Joe Robertson MP, reminded the Government today that the hike in national insurance contributions will bring a significant blow to the Health and Social Care Sector.
The recent Budget announcement to raise national insurance contributions has sparked significant concern across the health and social care sectors. While the Government has exempted the NHS from this increase, recognizing the acute pressure it would face, key partners in health and social care have not been afforded the same relief.
These partners, including GPs, pharmacies, hospices, and social care providers, are essential in transitioning patients from acute care to community care and focusing on prevention rather than cure—objectives that the Secretary of State for Health and Social Care has publicly supported. Despite this, they are now burdened with the increased national insurance contributions.
Joe Robertson said, "The Government knew that if they raised national insurance contributions in the Budget, it would be devastating for health and social care. That is why they exempted the NHS; they knew that it would be put under acute pressure by the Budget. They did not exempt some of the key partners that deliver health and social care in this country, that they will rely on to move people out of acute care and into community care, and that they will rely on to achieve prevention rather than cure—all things that the Secretary of State for Health and Social Care says he wants to do. They will rely on GPs, pharmacies, hospices and social care, yet the national insurance contributions fall on them.
Hospices will pay £260 million. According to Community Pharmacy England, pharmacists will pay £50 million. Social care will pay £2.4 billion. All that money will move across to the NHS, which is largely slanted towards acute provision. That runs completely counter to what the Health Secretary said he wants to do. His answer to those GPs, pharmacists and hospices who are deeply concerned is, “We will deal with this in due course.” “Due course” means “We have absolutely no idea and no plan at all.” He and, indeed, Treasury spokespeople say that they will deal with hospices in the usual contracting way.
The contracts of hospices like Mountbatten just outside my constituency on the Isle of Wight are with the integrated care board. They do not have a contract with Government, the Department of Health and Social Care or an NHS employer. Under those contracts, there is no clause for uplift of salary, or for recovering the increased cost of national insurance contributions. Saying, “We will deal with it in the usual way through contracting” shows either a complete lack of understanding of how hospice services contract with the public sector, or a complete indifference, disregard and, frankly, contempt."
