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MPs have backed a tax hike to boost funds for dealing with the NHS treatment backlog and to reform social care in England.

On Wednesday night, the House of Commons voted by 319 to 248, majority 71, in favour of a 1.25 percentage point rise in National Insurance contributions from next April.

The backing for Prime Minister Boris Johnson’s plans, which he admits are a breach of a Conservative manifesto promise not to raise major taxes, came despite five Tory MPs rebelling to vote against the government.

They included former work and pensions secretary Esther McVey. And a further 37 Conservative MPs recorded no vote, with many of them choosing to actively abstain.

Ministers have said the estimated £12bn a year raised by the new “health and social care levy” will be used to help tackle soaring waiting lists for NHS treatments as a result of the coronavirus pandemic.

It will also be spent on changes to the social care system that are scheduled to come into force from 2023.

But Labour have branded the UK-wide rise in National Insurance – paid by workers and businesses – as a “tax on jobs” and claimed it would not fix the problems in social care.

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During a Commons debate on the government’s plans, Labour’s shadow chancellor Rachel Reeves accused ministers of attempting to rush the plans through parliament before they “unravel”.

Wednesday night’s vote on the proposals came just a day after Mr Johnson had announced them, with some criticising the little time MPs were given to consider them.

Ms Reeves told MPs: “Social care is a huge challenge facing our country. There are other challenges facing us too. We need to do things differently.

“Labour’s test is simple: Does it fix the problem? And does it do so in a fair way? The answer to both those questions in relation to these proposals is no.

“That is why Labour will vote against this unfair, job taxing, manifesto-shredding, tax bombshell this evening.”

The government also faced opposition from its own benches to the proposals, with Tory former minister Jake Berry telling the prime minister he risks creating an “un-Conservative” and permanent “NHS tax”.

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Social care tax rise: Regressive or progressive?

The Rossendale and Darwen MP, who chairs the Northern Research Group of Tories, said: “If you create an NHS tax, you have an NHS tax forever, it will never go down, it can only go up.

“No party is ever going to stand at an election and say I’ve got a good idea, vote for me, I’ll cut the NHS tax.

“So I just think there’s huge danger for us in creating such a hypothecated tax and having it on people’s payslips.

“It is fundamentally un-Conservative and in the long term it will massively damage the prospects of our party because we will never outbid the Labour Party in the arms race of an NHS tax and that’s why I don’t think this is the right way to do it.”

Prominent Conservative backbencher Steve Baker claimed his party were “in a dreadful position” and would have to “rediscover what it stands for”.

“We all know that eventually as a socialist you run out of other people’s money and I have to say I’m sorry ministers I’m not going to be able to vote with you tonight because some of us are going to have to be seen to be standing for another path,” he said.

Peter Bone criticised Number 10 for conflating social care reform with extra money to deal with NHS waiting lists, and fellow Tory MP Richard Drax asked where was “the vision of this Singapore-style low-tax economy attracting the world’s best to this country”.

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Raising taxes ‘a very Conservative thing to do’

Outside of the Commons, Mr Johnson’s former chief adviser Dominic Cummings posted on Twitter: “Tell your friends: the Tories are making the young – who can’t get a house & working for average/below average income, already screwed by a decade of hapless Tory government – to work harder to subsidise older richer people. They promised to do the opposite.”

Immediately before Wednesday night’s vote, the prime minister spent almost an hour addressing a meeting of the Tory party’s 1922 Committee.

He assured Conservative backbenchers that the party remained committed to free enterprise, the private sector and “low taxation”.

But he said he could not think of a “better use” for taxpayers’ money than spending on the NHS.

Earlier on Wednesday, the Institute for Fiscal Studies (IFS) warned the money raised by the National Insurance increase risked being permanently swallowed up by the NHS with “little if any” left over for social care.

Under the government’s plans the NHS will get the majority of the £36bn raised in the first three years, with £5.4bn for social care in England.

Health Secretary Sajid Javid has insisted that “more and more” of the money raised by the levy would go towards social care in future years, but he has failed to say how much and when.

Yet Mr Javid told Sky News on Wednesday there will be “enough money” to pay for reforms to the care sector.

Scotland, Wales and Northern Ireland will receive an additional £2.2bn in health and social care spending from the tax rise.

The SNP claimed Scotland could be “sold short” and receive “less in return than the money taken from Scottish-based National Insurance payers”.

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Chancellor Rachel Reeves refuses to rule out manifesto-breaking tax hikes

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Chancellor Rachel Reeves refuses to rule out manifesto-breaking tax hikes

Rachel Reeves has refused to rule out breaking her manifesto pledge not to raise certain taxes, as she lays the groundwork ahead of the budget later this month.

Asked directly by our political editor Beth Rigby if she stands by her promises not to raise income tax, national insurance or VAT, the chancellor declined to do so.

She told Rigby: “Your viewers can see the challenges that we face, the challenges that are on [sic] a global nature. And they can also see the challenges in the long-term performance of our economy.”

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She went on: “As chancellor, I have to face the world as it is, not the world as I want it to be. And when challenges come our way, the only question is how to respond to them, not whether to respond or not.

“As I respond at the budget on 26 November, my focus will be on getting NHS waiting lists down, getting the cost of living down and also getting the national debt down.”

‘Each of us must do our bit’

More on Budget 2025

Ms Reeves’s comments to Rigby came after a highly unusual pre-budget speech in Downing Street in which she set out the scale of the international and domestic “challenges” facing the government.

What did Labour promise in their manifesto?

Rachel Reeves has refused to say whether she will hike taxes, but what exactly was her manifesto commitment last year?

She said: “We will ensure taxes on working people are kept as low as possible.

“Labour will not increase taxes on working people, which is why we will not increase national insurance, the basic, higher, or additional rates of income tax, or VAT.”

She also hinted at tax rises, saying: “If we are to build the future of Britain together, each of us must do our bit for the security of our country and the brightness of its future.”

Despite her promise that last year’s budget – which was the biggest tax-raising fiscal event since 1993 – was a “once in a parliament event,” the chancellor said that in the past year, “the world has thrown even more challenges our way,” pointing to “the continual threat of tariffs” from the United States, inflation that has been “too slow to come down,” “volatile” supply chains leading to higher prices, and the high cost of government borrowing.

She also put the blame squarely on previous Tory governments, accusing them of “years of economic mismanagement” that has “limited our country’s potential,” and said past administrations prioritised “political convenience” over “economic imperative”.

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Sky’s Beth Rigby said there will be ‘almighty backlash’ after budget, as chancellor failed to rule out breaking tax pledges.

Ms Reeves painted a picture of devastation following the years of austerity in the wake of the financial crisis, “instability and indecision” after that, and then the consequences of what she called “a rushed and ill-conceived Brexit”.

“This isn’t about re-litigating old choices – it’s about being honest with the people, about the consequences that those choices have had,” she said.

‘I don’t expect anyone to be satisfied with growth so far’

The chancellor defended her personal record in office so far, saying interest rates and NHS waiting lists have fallen, while investment in the UK is rising, and added: “Our growth was the fastest in the G7 in the first half of this year. I don’t expect anyone to be satisfied with growth of 1%. I am not, and I know that there is more to do.”

Amid that backdrop, Ms Reeves set out her three priorities for the budget: “Protecting our NHS, reducing our national debt, and improving the cost of living.”

Cutting inflation will also be a key aim in her announcements later this month, and “creating the conditions that [see] interest rate cuts to support economic growth and improve the cost of living”.

She rejected calls from some Labour MPs to relax her fiscal rules, reiterating that they are “ironclad,” and arguing that the national debt – which stands at £2.6trn, or 94% of GDP – must come down in order to reduce the cost of government borrowing and spend less public money on interest payments to invest in “the public services essential to both a decent society and a strong economy”.

She also put them on notice that cuts to welfare remain on the government’s agenda, despite its humiliating U-turn on cuts to personal independence payments for disabled people earlier this year, saying: “There is nothing progressive about refusing to reform a system that is leaving one in eight young people out of education or employment.”

Chancellor Rachel Reeves delivered a highly unusual pre-budget speech from Downing Street. Pic: PA
Image:
Chancellor Rachel Reeves delivered a highly unusual pre-budget speech from Downing Street. Pic: PA

And the chancellor had a few words for her political opponents, saying the Tories’ plan for £47bn in cuts would have “devastating consequences for our public services,” and mocked the Reform UK leadership of Kent County Council for exploring local tax rises instead of cuts, as promised.

Concluding her speech, Ms Reeves vowed not to “repeat those mistakes” of the past by backtracking on investments, and said: “We were elected to break with the cycle of decline, and this government is determined to see that through.”

‘Reeves made all the wrong choices’

In response to her speech, Conservative shadow chancellor Sir Mel Stride wrote on X that “all she’s done is confirm the fears of households and businesses – that tax rises are coming”.

He wrote: “The chancellor claims she fixed the public finances last year. If that was true, she would not be rolling the pitch for more tax rises and broken promises. The reality is, she fiddled the fiscal rules so she could borrow hundreds of billions more.

“Every time the numbers don’t add up, Reeves blames someone else. But this is about choices – and she made all the wrong ones. If Rachel Reeves had the backbone to get control of government spending – including the welfare bill – she wouldn’t need to raise taxes.”

He called for her to resign if she raises taxes.

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