Health and Social Care Levy

Catherine West Excerpts

1st reading
Wednesday 8th September 2021 Commons Chamber

[Rachel Reeves]

My hon. Friend is exactly right. The Conservatives walked out of cross-party talks in 2010, and despite offers from my hon. Friend the Member for Leicester West (Liz Kendall), they have never resumed.

So much for the plan; what does this mean for ordinary people funding it? The Chancellor’s tax on jobs does not just let down those needing care or working in the care sector; it is a tax on all those in work. As daily covid cases continue to climb, the only shielding that the Government are interested in is protecting the wealthiest few from paying more tax. As I said, a private landlord owning and renting out multiple properties will not pay a penny more, yet their hard-working tenants who work for a living will be hit hard. It is deeply unfair.

[Catherine West (Hornsey and Wood Green) (Lab)]

Does my hon. Friend agree that the question on everyone’s mind is, “When is my operation going to happen?” The Health Secretary does not seem to be able to answer that basic question. When will the waiting list be over? When will we stop having to wait for crucial operations?

[Rachel Reeves]

That is exactly the question that all our constituents ask, but as the Minister has failed to say today when the backlog will be cleared, we have to wonder whether this plan adds up, and when any money at all will be available for social care.

The incomes of working people just are not of interest to this Government. I asked the excellent staff of the Library to examine the impact on a typical worker in constituencies such as mine in Leeds West, the Minister’s in Hereford, and the Chancellor’s. Let us imagine that our worker is a new police constable—a single mum with two children, earning £26,000 a year. She rents her home in the private sector. She is eligible for universal credit. What have this Government done for her? [Interruption.] Hon. Members laugh, but they will not be laughing when constituents come to their surgeries and ask why this Government are taking money away from them.

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[Paul Bristow (Peterborough) (Con)]

I rise as a member of the Health and Social Care Committee to support this measure today, and as I do so I would like to direct Members’ attention to my entry in the Register of Members’ Financial Interests. I sit on the Health and Social Care Committee, and only yesterday morning in the Committee we heard from two patients who talked clearly about the delays that they faced in accessing care in the NHS. The first was a lady called Shirley Cochrane, who sadly had an aggressive form of breast cancer. During her time on an NHS waiting list, waiting for treatment, she felt alone and said that she was not listened to and did not get the attention she needed. The second was a gentleman called James Wilkinson. He had myocarditis, a condition that I know a little bit about myself, having had that condition in the past. While waiting for aortic valve replacement surgery, he had the surgery cancelled three times.

We face an enormous challenge. In that same Committee, we heard from the Health Foundation, which talked about the enormous sums that would be needed to solve this backlog. It also talked about the number of consultants, NHS staff and nurses that would be needed to increase capacity in our NHS. Opposition Members need to understand that, if we are going to face up to the enormous challenge that our NHS and social care system is facing, it has to be paid for. It cannot just be borrowed. If they have a better way of paying for this, they need to outline it now.

When the lady from the Health Foundation was giving evidence to our Committee yesterday, she said that three things were needed to resolve the backlog. Those three things were more money, more capacity and a plan. I have been involved in health politics for 15 to 20 years, and every single review that I have seen the NHS conduct has said that it needs more money, more staff and a plan. That has happened under Labour Governments and under Conservative Governments. So if we are going to go ahead with this plan, which I support, we need to ensure that it goes with reform and innovation too.

[Catherine West]

With his wealth of experience in health politics, does the hon. Gentleman accept that we do not know, because the Secretary of State for Health and Social Care has not outlined it, how many of the people on waiting lists will actually be seen and dealt with, and that this is a bit of blank cheque?

[Paul Bristow]

We will not approach the backlog unless we have the money and capacity to fund it, and that needs to go hand in hand with what I said about innovation, new pathways and new ways of working. I remember talking to someone who told me that we had three years’ worth of innovation in the NHS in just three months because of the pandemic. New ways of working and new pathways were adopted.

Every time we talk about innovation in our NHS and new pathways—the accelerated access review, the “Innovation Health and Wealth” report and a new life sciences strategy all talk about innovation and new ways of doing things in our NHS. But those new ways of doing things need to be spread at pace and at scale. There is no excuse not to do it now. If it works in one part of the NHS, it will work in another. Culturally, the NHS needs to grasp the nettle and spread that innovation and new ways of doing things so that we can get productivity and outcomes for patients. Now is the time to do it.

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[Catherine West (Hornsey and Wood Green) (Lab)]

There were many elements of the speech by the hon. Member for Newton Abbot (Anne Marie Morris) that I wholeheartedly agreed with, on the definition of good social care and in particular the reporting mechanism for the money that is raised as a result of our decision tonight. She made some very important points.

I want briefly to say what an unusual first week back it has been. Yesterday, we debated the Elections Bill and basically voted on compulsory ID cards. I feel that is very much against the grain of who we are. It has always been nice to know that we can pop out to the shops or down to the polling station without photo ID, and I think that some of the things we debated yesterday about photo ID go against that very liberal notion of who we are.

Likewise, we had the debate about compulsory vaccinations. Again, I feel that there is something very illiberal in that, particularly in forcing certain people, in certain workplace conditions, to do it. I feel that that is another essential debate about who we are. I am the daughter of complete Anglophiles; I grew up with “This is England” on the coffee table at home. Sometimes I feel that we have forgotten who we are.

In 2009, the satisfaction rate for the NHS was 80%, the overall best figure ever since the measure was introduced in 1983. When this Government came in in 2010, that started to drop, and it has now dropped by more than 16%. We know that the waiting list is up to 13 million, but as the hon. Member for Newton Abbot said, we have no recording mechanism and no mechanism for knowing exactly what the money will go on. That point was very well made.

We also know that the Federation of Small Businesses has real concerns that the measure might stifle recruitment right now. The TUC is very worried about young people and their employment prospects, questioning whether this is the right moment, when we do not know whether the recovery is sustainable. I am bitterly disappointed as a vice-chair of the Local Government Association and a former council leader—I know there is one on the Government Benches—that nothing has been spelled out on how we are going to help struggling councils. All of this could very well go straight into a waiting list. There are no targets and there is no promise, so I worry that local government will be ripped off and that the £3.9 billion gap will never be filled.

The measure is coming forward at a time when we know the people who will feel its impact the most, as the right hon. Member for Rossendale and Darwen (Jake Berry) said, happen to be in that care system. The irony is that they will have to pay even more to work in a failing system, where many are not paid the living wage. Many councils cannot afford to pay the extra living wage, which makes such a huge difference to that workforce. I am sure those on the Treasury Front Bench will make those deliberations when they have a chance. I am sure they have been working on this all summer, but it does feel a bit rushed—

[Carla Lockhart (Upper Bann) (DUP)]

I thank my hon. Friend for giving way and I agree with much of what she has said to date. She may or may not know that in Northern Ireland today a leading gas supplier announced a 35% price increase. That will put significant financial pressure, particularly on the—

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[Madam Deputy Speaker]

Order. I have to stop the hon. Lady.

[Catherine West]

Thank you, Madam Deputy Speaker. The hon. Member for Upper Bann (Carla Lockhart) is making a really important point about the unknowables. We do not know by how much our gas and electricity bills will go up in the next year. We do not know whether firms will take fright and stop hiring people. One thing we do know is that council tax will go up, because there was nothing in the announcement for councils. We know a few things are not going to get better. We know a few things could get better and might not get better. It does seem to be a bit of a risky move.

In conclusion, we have had a very strange return to Parliament. Sometimes I get very surprised by the Government. I think sometimes Ministers do, too. I hope there is urgent work between the Ministry of Housing, Communities and Local Government, the Department of Health and Social Care, and the Treasury to really make this work. It is likely to go through. I do not think there are quite enough rebels like the right hon. Member for Rossendale and Darwen—he is shaking his head. Please try to make it work. In taking such a risky decision right now, we can at least get the dividend of people being better cared for, getting through the backlog and helping our constituents to be able to see GPs when they wish to.