That this House has considered capital funding for Changing Places toilets.
It is a pleasure to serve under your chairship, Sir Alec. I am grateful to the Backbench Business Committee for granting this debate. At the outset, I declare an interest as the chair of the all-party parliamentary groups for access to disability equipment and for wheelchair users, and I am also the parent of a child with quadriplegic cerebral palsy who relies on Changing Places toilets.
Changing Places toilets are designed for people with profound and multiple disabilities and their carers, who need space and equipment—such as ceiling track hoists and height-adjustable, adult-sized changing beds—that a standard accessible toilet would not provide. Almost 250,000 people in the United Kingdom need personal assistance to use the toilet or change incontinence pads, including people with profound and multiple learning disabilities, spinal injuries and a number of other complex needs.
Currently, the number of active and registered Changing Places toilets stands at 2,665, which has greatly increased from the 140 available back in 2007. Last year, there were 99 registrations of new Changing Places toilets across the UK, including in Madame Tussauds here in London, in five Lloyds Banking Group locations and at three National Trust locations.
Back in 2005, the Changing Places consortium was established as a group of individuals and organisations that support the rights of people with disabilities. At the heart of the consortium’s members is PAMIS, a voluntary organisation based in Dundee that supports parents of children and adults with profound and multiple learning disabilities, alongside the Centre for Accessible Environments.
I pay tribute to the late Loretta Lamb, the founder and chief executive officer of PAMIS, along with the team of staff and volunteers behind Changing Places toilets, led by Jenny, Karen and Fiona. I also want to highlight Changing Places Awareness Day, which is this coming Sunday 19 July. Campaigners have worked tirelessly to raise awareness and push for greater inclusion for disabled people, their families and carers.
Changing Places toilets have been vital for my family. I am the father of twins, and one of our daughters has quadriplegic cerebral palsy. She is a wheelchair user and unable to tell us when she needs the toilet; she is still in nappies at almost 13 years of age. Given her height and weight, a changing bed is essential to changing her with dignity. Prior to the roll-out of Changing Places toilets in recent years, I had the indignity of changing my child on a bench, behind a bush or on the floor of our wheelchair-accessible van; unfortunately, it occasionally still happens today. Changing Places toilets are vital to giving her some dignity.
The roll-out of Changing Places toilets and the Changing Places map facility allows families like ours to plan their days out, trips and travel arrangements, knowing where there will be a toilet. As a result of additional funding from the Department for Transport, a new journey planner feature has been launched as part of the Changing Places toilet map, which allows increased functionality for planning, saving and downloading travel routes with Changing Places toilets. Both the map and the journey planner have been life-changing for many families, allowing them access to places and days out and enabling them to plan routes around availability at service stations, which has greatly increased in the last 10 years, train stations, seaside destinations or museums. They allow both my children to have the same dignity and respect as other children out there.
Colleagues may be aware that our next speaker is recovering from an operation. I am content for the right hon. Member to deliver his speech from a sedentary position, if he would like to do so.
It is a pleasure to serve under your chairmanship, Sir Alec. I will do my best to keep standing—if nothing else, it will make me speak for a lot less time than I might otherwise, which will be a relief to everyone. I both congratulate the hon. Member for Bexleyheath and Crayford (Daniel Francis) and thank him for securing this important debate. He speaks from personal experience, and he spoke very movingly and powerfully about the situation we are discussing today. I am grateful to him for giving us the opportunity to discuss this important topic.
Politics is often about addressing the great matters of state. We often talk about war and peace in this House. However, politics is also about making people’s everyday lives that little bit easier. One of the things all MPs discover is that we learn a lot from our constituents—certainly if those constituents are from Yorkshire, as the Chairman will appreciate. I was profoundly moved after a meeting I had with a group of my constituents in 2017. I had called in at the Dales School in Morton-on-Swale near Northallerton, and a group of parents of the most severely disabled children at the school wanted to talk to me. They told me about the difficulties they faced as families when they went out. and explained how a lack of suitable toilets and changing facilities meant that visiting the majority of leisure attractions and destinations across the country on a day out, which most families would take for granted, was nigh-on impossible for them.
It is a pleasure to serve under your chairship, Sir Alec. I thank my hon. Friend the Member for Bexleyheath and Crayford (Daniel Francis) for securing the debate and for all his work in championing the rights of disabled people. He is tireless in what he does. I also put on record that Changing Places toilets were first introduced in Nottingham, where my constituency of Broxtowe is. I am proud that Nottinghamshire carries that legacy of innovation.
In previous roles, I have been a champion for disabled people, and many people have spoken to me about the need for Changing Places toilets. Many people with profound, multiple and severe disabilities and neurological conditions have complex needs, and a standard accessible toilet is insufficient. Many require a Changing Places facility equipped with a hoist, an adult-sized changing bench and adequate space for carers to provide sufficient support safely and with dignity.
Without those facilities, everyday activities that many of us take for granted become impossible—a family day out, a trip to the high street, visiting a museum, going shopping or meeting friends. Many of us take those things for granted, but those ordinary experiences are denied to too many people because they do not feel confident that their needs will be met once they leave home.
According to the Office for National Statistics, there are 10,000 disabled people in my constituency of Broxtowe who require a Changing Places facility, but there are only two such facilities there, meaning that people in Eastwood, Awsworth, Stapleford and Beeston do not have access to suitable provision. Only one of those facilities is modern enough and regularly open.
Disability rights charities and organisations across the country talk about disabled people and their carers restricting their journeys or avoiding going out altogether because they cannot find suitable toilet facilities or be certain that facilities will be open and accessible. Isolation, loneliness and poor mental health are often attributed to low social interaction, which can lead to anxiety and depression—that is what such facilities being missing can mean for disabled people. Parents of disabled children frequently report to me avoiding going out on outings altogether, not because they want their children to be excluded but because they cannot be certain that they will find a changing facility.
It is always a pleasure to serve under your chairship, Sir Alec. I thank the hon. Member for Bexleyheath and Crayford (Daniel Francis) for introducing a topic that, as he said and as we all know, touches the very core of human dignity, equality and basic compassion. It is a pleasure to follow the hon. Member for Broxtowe (Juliet Campbell) as well; I thank her for her contribution.
It was also a pleasure to hear the story told by the right hon. Member for Richmond and Northallerton (Rishi Sunak) of how he was approached by his constituents and how, as he rose up the ministerial ladder, he used his position to ensure that the very things that his constituents had asked for were delivered. I wish to put on record my thanks to him for using his position for his constituents and all our people, because ultimately, we all benefit from that £50 million to which he referred.
It is also a pleasure to see the Minister in her place. I am not sure what is going on, but whenever she turns up, I seem to turn up as well. Westminster Hall has been well used this week on numerous occasions by both of us, and by many others as well. However, we seem to be featuring in similar debates.
When it comes to the welfare of vulnerable people, I will knock on any door and speak in any Chamber to ensure that they are not forgotten. That is why today is so important. I secured a debate just a few weeks ago about stoma care facilities and public toilets, but today we are talking about something slightly different: Changing Places toilets. We are not talking about standard disabled toilets; we are talking about life-changing essential facilities that provide an adult-sized, height-adjustable changing bench, a tracking hoist system, a centrally placed toilet and room for two carers—the physical room for them to be able to help.
Without those facilities, thousands of our fellow citizens cannot leave their homes for more than a couple of hours without facing the horrific, unsanitary and utterly degrading reality of being changed on a dirty public toilet floor. I would not like that, which is why I am here to speak up. I thank the hon. Member for Bexleyheath and Crayford for his moving contribution and his personal story. We all agree that personal stories carry weight. Today, he shared his with us all, and I thank him for doing so.
So we got some, but we need that to be ringfenced. Minister, if moneys are coming through Barnett consequentials, let us ensure that they are used for those purposes. We need central capital funding that can be accessed by local councils like Ards and North Down borough council to retrofit our coastal towns, tourist hotspots and community centres; I believe that many are ready.
A civilised society is always judged by how it treats the most vulnerable. This is not a political issue—we all know that—it is about personal dignity, equality and what is right. It is about independence, inclusion and the basic right to go out for a cup of tea or a walk by the sea without losing your dignity. I urge the Minister to work hand in hand with the devolved Administration to ensure that capital funding flows to where it is needed the most, so that no child or adult in Northern Ireland is ever forced to use a public toilet floor again.
It is a pleasure to serve with you in the Chair, Sir Alec. I congratulate the hon. Member for Bexleyheath and Crayford (Daniel Francis) on securing this very important debate, and I thank him for sharing his personal story. Lived experience is always most moving and powerful, but it is often difficult to share, because so many emotions come with it. No parent, and indeed no child, should be faced with the indignity of changing a loved one on the floor of a toilet or behind a shed. I feel very much for him and his experience. This problem is not something that has been resolved everywhere. It continues, which is why we are debating it.
The issue before us is simple: if a person cannot safely use the toilet when they are away from home, they do not have equal access to public life. For most people, planning a day out means deciding where to go and how to get there. For many disabled people and their families, it means checking whether the journey is accessible, whether the venue can accommodate them and, crucially, whether there will be a toilet they can use. Too often, the answer to the last question is no. That means cutting a day out short, turning down an invitation, avoiding a long journey or simply staying at home. No one should be excluded from everyday life because the facilities they need have not been adequately provided.
As we have heard, Changing Places toilets are not the same as standard accessible toilets. They include an adult-sized changing bench, a ceiling track hoist and enough space for carers to provide support safely. Without those facilities, some disabled people are left with completely unacceptable choices. They may have to be changed on a toilet floor. Their families or carers may have to attempt unsafe lifting. Some people restrict what they eat or drink before going out, because they are worried that there will be nowhere suitable for them to use. That is undignified, unsafe and entirely avoidable.
As legislators, we often talk in this place about inclusion, independence and equal access, but those principles must mean something in practice—they must not be just talk. A building is not truly accessible if a disabled person can enter it but cannot safely use the toilet while they are there. There has been progress. There are now 2,665 registered Changing Places toilets across the United Kingdom, compared with around 140 in 2007—that is good. The previous Government’s £30 million Changing Places toilets fund supported the installation of nearly 500 new facilities across England, but the fund is no longer active. That funding made a genuine difference and shows what can be achieved when the Government provide the right support. The fund was closed in March 2025, but the job is not finished. There are still too many town centres, transport hubs, parks, hospitals, tourist attractions and community venues without a Changing Places toilet.
It is a pleasure to serve under your chairmanship, Sir Alec. I start by thanking the hon. Member for Bexleyheath and Crayford (Daniel Francis) for securing this important debate, and for sharing his family’s experience. I recognise the vital work of the Changing Places consortium, established in 2005, in continuing to ensure that the issue is raised in this place, the Chamber, town halls and across Whitehall. I also pay tribute to the former Prime Minister, my right hon. Friend the Member for Richmond and Northallerton (Rishi Sunak), who began so much of the work on this topic when he served as a Minister in the Ministry of Housing, Communities and Local Government.
We have heard from Members today how vital Changing Places toilets are in our cities, towns and villages for those in need of their larger and more accessible facilities. The debate has featured powerful testimonies from constituents on how their lives are impacted every day by the inaccessibility of many public toilets, and how this affects them both physically and mentally. I would like to add one more example from my Chester South and Eddisbury constituency.
Although it has already been mentioned, it is worth reinforcing how vital Changing Places facilities are for older disabled children and adults. My constituents Radhika and Shyam told me that a standard accessible toilet simply does not meet the needs of their son, Idnaat. Without appropriate facilities, as we have heard, families can face the undignified and distressing choice of changing a loved one on a toilet floor, or having to cut short a day out. No family should ever have to make that choice.
It is a pleasure to serve under your chairmanship, Sir Alec. This is the second or third time we have been in the same debate this week, so Members are in competition with me. I thank my hon. Friend the Member for Bexleyheath and Crayford (Daniel Francis) for securing this important debate and for his ongoing efforts to speak up for issues that matter not only to him but to so many of our constituents across the country. He has been a committed advocate for Changing Places toilets and so many issues that others find difficult to talk about. He is the voice of many constituents around the country.
I welcome the opportunity to respond on behalf of the Government to this important debate, which comes on the back of another important debate about public toilets for people with stomas, which some Members in this debate took part in. I thank all Members, including the shadow Minister, the hon. Member for Chester South and Eddisbury (Aphra Brandreth), for their contributions and their thoughtful, emotional and challenging speeches. Often these are the sorts of debates that have a real impact on policy change.
As Members have pointed out, for many people the availability of an accessible public toilet that is clean and safe can be the deciding factor in whether they feel able to visit a town centre, a high street, a local attraction, their park, or just something they want to do that weekend. Such facilities support dignity and independence for people with disabilities and accessibility needs. There is also an impact on the families that support those with a disability.
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When I held an Adjournment debate on this subject last July, I reported that the number of registered facilities at that point was 2,609. It is positive that that number continues to grow, but that growth is slowing. Much as I support my party and my Government, that is in many respects because of the end of the previous scheme in March 2025. That is why I continue to call for a form of funding, through the reintroduction of a capital grant, to be brought forward to allow organisations, companies and charities to install new Changing Places toilets and to bring existing Changing Places toilets up to current standard. In this building, our Changing Places toilet is really not up to a modern standard. I used it a few weeks ago with my daughter—it is a back-breaker.
An expansion of capital funding for Changing Places toilets would lead to people with profound disabilities accessing more opportunities and more families and individuals contributing to our hospitality businesses, theme parks, leisure facilities and sports grounds—the list goes on.
There was, of course, a previous fund. In 2019, the then Conservative Government ran a consultation on the proposal to increase the provision of Changing Places toilets. Following that consultation, the Government announced that the provision of Changing Places toilets in new public buildings above a certain size would be compulsory, and that was brought into force on 1 January 2021. I am very grateful that the then local government Minister, the right hon. Member for Richmond and Northallerton (Rishi Sunak), has joined us this afternoon. I absolutely accept that he was fundamental in getting the law changed and ensuring that the consultation was held.
In July 2021, the then Government launched a £30.5 million fund to expand the provision of Changing Places toilets. From that fund, almost 500 new facilities were installed. I know from experience that there has been a profound change in the last 10 years that has made travelling up and down the country much easier. Near where we are standing today, people can access Changing Places toilets at the National Portrait Gallery, the National Gallery, Ikea in Oxford Street or Waterloo Station, which did not have them 10 years ago.
The fund closed in March 2025. Although I acknowledge that changes to building regulations ensure that facilities continue to be installed in new buildings, I retain concerns that older buildings would greatly benefit from having a Changing Places toilet installed. For example, in April this year, one of those older buildings—St Paul’s cathedral—opened a Changing Places facility, giving visitors who require specialist toilets the ability to access them. I understand that there is now such a facility at Blackburn cathedral and that there will shortly be one at Lambeth Palace.
I go back to what I said about motorways. In November 2018, the DFT announced that it was partnering with Muscular Dystrophy UK to expand the provision of Changing Places toilets at service stations. We now have 54 Changing Places toilets at service stations across the UK. That has been a huge step forward in allowing families like mine more freedom and options when planning their journeys up and down the country.
I am calling for an official Changing Places app. Currently, people can access a map on the main Changing Places Consortium website, but an official Changing Places app with identification mapping would allow users to quickly identify where toilets are while on journeys. I have said this many times during the passage of the Railways Bill and many times in the Chamber: I believe that Great British Railways should bring forward a national transport accessibility app that shows the availability of level access, station accessibility, live travel lift information, as the TfL Go app has, and locations of Changing Places toilets.
A new form of capital funding would give businesses and local authorities the opportunity and encouragement to bring forward more Changing Places facilities. A number of hon. Friends have identified locations where they believe Changing Places toilets could be installed. For instance, my hon. Friend the Member for Rushcliffe (James Naish), who sadly cannot be with us this afternoon, has spoken to me at length about support for a national fund. In his local authority, Rushcliffe borough council, he has been looking for two years to install a Changing Places toilet facility in West Bridgford, the town centre, and is struggling to locate the funding to do so. I ask the Minister to outline what consideration the Department has given to the merits of bringing forward a new capital fund.
I turn now to the importance of maintaining Changing Places toilets. I mentioned last year that, in Bexleyheath town centre, we had to close a Changing Places toilet because of the vandalism it was receiving, with people living in it and dealing drugs in it. I will continue to call for a greater system beyond the current radar key system. Radar keys are openly available in shops and on the internet and there are too many occasions when Changing Places toilets are vandalised as a result of misuse.
I thank the Chamber engagement team for their hard work in organising a survey for the public to share their experiences of using Changing Places toilets and the impact on people’s lives. I thank the more than 100 people who have taken the time to answer the survey over the last week. I wanted to read a few of the responses. One respondent said:
“My daughter is severely disabled. Our first experience of Changing Places toilets was at Center Parcs…I was amazed and overwhelmed with emotions when I saw how I could finally change my daughter comfortably and how excited she was when she realised this was made for people like her.”
Another said:
“My son’s opportunities to go to new places or anywhere over a certain distance is dependent on the availability of Changing Places…We work hard all week and want the same opportunities other families have to go out as a family and do interesting things. Without Changing Places we’re trapped at home.”
Other respondents’ experiences highlighted that there is still a lack of available and well-maintained facilities across the country. One said:
“Without access to an appropriate facility, I am left with impossible choices: ending outings early, avoiding certain venues altogether, or changing my daughter on the floor of an accessible toilet, which is neither hygienic, safe nor dignified.”
I have read through the responses to the survey, and there was a lot of appreciation for Changing Places toilets and the benefits they bring to the lives of severely disabled people and their families. There are also, however, a number of horror stories of people’s experiences where facilities were not available or where they have not been maintained to a suitable standard. I have shared one from my constituency; I could tell of others that have been vandalised or locked. On one occasion, in Brighton city centre, a toilet was locked after 4 pm in the winter. On another occasion, a seaside town locked it from October to March—but people still visit then.
A new round of funding would ensure that Changing Places toilets are maintained and held to a good standard, that training is provided, and that new facilities are opened across the country. Every family deserves to be able to go on days out and partake in everyday activities.
I want to talk about the Scottish Government. They have a fund managed by Inspiring Scotland in partnership with PAMIS that is part of a £10 million investment in the last and current financial years into planning and installing 150 additional facilities across Scotland. I understand that the fund continues to be open for applications, which can be found on the Inspiring Scotland website. I look forward to seeing more facilities opening, benefiting the people and economy of Scotland.
I want briefly to talk about hospitals, although I know that that is not in the Minister’s remit. Changing Places toilets are important for people when they are out and about, but also for people in hospital. My daughter is served by four different London hospitals. In a hospital setting, one would expect to have people with a profound disability who need to use such facilities, but there is variable information about which hospitals do and do not provide them and where they are located within those hospitals.
I submitted a written question to inquire about the number of Changing Places hospitals. Unfortunately, no assessment has been made and the Department of Health does not hold that information, so it appears that more work needs to be done on that. There is national guidance provided to the NHS on designated sanitary spaces in healthcare settings and designed facilities to meet the needs of disabled people—but without clear provision of toilets, needs are not met for people accessing hospital appointments. In 2019, it was estimated that the average cost of installing a Changing Places toilet in a hospital was between £25,000 and £35,000. I ask that the Minister continue conversations across Government so that we can look at installation in hospitals.
I would like to ask the Minister to respond to five points. Will the Government look at introducing a new capital fund for older and smaller venues? Regulations that require a new stadium or shopping centre over a certain size to have a Changing Places toilet have been brought in. I am looking long and hard at finding a facility for a Changing Places toilet in Crayford, the secondary town in my constituency. The second largest Sainsbury’s in the country is in Crayford, so I am trying to work with Sainsbury’s to provide one there. In many town centres, hon. Members may be able to find a venue, but they cannot always find the funding.
Will the Minister work with the Changing Places consortium to upgrade facilities of the older standard, such as the one in the Members’ Lobby, to the current one? Will she commit to working with other Government Departments not only for hospitals, but for railway stations? The nationalisation of the railways presents us with a real opportunity to look at our larger railway stations. As we now have a Changing Places toilet at London Waterloo, I hope we will get one at London Charing Cross very soon. There are opportunities there for people’s travel options.
How are we monitoring larger planning applications under the regulations passed by the previous Government to ensure that the facilities are correctly installed and maintained? Will the Government continue to work with the Changing Places consortium on more modern software, so that we can have an app and make it easier for people to plan their journeys and identify where Changing Places toilets are located? I look forward to hearing colleagues’ contributions and the Minister’s comments on those points.
I vividly remember one mum putting in front of me a magazine with all the events and attractions happening across the region in the summer holidays. She had gone through them and crossed out 99% because they did not have the facilities that her child required. As a parent myself, I looked at that list, saw all the places she had crossed out and realised that those were the very places I had taken my two young daughters to, to help them fall in love with Yorkshire after we first moved there. I reflected on the huge unfairness of that situation and how it compounded the difficulties that that family and many others faced—difficulties that most of us will never encounter—and how most of those places were just off limits for them. As I sat there, I felt that the situation was just not right.
Another parent, Andrew, spoke—similarly to the hon. Member for Bexleyheath and Crayford—of the physical difficulty and the indignity of having on occasion to change his 10-year-old daughter Aniela on rough ground behind a shed or on the dirty floor of a public bathroom, because those were the only places available to them in the circumstances. I admit that, going into my meeting with those parents, I had complacently assumed that we had largely resolved the issue of access to and provision of disabled toilets in this country. I had not realised, until I met and listened to them, that for young children or adults who require the help of a carer to use a toilet, a disabled toilet is not sufficient. They need a Changing Places facility with a bench, a hoist and a privacy screen.
After that meeting, I vowed to those parents that I would do whatever I could to raise and highlight the issue, which I began to do as a Back-Bench MP in Parliament. Fortuitously, a year later, I was lucky to be appointed Minister for Local Government. In that role, I was inspired by my predecessor as Member of Parliament for Richmond (Yorks), William Hague. As Minister for disabled people, which was one of his first ministerial jobs, he was instrumental in bringing into law, under John Major’s Government, the Disability Discrimination Act 1995. That legislation enshrined in law the principle that institutions must make reasonable adjustments to ensure equality of opportunity for disabled people.
Twenty years after the introduction of the 1995 Act, I felt that we needed to renew that spirit to address the issue of Changing Places. As a junior Minister, I therefore set about changing building regulations to make it mandatory to install Changing Places facilities in new large public buildings such as shopping centres, cinemas and theme parks.
At about that time, I happened to meet Zack Kerr, a young campaigner with cerebral palsy—I am sure the hon. Member for Bexleyheath and Crayford knows him well. Zack told me then:
“Life can be difficult enough in many ways, but when there are no accessible toilet facilities where I can be hoisted safely from my wheelchair and changed in privacy and with dignity, I face the choice between staying at home or restricting my social life because of my needs...that’s just not fair.”
Zack rightly also pointed out the need for Changing Place facilities at motorway service stations, so that families could travel freely across the country. I am glad that, when the Conservatives were in Government, we made £4 million available not just to install Changing Places at motorway service stations, but to make a better start on installing them in NHS hospitals.
In 2020—fortuitously or not, depending on your point of view—I then became Chancellor of the Exchequer. In my first Budget, I launched the £30 million Changing Places fund, which match funded the cost of installing the toilets in existing buildings, where the need is, as we have heard, significant. I am delighted that over the subsequent years, the fund has made possible almost 500 different Changing Places facilities across the nation, including in Leyburn and at the Dales Countryside Museum in Hawes in my constituency.
As we have heard, more than 2,500 Changing Places are now installed across the country. We should take a moment to reflect that that is three times as many as there were a decade or so ago, when I first became aware of the issue. Now landmark attractions such as Alton Towers, Madame Tussauds and the Tower of London, as well as most Premier League stadiums and cinemas and shopping centres right across the country, all have that vital facility in place. Of course, the job is not done. We need more Changing Places facilities; almost a quarter of a million people rely on them.
We have made real progress, and it is worth taking a moment to thank the people who deserve praise for that. The consortium, as we have heard, is now run by PAMIS and the Centre for Accessible Environments, but previously, when I was in post, it was run by Mencap and Muscular Dystrophy UK, supported by many others. They deserve enormous credit for their co-ordination and campaigning on this issue. So do the tireless campaigners up and down the country—families with severely disabled children and other family members, like dad Andrew Newton and his daughter Aniela, who came to see me all those years ago.
Certainly for my part, as I reflect on my political career, it will remain one of my proudest achievements to have played a small part in supporting all their efforts. Every time a parent gets in touch to say they have been able to enjoy a family day out that most of us take for granted, I feel a real sense of pride. We all know there is much wrong with our politics, but this issue shows the value of our constituency system: communities are able to raise issues directly with their elected representatives and see them turned into action. It also shows the benefit of working across party lines over years to make changes, and to make people’s lives that bit easier.
I associate myself with the powerful speech by the hon. Member for Bexleyheath and Crayford. I know the Minister will have listened hard to what he said about the need for capital funding for existing buildings, and I am sure she will do what she can to make colleagues in Government aware of that issue, and to make representations to them. I know she will do that because all of us here are deeply committed to ensuring that these families can enjoy more opportunities and the better quality of life that they deserve, and most importantly, have the chance to live with dignity.
As a result, people become isolated from their communities and excluded from socialising. No child should be excluded from public spaces because there is nowhere suitable for them to change when necessary; no parent should have to choose between taking their child out and preserving their dignity; and no adult should be prevented from participating in social activities because the basic infrastructure that they require is absent.
The last Government rightly addressed some of this by making changes to building regulations that will increase Changing Places provision in new, large non-dwelling buildings. That is a welcome step and will improve access over the long term. However, disabled people cannot wait for a future development to solve today’s problems. Capital funding is needed now. The reality is that there are still large gaps in provision across the country, particularly in our transport corridors, town centres, tourist destinations and rural communities.
I urge the Government to look at how Changing Places provision can be embedded with current and future urban planning and within the Government’s high street strategy, with capital funding attributed to it. Accessible toilet facilities should form part of any strategy to create genuinely accessible high streets, ensuring that disabled people can confidently visit their towns, cities and public attractions without fear of being left without appropriate facilities. Capital investment in Changing Places toilets is not simply an investment in buildings or facilities themselves; it is an investment in an inclusive society where disabled people can enjoy the same opportunities, freedoms and quality of life as anyone else.
The Government previously announced magnificent capital funding pots for Changing Places toilets across England. But as the Member for Strangford, I will tell the story from Northern Ireland—it is not a great story but a disappointing one; maybe not for my constituency but certainly across Northern Ireland—to ensure that capital funding reaches the places that are falling desperately behind.
An estimated 7,000 people across our province rely entirely on Changing Places facilities to live a normal life, yet the figures show that Northern Ireland has historically been one of the worst-performing regions in the entire United Kingdom for provision, with a shocking lack of options outside major city hubs. Campaign groups have highlighted that four out of five hospitals in Northern Ireland—it almost makes me cringe to say this—still have no registered Changing Places facilities, leaving vulnerable patients, staff and visitors completely stranded in the very places that are meant to care for them, which leaves me incredulous. I followed up with the Northern Ireland Minister in relation to the stoma debate, and I will do the same now to reinforce the need for change.
I am very fortunate that my constituency of Strangford and the borough of Ards and North Down have been able to record the data: out of nearly 40 publicly available toilets across the borough, only about a dozen are standard accessible toilets. When looking for true, fully compliant and registered Changing Places toilets, the list shrinks even further. I commend—and I mean this, because I know that it has been doing many things—Ards and North Down borough council. I had the distinct honour of serving on it for some 26 years, and it has shown real leadership: it was the first council in Northern Ireland to ensure that all council accessible toilets were stoma-friendly. That is the good news story I shared in the stoma debate in this place about four weeks ago.
The council has successfully put standard Changing Places facilities into key hubs like the Bangor Aurora Aquatic and Leisure Complex, the Comber Leisure Centre and the magnificent Ards Blair Mayne Wellbeing and Leisure Complex. My council has moved mountains to make sure that those things happened, but local councils cannot carry the weight alone on strained ratepayers’ money.
If a family want to enjoy the beautiful shores of the Ards peninsula where I live, or visit Ballyhalbert, Portavogie or Cloughey, the facilities simply do not exist. Those places are nearly off-limits for those who, as the hon. Member for Bexleyheath and Crayford said, want to take their family out, even if it is only two hours down the road and back again. Families are forced to cut their days short and rush back to Newtownards or Bangor just so a loved one can use a bathroom in a dignified manner—we are talking about dignity here—which is a crying shame in this day and age.
While Northern Ireland has introduced legislative changes to building regulations in recent years to mandate these toilets in any new major public buildings such as shopping centres—the hon. Member for Bexleyheath and Crayford referred to that—the Department of Health and local authorities back home are facing severe financial constraints and have explicitly stated that they lack the central capital budget to retrofit existing hospitals, transport hubs and some town centres.
I am ever-mindful of the Minister’s responsibilities and that she always tries to give helpful answers to our questions, but will she take up this cause with the Chancellor and the Northern Ireland Executive to ensure that regional capital funding formulas allow for dedicated, ringfenced resources to expand their Changing Places network? The right hon. Member for Richmond and Northallerton can tell me whether I am right or wrong, but I presume that the £50 million earmarked for the project had Barnett consequentials.
Provision is also very uneven. There might be a Changing Places toilet within a local authority area, but that does not mean it is in the right place, open at the right time or easily accessible to the people who need it. The changes to building regulations are welcome, but they are not enough on their own. They mainly help when new buildings are constructed or when major developments take place; they do little to address the large number of existing public buildings and venues that disabled people use every day. We cannot wait decades for those gaps to be filled gradually during redevelopment.
Cost is often the main barrier. Installing a Changing Places toilet can cost tens of thousands of pounds, which may be a relatively small part of the overall budget for a major development, but it can be impossible for a charity, community venue, small visitor attraction or local council to afford without additional support. Local authorities are already under severe financial pressure, as we all know, due to the growing cost of social care, temporary accommodation and special educational needs provision. Councils may want to improve accessibility, but without dedicated capital funding, projects are delayed or even abandoned.
That is why the Liberal Democrats are calling on the Government to review the long-term capital funding available for Changing Places toilets. We need a proper assessment of where the gaps are, and the Government should work with disabled people, families, carers, local authorities and the Changing Places consortium to identify the areas and venues where provision is most urgently needed. That assessment should lead to a properly funded, long-term programme.
Local authorities and community organisations should not have to rely on occasional short-term pots of money, and they should not have to compete against one another for limited funding. Changing Places toilets should also be included from the beginning in major transport projects, town centre regeneration schemes and investment in public buildings. It is far easier and less expensive to design these facilities into a project than it is to add them afterwards. Funding and guidance must take account of maintenance, signage, staffing and opening hours.
I would therefore like to ask the Minister three questions. First, does she accept that changes to building regulations alone will not deliver the number of Changing Places toilets that disabled people and their families need? Secondly, will the Government carry out a national assessment of gaps in provision, working directly with disabled people and the organisations that represent them? Thirdly, will the Government establish a successor to the previous capital fund, with long-term and predictable funding for local authorities and community organisations?
Changing Places toilets are essential infrastructure. We would not describe an accessible entrance, ramp or lift as an optional extra, so we should not treat appropriate toilet facilities differently. Everyone should be able to go shopping, travel, attend an appointment, visit a park or attraction and have a good time with their family without having to worry about whether their most basic needs can be met. The previous funding programme showed that progress is possible, and the Government must now build on that work. I hope the Minister is listening to the cross-party consensus on this issue.
That is why I also want to recognise the work of Chester zoo. Radhika and Shyam told me what a difference the zoo’s Changing Places toilet has made to their family. It meant that Idnaat could be changed safely and with dignity, allowing them to enjoy a day out together like any other family. That is exactly the sort of forward-thinking approach we should be encouraging. Accessible public toilets are not a luxury or convenience; they are an essential part of ensuring that everyone, regardless of age or disability, can participate in life with dignity. I am therefore delighted that Chester zoo is looking at increasing the number of Changing Places toilets on site.
Changing Places toilets provide an indispensable private space for people with profound and multiple learning disabilities, as well as people with other physical disabilities such as spinal injuries, muscular dystrophy and multiple sclerosis. They include essential equipment that can make daily life that bit easier for an estimated 250,000 people. Changing Places toilet users have found it invaluable to have this equipment, which includes height-adjustable, adult-sized changing benches; ceiling track hoists; a peninsular WC with room either side; a safe and clean environment, including tear-off paper to cover the bench; a large waste bin; a non-slip floor; and space for multiple carers. That is crucial because, for too many people, more typical public toilet spaces are not just inconvenient but not fit for purpose, rendering the space effectively unusable. As we know, many disabilities may not be visible, which can lead to an unfortunate and exasperating ignorance of the issues facing people in need of Changing Places toilets.
The toilets allow those with needs that make a regular lavatory inaccessible to find the privacy, dignity, liberty and safety required. That has long been keenly recognised on this side of the House. That is why I was proud to see the previous Conservative Government make Changing Places toilets compulsory in new public buildings. That change, made in 2020, has allowed more people to have greater access to public places by providing the essential facilities to make such everyday trips viable.
It is also why I was proud to see the previous Conservative Government launch the Changing Places toilets fund, which was worth £30.5 million. The fund enabled local authorities to increase the number of Changing Places toilets in England, meaning that there are now around 2,665 registered active Changing Places toilets across the country. That is up from just 140 in 2007.
Thanks to local campaigners and the previous Conservative Government, as we heard from my right hon. Friend the Member for Richmond and Northallerton, we as a nation have gone up from just one Changing Places toilet per 1,786 users to one per 94 users. That is a remarkable steer down the road to equality, and it is vital that the Government continue driving progress in the right direction.
The 2019 consultation showed that the vast majority of the individuals and organisations that responded believed that an increase in the number of Changing Places toilets would give individuals with multiple or complex disabilities, as well as their carers and families, greater ability to leave home and visit different places. They believed it would remove the risk of unsafe lifting by carers, offer a dignified space for users and be more suitable than simple wheelchair-accessible unisex toilets.
The £30.5 million provided to local authorities by the Conservative Government was divided into two funding rounds: an initial round of £23.5 million allocated to 191 English local authorities, followed by the remaining £7 million, which was spread to 64 local authorities. After the fund closed, the current Labour Government were petitioned on this matter in December last year. They concluded that local authorities are best placed to assess and manage toilet provision. As Members will know, local authorities have valuable local knowledge of where to provide essential services in their area, which highlights why the previous Conservative Government’s Changing Places toilets fund was allocated to local leaders to decide how and where best to spend the vital funds for these life-changing spaces.
Will the Minister set out how the Government’s current view appears to be a U-turn from their policy in opposition? During the passage of the Levelling-up and Regeneration Act 2022, the then shadow Minister, the hon. Member for Nottingham North and Kimberley (Alex Norris), proposed an amendment for a review of public conveniences that, as the Conservative Parliamentary Under-Secretary of State noted,
“would require the appointment of a commissioner to consider the level of need for conveniences”.––[Official Report, Levelling-up and Regeneration Public Bill Committee, 20 October 2022; c. 876.]
The former Government felt that such a change would risk increasing bureaucracy while decreasing the importance of local decision making. It was felt that it would be disproportionate for the Government of the day to legislate on such a fundamentally local issue, as many local authorities already operate local community toilet schemes. Is it now the Government’s policy for such a commissioner to be appointed to review public conveniences, or do they agree that the best placed authorities are local authorities?
I hope the Minister will address that and confirm what plans the Government have for any future support for Changing Places toilets now that the funding I mentioned has concluded. That is essential for those watching the Government and waiting for answers. It is essential for those who must live every day with disabilities—some of which are debilitating, incapacitating and severe—hoping to have the necessary basic facilities to change leaving the house from being something daunting into something routine.
However, for some individuals with profound and multiple disabilities, or other conditions that severely limit mobility, standard accessible toilets might not provide the support they need. Such toilets might lack essential features such as adult-sized changing benches, hoists and enough space for a disabled person and one or more carers. As hon. Members have highlighted, that is exactly why Changing Places toilets are so important. They provide the space, equipment and dignity that standard provision simply cannot provide. I know that from my own experience as a Member of Parliament who has visited a lot of special educational needs provision and spoken to many parents about their own lived experience and the need for the gap to be fixed.
The Government want people to be able to live well, work, enjoy days out, shop and socialise, and we recognise that access to appropriate public facilities can be an important part of enabling that. Reasonable adjustments, as has already been mentioned, are instrumental to changing lives and allowing everybody to live fulfilled lives.
As hon. Members have acknowledged, in recognition of the importance of the issue, the Government delivered over £30 million for the Changing Places toilets programme, and I am delighted that the right hon. Member for Richmond and Northallerton (Rishi Sunak) joined the debate. The programme has supported the targeted installation of well over 400 new disabled toilet facilities in areas where they were most needed across England. Although that programme closed last year, changes were made in January 2021 to the statutory guidance accompanying building regulations.