Changing Places Toilets

Jen Craft Excerpts

Tuesday 22nd July 2025 Commons Chamber

[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 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.