Income Tax (Charge)

Lizzi Collinge Excerpts

Tuesday 5th November 2024 Commons Chamber

[Edward Argar]

I will make a bit of progress, if I may.

There were no plans for social care reform after the Chancellor broke Labour’s promise to deliver the cap on social care costs. I hear what the Secretary of State says about a willingness to work on what is a challenge facing our whole country and society: with an ageing population, how do we address the challenge of social care? There were no further detailed plans for NHS dentistry, despite the election pledge to deliver more dental appointments. There was no support for pharmacies or for the day-to-day running of general practice, and there were still no additional resources for the NHS this winter—or, indeed, the details of reform to go with them.

[Lizzi Collinge (Morecambe and Lunesdale) (Lab)]

The right hon. Gentleman speaks about the investment that the last Conservative Government put into the NHS. Can he tell me what the outcome of that investment was? From my point of view, the outcome was longer waiting lists, poorer health and bad patient care.

[Edward Argar]

We increased investment significantly, not only to tackle the inevitable consequence of a global covid pandemic—which, as we all know, hit our NHS hard—but to build back better subsequently, which is the task that we began to perform. We have always said that investment in the NHS must be married to reform in order to deliver better patient outcomes and value for money, building on the reforms that we introduced in the Health and Care Act 2022 and ensuring that the NHS will be there to look after us for decades to come. The Secretary of State has worked with me before, and we will work with any party, including his.

--- Later in debate ---

[Tom Tugendhat]

No, not just now.

The truth is that what we are seeing is a level of short-termism. That is completely clear in agriculture and industry, but the tragedy is that it is also clear in education. A great privilege of being the MP for Tonbridge is that I represent some of the finest schools in this country—others may claim that title, but I know that I speak the truth when I say that. Many of those schools are grant-maintained in different ways; others are private. They are, in many ways, a web of education that works extremely well together in our community. Some, such as Hillview School for Girls—a fantastic school at which I was privileged to be on the governing board—are state schools, while others, such as the Judd school, are grammar schools, and one, Tonbridge school, is private.

The truth is that the 20% plus business rates—I think the extra cost that will now fall on private schools comes to about 40%—means that every single kid in my constituency will have to pay for the VAT in some way. Either they will have to pay for it because fees go up, or they will pay for it because class sizes are larger. I am afraid that the schools will not be able to swallow the costs, so we will see pressure all the way through.

[Lizzi Collinge]

Will the right hon. Gentleman give way?

[Tom Tugendhat]

I will not, because I have been asked to be quick.

That is not just a burden on those kids, but a rejection of the relationship between family members in their willingness and desire to invest in the future.

I know that the Labour Government claim that the only way for investment to be done is by the state, that the only thing that really matters is when that is done by a bureaucrat and a civil servant, that the only thing that really counts is when the Government pay for it. But we know that is simply not true. We know that business and the freedom to invest, plan and forecast are what make an economy grow. Sadly, the Government have tried to nationalise the future, shorten the time horizon and make us all pay for it. That is why growth is falling, taxes are rising and the future is made worse again and again under Labour.

--- Later in debate ---

[Lizzi Collinge (Morecambe and Lunesdale) (Lab)]

I have been sat here gobsmacked by Conservative Members’ lack of comprehension of what has happened over the last 14 years to our public services. I see that the priority of the right hon. Member for Tonbridge (Tom Tugendhat) is quoting billionaires who are worried about paying a bit more tax. Those are the Conservatives’ priorities.

Last month, I held a constituency surgery in one of my large villages, and people told me about the difficulty they had getting appointments there. When people have to travel between villages, and there is one bus an hour at most, it really makes a difference where an appointment is. The lack of home village appointments leaves my constituents at risk of their conditions worsening, and goes against everything that we know to be best for patients and the NHS—early help, at the right place and at the right time. Down in Morecambe and Heysham, even though transport is a bit better, getting an appointment can feel like a lottery, because services are having to triage patients to find which cases are the most urgent. Our residents are travelling too far, waiting too long and getting more poorly as they wait.

Last week’s Budget gave me hope, not only that the NHS will get the investment it needs, but that finally the people in charge have the integrity and the skills to dig us out of the mess; they are unafraid of listening to experts, unafraid of making long-term decisions and unafraid to stand up for patients—the people who matter.

The Budget also showed us that the Government will invest wisely in the NHS. Some people say, “You can’t just throw money at it,” and they are right—look at what happened with the investment from the last Government: nothing. That is because the people in charge were fundamentally unable to organise, at either a strategic or practical level. They were unable to join the dots. Local safety initiatives, while very welcome, were brought in to try to tackle what were fundamentally national issues. Those issues included the vacancy rates, the sickness rates, and the increasing complexity of patients’ issues, caused by our being a nation in poorer health as a direct result of austerity. So no, it is not just a case of more money, but sometimes it is about money. Money invested wisely can make a difference. If creaking digital infrastructure means that medics spend more time rebooting computers than treating patients, investment is needed, and that is what the Budget provides.

The Budget also fulfils our commitment to accessing the latest diagnostics and treatments. Through my health scrutiny role in Lancashire, I know that thrombectomy, a life and brain saving treatment suitable for about 10% of people who have strokes, is not available 24/7 in all areas. When I was scrutinising that care pathway, people needed to be lucky enough to have a stroke on a weekday morning to get a thrombectomy. In February 2022, my grandma had a devastating stroke on a Friday night, and I sat with the knowledge that she would not have access to that treatment, even if she could benefit from it. I cannot describe the pain that caused me, and it is pain that my constituents and people across the country feel every day. We have a health system that has been systematically undermined for 14 years. A recent national report showed that fewer than half of the people who could benefit from a thrombectomy get one, and that is not good enough.