Employer National Insurance Contributions

Gregory Stafford Excerpts

Wednesday 4th December 2024 Commons Chamber

[Lisa Smart]

I thank my hon. Friend for his intervention. Sadly, I have not yet tried the wares of Sheppy’s cider farm, but I would welcome the opportunity to visit, try those wares and support it as we all need to do in the face of these changes, which affect everyone.

The second organisation is one of my GP practices, which emailed me. It operates as a legal partnership, as it has done since the inception of the NHS, but as it is a GP practice it lacks flexibility to absorb the increased costs. It cannot raise prices and it cannot do more than it is already doing and drive up activity levels. As it is designated as a public authority but does not get an employment allowance exemption, it will bear the full cost of the impact. It tells me that the rise in national insurance and the lowering of the thresholds will force it into reductions in clinical staffing, adversely impact patient care and increase waiting times. That is exactly the opposite of what the Government say they want.

[Gregory Stafford (Farnham and Bordon) (Con)]

The hon. Lady made that point powerfully. I have spoken to a GP surgery in my constituency that will have to cut seven members of staff, including a GP, a nurse, a social prescriber, a pharmacist and others providing ancillary services. These changes will affect not just her constituents and my constituents but every single constituency in the country, because every single GP practice will have the same problem.

[Lisa Smart]

I completely agree with the hon. Member’s point. All Members across the House want to see our NHS thrive and to see the healthcare and social care that our constituents deserve. I urge the Government to think again about their plans.

--- Later in debate ---

[Danny Beales]

I thank the right hon. Gentleman for that rather long intervention. I must say that the Conservatives do not understand the economy. If someone cannot get a train to work, they cannot work; if they cannot get a hospital appointment, they cannot work. Time and again, I hear from employers that they want investment, stability, and for their employees to be able to contribute in the workplace. To separate public services and the private sector into two diametrically opposed parts of the economy is what the Conservatives did for 14 years. They cut public services time and again, and we all face longer-term costs because of that fact.

The Labour Government understand that. Sadly, the Conservative party still does not. The choice we are still hearing is for continuing austerity. No one in this country voted for that and no one on the Labour Benches, at least, wants that. We want NHS waiting lists to fall. We want crumbling schools rebuilt, and investment in our vital public services and armed forces.

[Gregory Stafford]

The hon. Gentleman and I are members of the Health Committee, so I ask him this with all seriousness and genuineness. Does he not see the risk of this tax rise for GP surgeries, the hospice sector and the voluntary sector, which supports a lot of what the NHS does?

[Danny Beales]

I thank the hon. Gentleman for that intervention. What we have both heard on the Health Committee is that the NHS has been left on its knees after 14 years. All sectors of the health service are crying out for investment. I hear in my constituency from doctors and nurses who are thankful that, finally, they are being recognised with decent pay. Opposition Members declare them to be trade union barons. No. They are nurses, doctors, teachers and police officers.

As I said, we need to invest. Ministry of Defence homes in my constituency must be invested in. My old primary school, Deanesfield, with its crumbling classrooms needs to be invested in. The Labour party has a plan to make that happen and it is vital that we fund those measures—measures that any responsible Government would take. Therefore, we do have to make difficult but necessary decisions and ask the largest businesses to pay slightly more to help fund those vital public services. I understand the concerns that have been raised, but as the Minister put forward, half of businesses will not pay the extra contributions and some, the smallest, will pay even less.