National Insurance Contributions (Secondary Class 1 Contributions) Bill

Sammy Wilson Excerpts

Consideration of Lords message
Tuesday 25th March 2025 Commons Chamber

[Gareth Davies (Grantham and Bourne) (Con)]

I rise on behalf of the official Opposition to support Lords amendments 1B, 5B, 8B and 21B. It feels like only last week that we were all here, but it is clear that our colleagues in the other place feel as strongly as the Opposition do about these amendments, as they have returned them to us with a similar aim once again.

Lords amendments 1B, 5B and 8B seek to address two of the most serious consequences of the Bill that should concern and unite us all: that a rise in secondary class 1 national insurance could lead to a significant reduction in health and social care services, including our hospices, hitting the most vulnerable in our society; and could represent a complete hammer blow to the future aspirations and very survival of small businesses throughout the country.

We all know that the Chancellor has an addiction to creating fiscal black holes. First she used a fictional black hole, discredited by the Office for Budget Responsibility, as an excuse for her manifesto-breaking tax rises. This has led to more black holes, only this time they are very real because they are being felt out there in the real economy. The Bill before us today will create black holes in the finances of hospices, GP practices, farms, fruit shops, butchers, bakeries and businesses of all shapes and sizes, but especially the very smallest.

[Sammy Wilson (East Antrim) (DUP)]

Does the shadow Minister find it puzzling that the NHS will be exempt from these changes, yet the many services on which people depend for their health—dental services, social care and so on—will be hit by this rise in national insurance contributions? [Interruption.] No services will remain unaffected, so people will not experience the healthcare that they require.

[Gareth Davies]

It is rare that questions come with a musical accompaniment, but the right hon. Gentleman’s mobile ringtone made for a great effect. None the less, his point is the right one, which is that, whether it was intended or not, the rationale for the Bill is to “protect”—in the Government’s words—public services. I could say “bolster” public services if I were being generous. The fact is that the Government are taxing public services on which we all rely and he is absolutely right to emphasise that.

Lords amendments 1B and 5B seek to provide the power to exempt from both prongs of attack of the Chancellor’s jobs tax: care providers, NHS GP practices, NHS-commissioned dentists, NHS-commissioned pharmacists, and charitable providers of health and social care, such as hospices. And it is hospices specifically that I want to speak more about today.

Hospices are there at what, for many, will be the hardest moments of their lives. They provide vital physical and emotional support to individuals who are coming towards the final chapter of their lives and for their loved ones. In short, hospices are there to look after us at our most difficult time. So, whether through funding, charitable donations or legislation, they deserve our utmost support to continue in this task.

However, as I set out in Committee, this disastrous jobs tax will cost hospices up to £30 million next year alone. Hospice UK has repeatedly warned this Government that the Bill risks a reduction in hospice services, which will lead only to even greater pressure on NHS palliative care services.

Of the more than 200 hospices across our country, around 40 provide care for children. These are children who are living with terminal illness, many of whom have an all-too-limited time left in this world. The organisation Together for Short Lives estimates that the Labour Government’s decision to raise national insurance will add almost £5 million to the annual cost of providing care for seriously ill children and their families. Let us be clear: this will mean that every children’s hospice in England alone will need to spend an average of £140,000 more just to maintain services for the children in their care, after paying the additional tax that this Bill will impose. The Government cannot seriously be demanding that staff and volunteers at charitable children’s hospices—the very people who already give their heart and soul to look after sick and dying children—fundraise their share of £5 million next year alone just to keep their lights on and their doors open.

At Treasury questions on 21 January, the Chancellor stated, in response to an excellent question from my Lincolnshire colleague, my right hon. Friend the Member for Gainsborough (Sir Edward Leigh), that the settlement for hospices announced by the Health and Social Care Secretary just before Christmas includes money to specifically “compensate” hospices for the national insurance increase. That is not correct, and I am pleased that at least this Minister has tried to acknowledge that point.

--- Later in debate ---

[Dave Doogan (Angus and Perthshire Glens) (SNP)]

The Lords amendments seek to address a clear, present and insurmountable financial challenge for significant elements of health and social care delivery in all our communities. The Government say, in the most spurious and disingenuous way, as though they did not understand their role in the health service, that social care providers, GPs, dentists and pharmacies are contractors. How they are dealt with by His Majesty’s Revenue and Customs is irrelevant. It is the role that they fulfil in our society and in the delivery of health and social care services that is at stake. These are not contractors that can go and develop new markets somewhere else. Their market is exclusively within the NHS and health and social care up and down these islands. Many properly commercial businesses will not manage to pivot their way out of this attack from Labour—and GP practices, pharmacies, care providers, nurseries and hospices certainly will not.

I want to mention hospices. When Macmillan Cancer Support speaks, no matter what colour our rosette, we should listen. It has highlighted clearly what the measures mean for end-of-life care. There have been 15 years of chaos in the United Kingdom, most of it economic; there has been the lost decade of Brexit, and its catastrophic effect on the UK’s economy and the material welfare of people up and down these islands. I ask: who can we blame? Who is culpable? Who has their fingerprints all over it? Not terminally ill children in hospices, who will, as a result of the Bill, suffer as a result of the debilitating effect on the care with which they are provided. The Minister and his Government could do a simple thing: give hospices a derogation from the grasping hand of the Bill, and protect children in the worst imaginable circumstances.

From the outset, the Government’s fiscal misadventure has been met with opprobrium from all manner of sections of the economy and society, but they have held firm. I pay tribute to the Minister; he fronts up here every time with a smile, and does his best to defend what he has to. That is his job, and I do not judge him for that, but the bottom line is that the Government have yielded, not to children in hospitals, or to people trying to deliver social care and free up hospital beds by preventing delayed discharge, but to the bankers by restoring their bonuses, and to the non-doms who want all the benefits of living in this country but do not want to pay for it. That speaks volumes about what a Labour Government in this day and age are all about.

[Sammy Wilson]

I hope that I can have this intervention without a musical interlude. I apologise to you, Madam Deputy Speaker, for having my phone switched on. Will the hon. Member accept that not only are services likely to be affected, as he has outlined, but the Government’s aim of raising additional revenue will be affected as well? As he pointed out, they have given in to the bankers and non-doms because of the fear of losing revenue. Anecdotally, we know that many businesses, whether those supporting the national health service or other small businesses, will cut back on the number of staff that they employ because they cannot afford them, and that will lead to a loss of national insurance and tax contributions. It could be an own goal for the Government if they cause pain to businesses but do not get any revenue from it.

[Dave Doogan]

I agree entirely. This is a £24 billion fiscal drag that is intended to create growth. Work that one out if you can, because it is beyond my ken. The Government will not make derogations for key elements of health and social care, because the benefit of the £24 billion drag on the economy that the right hon. Gentleman pointed out is, after compensation, already down £10 billion. If they compensate the people who they definitely should, such as GPs, pharmacies, care providers and hospices, that would take it down to somewhere around £7 billion or £8 billion. What type of Chancellor and Treasury orthodoxy says, “We place a £24 billion burden on the economy in exchange for an £8 billion return for the Treasury”? It is absolutely catastrophic. It is misadventure writ large, and it has Labour as its logo.