Income Tax (Charge)
Iqbal Mohamed Excerpts(1 month, 1 week ago)
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Iqbal Mohamed (Dewsbury and Batley) (Ind)
I congratulate hon. Members who have made their maiden speeches in the House today. The first Budget of a Labour Government in nearly 15 years is definitely an improvement on the 14 years of Tory austerity and waste, but it is a missed opportunity to bring about the transformative change that the country needs. I welcome the increases in the national minimum wage and carer’s allowance, but it is disappointing that those changes have been accompanied by cuts to social security and disability benefits.
I am grateful for the long-overdue investment in hospitals and the NHS. However, the Government must guarantee that those resources will go into our NHS and not into the pockets of private shareholders.
Some 4.2 million children are growing up in poverty and a quarter of a million people are homeless; meanwhile, we are on the brink of an irreversible climate disaster. Those crises demand bold solutions. The Government could have implemented wealth taxes and closed corporate tax avoidance loopholes to bring about a more equal and sustainable society. Instead, they have chosen to bake in decades of inequality by feigning regret over tough choices they do not have to make. Those include keeping the two-child benefit cap, cutting the winter fuel allowance and increasing the bus fare cap by 50%. At the same time, the Government have committed to an additional £3 billion of military spending.
I echo the comments of my right hon. Friend the Member for Islington North (Jeremy Corbyn) on the link between housing and health. While I welcome the measures in the Budget to increase funding for housing, I am concerned that they do not go nearly far enough. Real security is when everybody has a decent home, and we will solve the housing crisis only with rent controls and a huge council house building programme.
The Government will be aware that plans to freeze the local housing allowance will have a detrimental impact on hundreds of thousands of families struggling in temporary housing or facing eviction. According to the Joseph Rowntree Foundation, if the LHA remains frozen over this Parliament, private renters on housing benefit will on average be about £700 worse off.
If the Government are serious about tackling child poverty and homelessness, they need to start by ending the LHA freeze and linking housing costs to housing support. While I welcome the commitment from the Deputy Prime Minister to deliver 5,000 new social and affordable homes, that is only scratching the surface.
Mr Adnan Hussain
On the winter fuel allowance, does the hon. Member agree that freezing pensioners will only increase the need for NHS resources when hospitals are already struggling?
Iqbal Mohamed
I thank my hon. Friend for his intervention. I completely agree that there is a direct link between pensioner poverty and demands on the NHS.
The Government’s proposals in the Budget do not go nearly far enough. The situation is simply not sustainable. The ability to provide the bulk of its citizens with a roof over their head is a litmus test for the success of any state. Unfortunately, that test has been failed by successive Governments. Without more radical measures to increase the stock of affordable housing, I fear it is a test that this Government will also fail.
Children’s Hospices: Funding
Iqbal Mohamed Excerpts(1 month, 2 weeks ago)
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Iqbal Mohamed (Dewsbury and Batley) (Ind)
It is a pleasure to serve under your chairmanship, Mr Twigg. I thank the hon. Member for Liverpool West Derby (Ian Byrne) for securing this important debate. In preparing for it, I learned that more than half of children’s hospices around the UK reported a deficit in 2023-24. As a result of a lack of long-term and sustainable statutory funding, coupled with the increasing costs incurred when providing lifeline care to seriously ill children and their families, more than half of children’s hospices in England ended the year in deficit. Looking ahead to 2024 and ’25, the picture gets even worse, with nearly three quarters of children’s hospices forecasting a net deficit and with the total shortfall across 35 organisations estimated to reach £25 million.
In Kirklees, where my constituency sits, Forget Me Not Children’s Hospice is an essential part of our local health and care system. It offers vital palliative care and support to seriously ill children and their families. Despite that, however, the hospice is facing a turning point: crucial services, including respite and end of life care, will be cut if the Government fail to maintain the existing £25 million NHS grant funding for children hospices. For Forget Me Not, the impact of losing that grant would be catastrophic and result in a significant reduction in services in our area. That comes on top of already fragile sustainability as a result of historic underfunding, making it one of the least funded hospices in the UK.
Amid a year of high inflation and the growing costs of recruiting and retaining skilled and experienced staff, children’s hospices’ costs are rising. UK Government Ministers must act urgently to ensure that seriously ill children and their families can access the crucial hospice and palliative care services they need. I stand here and join other hon. Members in asking the Minister to maintain the £25 million as ringfenced, centrally distributed NHS funding for children’ hospices beyond 2025, and to ensure that that funding increases by at least the rate of inflation. I also ask the Minister to use the new 10-year plan for England to review the way in which children’s palliative care is planned and funded, and to ensure that those vital and critical services are funded in full and not left to rely on community fundraising.
Access to Primary Healthcare
Iqbal Mohamed Excerpts(2 months ago)
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Helen Morgan
Flexibility of contracting is critical, and learning from best practice elsewhere in the country will help to address the problem.
I want to highlight how silly it is that people cannot find an NHS dentist when they need one, because NHS dental funding is actually going unspent. In Shropshire, Telford and Wrekin, the area I know about, £1 million was clawed back in 2022-23 because dentists were unable to spend the money allocated to them; they do not have enough staff to work the contracts with them. I met someone last year who had not had a day off work—we were in October by that point—and he had to hand back his contract. The Government have proposed golden handshakes, but I have heard on the ground that they do not work, certainly in Shropshire. We need a reformed contract, flexible commissioning, a proper statutory requirement for workforce planning, and the ability for dentists to use their funding to manage their own practices in a way that allows them to make a bit of money out of treating patients on the NHS.
I also want to highlight the public health grant cuts by the Conservatives and how important it is to reverse them is. It is a complete false economy to cut programmes that help with oral health and prevent poor teeth and future dental problems, when we could spend the money up front so that it would cost far less in the future.
Helen Morgan
I will make some progress now, if that is okay, because I am conscious that lots of people want to get in and make full speeches.
We have called for a guarantee for urgent and emergency dental care. Check-ups for those people who are already eligible and those needing check-ups before things such as chemotherapy and surgery were also in our manifesto. It is only going to be possible to offer those guarantees if we deal with the issues in the dental contract and the flexibility of commissioning.
Primary care is the front door to the NHS, as I mentioned at the beginning, and Lord Darzi pointed out in his report that that is where we should be investing. At the moment, money is flowing to secondary care—to hospitals—yet most people’s experience of the NHS is with their doctor or dentist. We must ensure that that first point of call is a good point of call, and reduce the numbers of people going to A&E. That is so much more cost-effective, but it is also so much better for those people who could manage their health condition without a crisis and without ever having to go near a hospital.
We should also think of the knock-on impacts on those hospitals. We all have horror stories of ambulances queued up outside hospitals because so many people are in A&E and so few people can flow through the hospital. The issues around that are complex, and they link in to social care as well, but the reality is that if we can treat people in the community, we will save the lives of people who need emergency care. This is absolutely fundamental: we need investment in our GPs and in dental and pharmacy contracts because we cannot afford not to do it.