Health and Social Care Levy

Jack Brereton Excerpts

1st reading
Wednesday 8th September 2021 Commons Chamber

[Jack Brereton (Stoke-on-Trent South) (Con)]

Increasing taxes is not something I take lightly, and it goes against much of my belief, and of many Conservative Members, in the need for a low-tax, high-wage economy. But the realities we now face of increased pressures on our health and care system mean we cannot stand still; we must invest more in these services. Hundreds in Stoke-on-Trent South have contacted me previously about the need for more investment in social care and the challenges they face in accessing healthcare and medical treatment. I am not willing to go on ignoring these calls. For far too long—decades—social care has been starved of the real investment it needs.

No decision to invest more to the scale required is going to be easy, and money must come from somewhere. What we have arrived at is probably the least-worst option. The approach taken will ensure that this burden is spread as broadly as possible, so that all those with earned income streams must contribute, and protections are in place to protect those on lowest incomes. I also welcome the suggestions in the guidance that health services, local authorities and other public services will be compensated for these additional costs, as I know there was significant concern about the potential implications for these services of those additional costs.

If we are to put this huge investment into improving health and social care, we must also see reforms that are needed to ensure that money goes directly to the frontline of improving services in Stoke-on-Trent. We must see a further integration of services so that patients are truly put first, with all local health and care partners fully committed to delivering the improvements needed, supporting one another to reduce pressures and ensuring that people receive the right healthcare at the right time. We must also see the money spent better, cutting out waste and outdated practices where they exist.

I hope that the Health and Care Bill passes through Parliament as swiftly as possible to bring about vital reforms. Investment must be about the creation of a better funding model for social care that improves quality and reduces the burden on families. I also want Ministers to focus on ensuring that we develop the insurance market to help to protect those whose property values are on the lower end of the scale, such as people in Stoke-on-Trent, because we need to make sure that people in such properties receive the same protection as those in other parts of the country.

We must also address the huge issues we are seeing in access to health treatments and GP services, which have dramatically worsened during the pandemic. It is not good enough that my constituents in Stoke-on-Trent South have to wait inordinately long times for the treatment they need and cannot get GP appointments. We must tackle the backlog at the Royal Stoke and get primary care fully back to pre-pandemic levels. But we need to go further. Social care is a key part of addressing the pressures, but so is primary care, which must be properly invested in. We must see the development of new integrated healthcare hubs in north Staffordshire, including the development of the second phase of the new Longton health centre in my constituency, the first phase of which will open in the next few weeks.

The improvement of both social care and primary care will mean that secondary care is better supported, ending the scenes of services overwhelmed that we see frequently today at our local hospitals. In north Staffordshire, our health services face wider challenges because of the legacies of the burdens caused by Labour’s PFI disaster, and the hospital was not built to the capacity needed. Many such pressures continue, and although much progress has been made, we must continue to see the level of investment that we need in health services in Stoke-on-Trent.