Contribution
That is, again, an incredibly powerful intervention from the hon. Gentleman, who is very focused on the issue. The toilet should be of the right level of cleanliness, and with the relevant attendance, so that it can be used by everyone.
The wider decline has been highlighted by the Royal Society for Public Health, which has warned of the emergence of public toilet deserts in the UK. Recent research found that there is now one public toilet for every 15,500 people in England and that public toilet provision has fallen by 14% since 2016. That is incredibly worrying, and highlights the importance of this debate. It is also why my requests to the Minister will be fairly specific.
For many people, the lack of provision may simply be frustrating; for somebody living with a stoma, it can be life-limiting. It can influence where they go, how long they stay and whether they feel able to leave home at all. Public toilets are not simply a convenience for many people: they are essential infrastructure and an essential part of everyday life. The Royal Society for Public Health has warned that, for some people, access to a public toilet can be the difference between whether they leave the house or not. That is the reality that Colostomy UK hears from people living with stomas.
I do not set aside the financial pressures facing local authorities, and I appreciate that there are difficult decisions to be made, but I hope the Minister agrees that nobody should be excluded from public life because they cannot access a suitable toilet when they need one. I therefore hope the Government will consider how local authorities can be supported to ensure that people living with stomas and other long-term health conditions are not disadvantaged by a lack of public toilet provision. I also hope the Minister will consider whether the current discretionary approach to public toilet provision is sufficient for those who rely on these facilities to participate in everyday life.
The second issue I wish to raise is separate but equally important. The first issue is whether people can find a toilet at all; the second is whether, when they do find one, it is suitable for their needs. That is key. Even where accessible toilets exist, they do not always meet the needs of people living with stomas. A toilet may be accessible from a mobility perspective, but may still lack the practical features needed by somebody managing a stoma, as the hon. Member for Harrogate and Knaresborough outlined in his three key interventions.
As I mentioned earlier, I am fortunate to be the hon. Member for Strangford, but I also represent the largest part of the Ards and North Down borough council area. What the council has done, which I have supported over the years, is so important and is perhaps a blueprint for other councils to follow. It has worked with Colostomy UK on a strategy and a process to upgrade all accessible toilets in council-owned facilities and make them become stoma-friendly. In doing so, it became the first council in Northern Ireland to make all accessible toilets within its facilities stoma-friendly, demonstrating real leadership on this issue. Ards and North Down borough council—the council I served on for some 26 years—has led the way, and I hope others will take forward its policy.
The improvements include practical additions such as shelves, mirrors, hooks and appropriate disposal facilities. As the hon. Member for Harrogate and Knaresborough referred to in his intervention, that is one way forward. Those may sound like small changes, but they make a significant difference to people managing a stoma. I commend the council for recognising the needs of people living with stomas and for taking practical action to improve accessibility across its estate.
The fact that the first council in Northern Ireland has already implemented changes demonstrates that they are achievable and can be delivered within existing public sector budgets. The council delivered those special features in the toilet facilities it has in my constituency. That is particularly encouraging, because it demonstrates that the solutions being proposed are practical and achievable and can be delivered. The council recognised the need, worked with people who understand the issue and implemented changes to make public facilities more accessible. The question we should ask ourselves is this: if we recognise that these features are necessary, why should their provision depend on the goodwill of individual councils, businesses and organisations? Should they not become the standard that people can expect?
As things stand, provision is inconsistent. Some facilities include those features, while others do not. As a result, people living with stomas cannot be certain that an accessible toilet will meet their needs. That is why Colostomy UK is calling for stoma-friendly features to be incorporated in part M of the building regulations and in future accessibility standards. These are constructive policies, put forward so that people with stoma bags are able to have a better quality of life.
The success of Changing Places toilets shows what can be achieved when the Government identify a genuine accessibility need and respond positively. The features required to make a toilet stoma-friendly are modest, yet they can have a profound impact on people’s daily lives. I therefore believe that there is a strong case for examining whether stoma-friendly features should become a standard requirement for accessible toilets in any new developments.
The Minister has already seen them, but before I conclude I have four specific questions for her. First, will she agree to meet Colostomy UK to hear directly from people living with stomas and discuss their issues further? I understand and appreciate that she has only just taken over, but if she could make the time, we would appreciate the opportunity to act on this issue.
Secondly, on public toilet provision, will the Minister engage with her ministerial colleagues in the Ministry of Housing, Communities and Local Government to explore how local authorities can be supported to maintain adequate public toilet provision for people with stomas and other long-term health conditions? There are many pertinent long-term conditions, which the hon. Member for Harrogate and Knaresborough referred to in one of his interventions.
Thirdly, on building standards, will the Minister ask officials to examine whether part M of the building regulations could and should be updated so that stoma-friendly features become standard for accessible toilets in new developments? Fourthly, will she work with Colostomy UK and other stakeholders to ensure that people living with stomas are able to participate fully in work, education, travel, culture, community life and, indeed, normal life?
Let us be quite clear: this is not a party political issue. In the debates that I bring forward, I try to never make it about that, because it is not; it is about the people. It is a practical issue, an accessibility issue and, above all, a human issue. No one should feel excluded from society because they cannot access a suitable toilet when they need one.
I look forward to hearing other Members’ contributions, and I thank the hon. Member for Harrogate and Knaresborough for his interventions. I look forward to the contributions of the shadow spokespeople, the hon. Members for Mid Dorset and North Poole (Vikki Slade) and for Mid Bedfordshire (Blake Stephenson), and I really do wish the Minister well in her role. Today we have the opportunity to work collectively to do better for our people.