Do you recognise the limits of the NHS Reimbursement Scheme (for the Congestion Charge and ULEZ)? If so, what actions will you take to ensure that disabled people will be able to attend GP appointments without experiencing financial hardship and what measures will you propose to prevent them from suffering poor health outcomes?

I recognise that some NHS patients may have a greater need to travel to hospital appointments by car where they have been clinically assessed as being too ill, weak or disabled to use public transport. This is why both the Congestion Charge and Ultra Low Emission Zone (ULEZ) have reimbursement arrangements for such patients.

In addition, disabled people with a disabled tax class registered vehicle are exempt from the Congestion Charge and subject to a grace period for the ULEZ, during which they do not pay the charge until 26 October 2025 (with a proposed extension until the 24 October 2027 if the ULEZ is expanded London-wide).

I recognise that disabled people may need additional support to upgrade their vehicle to be ULEZ compliant, which is why I previously offered a £61 million scrappage scheme supporting low-income and disabled Londoners, small businesses and charities to scrap over 15,200 older, more polluting vehicles.

If the ULEZ is expanded further, I am committed to a large-scale and targeted vehicle scrappage scheme which could support disabled Londoners, amongst others.

Transport for London are continuing to engage with the NHS to improve patient awareness and access to the reimbursement scheme. They are also directly engaging with representative groups for disabled people.