Fiat timing belt kits with the waterpump are probably driven by customer demand. Witness the owners on motorhome forums who all want their waterpumps changed as a matter of course with the timing belt. Nick Fisher, who used to run a fleet of Ducato hire vehicles and posted on one of the motorhome forums, once said that in his experience the OEM water pumps were good for 250K miles, and he had only ever had to replace one prematurely.
To avoid counterfeit parts, buy from reputable suppliers and avoid extreme penny pinching. Coastal Motorhomes sell Dayco belts, but they also stock Fiat OEM kits at very good prices compared to the dealer network. Probably because they can bulk buy at trade prices and have a lower profit margin. I've just bought my second Fiat belt and pulley kit from them, about £160. The first will have done 5 years service this summer. I bought the Dayco aircon and alternator belts though.
My understanding is Nick only replaced that one because the engine was already out. - I saved his quote (below) He is keen on replacing the tensioners, but then his Ducatos did huge mileages. As far as I can see with tensioners its more mechanical wear than ageing rubber. So I don't know if its necessary with low mileage motorhomes?
QUOTE FROM NICK FISHER (who was in charge of a fleet of Ducatos on lease/hire at Euroserve Leicester);
"The water pump on the 2.3JTD is designed to last the lifetime of the vehicle and unless there are obvious signs that something is amiss, it should be left well alone. It is a much bigger job than you might think and access is extremely difficult. The fuel pump has to be removed and if any of the bolts are problematic it will require the engine to be removed to remedy. I have only ever changed one and it was because the engine was already out. No problems so far and many of our vehicles do 250,000 miles before we move them on.
It is vital that the tensioners are changed as they are much more likely to wear than the belt itself. The screw for the adjustable tensioner should also be replaced and this is not normally part of the after-market kits."