices in my constituency. I met with one on Friday that told me that, as a consequence of having to find extra funds for national insurance contributions, it will no longer be able to make permanent a temporary support post, or proceed with the recruitment of the extra GP that it wanted to take on. There is a contradiction at the heart of the rules: GPs are treated as private contractors, but if they were private contractors, they would be eligible for employment allowance. Because their work is entirely in the public sector, they cannot get it. Surely something has to give.

[Karin Smyth]

The right hon. Gentleman tempts me to go into my previous career working with GPs and their employment and contractual status, but I will not do that now, Mr Speaker, as you would rightly curtail me. GPs have a complicated contractual status that has been long in the process. We understand the precariousness of primary care. GPs are crucial to our plans for developing the health service, and we will discuss with them, in the normal process, the allocations for the following year.