Contribution
It is a pleasure to serve under your chairmanship, Mr Dowd.
I begin by paying tribute to Members from across the House for the incredibly thoughtful and personal stories that they have shared. I am very conscious that Members speak on behalf of their constituents, and that some Members speak from personal experience. Although I do not have that personal experience, I have a very close family member who does, and I have heard Members speak in the Chamber before about their own experiences and have reflected very carefully on the power of those remarks for those beyond the House who hear them. I thank Members very much for their contributions.
I also thank the hon. Member for Strangford (Jim Shannon) for securing this very important debate, and for his continued interest in this issue. I know that he is a committed advocate for public toilet provision, including for those with non-visible disabilities such as stoma use.
I recognise the importance of the provision of good-quality, accessible public toilets more broadly. For far too many people, access to clean and safe public toilets can be the deciding factor in whether they feel able to visit a town centre, a high street, a park or any local attraction. As others put it so eloquently, such facilities support the dignity and independence of people with disability and accessibility needs. Of course, accessibility to a decent facility encourages everybody to spend more time in their local areas, and to use the shops, services and attractions in them. I do not need to detail the benefits of that in itself.
It is true that for many people, it is just too difficult to access the facilities that the rest of us can access so easily every day. Members have correctly pointed out that that is a challenge not only for those with a stoma, but for many other people, including those with ulcerative colitis or irritable bowel disease. The list is much longer than that; the point is that many people are impacted by the lack of accessibility facilities.
However, this debate is focused on stomas, and I want to place on the record the Government’s recognition that this is absolutely a real challenge. Approximately one in 335 people of all ages in the UK is estimated to be living with a stoma, and each year more than 13,000 people in the UK undergo stoma surgery. For people living with a stoma, access to suitable toilet provision is not simply a matter of convenience; it is fundamental to their dignity, safety and independence. Many people living with a stoma feel anxious about leaving home, particularly in the period after surgery.
The Government recognise that being able to live well, to work, to enjoy days out, to shop and to socialise requires access to appropriate public toilet facilities. However, as Members across the Chamber have said, standard public toilets may not always provide that facility for everybody in a safe and dignified way. It is important that we recognise the specific experience of people with invisible disabilities, who are often uneasy about using a disabled facility for fear that it may be a challenge to do so—assuming that the disabled facility would even meet their needs.
In recognition of the importance of this subject, at the last spending review, in 2025, the Government committed more than £5 billion over the next three years for essential local services, including public toilets, and we continue to provide 100% mandatory business rates relief for stand-alone public toilets, which is helping reduce ongoing costs for local authorities, but I absolutely accept that the facility needs to exist in the first place. I recognise that, for stoma users, practical features such as clean shelf spaces and discreet disposal bins can make a significant difference. I thank Members for raising the issue of facilities in male toilets, which are so frequently overlooked.
It is worth highlighting that all building work must meet the functional requirements of the Building Regulations 2010, which address accessibility and provide guidance on meeting those requirements, including the installation of shelves, sanitary disposal units and accessibility toilets. However, I accept that the very fact we are having this debate means that the reality on the ground is very different.
The Building Safety Regulator has a duty under the Building Safety Act 2022 to keep the standard of buildings under review, and I welcome the fact that the Opposition spokesperson, the hon. Member for Mid Bedfordshire (Blake Stephenson), drew attention to the £30 million Changing Places programme, which supported the targeted installation of almost 500 new disabled toilet facilities. I learned much about that programme when I served as a council leader—if I learned anything from my days in local government, it is that bins and toilets are two topics that people get very passionate about.
The role of local authorities is central to this conversation. It is the Government’s view that local authorities are best placed to understand the needs of their communities, and to make decisions about the provision that is right for their areas. I take careful note of the important arguments made about statutory requirements and regulations, but I say gently that local authorities might not think that is the best approach. I am yet to come across a local authority that does not want to do the best for its area, and I think there is a conversation to be had about how we can better support them to do that.