Pixellated pictures on live TV are often the sign of a signal fault. If you've rebooted your box once, then there's likely a fault somewhere, so this will need VM to intervene. You're likely to need either an engineer visit or a replacement box, depending on what VM's remote diagnostics turn up.
First check the automated faults line for any existing issues in your area that could be the cause: 0800 5610061. If nothing's reported, assume VM don't know about your fault and ideally you'll need to call them.
150 from a VM phone, 0345 4541111 from any other phone - choose the options for "I have a fault with my TV service". Alternatively you can wait on here for staff to respond, which may take a day or so.
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Thank you for making this post regarding the pixelation issues you have been experiencing. I'm sorry to hear your TV picture is getting worse.
I would like to take a look at your account to check for signal faults that could be causing this and see if we need to send an engineer. I shall send you a private message now to obtain the details required. Please look out for the purple envelope in the top right corner and get back to me when you can.