Incontinence

Ben Coleman Excerpts

Thursday 19th June 2025 Commons Chamber

[Ben Coleman (Chelsea and Fulham) (Lab)]

A big thank you to my hon. Friend the Member for Dudley (Sonia Kumar) for securing this extremely important debate. I was fascinated and not a little shocked to hear that this is the first full debate in the Chamber on this subject, and it is absolutely tremendous that we are talking about it, because we need to. As everyone has recognised, it is a subject that people rarely talk about, despite the fact that millions of people are affected by bladder and bowel control issues—I will try to use that phrase instead of the term “incontinence”, after hearing the point that my hon. Friend rightly raised; I was scribbling away when she said that.

For much too long, this issue has been treated as a private embarrassment—something to whisper about, not act on. I was struck by what she said about the number of people who got in touch with her, crying out for this subject to be discussed, and for us to take action. We need to take action, because as well as being a very important health issue, it is almost a social justice issue, and an issue of dignity. Far too many people and families face a daily struggle that has been quietly ignored.

As was said, it is estimated that one in three women in the UK experiences urinary control issues, but the issue affects men, too. It is important that men speak in this debate, and I am very pleased that the hon. Member for Dumfries and Galloway (John Cooper) did. As for my city, London, a recent survey for Prostate Cancer UK found that 54% of all male Londoners had experienced urinary control problems. More than one in four men—28%—experienced symptoms as early as between the ages of 18 and 25. That contradicts the widely held view that bladder conditions affect only older adults. Then, of course, we come to bowel incontinence, which is more closely associated with age: 15% of those aged over 85 and living at home are affected, and the figure is even higher for men and women living in residential and nursing homes.

Of course, we also have to think about bladder and bowel conditions affecting children and young people, and especially those with disabilities, whose voices are often the last to be heard anyway, and particularly the last to be heard on this subject. Disabled and other children with these conditions can miss out on education, friendships and an ordinary life because of a lack of basic provision. Families feel ashamed when they ask for help, because they think that no one else is facing the same thing. That brings us back to the importance of us discussing this matter in the House today. Many families face this issue; we need to make it safe to talk about it, and safe to ask for support.

As I say, bladder and bowel conditions are not only a health issue, but a social justice issue, and it is time we treated them as such, because that is not what happens now. Despite the evident human cost, and the prevalence of these conditions across society, support and services remain inadequate, and those affected and their families are left to scramble for help. They face stigma. They too often endure isolation, yet as my hon. Friend the Member for Dudley set out, there are simple, straightforward solutions that would make a huge difference to those who live with bladder and bowel control issues. We can start by destigmatising the issue; that is what we are doing today, as has been said.

At a national level, we need a public health campaign, led by the Department of Health and Social Care, that makes it clear that these conditions are normal, treatable and nothing to be ashamed of. Let me tell Members about one of the very few people in either House that I have heard talk about these conditions. I went to a meeting on assisted dying—one of many such meetings, which colleagues of all parties have been to—at which I heard from a disabled Member of the House of Lords, and other people who are disabled and wheelchair users. They spoke in a very matter-of-fact way about being incontinent—that was the word they used. They made it quite clear that it was perfectly possible to lead a normal and fulfilling life with that condition. When I was growing up, older people would say to me, “The one thing I dread above all is being incontinent— I think I’d take my life if that happened.” It was very inspiring for me to hear a Member of the other place talking about their situation, and talking about it released all of us from a particular challenge when it came to reflecting on assisted dying.

My hon. Friend the Member for Dudley mentioned Prostate Cancer UK’s Boys Need Bins campaign. There are others, including the End Bladder Shame campaign by TENA, the maker of incontinence products. These things show what is possible if people feel heard—but they need more support. Alongside a public health campaign, let us have more investment in infrastructure. That means more modern, accessible public toilets with clean, safe disposal facilities for men as well as women, which has been a long-standing request from charities like Age UK.

We need to make sure that every school—mainstream schools as well as specialist schools—has trained staff who can support children with bladder and bowel conditions, not as an afterthought but as part of their core pastoral care. We have a Minister from the Department of Health and Social Care on the Front Bench, but I hope she can pass on the message to her colleagues in the Department for Education that they should make sure school toilets are accessible, hygienic and inclusive, with disposal bins, locks and space—with dignity built in.

Finally, I would like to see us integrate bladder and bowel care into national health strategies. They should be a core part of NHS England’s work on long-term conditions, ageing and preventive care, not an afterthought. I look forward to that being reflected in the 10-year plan and, I hope, in the forthcoming men’s health strategy.

Better bladder and bowel care will save men, women and their families from stress, it will save children from shame and the feeling of being left behind, and, wonderfully, as my hon. Friend the Member for Dudley said, it will save public money. It is a public good, and if we take this seriously, it will make a huge difference to a lot of people’s lives. Let us give this issue the attention it deserves and do right by every person who has been living with these conditions in silence for too long.

[Several hon. Members rose—]