National Insurance Contributions: Healthcare Debate

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Department: Department of Health and Social Care

National Insurance Contributions: Healthcare

Lindsay Hoyle Excerpts
Thursday 14th November 2024

(2 days, 16 hours ago)

Commons Chamber
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Lindsay Hoyle Portrait Mr Speaker
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I call the Liberal Democrat spokesperson.

Alison Bennett Portrait Alison Bennett (Mid Sussex) (LD)
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The increase in employer national insurance contributions will erode the very investment in the NHS that the Budget sought to prioritise. Katie, a GP from Lindfield in Mid Sussex, wrote to me saying that the NICs increases

“serve to directly undermine access and patient care.”

The Government have promised to recruit more GPs, but hiking national insurance puts that pledge in jeopardy. Surgeries are set to see eye-watering increases in staff costs, equivalent to 26,786 appointments in West Sussex alone. GPs will have no choice but to cut services and staff numbers, and patients will pay the price.

Does the Minister agree that stronger primary care, with faster appointments and fewer people having to go to hospital, is better for both the NHS and patients? If so, will she protect services and press the Chancellor to end this GP penalty?

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Karin Smyth Portrait Karin Smyth
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I respect my hon. Friend’s expertise in this area. She is right, and we understand that the pressures are real, which is why we have committed to supporting the NHS and the social care system with the additional funding that my right hon. Friend the Secretary of State for Health and Social Care secured as part of the Budget settlement.

We are also working closely with the NHS, in a new relationship, to understand its needs. That is a dynamic conversation, because we want to understand what is happening in local systems as we continue to invest in them.

Lindsay Hoyle Portrait Mr Speaker
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I call the Father of the House.

Edward Leigh Portrait Sir Edward Leigh (Gainsborough) (Con)
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We all know that a lot of the debate on assisted dying revolves around the lack of hospice places to help people pass in the best way possible. Similarly, much of the debate on the NHS is about the lack of care home spaces. Leaving aside the cross-party name-calling, may I beg the Minister to consider exempting hospices and care homes from this national insurance increase?

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Luke Evans Portrait Dr Luke Evans
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It was in my opening line—

Lindsay Hoyle Portrait Mr Speaker
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Order! The shadow Minister has been granted an urgent question. He asks the questions; he does not answer them from the Front Bench.

Karl Turner Portrait Karl Turner
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Does the Minister agree that it is also disappointing that the Opposition ignore the fact that they completely disregarded and ignored social care when they were in office?

Lindsay Hoyle Portrait Mr Speaker
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The Government have no responsibility for that.

Karin Smyth Portrait Karin Smyth
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Well, I do agree with my hon. Friend. As I have said, when I became a Member of Parliament in 2015, I remember very clearly the absolute shock that I felt when the Conservatives immediately announced that they were not going to meet the commitment that they had made to implement the Care Act 2014 at that time, and we are still playing catch-up on that issue.