Stoma: Public Toilet Provision

Andrew Snowden Excerpts
Thursday 18th June 2026

(1 month, 2 weeks ago)

Westminster Hall
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Andrew Snowden Portrait Mr Andrew Snowden (Fylde) (Con)
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It is a pleasure to serve with you in the Chair, Mr Dowd, especially on what I think is your birthday—thank you for choosing to spend your special day talking about public toilets with us. I also thank the hon. Member for Strangford (Jim Shannon) for calling this important debate. Not only is he the most industrious contributor to debates and question times across this House, but he champions matters that really cut to the heart of why we are here and that really matter to people in their everyday lives.

Anyone who has supported a loved one, family member or friend who has gone through the process of requiring a stoma will realise that you often do two things together: laugh and cry. If you do not do the laughing, you will just spend all your time crying. As hon. Members can probably already tell, this is quite a personal subject for me. A little irreverence and humour is a good way of dealing with the issue of stoma care and inflammatory bowel disease. In fact, I would say it is essential. It also helps to break down the barriers and the embarrassment of talking about the subject in the first place.

We have had a good explanation of what a stoma is, namely a surgical opening to allow waste to leave the body. It usually comes at the cost of having significant amounts of intestine, or in many cases the entire colon, removed, which is as painful, damaging and difficult to recover from as you would imagine. However, the conditions that often lead to someone requiring a stoma involve—let us be honest—talking about poo, and the British public are not particularly comfortable talking about. So although the hon. Member for Strangford has outlined what a stoma is, most people are embarrassed about them. As I said, one way people get around that is by having a sense of humour. I have met many people with stomas; a very close loved one has a stoma, and I have met many of the friends she has made over the years during her many hospital stays.

Among the things I have picked up on is what you call a stoma once you have one. The names are quite creative, and the naming process is, first, quite humorous and, secondly, about a degree of taking ownership of it. I will run hon. Members through some of the names that people come up with for stomas, so that we get beyond just a “surgical opening”. Some are ones that I have seen in research, and some are from people I know who have a stoma. Most of the names are a play on words, such as a rhyme with stoma, or references to poo or pumping—apologies to Members in advance, but hopefully there will find something in this for one of you.

As an opening gambit, there is Paloma Faith, which is a good name for a stoma. Winnie the Poo is another one. Another favourite of mine is Vladimir Poopin, just because it takes the mick out of a dictator. To take something straightforward and simple, there is Windbag, which is pretty much what we are talking about. Captain Craptastic is another good one. Others include Donald Trumps and Bilbo Baggins. Finally, my favourite is Louis Shitton, which I think is excellent—I am delighted to have got that into Hansard. I hope that that gives a bit of insight. People who have had to have a stoma because of their suffering have been through difficult times, but they are remarkably resilient people, many of them with a great sense of humour.

Every Member in this House will have a constituent who has inflammatory bowel disease, colonic cancer or another of the conditions that leads to a stoma, and we will all have constituents with stomas—that is beyond doubt. Many conditions can lead to people requiring a stoma, although that will depend on how controllable a condition is in any individual person—whether they get Crohn’s or colitis flare-ups or whether the cancer is caught and treated early enough. Given all those things with a similarity of issues, Members will have hundreds, if not thousands, of constituents who have a stoma or who know someone directly affected.

The conditions themselves are embarrassing. It is not just about having a stoma, when you have got to that point; by the time you get to having one, you have usually been through years of having to deal with a condition and having to suffer it in silence, because you do not want to talk about it. There is also a lot of misunderstanding; a lot of people think that Crohn’s and colitis, for example, are some form of irritable bowel syndrome. Even well-meaning people suggest eating less spicy food or not eating brown bread, because they do not realise that the condition generates internal ulcers in the most painful place they could possibly be, and that those bleed internally, creating internal blood clots that need to pass through your system urgently, in an incredibly painful way—whether you had a Madras on Friday night makes absolutely no difference to that condition.

Toilet provision is so important for people with stomas as well as those with the conditions mentioned. That is important to remember, because we can look at the number of people with stomas—Colostomy UK has provided a helpful briefing ahead of this debate—but that would give you a very distorted view about the total number who require access to toilets due to health conditions.

As other hon. Members pointed out, when someone who has a stoma goes to the toilet, they are either going to empty it or change it. Changing it is not a quick thing and if there is a leak, which is something anybody with a stoma lives in absolute fear of, that needs to be urgently dealt with. Visualise where that would be on your body. Even if just emptying it, the proximity to the toilet means also getting very close to the floor and the toilet itself. People suddenly become experts in the cleanliness of toilets and which companies keep clean toilets and which do not. It goes back to remembering the human in all of this, and not just taking it from a purely clinical and public health perspective.

Imagine going through years of dealing with a health condition that leads to needing major surgery that is life changing and life threatening in its own right and results in a stoma. Regardless of your age, but especially for younger people in this hyper body conscious world, that is not something that you want—it is not something that you are proud of—and it is something that you are often embarrassed about and will try and conceal and hide. Imagine having been through all of that and having recovered and just about psychologically coming to terms with having a stoma—and you want to go out. You want to pick up the courage to go out. You find some clothes that for the first time you think cover it so you do not feel self-conscious about it. You go out, you feel sexy, you feel confident. It is a big boost. Then you either need to empty the bag or have the dreaded leak, and there is nowhere to do anything about it.

As one of my friends—I apologise in advance, Chair, but I am quoting—said:

“Imagine getting dressed up for date night and then having to go and crawl around on a piss covered floor simply to change your bag.”

Would that do anything other than knock your confidence, dignity and self-respect? It is not fair.

There seems to be a general consensus among forums and things I have read that we men need to have a little more care and attention in toilets than women do and that the standard in male toilets is often significantly lower. However, it is a point none the less. That is what I want to get across in this debate; I do not want to talk about the stats, figures and percentages. Every one of those numbers has a human being behind it who is trying to get on and rebuild their life under immense physical, psychological and emotional damage. That is what makes this so important.

There are also other issues including access to private toilets. All of this cannot fall to local councils. I have been working and campaigning on this since I was elected as a county councillor in 2017. I moved a motion in full council—those were the days—around access and the card that people can carry that says they need access to the private toilets in a commercial facility.

We have our own experiences of that in our family. These are pre-stoma but they highlight the conditions as well. When shopping you suddenly feel the urge to go, and, as we have already established, you are not having a poo or a pump but are passing blood clots in an incredibly painful way and your body is trying to get them out of your system and you cannot contain it, and poo will come out with them. You are shopping and have decided to go out—even though, as hon. Members have already highlighted, a lot of people plan their journeys around that—you show your card to a member of staff and they point-blank refuse to let you use the private toilets. You soil yourself in the middle of the shop, and then you do not go out for a long time afterwards because of the embarrassment.

I do not want to name or shame any individual companies that may have been involved in that example, but if I say that their slogan is “You can do it if you…it”, Members can draw their own conclusions. That chain was horrific. From my lobbying, I believe it has got an awful lot better of late. It is about raising understanding in organisations of what the cards are and why people carry them. That goes back to stigma and the “Not every disability is visible” campaign, which I pushed to be rolled out across Lancashire all those years ago. These conditions are not visible. Someone may look physically well but experience that urgency. We must make sure that people with stomas, advanced Crohn’s, colitis and so on know that they can get a RADAR key.

People need to know where the toilets are. Lots of different people have tried this in lots of different ways. We already accept that councils cannot be responsible for providing a toilet in all places at all times. If someone is going to go out and they are dependent on toilets being nearby, they need to know that there is a network of companies and commercial organisations that will let them use their toilets, even if there are not a lot. It is just about pubs and hotels knowing that sometimes, someone may need to come in. I know it is really annoying when non-paying customers come in and use the toilets, but having those apps is important so that people can plan their days out and their journeys with confidence.

There are knock-on benefits to the NHS and public health of helping people to have and maintain normal lives post traumatic bowel surgery and helping them with the psychological recovery. If they had to quit work, that could help them to get back into work. Stomas can be noisy. They rumble and pump. They are bowels, just on the outside of the body, or moving to the outside of the body. Dealing with that is hard enough. Therefore, people may not wish to empty or change a bag at work. They may wish to go somewhere near work to do it. They may work on the tools, in an outdoors job where they do not have routine access to toilets.

There are knock-on benefits to the Government and to the Treasury of helping people back into work, stopping people becoming ill with mental health issues from lack of confidence and emotional damage, and helping people to manage their condition better so that they are not continuously spiralling and going back into the NHS. It is not just about doing the right thing and the moral obligation to those people.

The hon. Member for Strangford has already outlined Colostomy UK’s requests for things that could be advanced through building regulations to make toilets more stoma-friendly and the general need for more public toilet provision. I am sure it will continue to lobby effectively on that. A lot of the time, this is about the role the Government can play in creating awareness among public bodies and organisations about why this is important—the human element that I have tried to outline. This is about people’s lives and the quality of life of some of people who deserve our support the most. It is about simple things, such as making sure that councils have nice, clean toilets, that toilets are open and that people can access information about where public and IBD-friendly toilets are.

I am about to start repeating myself, so I shall end my speech, which is probably a personal best for inappropriate Hansard contributions—I look forward to reading them back. Once again, I thank the hon. Member for Strangford for securing this debate. This really is an important topic, and I know the debate will mean a lot to people. As I said, a lot of people with these conditions do not want to talk about it. They want to hide it. They suffer in silence. Their voice will not be heard. They will not contact their MP to ask if they can have better public toilets as they have a stoma or IBD, because they do not want people to know. It is therefore really important that we, as their elected representatives, are their voice. I hope that we can be their voice today, and I look forward to what the Minister and shadow Minister, my hon. Friend the Member for Mid Bedfordshire (Blake Stephenson), have to say.

Peter Dowd Portrait Peter Dowd (in the Chair)
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I call the Liberal Democrat spokesperson.

Vikki Slade Portrait Vikki Slade (Mid Dorset and North Poole) (LD)
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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.

Andrew Snowden Portrait Mr Snowden
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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 Portrait Vikki Slade
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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.

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Nesil Caliskan Portrait The Parliamentary Under-Secretary of State for Housing, Communities and Local Government (Nesil Caliskan)
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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.

Andrew Snowden Portrait Mr Snowden
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Having been a councillor and served on the front bench of a council, I know about delivering these facilities, and I feel for councils when it comes to doing so. As has been said, the reality is that even if councils want to do their best, and they know what is best for their local areas, funding is tight. We all know that ever-increasing adult social care bills and so on are creating bigger burdens on local government finances, and statutory requirements will always take priority over other things. I do not want to create a system that ends up costing more than opening the toilets themselves through its complexity and bureaucracy, but it is really important to place some greater requirement on councils to understand the provision and fill the gaps. If the Minister is looking for a commissioner for the crappers in the future, it may be a role for me!

Nesil Caliskan Portrait Nesil Caliskan
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I absolutely take the point. There is a conversation to be had with the sector, local authorities and the Local Government Association about how we can best support local authorities to do that. I think there is a real willingness among local authorities. I accept the point about statutory services, but there are great examples of local authorities providing services that are not statutory because they recognise the importance of public provision.

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Nesil Caliskan Portrait Nesil Caliskan
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Absolutely. I am very happy to meet any campaigning organisation to discuss this important issue. I note that other hon. Members have also made that request. If charities would like to contact me, I will happily meet them to talk about how we can better support the needs of all our communities.

On the important point the hon. Gentleman makes about the NHS plan and healthcare support, he is absolutely right. It is all the more reason why we need a joined-up approach to what local authorities and NHS local boards are doing. I take the opportunity to highlight health and wellbeing boards across the country, which will play a really important role in making sure that, as one part of the local authority is delivering something, it is making the most of what it is doing so that it meets the objectives of a different part. In the case we are talking about, health is a really obvious example.

To return to my general point about local authorities thinking outside the box and doing things differently, one area we should encourage them to consider is how they conduct procurement. There are many examples across the country where public toilets in parks and open spaces have fallen into disrepair. Some local authorities are addressing that through procurement processes by stipulating, for example, that the owner of a new café must look after the toilets in that space. Those are good ideas that should be encouraged and will ultimately make it easier for our communities to access facilities.

Andrew Snowden Portrait Mr Snowden
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The Minister is being incredibly generous with her time. She probably entered this room and, having seen only one Back-Bench Member, thought this debate would not get close to 4.30 pm—but here we are.

I have two points. First, is there a greater role for section 106 moneys, potentially through planning processes, in supporting public toilets? The Minister gave a really good example of creative thinking around ownership of toilets in parks and cafés. My sister will kill me for saying this, but when she was growing up she had a phobia of metal toilets. I think it was actually just a phobia of unclean spaces. A lot of people would rather use a well-kept toilet in a private business, where they will not be judged for using it—provided it is not at the far end and they do not have to walk past all the tables with everyone looking at them—than use a public toilet that, by its nature and because it is not in a manned location, cannot always be guaranteed to be as clean. I think that is a great example. Will the Minister work with colleagues in local government to see whether that can be rolled out more, and consider how section 106 moneys might help to create more of an incentive for commercial operators who might not otherwise be able to afford it, or for whom it might not be viable?

Nesil Caliskan Portrait Nesil Caliskan
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I welcome the hon. Gentleman’s contribution. Section 106 moneys are often thought about in terms of big infrastructure money, but for a very small amount of money we can make a big public impact; the grant funding of £1,000 to a business is a good example of that. I am very happy to take that back. There are lots of examples across the country of where this is being done well, and we should, as a Government—I will take this back—find a better way to communicate some of that best practice.

I also want to comment on the very important point the hon. Gentleman makes about lived experience. Too often, Governments and councils design and deliver schemes with good intentions, but they do not necessarily meet the real needs of communities. That is why lived experience must be at the heart of policymaking. He referenced his sister’s experience, and I will join him: my sister’s experience is not dissimilar. As he said, many people who live with such conditions develop great resilience over their lifetime. My sister, too, is incredibly resilient, because of her experience of living with her colitis, which was diagnosed as a teenager, as it is for many people. It is a very particular experience to be diagnosed with a lifelong condition as a teenager.

People who experience that are some of the most resilient individuals in our community, and their lived experience is central to making sure that our councils and the Government design provision and services that meet their needs. In that spirit, I welcome continued dialogue with Members. I know that there are others who are not in this Chamber who also feel very strongly about this topic. Local government, MHCLG and partners can work together to deliver more accessible, well-maintained public toilets. We should look at existing schemes and new schemes that can encourage such provision.

I thank hon. Members, particularly the hon. Member for Strangford for securing this important debate and for his warm words in welcoming me to my place; it was very generous of him. The Government recognise the importance of ensuring that public spaces are accessible, inclusive and supportive of people’s dignity and independence. I welcome further representation from hon. Members, the brilliant charities that do fantastic campaigning on this issue, local authorities across the country and other partners who want to see the provision of public toilets improve.