With Keir Starmer out of the country, it was down to the deputies to take the stage at Prime Minister’s Questions. Angela Rayner and Daisy Cooper put in their first appearance of the new Parliament in their new roles. For Conservative Oliver Dowden, it was his last in the role. There was very funny love in with menaces between him and Rayner in their exchanges. It was a bit like a seaside comedy show. The serious stuff came when Daisy asked her two questions.

Every winter, our NHS is overwhelmed.

Will the Prime Minister consider the Liberal Democrats proposal for an NHS winter task force, to put an end to the cycle of patients paying the price for the social care crisis left by the Conservatives? @LibDemDaisy #PMQs pic.twitter.com/7UqpodJHzs

— Liberal Democrats (@LibDems) October 23, 2024

May I associate myself and the Liberal Democrats with the Deputy Prime Minister’s remarks about Chris Hoy, and about all those involved in the train crash?

Our NHS is bracing itself for a winter crisis. One of the causes of the winter crisis every year is that there are thousands of people in hospitals who are fit to go home, but who cannot be discharged because there are not the care workers in place to enable people to recover at home or in a care home. Will the Deputy Prime Minister consider the Liberal Democrats’ idea of an NHS winter taskforce to winter-proof our NHS, end the cycle of the winter crisis, and put to an end the scandal of hospital patients paying the price of the social care crisis left by the Conservatives?

I thank the hon. Lady for her comments, and I share her desire to ensure that care workers are given the respect and importance that they deserve. They are critical to solving the problems in our national health service. The Labour party will create a national care service, and we are launching our first ever fair pay agreement for care professionals to boost recruitment and retention. We must get the NHS back on its feet after the disaster of the Conservatives, and my right hon. Friend the Chancellor will have more to say on that in the Budget.

Daisy kept to the same theme for the second question, talking of the dangers to the care sector of increasing employers’ National Insurance contributions, something she had mentioned in her Sky News interview on Sunday:

I thank the Deputy Prime Minister for her answer. We stand ready, as a party of constructive opposition, to work with the Government to fix our social care system. However, a measure that could make it harder for us to keep the carers that we so desperately need would be an increase in employers’ national insurance contributions. Were that measure to go ahead, it would affect millions of small businesses, including 18,000 small care providers. Will the Deputy Prime Minister assure the House that nothing in the Budget will make it harder for vulnerable people to access the care workers and the care that they desperately need?

A bit of flannel from Rayner in return, but at least the job of setting out our position had been done:

Again, I will not speculate on the Budget, not least with the Chancellor sat beside me. To reiterate what the Chancellor and the Prime Minister have said, this Budget will recognise that working people of this country and enterprise in this country have been hard-hit by 14 years of the Conservatives. We will rebuild Britain, and we will grow our economy to pay for our public services.

Rayner had to face another three Lib Dems in the session. This is great to see, and likely to be more commonplace now that we make up more than 10% of the House.

First up was Monica Harding who had a heartbreaking story of a young boy in her constituency who has been out of school for a year because they don’t have the right special needs provision for him.

Today in PMQs I called on the Govt to take immediate action to address the crisis in SEND by properly funding it in the budget. In Surrey 1800 children are at home rather than school bc their needs cannot be met & are waiting 2 yrs for an ADHD diagnosis. It is a scandal @LibDems pic.twitter.com/lWLrJHGvUA

— Monica Harding MP (@monicabeharding) October 23, 2024

Charlie from my constituency is an eight-year-old boy with an autism diagnosis who has been out of school for almost a year. He is one of 1,800 children in Surrey missing school because of a lack of appropriate special educational needs provision. Will the Government commit to ending this scandal by properly funding special educational needs provision in next week’s Budget, so that children like Charlie, in my constituency of Esher and Walton and beyond, are no longer let down?

Angela Rayner was sympathetic but had nothing concrete to offer: