The health secretary has warned of “difficult and big choices” coming in the budget, as he refused to rule out freezing tax thresholds.

Wes Streeting told Sky News’ Sunday Morning with Trevor Phillips programme the government “can’t fix 14 years in one budget” and there are lots of choices “we will have to make that we’d prefer not to have to”.

Chancellor Rachel Reeves is expected to prolong the freeze on income tax thresholds by two years to 2030 after the previous Conservative government froze them until 2028.

Politics latest: Labour ‘can’t change 14 years in one budget’

It means thresholds would not start rising with inflation once again, resulting in hundreds of thousands of people being dragged into higher tax bands.

Mr Streeting gave the government’s strongest indication yet it would be freezing those thresholds.

When asked if income tax thresholds will be frozen, he told Trevor Phillips: “The Chancellor and the whole government are going to have to make difficult and big choices in this budget to stabilise and fix the foundations of our country so we can build a better future.

“There are a whole load of choices that we will have to make that we would prefer to not have to, but if we don’t make the choices now we’ll end up paying a much heavier price for failure in the long term.

“We’re not prepared to do that.”

The chancellor is trying to find £40bn through tax rises and spending cuts and is expected to announce a raft of measures in the budget on 30 October.

Mr Streeting previously voted against freezing income tax thresholds under Rishi Sunak’s Conservative government but said he would not vote “against anything in the chancellor’s budget”.

Labour previously called the measure a “stealth tax on working people” when it was announced by Mr Sunak in 2022.

The health secretary insisted the government would keep its manifesto promise not to increase income tax, national insurance or VAT on working people “despite the pressures”.

In Labour’s manifesto, the party pledged not to increase “the basic, higher, or additional rates of income tax”, with government sources pointing to this “language”.

Mr Streeting’s refusal to rule out extending the threshold freeze further suggests the chancellor believes she would not be breaching the commitment as the 20p, 40p and 45p rates would remain unchanged.

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The health secretary added: “We can’t fix 14 years in one budget. So this is a process of priorities, choices and trade offs.”

The government has come under further fire over the past week after it emerged the chancellor will most likely raise national insurance for employers.

Referring to that, Mr Streeting said: “I don’t know if that’s going to be in the budget, but we did not rule out that or a number of other things, because we were very clear in our manifesto that every single promise we made, was a promise we could keep and one we could afford, and we’re going to deliver every single bit of that manifesto.”

He also revealed the NHS’ budget has been set by the chancellor ahead of her announcement in 10 days.

Each department’s spending settlement was meant to be signed off by Wednesday evening but several departments had been unable to agree with the Treasury on the scale of cuts they will be expected to deliver over the next two years in a show of how large cuts may be.