National Insurance Contributions (Secondary Class 1 Contributions) Bill Debate

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Department: HM Treasury
Daisy Cooper Portrait Daisy Cooper (St Albans) (LD)
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Notwithstanding what was said by the hon. Member for Loughborough (Dr Sandher), the Lords amendments were clearly not designed with the aim of creating a simpler tax system. They have been sent to us to consider because they may create a fairer society, and that, in my view, should be a driving force in our consideration of them today and in the work of this House.

Such is the strength of feeling in the other place that it has sent us 21 amendments, and such is the strength of feeling on the Liberal Democrat Benches that we will support every single one. Taken together, they offer exemptions for health and care providers, for small charities with an annual revenue of less than £1 million, for transport providers, for children with special educational needs and disabilities, and for small businesses with fewer than 25 employees.

Steve Darling Portrait Steve Darling (Torbay) (LD)
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Rowcroft hospice in my constituency is impacted greatly by the Bill, as is Bay Care, an excellent social care provider. Both those organisations are having to make challenging and difficult decisions about how many people they can employ and how they can support people in their communities. Does my hon. Friend share my fear that this will result in the shunting of costs on to our core NHS services?

Daisy Cooper Portrait Daisy Cooper
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I agree wholeheartedly with my hon. Friend. One of the main problems with this particular measure is that it is so self-defeating. It is effectively robbing Peter to pay Paul. I have said it once and I will say it again: this jobs tax is damaging to growth, and self-defeating for our health and care services. We Liberal Democrats have opposed it, and throughout the debate on the Bill we have suggested alternative ways—fairer ways—in which the Government could raise the same amount of revenue. We have also asked the Government, if they are indeed pursuing this measure, at the very least to exempt health and care providers.

The Government will not get hospitals out of a financial hole by taxing the GPs, dentists, pharmacies and care providers who prevent people from needing to go to hospital in the first place. The Government will not alleviate the pressure on hospitals by taxing hospices, which will now be forced to withdraw services from people who are trying to die with independence and dignity in a setting of their choosing, rather than in a cramped hospital corridor or a sterile ward. The Government will not keep people out of hospitals by levying a tax on the very health and care charities that provide vital services for those who are vulnerable—warm spaces, friendship for the isolated, financial advice, welfare support and social care. The Minister said that extra money would go into social care, but we know that the money allocated to it in the Budget is dwarfed by the increase in national insurance contributions. We cannot save the NHS unless we fix social care.