National Insurance Contributions (Secondary Class 1 Contributions) Bill

Jim Shannon Excerpts

Consideration of Lords amendments
Wednesday 19th March 2025 Commons Chamber

[James Murray]

I will not, as I have already given way several times and must make progress.

We had to take those decisions to put the fiscal responsibility back at the heart of government, to return economic stability to the public finances, and to have the basis for the investment on which we can grow the economy and put more money in people’s pockets.

Lords amendments 1, 4, 5, 9 and 13 relate to the NHS and social care providers. The amendments seek to maintain the employer national insurance contribution rates and thresholds at their current level for NHS-commissioned services, including GPs, dentists, social care providers and pharmacists, as well as those providing hospice care. As Members of both Houses will know, as a result of the measures in this Bill and wider Budget measures, the NHS will receive an extra £22.6 billion over two years, helping to deliver an additional 40,000 elective appointments every week.

Primary care providers—general practice, dentistry, pharmacy and eye care—are important independent contractors that provide nearly £20 billion-worth of NHS services. Every year, the Government consult the general practice and pharmacy sectors.

[Jim Shannon (Strangford) (DUP)]

One question raised regularly in my constituency relates to GP surgeries. The national insurance contributions will hit them immensely hard. GPs tell me that their only choice is to reduce staff and cut back appointments. The Minister mentions £22 billion extra for the NHS, but if GP surgeries and health clinics are reducing staff and reducing their capacity to deliver services, is that not a step down in what is delivered in my constituency and beyond? Will he reconsider the measures given the impact on GP surgeries?

[James Murray]

I thank the hon. Gentleman for raising the question of GPs and the funding and support that the Government are providing them. We are investing an additional £889 million in general practice, which brings the total spend on the GP contract to £13.2 billion in 2025-26. That is the biggest increase in over a decade. The changes to the contract will improve services for patients and help to make progress towards the Government’s health mission—shifting from analogue to digital, from sickness to prevention, and from hospital to community care—as set out in the Prime Minister’s plan for change. That support for GPs is an essential part of what the Budget, including the national insurance measures we are debating, delivers.