National Insurance Contributions (Secondary Class 1 Contributions) Bill Debate
Full Debate: Read Full DebateJames MacCleary
Main Page: James MacCleary (Liberal Democrat - Lewes)Department Debates - View all James MacCleary's debates with the HM Treasury
(4 months, 1 week ago)
Commons ChamberI thank the hon. Member kindly for his intervention. I am not sure whether all Members know this, but the Labour party chair has appointed me as the growth mission champion, so I am very much in favour of economic growth. We can see the impact of the changes in the round at the Budget, leading to higher growth in the short term and further growth in the long run, which is very important.
Without the changes in this Bill and in the Budget as a whole, we will not be able to turn the page on the low growth we have experienced as a country over the last 14 years. Productivity growth since the financial crisis has been at just 0.2%, which is why we had the longest squeeze on wages since Napoleon was making his way around Europe on the Conservative party’s watch. We need to turn that around and make sure that we provide the foundation of stability, fund our public services and, yes, support some of the very smallest businesses with these changes, so that we can get the economic growth that Members on all sides, including growth champions, would very much like to see in the years ahead.
I have to start by disappointing the hon. Member for Chipping Barnet (Dan Tomlinson), in that I rise to support the amendments tabled by my hon. Friend the Member for St Albans (Daisy Cooper). I will speak about my deep concerns about the proposed national insurance changes because of the real-world impact they will have businesses, GP surgeries, community organisations and vital care services in my constituency of Lewes. While I recognise the fiscal pressures, which have been mentioned by a lot of Members, I ask that we fully consider how these changes will affect those working tirelessly to keep our communities vibrant, secure and healthy.
GP surgeries are the frontline of the NHS. A local GP practice in my constituency has been in touch with me just today to describe its shock at discovering that it will be paying at least £60,000 more a year under these changes. GP practices provide vital healthcare services to our local population and in doing so are under ever-increasing pressures. Yet under the new proposals, GP practices are treated as if they are private businesses capable of absorbing significant cost increases. The reality is, of course, quite different. Every additional £1 spent on national insurance is £1 that is not spent on patient care, staffing or critical medical equipment. For practices already operating under immense strain, this extra burden could be the tipping point that pushes them towards unsustainable financial territory. When cutbacks occur, it is our communities that will lose vital healthcare access, and the NHS, which is already stretched, will be left struggling even more.
We must also acknowledge that our social care providers, including hospices such as St Peter and St James hospice, which looks after my constituents so well—I visited it recently—are caught between rising wages, fixed local authority fees and higher national insurance. They cannot pass on these costs without threatening their very viability. If care providers close or scale back, the most vulnerable in our community will suffer, and so will our healthcare system as hospital stays lengthen and A&E attendances rise. In other words, it will drive up costs for the NHS, making the system less efficient and less humane. It is particularly galling that NHS employers are set to be compensated for the changes while there is no equivalent commitment for the social care sector. Separating social care reform from NHS support will not only hurt vulnerable people today, but make it impossible to achieve strategic priorities for the health service tomorrow.
We must also consider community organisations. Take the Sussex Community Development Association in my constituency. It is a local organisation that reinvests every penny of surplus into essential services such as youth work, emergency food provision and childcare for deprived communities in my constituency. It is already contending with increased wage costs, and it now faces an estimated additional £70,000 per year due to the national insurance rise. Because of its size, it does not qualify for allowances that might soften the blow. This facility was invested in to deliver Sure Start services under a previous Labour Government, and it is now considering cuts to essential services thanks to this one. It now faces a desperate scramble for funding at a time when its services have never been more crucial.
The rise, coupled with the increases to the national living wage and the minimum wage, will hit the early education and childcare sector particularly hard. As chair of the all-party parliamentary group for childcare and early education, I must make the Committee aware of how dire the situation is. An average nursery will face additional staffing costs of nearly £40,000 a year due to the increases. That is because staffing costs account for 75% of nurseries’ running costs, compared with just 30% for the average restaurant. If Government funding rates do not cover the gap, parents will face higher fees, potentially leaving them to reduce their working hours or to leave the workforce altogether.
The situation is exacerbated by the fact that private nurseries delivering Government-funded hours may not be eligible for employment allowance. That means that they may not receive the intended financial support from the Government. The sector is already facing recruitment challenges, with 29,000 new staff needed by September 2025 to deliver the promised 30 hours of funded childcare. The national insurance changes could lead to recruitment freezes, reduced staff training and even nursery closures. That is the precise opposite of what this Government claim they want to see for working parents and carers. That would have a detrimental effect on families and the economy, hindering economic growth, and it could seriously impact the Government’s commendable aim of having half a million more children hitting early learning goals by 2030.
Finally, let us not forget that even successful local businesses are feeling the strain. Rathfinny, a renowned Sussex wine producer in my constituency that has invested in our local economy and environment, faces a significantly higher national insurance bill. It may be forced to slow its growth, reduce investment or even curb local employment opportunities, undermining the prosperity that benefits us all. This Government talk about economic growth, as Government Members have done today, but this tax increase will inhibit the ability of many British businesses to expand and flourish.
If introduced without nuance, these national insurance changes risk delivering a series of damaging shocks to my community and places across the country. I urge the Government and the Minister to reconsider, to review the thresholds, to consider exemptions for sectors that cannot pass on costs and to ensure that our GP practices, childcare providers, community organisations and valued local employers are not left shouldering burdens they cannot bear. I implore the Government to recognise the unintended consequences and to commit to measures that will preserve local jobs, sustain our community services and uphold the quality of care we offer our vulnerable citizens. I hope that the Government will do more to ensure that this tax increase does not harm the very communities and services we have pledged to serve and protect.
The Liberal Democrats agree that the country’s finances are in a mess thanks to the previous Conservative Government. However, we do not agree that increasing national insurance is the way to address the problem, as doing so will undermine efforts to improve public services across the United Kingdom. For example, last month Care Forum Wales issued a stark warning that the rise in national insurance could cause a collapse in the social care system in Wales, creating a £150 million funding gap. Social care in Wales is already on its knees. Over the past four years, 40 Welsh care homes have closed. If yet more are forced out of business due to increased costs, we will have even fewer social care spaces available. We know that the scenes of ambulances left queueing for hours outside our hospitals are the result of them being unable to discharge patients due to shortcomings in social care.
It is not just care homes that are affected, but primary care too. Our GPs, dentists and pharmacies will suffer from this tax rise. A local GP practice in my constituency told me that it will have to cut one day of practice nurse time and one day of GP time from April 2025. That is a direct result of the projected £30,000 increase in its national insurance bill, alongside an overall lack of funding for GPs. A second surgery is projected to have an increase in its NI bill greater than £100,000 in April 2025. Both are clear that without an exemption for health and social care providers, the NHS in Wales could face collapse. It already has the worst outcomes of any nation across the United Kingdom.
Charities and local authorities will suffer too from this decision. In my constituency, the chief executive officer of Powys Association of Voluntary Organisations has stated that the national insurance increase will
“place considerable financial pressure on voluntary sector organisations, many of whom are crucial partners in delivering essential services.”
That is the reality of the decision taken by the Government to use such a blunt tool to try to fix the nation’s finances. Many of my constituents are asking why Labour has chosen to go after the small businesses, charities, and health and social care providers rather than target the big banks, the oil and gas giants, or the social media giants. I urge the Government to reconsider their decision to raise income in this manner and to make exemptions for the health and social care sectors as well as for charities.
National Insurance Contributions (Secondary Class 1 Contributions) Bill Debate
Full Debate: Read Full DebateJames MacCleary
Main Page: James MacCleary (Liberal Democrat - Lewes)Department Debates - View all James MacCleary's debates with the HM Treasury
(1 month ago)
Commons ChamberThat is exactly the point. What we see instead is Labour Members continuing to blame their economic inheritance. That is simply not correct. The chair of the Office for Budget Responsibility said:
“Nothing in our review was a legitimisation of that £22 billion”.
I wonder what the former Governor of the Bank of England, Mark Carney, makes of all this. In the run-up to the 2024 general election, he endorsed Labour.
What many people now see is a Government who do not really understand the role that so many charities play in supporting the NHS, communities, older people, young people, families, and patients—people who are sick and sometimes terminally ill. For example, why would they protect the public sector and the rest of the NHS from the national insurance tax, but not general practice? Analysis from the Institute of General Practice Management estimates that it will cost each practice an average of £20,000 a year. How many staff hours is that equivalent to? How many hours of a GP’s time or a practice nurse’s time is that?
I have spoken to a number of local charities, and we have heard from others today. Every pound that the Labour Government squeeze out of them through the jobs tax is an extra pound that cannot be spent on frontline services—an extra pound that they have to find just to stand still. I find it so hard to believe that this Labour Government are also taxing those who provide vital hospice care. How can they talk of helping palliative care with one hand, while clobbering hospices and care providers with extra taxes with the other?
I can be cynical at times but I see a complete lack of business expertise, knowledge or experience among those on the Labour Benches. Just visiting businesses is not enough to understand how a business operates. I speak to them in my constituency on a weekly basis. The chair of the CBI has stated that
“business has been milked as the cash cow”.
We simply cannot expect small businesses, or indeed any business, to just be squeezed and squeezed, thinking, “Well, they’ll just increase their costs and pass them on to the end user.” The end user cannot afford them, as we have heard this afternoon. Ultimately, something will have to give: hours, training, development and jobs.
Just yesterday, we were in this Chamber debating the Government’s welfare reform. At the heart of the issue, I really believe people want to get back into work. They need support to do that, but they also need employers and businesses to have vacancies so that they can support them back into work. What I, like others, see in this legislation is the Government taxing businesses out of creating the vital jobs that this country so needs to get the growth that we do not have at the moment.
As I mentioned, attendance on the Government Benches is somewhat threadbare, giving the appearance that the Government do not care. We have heard from Labour Members who do care, just like we on the Opposition Benches care. I draw my remarks to a conclusion by urging Members on the Government Benches and those listening outside to reflect very carefully. We all have the opportunity today to do the right thing—to protect and help charities and hospices and, by virtue of that, to protect and help some of the most vulnerable in our country and society. We have the opportunity to protect jobs and help businesses to create opportunities and, by virtue of that, to help working people who aspire to a better life. I end quite simply by urging those on the Government Benches to think again and to do the right thing.
I wish to express my deep concerns about the Government’s national insurance changes and the devastating impact they are having on essential services in my constituency. The amendments put forward by the Liberal Democrats in the Lords are crucial to preventing this policy from inflicting serious harm on GP practices, care providers and the wider health system.
Take our GP surgeries, which are vital to healthcare in Lewes and beyond. I have been speaking to local healthcare providers in my community over the past week. Unlike private businesses, GP surgeries cannot pass their costs on to their patients. Every extra pound spent on national insurance is a pound less spent on patient care, staffing and appointments. The Government’s failure to exempt them will mean fewer face-to-face consultations and longer waiting times, contrary to the Government’s claimed objectives. The Liberal Democrats’ Lords amendments 1, 4, 5, 9 and 13 would protect GP surgeries, NHS-commissioned dentists and pharmacists by keeping their national insurance costs at a sustainable level.
Social care providers are facing the same predicament. A domiciliary care provider in my constituency is already struggling to recruit and retain staff due to rising costs.
I have a similar situation in my constituency with Strada Care, which is under immense strain, having already closed four care homes over the past seven years due to chronic underfunding. Thousands of care providers are on the brink of collapse, and many more may follow if these Lords amendments are disagreed to. With social care services already struggling, more vulnerable individuals will be forced into hospitals and be bed blocking. Does my hon. Friend agree that increasing costs for social care providers will have a devastating knock-on effect for the NHS?
I absolutely agree. The care provider in my constituency faces a 9.4% increase in employer’s costs, which it simply cannot absorb. These are the very people keeping elderly and disabled residents safe in their homes, preventing hospital admissions and easing NHS pressures, yet the Government have chosen to burden them rather than support them. The Lords amendments I mentioned would ensure that care providers can continue to deliver essential services without being driven into financial crisis.
The £615 cost per person reported to me by care providers in my constituency will mean that one constituent, who is paying £1,500 a week for care for her 94-year-old mother, will no longer have the money to pay for the care of her disabled brother as well, after the fees go up as a result of this jobs tax. Does my hon. Friend agree that that is a shockingly unacceptable result of these changes, and that the Lords amendments introduced by the Liberal Democrats should be accepted?
I thank my hon. Friend for providing such a concrete example of the real suffering these changes will cause. This is not an abstract thing; it is about real people’s lives, and there are people who will suffer as a result, as in the example given by my hon. Friend.
I will move on to nurseries and early years providers, an issue very close to my heart. In my constituency, they are facing the same impossible squeeze. The rise in national insurance contributions, combined with the increased statutory wage costs, is pushing many to the very brink. The National Day Nurseries Association has warned that the average nursery will see an additional £47,000 in costs, which the Government’s funding increase does not come even close to covering. If nurseries are forced to close, it will leave working parents, who are already struggling with the cost of living, without the childcare they need. If schools are exempt from this tax hike, as they should be, the nurseries that provide the very foundation of a child’s education should be, too.
What makes this even worse is that the Government are not just undermining essential services, but forcing more people towards them by stripping away other forms of support. At the same time as these tax hikes, Ministers are cutting vital benefits such as personal independence payment, leaving thousands of vulnerable people struggling to afford the basics, meaning that more people will have no choice but to turn to the very care providers and community health services that are now being hit financially by these national insurance changes. The Government cannot claim to support essential services while actively driving them towards collapse. They are giving with one hand, while taking much more with the other.
I find that a gauge of the level of enthusiasm and pride that a Government have in a policy they have put forward is often the number of their representatives who turn up to support it and be associated with it. Notwithstanding the heroic contribution of the hon. Member for Loughborough (Dr Sandher), the emptiness of the Government Benches speaks volumes.
The Liberal Democrat Lords amendments before us today would help to prevent irreparable damage to GP practices, care providers and the wider healthcare system. I urge the Minister to back them, because failing to do so will cost not just money, but lives.
I draw attention to my entry in the Register of Members’ Financial Interests.
The Bill is yet another example of legislation from this Government that breaks their manifesto promises, harms local business, negatively impacts our constituents and limits the prospects of growth in my local economy of Chester South and Eddisbury and, indeed, the country.
Fundamentally, these changes will hit working people the hardest—the very people the Chancellor said would be shielded from the impacts of the Bill will be the most affected. It will mean lower wages, higher unemployment and increased costs for businesses, resulting in higher prices in the shops. Do not just take my word for it: the Office for Budget Responsibility has stated that
“additional payroll costs for employers are passed through into lower wages.”
When I speak with business owners in my constituency, they say they feel like they are swimming against the tide, from the NIC increases to the reduction in business rates relief. The recurring message from every company I speak to is that confidence in the economy is down. I must ask the Minister: how is that conducive to growth?
I will speak to two of the amendments. Exempting hospices from this damaging increase in employer national insurance contributions is the right thing to do. I have had the pleasure of visiting both the hospice of the Good Shepherd in Backford and St Luke’s hospice in Winsford, which provide a vital service to the most vulnerable of my constituents at the most difficult time in their lives. They provide the very best care and support, and I encourage the Minister to visit and see for himself the warm, compassionate and welcoming environment that they offer, which reflects the attitude of the doctors, nurses and, indeed, all the staff who go above and beyond in their work.
The financial implications of an increase in national insurance contributions and the resulting consequences for services and staff will be hugely damaging. Those hospices have shared with me their challenges with recruitment and their deep concern that these tax rises will make paying their staff in line with what their colleagues receive in the NHS even harder than it already is.