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A further 2.25 million people currently receiving the health top up to universal credit will lose an average of £500 a year as a result of the freeze, and 730,000 future recipients will lose out.

Local authorities in England must show how they are improving roads and tackling what the government describes as a "pothole plague" or lose out on millions of pounds in funding.

"If I can't afford to employ staff then ultimately the person who is going to lose out is the patient," she adds.

More than one million people could lose out on this payment under the changes, the Resolution Foundation think tank has estimated.

However, the eligibility criteria is set to be tightened for those with less severe conditions, meaning some current recipients will inevitably lose out.