Finance Bill

Thank you, Mr Evans. I am very grateful to have been called. It is a great pleasure to serve under your chairmanship for the first time since you have been elevated to your new role. I refer Members to my entry in the Register of Members' Financial Interests. The right hon. Member for Birmingham, Hodge Hill (Mr Byrne) made an interesting and measured speech, which I hope my hon. Friend the Exchequer Secretary will respond to in due course. I could not agree more with the right hon. Gentleman's last point. We should not be increasing insurance premium tax to anything like European levels. That is one thing we do not need to learn from Europe. I support the two amendments tabled by my hon. Friend the Member for Christchurch (Mr Chope) and I warmly support the comments made by my right hon. Friend the Member for Wokingham (Mr Redwood). My remarks about relief on motor insurance will be brief. The arguments have been made powerfully and I entirely support them. The amendment about health insurance concerns me the most. The coalition Government have three areas of protected spending, where public spending is guaranteed to rise: the health service, overseas aid and the European Union. I want to deal with the relationship of the proposals to the health budget. Each year, £100 billion is spent on the NHS and the Government rightly recognise that spending will have to increase. There is no way round it. Demand on the health service will grow and grow, so there will have to be a real-terms increase. Even allowing for that, however, there will not be enough money to do everything in the health service. One of my constituents is suffering from cancer and needs cancer drugs. She has to sell her house to pay for those drugs. If she had been insured, that would not have been the case. I am convinced that that lady uses the NHS most of the time, so she has not chosen to opt out by insuring herself against everything, but there will always be aspects of health provision that the NHS cannot cover because of their cost. That will mean that people have to pay extra, as this lady is doing for her cancer drugs. If we are to encourage people to insure themselves against such risk, we need to send the right signal. Amendment 18 does not address cost because the difference between rates of 5% and 6% does not represent a huge amount. However, if the amendment was accepted, it would send the country the remarkable signal that the coalition Government and the Prime Minister want people to stand up for themselves and take responsibility, as part of the big society, by insuring themselves. I am in the wonderful position of being a Conservative Back Bencher who does not have to worry about the Whip in Committee. The Prime Minister has already said that he wants the Government to be held to account—[Laughter.] I know that this will be a shock to Labour Members, given that they are always whipped and centrally controlled, but Conservative Back Benchers have the right to hold the Executive to account. When we are in Committee, as is the case today, we are not subject to a Whip. We can vote whichever way we like in this Committee as long as the overall Budget gets through. Amendment 18 is such a small amendment that if it is pressed to a Division, I will support it, which is the sort of thing that the Prime Minister would welcome. I have set out my basic argument about the tax increase on medical insurance, but perhaps I should draw the Committee's attention to a private Member's Bill that will be debated on 4 February 2011. That Bill would give tax relief to private medical premiums, but that wider debate is for another day. There is a question of whether such an approach would lead to more people insuring themselves, which would generate a saving because they would be less of a concern for the NHS, but today we are discussing only whether to impose a 1% tax increase. I hope that the Exchequer Secretary will be able to tell us how much revenue the Treasury would lose if the amendment were accepted and we did not have that 1% rise. If the increase discourages individuals from taking out medical insurance, more people will have to be treated by the state, which is why I argue that the tax increase from 5% to 6% on medical insurance premiums will cost the state more money.