Stoma: Public Toilet Provision

Debate between Vikki Slade and Andrew Snowden

Thursday 18th June 2026 Westminster Hall

[Vikki Slade (Mid Dorset and North Poole) (LD)]

It is a pleasure to serve with you in the Chair, Mr Dowd. I thank the hon. Member for Strangford (Jim Shannon) for securing this important debate.

It is great to follow the hon. Member for Fylde (Mr Snowden), who did better than I did in my maiden speech, when I managed to mention Shitterton and Happy Bottom—and I have now done so in Hansard for a second time. By the way, they are both places in my constituency. When I first stood for Parliament in 2015, the closure of public toilets was one of the key issues raised with me by local people. In fact, we pretty much had a whole hustings on it at Canford school.

Since arriving in this place I have repeatedly sought opportunities to improve provision, whether through debates or legislation. I am therefore delighted to speak today in a debate focused on people living with stomas, although many of the issues we are discussing apply equally to people with other conditions or disabilities or, indeed, other sections of our community. For many people, the worry about whether a public toilet exists, is open, clean and has the facilities they need is lifechanging. It is the difference between participating in public life or staying at home.

This issue is close to home for me, as one of my close family members needed a stoma last year. It stopped them travelling into London to watch me speak in Parliament and it will even stop them travelling to see their grandchild perform in the west end in a few weeks’ time. I know they desperately want to enjoy those experiences, along with the rest of the family, but they feel trapped close to home and close to the facilities they know they can rely on.

Following the hon. Member for Fylde, I will have to ask my family member what they call their stoma. Given the prevalence of bad jokes that emanate from their home on a daily basis, I am sure they will come up with something. I may need to catch the hon. Member in the Tea Room and let you know what they come up with. Simple changes, such as shelves, mirrors, disposal bins, hooks and space to manage the stoma with dignity, can cost such a small amount but make such an enormous difference.

That is why the Liberal Democrats are calling on the Government to support further research into the adjustments that could promote the dignity, comfort and independence of people living with stomas. I would be interested to hear the Minister’s views about potential changes to part M building regulations, as suggested by the hon. Member for Strangford. Too often, these small facilities are absent or even removed for fear that they might be misused for other purposes.

It is shocking that more than a third of stoma users report being challenged or criticised for using accessible toilets because their condition is invisible. Two thirds of all disabled toilet users have experienced disapproving looks and almost half have been verbally challenged. Imagine how distressing it must be, particularly for someone recently diagnosed with a life-changing condition who might already be worried about getting to a toilet on time, to face the judgment of strangers.

For people with stomas, older people, those managing disabilities or continence conditions, pregnant women and parents caring for young children, access to an appropriate toilet is not just a convenience; it is essential. With the new EHRC guidance, those who are transgender, non-binary or do not conform to gender stereotypes—for whom the disabled loo is not their preferred choice, and nor should it be—now find that the disabled toilets may be the only way to protect their dignity and stay safe. Public toilets are becoming even more of an issue for more people.

There is also a widespread assumption that men’s toilets do not need sanitary bins, but they are essential for many men living with stomas. I was also delighted to join Matt Forde in Parliament last year as part of the prostate cancer “Boys Need Bins” campaign. For people with continence issues, the absence of bins can have a completely unnecessary effect on their confidence, dignity and independence. This includes people with stomas or bladder, bowel or digestive conditions.

Liberal Democrats are therefore calling on the Government to ensure that all public toilets are equipped with sanitary bins and to update workplace guidance to reflect the needs of men as well as women. There has been progress thanks to organisations such as Colostomy UK, as well as retailers such as Morrisons and B&Q, both of which made their toilets stoma-friendly, possibly after the experience the hon. Member for Fylde shared earlier. We want the Government to work with national retailers to ensure that accessible toilets are routinely made stoma-friendly. As some businesses have shown that it can be done, the challenge should be to make good practice the norm.

On access to toilets more widely, the British Toilet Association estimates that the number of public toilets has fallen by around 40% since the turn of the century. Its estimates suggest that only 4,000 public toilets remain in England—one public loo for every 14,000 people. We call them public conveniences, but they are in fact a public necessity. Their decline is happening as our population is ageing and more people need the confidence that facilities are available when they go out. If we want thriving high streets, vibrant parks and successful tourist destinations, we need decent public toilets.

The needs of other groups, including homeless people, refuse collectors, postal workers, delivery drivers, community nurses, social care staff, taxi drivers and highway maintenance crews, are also forgotten. I know that from personal experience, because about 10 years ago, I worked a full eight-hour shift alongside refuse collectors, starting at 5 am. When I climbed into the cab with my bottle of water and my can of Coke, they said, “You can’t drink; you can’t eat. There’s nowhere we can go.” I thought it was ridiculous that those people, who worked for us, had absolutely nowhere on their route where they could go. There was no way that we could go into a supermarket or a petrol station; we absolutely stank. It would not have been reasonable for us to go into a private business and expect to use its toilets. Thankfully, the local council addressed the issue with changes to its workplace facilities, but that sort of thing should concern us all.

The Government rightly speak about healthy ageing, thriving town centres and reducing inequalities, yet all those things become harder to achieve if people are not confident about finding a toilet. If the problem is so obvious, why has it continued to get worse? Part of the answer lies in the law. Currently, councils have a power to provide public toilets, but not a duty to do so. When budgets are stretched, discretionary services are often among the first things to disappear. I do not blame councils; I used to lead one, and I know that the system is so stretched and that few options are available when budgets are getting smaller and smaller.

I propose a change in approach, and I hope that the Minister and her colleagues will give it serious consideration. Councils should have a statutory duty to ensure sufficient public toilet provision within their area. That does not mean that every council must directly own or operate those facilities—community toilet schemes and partnerships with businesses, libraries, leisure centres, churches and town councils can all play an important role—but there should be a duty to assess local need, identify gaps in provision, and ensure that facilities are available when people need them and reflect a local population’s health profile. I am sure that the Minister will refer to the Pride in Place scheme, which is great for the areas that have it, but thousands of communities around the country will not have access to that capital. There needs to be a way for those areas to ensure that their residents are also protected.

The Liberal Democrats also believe that Governments must support local authorities to reverse the decline in public toilet provision. Councils cannot be expected to deliver improved services if they are being continually asked to do more with less. Alongside the duty should come expectations for accessibility, maintenance and cleanliness. A toilet that does not lock, or is filthy or unusable, is not really a toilet. Where facilities are built or refurbished, they should be genuinely inclusive, including by being stoma-friendly. We should also think carefully about signage. Not every disability is visible, and the current image of a wheelchair may itself drive the perception that someone is “not disabled enough.” The adjustments required are small, simple things: shelves, mirrors, hooks, disposal bins and signage.

This is a public health issue because people who choose not to go out will become more isolated, and that will affect their mental health. Those who restrict fluids to reduce the risk of getting caught short can develop other conditions. Those who are forced to change their stomas on filthy floors, or change their disabled child behind a bush, will not only face distress but risk serious infection.

[Mr Snowden]

The hon. Member touches on a point that I started but never finished in my walkthrough of life with a stoma, and it relates to children. I have a four-year-old. I have read the stories of parents trying to deal with children who are months old, not years old, and require stomas. As parents, we know what it is like managing a day out, but imagine trying to manage it for a child with a stoma. Imagine trying to give that child as normal an upbringing as possible. Unfortunately, the reality for that child is that they could face bullying and self-confidence issues from everything that goes with having a stoma. Those parents should be able to plan normal days out and provide normal lives for their children, so ensuring that schools and councils manage public toilets in a way that is friendly to people with stomas is important. I cannot feel anything other than real heartache for families who have to deal with that as they try to do their best by their child.

[Vikki Slade]

I thank the hon. Member for his intervention. I worked for Diverse Abilities, which looks after disabled children and adults in Dorset. The number of times that we could not ensure that the children in our care had suitable facilities was really frightening. I spoke at the Backbench Business Committee earlier this week, where the hon. Member for Bexleyheath and Crayford (Daniel Francis), put in a pitch for a debate on a new strategy for Changing Places toilets. That is hugely important, and I would absolutely support it.