National Insurance Contributions (Secondary Class 1 Contributions) Bill

Lord Ashcombe Excerpts

Consideration of Commons amendments and / or reasons
Monday 24th March 2025 Lords Chamber

[Baroness Noakes (Con)]

My Lords, I support all the amendments in lieu in this group, particularly Amendment 21B by my noble friend Lady Neville-Rolfe, asking for an ex post review of the impact on various sectors of this jobs tax. It is official government policy, confirmed by the leader in the other place, that Parliament will be given the information it needs to scrutinise legislation properly, but, shamefully, the Treasury refused point blank to give the information that we requested in order to scrutinise this Bill properly. My noble friend’s amendment is modest and reasonable, and if the Government do not accept it then that will show a complete lack of respect for Parliament and the process of parliamentary scrutiny.

I want to underline a point made by my noble friend Lady Neville-Rolfe about hospices. At the earlier stages of the Bill, the Minister kept repeating that the Government were putting £100 million into hospices and £26 million into children’s hospices. It is clear that neither of these amounts represents additional money available to absorb the cost pressures produced by the national insurance changes. My noble friend explained that, and I hope the Government will not try to pretend that the funding situation for hospices is anything other than completely dire at the moment.

[Lord Ashcombe (Con)]

My Lords, I would like to personalise this a little, because the hospice movement is unbelievably important in this country, and I am grateful to other noble Lords for raising the point again. I suppose that my family has been very fortunate, in unfortunate circumstances, to have the benefit of two hospices, both at end of life. Both hospices face significant shortfalls in their annual running costs and live off the back of occasional big legacies. They already have to raise substantial amounts of money, and the national insurance increase puts yet more pressure on the system. We have had the increase in minimum wages, which means that they have suffered those costs in addition; doctors and nurses do not come cheap, as we know. This just drives costs up further—for the hospice closest to home, the figure is nearly £0.5 million.

So what does the national insurance increase mean? In this particular case, it means either the loss of three nurses, who conduct some nearly 4,000 visits a year in the community, preventing the need for hospital care, or losing one bed, which would be dedicated to the most complex needs for patients at the end of their life.

If hospices are forced to reduce their care to the community, what happens next? They play such a critical role in supporting the NHS, which is not subject to the increase, both in terms of community care and in easing pressure on acute beds in hospitals, as well as facilitating discharges from hospital. If the Government continue to impose financial strain on the hospice sector, more hospices will be forced to scale back services or even close. That is something we cannot live with in this country, and it would place yet greater strain on the NHS—a particularly difficult sector, as we know, and one that we are trying not to pressure any further. When salary increases for medical staff and the rises in national insurance are factored in, this particular hospice will have to raise yet another £200,000 on top of the £0.5 million that I mentioned earlier, and that hospice is but one of 200 fantastic operations in this country.

I make again the point that various noble Lords have made: the recent announcement of the £100 million funding from His Majesty’s Government for the hospice movement and the £26 million for the children’s hospices is for capital projects, which, while very welcome, does not help this particular situation—a situation that the Prime Minister singularly seemed to ignore at PMQs last week. I beg the Government to reconsider their position.

[Baroness Monckton of Dallington Forest (Con)]

My Lords, I rise to speak in favour of these amendments and to speak very briefly about hospices—which I know many noble Lords have already done. Our hospices support over 300,000 people, mostly in the community, and this tax will cost the sector hundreds of thousands of pounds. Beds will close and outreach services will be decimated. Where will people go to die? Yes, hospitals offer palliative care, but only four out of 10 hospitals have the services that are necessary seven days a week, despite this having been a national standard in 2004.

The assisted suicide Bill is being debated in the other place. Assisted dying is what hospices do: ensuring that people can die in dignity, are properly cared for and can live as fully as they are capable of right to the end of their life. We only die once. I agree with what my noble friend Lord Leigh of Hurley has said previously: that not exempting hospices from this tax is shockingly cruel. But it is worse than that, because it shows a lack of compassion and an absence of humanity that are truly shocking. It leaves me speechless, and I have nothing more to say.