National Insurance Contributions (Secondary Class 1 Contributions) Bill

Gregory Stafford Excerpts

Consideration of Lords message
Tuesday 25th March 2025 Commons Chamber

[James Murray]

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.

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

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.

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[Jerome Mayhew (Broadland and Fakenham) (Con)]

I am just flummoxed by the Government’s approach to the Bill. Clause 1 raises employer national insurance from 13.8% to 15%. Almost more damagingly, clause 2 reduces the threshold at which they start paying it from £9,100 to just £5,000. The Government know how damaging this measure is for healthcare. We can see that because they have taken action to exempt the NHS from it. That will cost billions of pounds, because healthcare providers cannot just diversify as other sections of the economy might be able to. They cannot raise prices. A general practitioner’s customer is the state, and prices are fixed by the Treasury. As a result, the Government know exactly what the impact of this proposal will be on hospices. We have already heard that without an exemption, they will face an additional £30 million of costs every year as a result of these changes.

When the Bill was first announced, I assumed that there had been an oversight by the Treasury and that it would be addressed as the Bill progressed. But both last week and this week, the Lords have moved to fix what was originally considered to be perhaps an oversight. Today’s decision to seek to reverse Lords amendments 1B and 5B in particular demonstrates beyond doubt that it is not an oversight but a deliberate decision taken by Labour to penalise hospices for the care of the dying, and to do what with that money? We may be in the obscene position in a few weeks’ time of funding for state-assisted dying being raised by taxing palliative care. This is absolute madness. If Members wanted any other reason why they should not support the Government, that is an overwhelming one.

I make one last reference to the emptiness of the Government Benches. There are now two Labour Members sitting there who are not required to be—[Interruption.] I take it back, there is only one. That indicates to me that Labour Members do not want to be associated with the Bill. They will scurry through the Lobby later, but they are not brave enough to stand up and defend the decision of their Government.

[Gregory Stafford]

You do not need any convincing of this, Madam Deputy Speaker, but were you to, the Lords amendments demonstrate why we need a House of Lords. They are the ones standing up and delivering the amendments that this Government are trying to wriggle out of this afternoon. Amendments 1B and 5B, which the Government are trying to derogate from, are essential for our care services. The financial strain that the Government’s national insurance contributions will put on the care sector is astronomical—some predictions are of around £2.4 billion on social care alone. Ultimately, that will lead to reductions in services and, unfortunately, closures, especially in the hospice sector.

The Minister has repeated what he and other Ministers have said on many occasions: they are giving a certain amount of money to the hospice sector, but as Opposition colleagues have stated, that is capital spending. What they desperately need is revenue spending to cover the cost of the rise in national insurance contributions.

[Dave Doogan]

Is the hon. Gentleman concerned that the Government patently do not understand whole-system cost, which is a key element of fiscal policy? When care providers—whether hospices, in-home care providers or social providers—fall over as a result of these measures, as they will, those costs will get picked up by the rest of the system, and that will have a net cost to the Treasury.

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[Gregory Stafford]

The hon. Gentleman makes an excellent point, which has been made by Opposition Members on numerous occasions. It does not surprise me that Labour Members do not understand the economy. I did hope that they would understand the care sector, which has been telling them time and again that this national insurance increase will hit it disproportionately and cause it to reduce and, indeed, close services.

I think of Phyllis Tuckwell hospice in the centre of Farnham in my constituency, which is fortunately going through a multimillion pound rebuild as we speak, but when it reopens, it will be hit by these national insurance contributions and will have to make decisions about what services it can provide to my constituency and the surrounding areas of Surrey and northern Hampshire. Likewise, on Friday I will see Shooting Star children’s hospice, which is a fabulous children’s hospice that I have visited on a number of occasions. What is galling to me is that I see photographs of Labour Members turning up to Shooting Star and similar hospices, putting their arms around people and saying what a wonderful job they are doing, but later today they will walk through the Division Lobby to take money away from them. What hypocrisy.

We already know that there are workforce challenges in the care sector, and especially in the hospice sector, so why on earth are the Government targeting those sectors for raising national insurance contributions? As Opposition Members have mentioned, this is not an abstract cost that will hit some sort of nebulous business; this is a cost that will hit patients and, in the hospice sector, those who are dying, because care will be taken from them. It is a tax on community care. It is a tax on dying. The Labour Government should be ashamed that they are bringing this in.

[Sir Roger Gale]

We have rightly concentrated a great deal on children’s hospices, and I still hope that at the 11th hour the Government, as a socialist Government, may have some compassion and give some ground. But the other area, which we have not touched on enough, is the independent care providers who are providing services in people’s homes. They will not be able to employ the people that they need—they cannot do so now—even if they can get them. That inevitably means that those cared for will end up in hospital, at still greater cost to the health service.

[Gregory Stafford]

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.

[James Murray]

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.