Stoma: Public Toilet Provision

Blake Stephenson Excerpts

Thursday 18th June 2026 Westminster Hall

[Blake Stephenson (Mid Bedfordshire) (Con)]

It is a pleasure to serve under your chairmanship, Mr Dowd—I wish you a happy birthday. I welcome the Minister to her place. I congratulate the hon. Member for Strangford (Jim Shannon) on securing this debate on the provision of public toilets for people living with stomas, which is too often overlooked and too rarely spoken about. He began by saying that although this is not a fashionable debate, the issue needs to be aired, and he was absolutely right about that. He was also right to say that this issue is about dignity and independence, as Members from across the House have said.

This debate is important for many people throughout the UK—that is evident from the personal stories that have been shared by hon. Members. My hon. Friend the Member for Fylde (Mr Snowden) described the importance of humour to deal emotionally with this difficult and embarrassing condition, including by naming stomas, which is new to me—I did not know that was a thing; every day is a school day. I have to say that my favourite from his catalogue was also Vladimir Poopin, but maybe that reflects our politics more than anything else.

I thank all hon. Members for their thoughtful contributions throughout the debate, particularly in highlighting the human reality of living with a stoma. Around 200,000 people in the UK live with a stoma following surgery for bowel cancer, Crohn’s disease, ulcerative colitis, diverticulitis and many other conditions. I do hope that I have pronounced those correctly—there is a reason I am not a medic. On average, in a constituency such as Mid Bedfordshire, around 200 to 250 people are likely to be living with a stoma. With an ageing population and increasing diagnoses of bowel conditions, this need will grow, not diminish, over time.

For those people, a toilet is not a convenience but a necessity, as the Liberal Democrat spokesperson, the hon. Member for Mid Dorset and North Poole (Vikki Slade), said. A stoma bag must be emptied or changed at the moment it is needed. There is quite literally no waiting when it is required. Yet the facilities that most people with a stoma rely on—standard accessible toilets—are frequently not fit for purpose, as my hon. Friend the Member for Fylde eloquently described. Too often, there is no shelf on which to lay out medical supplies, no hook for clothing or a bag, no mirror to help someone change safely, no basin within reach and nowhere hygienic to dispose of used products. I thank the Liberal Democrat spokesperson for highlighting the “Boys Need Bins” campaign, which is an absolutely fantastic campaign that we should all get behind.

At present, provision depends on good will rather than on standards, which leaves a postcode lottery for something as basic as using a toilet. The result is people changing stoma bags balanced on their knees or on dirty floors. Someone with a stoma often must plan their entire day around whether a usable toilet exists. I come from a rural constituency and acknowledge what a challenge that must be on days out in the countryside.

There is a second barrier, which is one of attitude. A stoma is, in the main, an invisible disability, as hon. Members have said. Many people with a stoma or inflammatory bowel disease report being challenged or even abused for using an accessible toilet, or accused of being “not disabled enough” because they do not use a wheelchair. Simple signage and staff awareness can prevent the confrontations that many people with invisible conditions face. Those attitudes are a stain on us, and it is precisely why Crohn’s & Colitis UK’s “Not every disability is visible” campaign and Colostomy UK’s Stoma Aware work matter so much.

I am proud that the last Conservative Government understood that dignity in this area is a duty of the state, not an optional extra. When he was Local Government Minister, the former Prime Minister, my right hon. Friend the Member for Richmond and Northallerton (Rishi Sunak), led the drive to expand Changing Places toilets, with larger facilities with benches, hoists and space for carers, which the most severely disabled people need. He set in motion the change to building regulations that, from 2021, made Changing Places mandatory in large new public buildings in England, including shopping centres, stadiums and arts venues. That was backed by a £2 million fund to install them in more than 100 NHS hospitals, further investment in motorway service stations and funding for a national online map so that families could find them more easily. The public sector could lead by example across councils, hospitals and transport networks.

The number of Changing Places has risen from 140 in 2007 to around 1,200. That is a record of practical, compassionate action and I pay tribute to the programme, but—I say this candidly—Changing Places, vital as they are, are designed for the most profoundly disabled. Most people with a stoma are fully mobile. The solutions that they need are cheaper: the simple stoma-friendly standard of a shelf, a hook, a mirror and a bin in ordinary accessible toilets. Some retailers—B&Q was mentioned, but I am sure there are others—have shown that it can be done across an entire estate at a modest cost. The additions required often cost less than a few hundred pounds per facility. This is not major capital infrastructure work; it is a small retrofit that has a huge impact on people’s dignity. The building blocks exist; what is missing is national leadership to join them up.

When people cannot rely on basic facilities, they withdraw —from work, from shopping and from social life. That is not just a personal loss; there are wider economic impacts, too. Constituents in Mid Bedfordshire have told me that living with these life-changing conditions can be exhausting, isolating and unpredictable. The hidden nature of their symptoms means that they are often invisible to other people, but they deeply impact the daily lives of the people who have them. It is an honour to represent those people at the Opposition Dispatch Box in such a good debate, in which there is cross-party consensus.

I would be grateful if the Minister could address three points. First, what are the Government considering doing to make places more stoma-friendly? Secondly, what meetings have Ministers had with Colostomy UK and Crohn’s & Colitis UK to discuss options? Thirdly, what consideration are the Government giving to local government facilities, recognising the interesting proposal from the Lib Dem spokesperson, the hon. Member for Mid Dorset and North Poole, for a statutory duty?

This is not a party political issue; it is about whether someone can leave their home with confidence. The previous Government opened the door with Changing Places. I urge this Government to walk through it, finish the job and support people with stomas.