Changing Places Toilets

Daniel Francis Excerpts

Tuesday 22nd July 2025 Commons Chamber

[Daniel Francis (Bexleyheath and Crayford) (Lab)]

I am grateful for the opportunity to open this debate on a subject that I care deeply about. Last Saturday, 19 July, was Changing Places Awareness Day. It is therefore an honour to have secured this debate and to be able to pay tribute to the campaign organisation Changing Places in its 20th year, and in a week when it has worked to remind the nation of the importance of its campaign. During this time, it has worked relentlessly to seek provision for the quarter of a million people in the UK who have for so long had no public access to accessible toilet facilities, and for their families and carers.

Changing Places toilets enable anyone, regardless of their disability, to go to the shops, attend hospital appointments, enjoy community life, socialise and travel. Many of us in this place and, indeed, across the UK take this basic necessity and right for granted every day.

[David Williams (Stoke-on-Trent North) (Lab)]

My friend Denise Deakin campaigned to get more Changing Places toilets 20 years ago, so it would be remiss of me not to mention her in this debate. Over the weekend, I spoke to Faye from Talke and Jane from Burslem, in my constituency, and they told me that the difference such toilets make is life-changing. One said, “For me and my family, it’s the difference between living your life or closing down your world.” Does my hon. Friend agree that we have to do all we can to enhance and get more of these facilities across the whole of the country?

[Daniel Francis]

Absolutely. As I will turn to, I know that at first hand as the parent of a child with cerebral palsy. The growth of Changing Places means that it is making an impact, but the fact is that we need more of these toilets across the country.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Gentleman for bringing forward this debate. I spoke to him beforehand to get an idea of what he was trying to achieve, and I want to congratulate him on his campaign—well done! Every one of us in our constituency wishes we had someone pushing as hard as he is with his campaign. I say that because in Northern Ireland we have only 1.4 Changing Places toilets per 100,000 people, which means we rank the second lowest in the UK after London. The hon. Gentleman is doing so much here, and we have a lot to learn. Some 7,000 people in Northern Ireland require additional room for assistance and support when using public restroom facilities. Does the hon. Gentleman agree that, given that this issue impacts thousands across the United Kingdom of Great Britain and Northern Ireland, we must ensure that enough Changing Places toilets are provided in all nations for all people with disabilities?

[Daniel Francis]

Absolutely, and I thank the hon. Member. As I will come on to say, we have seen such growth, particularly in central London, but that needs to be replicated across the United Kingdom.

Access to a Changing Places toilet allows anyone, regardless of their access needs or disability, to use a toilet with dignity, privacy and hygienically.

[Rachel Taylor (North Warwickshire and Bedworth) (Lab)]

Does my hon. Friend agree that accessible toilets keep people out longer, encourage spending, make towns more inclusive, and are critical for retail, tourism and local growth? When councils close them, disabled people and young families just stay at home. Does he agree that it is short-sighted of the Conservative council in North Warwickshire to fail to fulfil its promise to reopen accessible toilets in Atherstone town centre? We need more Changing Places toilets up and down this country so that everyone, regardless of their ability or who their children are, can make the most of their days out.

[Daniel Francis]

Absolutely, and I thank my hon. Friend for those comments. Again, I will come on to talk about a toilet that was closed in my own constituency and the impact that has. I will try to make some progress for a moment.

Changing Places toilets are specifically designed for people with profound and multiple disabilities and their carers, who need more space and equipment than a standard accessible toilet provides. The features include height-adjustable adult-sized changing benches, ceiling track hoists and space for multiple carers, ensuring a safe and dignified experience.

The Changing Places consortium was established 20 years ago, as I have said, and at the heart of its campaign, which was initiated by the late Loretto Lambe, the founder and chief executive of PAMIS—Promoting a More Inclusive Society—was the aim to ensure the growth of Changing Places across the country. I wish to pay tribute to the work of Changing Places staff and volunteers, led by Jenny Miller and Karen Hoe, and their vital support in ensuring this debate could be brought to the House.

Currently, the total number of active and registered Changing Places toilets is 2,609 spanning the UK and servicing leisure centres, city and town centres, shopping centres, venues, hospitals, transport hubs, stadiums and attractions. Last year, 414 new Changing Places were installed across the UK, the highest number of annual registrations ever.

[Jen Craft (Thurrock) (Lab)]

I want to add a personal note of thanks to my hon. Friend for being such an outstanding advocate for families such as ours. We share a strong union on that point. Does he agree that it is not enough just to have a Changing Places facility, because it is also important for staff in those areas to have had training so that they know how to direct people to it? I reflected on that the other weekend when we went to a splash park, having seen that it has a Changing Places facility, which was amazing. However, when we asked the person opening the café, who allowed us to go in, how we could access the Changing Places facility, they just did not know, which made it inaccessible. Does he agree that it is so important that training is given to staff where there is a Changing Places facility, so that they can adequately direct people to it?

--- Later in debate ---

[Daniel Francis]

I agree absolutely with my hon. Friend. We work very closely together on these issues, as parents of disabled children. I will turn to such training in relation to some of my own horror stories in due course.

In May, PAMIS announced that it is updating its Changing Places practical guidance, a resource that helps support the design and management of Changing Places toilets. I think I missed out that there were 799 toilets 10 years ago, so there has been significant growth since that time.

I should also note the changes made by the previous Government when they amended the Building Regulations 2010, under which it is now compulsory for some new large buildings to have Changing Places toilets installed in them. In addition, a Changing Places toilets fund of £30.5 million was made available in 2023, which has provided 600 Changing Places across England.

I have seen the real impact that that growth has had in London and the home counties as a south-east London MP. I see that now in central London, as compared with 10 years ago, in train stations, at cultural venues, along the South Bank and, very recently, in Oxford Street. The Need2Change campaign, spearheaded by Bromley resident Katrina O’Leary who I worked with before I was elected to this place, has allowed an increase in toilets in parks, hospitals and coastal towns to ensure her family, my family and other families can have the days out that others take for granted.

[Adam Jogee (Newcastle-under-Lyme) (Lab)]

I thank my hon. Friend for giving way and I congratulate him on securing this important debate. It is typically human-focused, compassionate and decent, which sums him up in every way. Will he join me in highlighting the current Changing Places toilets in Newcastle-under-Lyme at Keele services on the M6 southbound, Morrisons, the Jubilee 2 gym and sports centre, and our local library? That is four, but we need many more and government has an important role to play in making that happen.

[Daniel Francis]

I thank my hon. Friend. I absolutely agree. We have seen that growth, but we need to see more.

[Sarah Russell (Congleton) (Lab)]

I thank my hon. Friend for giving way. I am very sad to report that there are no Changing Places toilets in my constituency on the website—not a single one. I believe that, actually, Congleton leisure centre does have a Changing Places toilet, and I believe that Ruby’s Fund also has a very extensive disabled-facilitated toilet, although not to Changing Places standard. Does he agree that, when I have a constituency of 90,000 people, with four towns and multiple villages, that is an appalling state of affairs and we need to do better?

[Daniel Francis]

I thank my hon. Friend. I am happy to work with her and her local authority to bring sites forward.

I will now talk about my own family’s experience and, in particular, about education. I fully accept that not every disability is visible. Many people who may appear not to have a disability do require a Changing Places toilet, for instance if they have a colostomy bag and require extra space for toileting. For those who need a Changing Places toilet, the current system can be very frustrating. The main way of finding where one is located is through the excellent search location tool and map—this was just referred to—on the Changing Places website. There is a separate app, but it is not run by Changing Places—it is run by a third party—and so is not as up to date. The information on the Changing Places website can only be up to date if the provider of the toilet advises of any changes in availability.

I could give a litany of experiences, as could my hon. Friend the Member for Thurrock (Jen Craft), of where things have sadly not worked. One of our daughters has quadriplegic cerebral palsy. She is a wheelchair user. She is unable to tell you when she needs the toilet and is still in nappies at almost 12 years of age. Given her height and weight, a changing bed is essential to change her with dignity. Before we were aware of the Changing Places website, we sadly had the indignity of changing her in a variety of places, such as on a bench or behind a bush to try to give her some dignity. Our fallback today remains the floor of our wheelchair-accessible van, which I can assure you is a backbreaker. Since we have been aware of the Changing Places map facility, we plan our days out, trips and travel arrangements around it and where we believe there will be a toilet. It has been a life changer for our family and, as we have heard, for other families.

There are occasions where, because the information has not been updated or because of a lack of training on what Changing Places toilets are, we have had some experiences that have been not so great: finding that the only Changing Places toilet in the place you are visiting has been closed because it is vandalised; finding that the Changing Places toilet in a building is not available, as it is being used as a storage cupboard; having a council staff member refuse someone, who clearly cannot walk and is clearly in nappies, access to the Changing Places toilet on the grounds that they are a child and should therefore use a baby changing table, even when it is clear that their height, and particularly their weight, would break the table; finding, because it is winter, that the council has closed the toilet entirely or, when visiting a busy coastal city, that it closes at 4 pm—because clearly disabled people do not need to use the toilet after 4 pm!

I have seen some terrible training of staff in train stations and in public buildings, where they do not understand what a Changing Places toilet is. On numerous occasions, I have been told that because my daughter is a wheelchair user she should use the standard disabled toilet, with no understanding that she cannot stand and there is no hoist in a standard disabled toilet, and that if someone uses nappies, you might need a bed to change them. There was one occasion in a central London train station when a toilet attendant made everyone, regardless of which toilet they required, join one queue because their objective was reducing the queue length, rather than ensuring that the people who were able to use the only toilet available to them, did so. As we stood patiently at about number 50 in the queue, 49 people in front of us who did not need the Changing Places toilet were, in turn, directed to it. There are, however, some fantastic instances of staff ensuring that those trying to use these toilets as a baby changing room—which happens a lot—do not do so, and examples of fantastic signage explaining what a Changing Places toilet is intended for.

Along with the people who believe a Changing Places toilet is, in fact, a large baby changing facility, one other issue that can cause problems is the easy availability of RADAR keys, which are often purchased on the internet or in high street shops. I am afraid that some people do buy them as a way of skipping toilet queues.

In a number of places, including in Bexleyheath town centre in my constituency, the use of a RADAR key has led to people sleeping on the changing bed, and someone moving themselves and all their belongings into the toilet. My council took the decision to close the toilet because of the repeated damage caused by the person who kept moving into it, although I would argue that the council was clearly not maintaining it adequately, given that someone had been living in it for several weeks before my own wife discovered that they were living there.

Those issues persist, and we therefore need to have a conversation about training, about spreading best practice on signage and about different entry systems, which a number of Changing Places toilets now have. Those things would greatly reduce the stress for those who genuinely need a Changing Places toilet.

[Jen Craft]

Will my hon. Friend give way?

[Daniel Francis]

Very quickly—you have had your go already. [Laughter.]

[Jen Craft]

I very much appreciate my hon. Friend giving way again. Does he agree that when you go somewhere and you are unable to access adequate facilities to change your child, the message that is sent to you and your family is, “You are not welcome here. We do not want you.”? Conversely, when you go somewhere that has a Changing Places facility, you feel welcomed and part of the community.

[Daniel Francis]

That is absolutely the case. We will visit the same places for days out and we know our routine in central London, because we know where we will be welcomed and where we have had those bad experiences, which I have mentioned.

We do, of course, also need to consider this place. We have a Changing Places toilet in the Lower Waiting Hall, which is of the very old, original standard. It is therefore difficult to hoist somebody on to the bed, given how low the ceiling is. There is, however, no facility for visitors to Portcullis House, which is something we need to consider going forward.

In my constituency, there is one Changing Places toilet, located in the Broadway shopping centre, but we need more. Hall Place would be a fantastic place to have one, given that it is the premier cultural attraction and open space in my constituency.

[Ms Julie Minns (Carlisle) (Lab)]

There are four Changing Places toilets in my constituency, which, given that it is one of England’s largest constituencies, still feels very inadequate. Does my hon. Friend agree that one sector where we would definitely benefit from more Changing Places toilets is in our visitor attractions? Does he support my call for English Heritage to increase the number of Changing Places facilities on its estate?

[Daniel Francis]

I absolutely agree. As my hon. Friend says, I am pretty sure that there are some in her constituency, but we do need to expand that. Having those facilities on the south bank has made such an impact culturally, I can tell you, Madam Deputy Speaker.

[Samantha Niblett (South Derbyshire) (Lab)]

We have just two Changing Places toilets in my constituency, which is semi-rural and quite large. One is at Elvaston castle country park, so I ask my hon. Friend to put that on his list of places to come and visit. I opened my constituency office only once I had a disabled access toilet, but it just feels like such a halfway house. Does my hon. Friend agree that two Changing Places toilets for a constituency as large as South Derbyshire is far from adequate?

[Daniel Francis]

I absolutely agree with my hon. Friend, who has one more than me in her constituency. We do need to expand the number that we have.

I recently met members of my local Bexley Mencap, who raised with me the need for a Changing Places toilet in one of my borough’s swimming pools. We have three swimming pools in my local authority area, and it can be very difficult for members to change themselves.

However, campaigning can work. For many years, I have questioned the rationale of Eurotunnel LeShuttle having a Changing Places toilet in Folkestone but not having one for the very same customers in Calais. I accept that Changing Places toilets are very uncommon in France—in fact, I could count them on one hand. However, after many years of being told that one could not be provided in Calais, I have been advised in the past month that one will be supplied, although Eurotunnel is being vague about the installation date. Those customers will now finally be able to use a Changing Places toilet on both legs of their journey.

I know that my hon. Friend the Member for Hyndburn (Sarah Smith) wanted to be here to pay tribute to her constituent Zack Kerr, from Oswaldtwistle, who has been campaigning for additional Changing Places facilities since 2017. Zack has cerebral palsy and, because of his first-hand experience, has been instrumental in the building of 54 new toilets across motorway service stations in England.

My hon. Friend the Member for Shipley (Anna Dixon) relayed to me that the changing places toilet in Bingley town centre has been a life-changer. It is really well maintained and is cleaned twice a day, which can be important for children with complex conditions who are susceptible to infections. With twice-daily cleaning it is also much less likely that somebody will move in there for several weeks.

I continue to aspire to see a national disability travel app that shows accessible train stations and interchanges, and flags up when lifts are out of order and where there is a Changing Places toilet. We must ensure that we do what we can to expand the provision of accessible toilets, particularly Changing Places toilets, to public buildings, parks and community facilities.

I am very grateful to hon. Members for their contributions this afternoon. I encourage them to engage with their local authorities and stakeholder groups, and impress on them the importance of Changing Places toilets so that all our constituents can have access to a clean, safe and accessible facility. Thank you, Madam Deputy Speaker, and I wish you a very happy summer recess.