National Insurance Contributions (Secondary Class 1 Contributions) Bill

Victoria Collins Excerpts

Consideration of Lords amendments
Wednesday 19th March 2025 Commons Chamber

[Daisy Cooper]

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.

[Victoria Collins (Harpenden and Berkhamsted) (LD)]

There are many similar examples, but Quantum Care in Hertfordshire, a not-for-profit social care business, says that its costs will rise by £1.7 million in national insurance contributions alone, which will also have an impact on council and social services. That is certainly not solving our health and social care problem.