Incontinence

Jim Shannon Excerpts

Thursday 19th June 2025 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

I welcome you to your place, Sir Roger; it is a pleasure to see you there again. It is a pleasure to speak on this issue as my party’s health spokesperson. I thank the hon. Member for Dudley (Sonia Kumar) for setting the scene so incredibly well.

The Patient and Client Council’s 2020 report “Accessibility and Quality of Continence Services in Northern Ireland”—I always give a perspective from Northern Ireland—estimated that some half a million people in Northern Ireland live with bladder control problems and some quarter of a million with bowel control problems, with many experiencing both. When we remember that Northern Ireland’s population is 1.95 million, it puts that figure into perspective. The National Institute for Health and Care Excellence estimates that 61% of men in the general population experience lower urinary tract symptoms and some 34% of women live with urinary incontinence.

I commend the hon. Member for Dumfries and Galloway (John Cooper) for focusing on prostate cancer. It is one of those things that us menfolk do not wish to think or talk about. He is right: it is probably the wife who says to us when we have a pain somewhere, “Did you go and see the doctor about it?” We most definitely should go and see someone about it.

This debate is about raising awareness. It is not a topic that is openly discussed, as the hon. Member for Dudley referred to, because people often feel uncomfortable discussing their symptoms and problems given the personal nature of the issue—I have to say that I feel a tad uncomfortable as well. As a result, many suffer in silence or wait a long time before discussing their incontinence issues with a healthcare professional. Only 20% of those affected go on to seek treatment, with many maybe not recognising their issues at first.

Continence issues can be a significant contributing factor to social isolation. Whether we like it or not, many people will feel uneasy about these issues, so they will withdraw into themselves and seek to deal with their problems alone, which can prevent them from having a normal life. It is clear that we need to do more to remove any feelings of shame from continence issues, including by having a public conversation.

I am very thankful that my local council, Ards and North Down borough council—I served on Ards council at one time—provides sanitary bins in accessible toilets across the borough, including some male toilets. These bins are part of a wider initiative to make public toilets more inclusive, particularly for individuals experiencing incontinence or with stoma needs. This debate is also about those with stoma needs. I am surprised by how many people I meet who carry a stoma bag. They have managed to deal with that, but it is not easy—it scares the wits out of me, I have to say.

Ards and North Down borough council has upgraded 44 of its accessible toilets with features such as shelves, hooks, mirrors and bins to accommodate stoma care. My council has taken that action already. Additionally, the council is working to address the need for sanitary bins in all public toilets, including male toilets, where they are not currently a legal requirement. Ards and North Down borough council has already done that because it recognises that that is the right thing to do. The council did this at its own cost and on its own initiative—not because it legally had to but because it recognised the need. This helps to address the stigma, but it must be a UK-wide approach and not simply the decision of individual councils. We commend Ards and North Down borough council: it did that because it was the right thing to do, not because it had to do so.

One in five people are affected by these issues, and yet it is a silent topic, so it is good that we are speaking about it today with the compassion, the understanding and the carefulness that it requires. Inadequate management of incontinence can lead to escalating costs due to morbidity and unnecessary hospitalisation; those are the side effects. It is good to see the Minister for Secondary Care in her place, because she always responds helpfully to the questions we ask.

Some 6.5 million adults in the UK suffer with some form of bowel problem, so it is imperative that we do things better. One in 10 children will suffer from continence difficulties, whether it be bed-wetting, daytime wetting, constipation, soiling or difficulties with toilet training. The hon. Member for Chelsea and Fulham (Ben Coleman) referred to that issue, and it cannot be ignored.

Improving catheter care in the community would reduce A&E attendance and hospital admissions, which fits well with two of the Secretary of State’s three shifts: hospital to community and sickness to prevention. Can the Government commit to implementing that in a co-ordinated strategy?

Colleagues have flagged the many changes that are needed, and I know these cannot be made immediately, but it is important that we move forward, that we have this discourse and that we dispel the darkness of shame and shine a light for those who feel isolated in the shadows. Today is the first step in this journey, and I look forward to participating in further journeys.