In 2022, Prof Chris Whitty, chief medical office for the UK, outlined the serious health risks sewage spills can pose for those using the country's waterways. Chief amongst them is bacteria from human faeces which he said can "increase the risk of significant infections including antibiotic resistant bacteria".
Sewage also poses significant environmental risks – it increases nutrients in the water leading to algal blooms which then eventually denies other wildlife – like fish - oxygen. These spills also have been shown to introduce microplastics, drugs and sanitary products into rivers and seas.
The River Ver in St Albans is one such location - the banks are littered with condoms, tampon applicators and wet wipes likely from sewage releases from nearby Markyate sewage treatment works owned by Thames Water. This rare chalk stream – one of around 200 worldwide – which supports important wildlife like water voles, saw more than 3,300 hours of spills in 2024.
Of the spills a Thames Water spokesperson said: "The Markyate area experienced one of the wettest years on record in 2024 which has caused excessive amounts of groundwater which has infiltrated into the network. This has resulted in the system being overwhelmed which has led to discharges into the river."
Liberal Democrats Leader Ed Davey said the scale of spilling showed that the sector regulator, Ofwat, was not up to the task.
"This has to be the final nail in the coffin for Ofwat, a regulator that has time and again proven it is completely inadequate to protect customers and our beautiful environment," he said.
In October, the government launched an Independent Water Commission, chaired by former deputy Bank of England governor Sir Jon Cunliffe, to look into the sector - including the effectiveness of Ofwat.
An Ofwat spokesperson said: "Where companies miss their targets, they will be penalised and money will be returned to customers. In parallel, companies will be held to account for past failures through our ongoing enforcement work into the operation and maintenance of sewage works and networks."