Contribution
The very poor provision of toilets is an issue I will address shortly. Fortunately, we have been proactive in my constituency, which may be something that others wish to follow.
The availability of a suitable toilet can determine whether a person feels confident enough to attend a family gathering. When all the family is there and the kids are running about, they wonder, “Is the toilet handy?” or “Are there two toilets, if somebody is in one, because I need to make sure I get there fairly quickly?” It determines whether they can enjoy a day out, travel for work, visit a town centre or simply spend time with friends. It is not a situation any of us would wish to see.
Evidence gathered by Colostomy UK highlights the significant scale of the issue. Its Stoma Aware survey found that 62% of people living with a stoma avoid activities that many of us take for granted because suitable toilet facilities are not available. One in four had been challenged for using an accessible toilet, despite having a genuine need to do so. Most concerningly, 4% said they left home only for emergencies. Those figures are striking. It seems that they are almost a captive in their own house.
The figures tell us that this is not an issue of convenience, but of social participation, confidence and, for many people, isolation—isolation is the key issue. In this House, we spend a great deal of time discussing loneliness and social isolation, to which the Government rightly respond positively by trying to make the situation better. We talk about encouraging people to remain active in their communities and ensuring that those living with long-term health conditions are not left behind, yet, as the hon. Member for Harrogate and Knaresborough (Tom Gordon) said, inadequate toilet provision can be a significant barrier to those ambitions, affecting the way a person plans their day, their journey or their outing.
If someone cannot be confident that they will find a suitable toilet when they need to, they may begin to avoid situations that others take for granted. They may stop attending social events, going to family occasions, travelling or visiting friends and family, or they may avoid shopping centres, cultural events or community activities. “If I go there and am caught short, where do I go? Is there provision? How far can I travel?” It is not that they lack the desire to participate, but that they are concerned about the predicament they might find themselves in because they lack confidence that the facilities they need will be available.
People living with stomas can also experience complications that require immediate access to a toilet, such as leakage, pancaking or ballooning. Those can happen without warning and often require urgent attention. I remember when one of my friends was caught short unexpectedly and went to the toilet. The problem was that his stoma had overflowed. Apart from the embarrassment, the people around him did not quite understand what was going on. For my friend, especially, it was incredibly worrying. Such situations can happen without warning and often require urgent attention, so when they occur, having access to a suitable toilet is not a luxury but essential—“We must get there right now.”
I have heard some of the comments made by people who responded to the Colostomy UK survey. One respondent said:
“I plan every journey around toilets. Sometimes I cancel plans because I can’t face the stress”.
That is the stress of not knowing whether a location has a toilet, whether they will have access to it or whether there will be a problem.
Another respondent said:
“I once had a woman yell at me for using the accessible toilet because I looked fine”,
and she could not understand what was going on. The respondent did not go out again for weeks because of the fear of having to deal with somebody else who might shout at her, maybe saying worse things.
Those comments are a reminder that many conditions are invisible. People should not have to justify their need to use an accessible toilet, nor should they be challenged at any time when doing so. The impact extends far beyond physical inconvenience; it affects confidence, wellbeing and quality of life.
It strikes me that the solutions to this issue are neither complicated nor expensive, so I have some thoughts to put to the Minister on how to move forward. We are not talking about major infrastructure projects or significant new financial burdens. In many cases, we are talking about practical measures that can make a substantial difference to people’s lives. The challenge is not a lack of solutions, but ensuring that those solutions are consistently available and embedded in policy and practice.
That brings me to the two key issues I wish to raise with the Minister. The first concerns public toilet provision. Across the United Kingdom, public toilets have disappeared from town centres and public spaces. Communities that once had facilities on which people could rely have seen those facilities close, often without any indication that they will be replaced. That issue is well known. The hon. Member for Harrogate and Knaresborough referred to it in his intervention, and it will be commented on by others.