I keep spares and tools in a little deuter ‘energy’ bag like this:
You can cram quite a bit in them, often with extra space for snacks…
On the MTB and gravel bikes I just keep the (larger) emergency tube strapped to the frame in an out of the way spot like just under the seat/top tube junction, all my bikes have some sort of frame mounted pump (mostly mini pumps mounted adjacent to a bottle cage)…
How much/how bulky are the items you need to carry OP?
For me an bar mounted bag is more of an “expedition” type choice, I have gotten away with adding a dangly “stem cell” type bag if I need to take extra smaller items/food on a longer ride:
Again quick and easy to fit/remove and don’t require a change of stem…
I’d certainly not Change stem just to accommodate a bag…