PARLIAMENTARY DEBATE
Toilet Facilities: People with Disabilities - 17 January 2017 (Commons/Commons Chamber)

I thank the hon. Gentleman for so eloquently setting the scene. Does he share my concern that many young disabled people in the Muscular Dystrophy UK Trailblazers Network, which I know he is aware of, are having to restrict their fluid intake, causing urinary tract infections? Some are now turning to surgical intervention because of the lack of Changing Places toilets across the UK. Will the hon. Gentleman ask for a meeting with the Minister and UK Trailblazers, and perhaps with me and other Members in the Chamber, to see what can be done to improve toilet access facilities for disabled people across the whole United Kingdom?

I am a patron of Wolverhampton Mencap. Does my hon. Friend share my surprise that Mencap nationally has steadfastly refused to bring a test case before a tribunal on the lack of Changing Places public toilets being built in buildings constructed since the Disability Discrimination Act came in to force in 1996, and does he share my hopes that Mencap will review that position so it can run a test case?

The hon. Gentleman is making an excellent speech. Does he feel, as I do, that perhaps businesses are missing a trick, because the more accessible they make their business, store, public transport, sports ground, or whatever it is, the more that people with a disability can use those facilities and lend their economic investment to them?

I congratulate the hon. Gentleman on raising such an important issue about promoting dignity for vulnerable people and, as already indicated, greater prosperity for our high streets. Cheltenham is getting two new Changing Places toilets. Will he join me in congratulating all those who campaigned for this, including the fantastic St Vincent’s and St George’s Association in my constituency, and made it happen?

We have set up several such schemes in my constituency. I am contacted regularly—on a weekly basis, in fact—about the availability and accessibility of toilets. One problem with the schemes, however, is around publication and awareness that these businesses are open for anybody to use. It is really important to get the message out.

I congratulate my hon. Friend on securing this debate. One of my constituents, Lorna Fillingham, has long campaigned for Changing Places toilets in all hospitals and health centres. Does my hon. Friend believe this campaign should be given more legs?

I am sure the hon. Gentleman is aware that the Changing Places campaign has been running for 10 years now. While its work is extraordinary and to be commended, does he share my view that it is time that we came together to achieve more and to allow people to do whatever they want to do, which is, after all, what those of us who do not need to use that kind of facility take for granted?

I thank the hon. Gentleman for being so generous with his time. He mentioned the Trafford Centre and new buildings. Does he agree that there might be a place for new buildings to have this as part of the building regulations, so that developments over a certain size would have to have a facility such as a Changing Places toilet?

I, too, congratulate the hon. Gentleman on securing the debate and thank him for being generous with his time. I visited the Usual Place café in Dumfries in my constituency last week. It is staffed by people with a range of disabilities, and a Changing Places toilet has been installed. This has literally transformed the lives of many of my constituents. Families are coming from far and wide to use the facility. Does the hon. Gentleman agree that every new public building should have one, and that for high-street businesses that have suffered so much lately, there is a real commercial opportunity here to attract the most grateful and loyal customer base that they could ever wish for?

Let me begin by thanking the hon. Member for Stalybridge and Hyde (Jonathan Reynolds) for raising this important issue, and for speaking so powerfully on behalf of his constituent Brian Dean. It was very decent of him to thank me for my attendance. I should put it on record that I had no choice but to be here, but on this occasion it is a real privilege, because I think the issue is very important. I should say at the outset that I have some personal experience of it, having cared for my late father, who suffered from Alzheimer’s at the end of his life. For people who are struggling with a degenerative condition, the humiliation that can result from not being able to find a toilet when they need one is very difficult to understand if one has not witnessed it.

The hon. Gentleman deserves great credit for raising the issue in the House, and the fact that so many Members have stayed for the debate shows that a large number of our colleagues take an active interest in issues related to inclusion and accessibility. I know that the hon. Gentleman has a particular interest in such issues, given his role as vice-chair of the all-party parliamentary group on autism.

In some ways, the fact that we need to debate the issue of accessible toilets is an indictment of our society. Confidence that one’s toilet needs can be met is something that most of us take for granted in life, and disabled people should be equally confident that that will be the case for them when they leave the house. I was therefore very sorry to hear about the events affecting the hon. Gentleman’s constituent. It is sad that it is necessary to debate the issue this evening, but it is entirely right for us to discuss how provision of and access to toilet facilities might be improved to ensure that Mr Dean and many others like him are not subjected to similar experiences in the future.

A number of legislative measures have already been introduced to ensure adequate provision of accessible toilets, and the hon. Gentleman referred to one of them. Part M of the building regulations sets out minimum standards for accessible toilets in buildings when they are built or undergo major refurbishment. That includes standards for unisex accessible toilets even in small buildings where toilets are open to the public, and additional toilet provision in larger buildings.

Those requirements have helped to ensure that a wide range of needs are properly met in many circumstances, but people’s needs and expectations change over time, and the Government recognise that the approach to meeting those changing needs will have to change in response. That is why we have commissioned researchers to check that the current requirements in Part M remain fit for purpose, and, in particular, to look at the design and provision of accessible toilets. The researchers will report later in the year, and the report will help to inform decisions that my fellow Ministers and I make on whether the building regulations need to be changed. I should emphasise that the regulations help only with new buildings, or buildings in which a major refurbishment is taking place.

Once a building is in use, duties in the Equality Act 2010 apply to building owners and service providers, requiring them to take steps which include making what are known as reasonable adjustments. Reasonable adjustments are required wherever a disabled employee or disabled customer, or potential customer, would otherwise be at a substantial disadvantage compared with a non-disabled person. A substantial disadvantage is more than a minor or trivial disadvantage. The reasonable adjustment duty applying to service providers is an anticipatory duty, which means that employers and service providers are expected to foresee the requirements of disabled people and the reasonable adjustments that would have to be made for them, such as the provision of disabled toilets, wheelchair access and auxiliary aids or services for those who may require them. That includes, crucially, reviewing management provisions—for instance, how and when people can have access to toilet facilities, which was clearly an issue in relation to the businesses that Mr Dean approached—as well as making adjustments to the physical features of buildings.

The combination of the building regulations and the Equality Act have proved to be very important in improving provision. However, the hon. Gentleman issued a number of challenges in his closing remarks, asking—rightly—what more could be done to ensure that toilets were publicly accessible so that disabled people could be confident that their needs could be met wherever they went. I agree with him that that requires the public sector, businesses and communities to work together to find new ways to make it easier to find and use accessible toilets.

I am grateful to the Minister for his support. Would he consider commissioning, through his Department, the development of a mobile phone app with access to a master list of all sorts of accessible toilets in the United Kingdom, whether they are Changing Places toilets or toilets that meet other requirements that people have, so that they can find them easily?

The hon. Gentleman will find that if he is patient, his patience will be rewarded.

Local authorities have an important role to play in identifying how accessible toilet provision can be supported. They have powers to run and maintain public conveniences — although they are not duty bound to do so—meaning that, where appropriate, they can provide accessible toilets directly. Section 20 of the Local Government (Miscellaneous Provisions) Act 1976 gives local authorities the power to require toilets to be provided and maintained for public use in any place providing entertainment, exhibitions or sporting events, and places serving food and drink for consumption on the premises.

Local authority environmental health officers have an important role to play in reviewing plans and premises licence applications, and advising on whether sufficient sanitary facilities are provided in terms of number, design and layout. Through the planning system, councils can also impose requirements, or negotiate with developers, to ensure that enhanced accessible toilets such as Changing Places are brought forward in new large-scale developments, or in buildings with strategic importance.

I have a question about the design and layout of accessible toilets and the expertise that is available in my constituency. At Shooting Star Chase there are lots of children with terminal illnesses and complex wheelchairs, and I am horrified to know that when the children are taken to some entertainment areas and the staff find a disabled-accessible toilet, it might not have the correct dimensions for the children. Where is the information coming from for the Department?

That is a good illustration of needs evolving over time and the fact that the building regulations must keep pace with them. It also shows that whatever we do with the building regulations only affects brand-new buildings and those that are refurbished where a retrofitting job needs to be done.

I am also pleased to say that we are introducing measures in the Local Government Finance Bill to give councils flexibility to use their existing discretionary relief powers to support publicly owned public toilets from 1 April 2018. They already have powers to provide such relief to privately run toilets. As we announced at the Budget, this measure is a means of levelling the playing field so that both private and public toilets can benefit from relief. Where authorities use their discretionary powers, central Government automatically meet half the costs.

Alongside councils, it is also important that businesses play their part. I was delighted to be joined at the start of this debate by my colleague the Minister for Disabled People, Health and Work, who is leading on a number of initiatives to improve accessibility. Just before Christmas, she called for business people to step forward to act as sector champions, to become a catalyst for change by championing the accessibility of products and services. These champions will help to unlock a virtuous circle of greater financial independence and choice for individuals, while helping to tap into the spending power of the “purple pound.” Given that disabled people have a collective spending power of £249 billion, the economic opportunities for business are readily apparent.

I asked in an intervention on the hon. Member for Stalybridge and Hyde (Jonathan Reynolds) whether the Minister would agree to meeting Muscular Dystrophy UK trailblazers to get their opinion, as it is a body with knowledge and experience of how to improve toilet accessibility. Will he agree to that? If so, I and others would be glad to avail him of that opportunity.

I will be delighted to do that, and my suggestion to hon. Members who want to meet is that it is probably best to wait until we have the research, and to have a meeting when we are at the point of reviewing the regulations.

I was talking about the spending power of disabled people. The need to unlock this potential is clear. In March 2015 the Extra Costs Commission found that three quarters of disabled people and their families had felt so badly treated because of their disability that they had left the shop or business. That is shocking and this is simply not good enough.

To help to address this, the Minister for Disabled People, Health and Work is assembling some of the nation’s best tech experts at the Google campus on 26 January to identify how technology platforms can help people share knowledge about where access is not good enough. She will be inviting Members of the House to attend a showcase on 6 February in the Attlee Room to share the ideas generated at that event, and I encourage Members of both Houses to attend and think about how we can all champion improved accessible provision in our own communities. That community leadership is important, and there is a clear precedent for community, business and public sector leadership delivering improvements in accessible toilet provision through the success of the Changing Places campaign.

I first became aware of Changing Places toilets in my role as the Minister with responsibility for building regulations. It is clear from the correspondence that I see that the number of people with multiple and profound disabilities, and others who need more specialised toilet provision, has increased significantly in recent years. This includes members of the armed forces who have been injured when serving their country; younger adults seeking to live a full, active life; and an increasing number of elderly people. For those people, and for their families and carers, the availability of adequate toilet facilities becomes central to planning any activity outside the home.

Changing Places toilets provide an adult changing bench, a hoist, washing facilities and the space for carers and users to use the facilities safely. It is heartening to see that local and national campaigners, backed by the Government and working in partnership with business and local councils, have increased the number of Changing Places toilets from 140 in 2007 to 914 today. That is a great success story, and it proves what can be achieved when there is strong leadership and collaboration across sectors, but improving the provision of accessible toilets is only part of what is needed. One of the key points, as the hon. Member for Wolverhampton South West (Rob Marris) pointed out, is that it is important to signpost where accessible toilet provision can be found, and Changing Places has provided a sign of how that might be achieved.

In 2015 my Department, along with the devolved Administrations, funded Mencap and the British Toilet Association to develop a website detailing the location, opening hours and facilities of every Changing Places toilet in the UK. This enables disabled people and their carers to locate the nearest toilet at the touch of a button. The website even includes a journey planner that shows every Changing Places toilet along a given route. This simple technology has had a positive impact, and I would encourage further exploration as to how this might also work for the wider network of standard accessible and public toilet provision, to ensure that people like Mr Dean are able to find a toilet facility when they need to do so.

In summary, we have already started the process of looking at accessible toilet provision as part of our programme of research on the building regulations. That will help to inform decisions on whether changes need to be made. We will continue to stress the importance of meeting duties under the Equality Act, including the duty to make reasonable adjustments to buildings and to management practice to help to meet the needs of disabled people. We will also continue to look at ways in which technology and leadership can make a difference. It is important that local authorities, public bodies and business continue to consider how they might look beyond legislation to improve the provision of accessible toilets, including identifying opportunities to introduce enhanced provision such as Changing Places. I would like to end by thanking the hon. Member for Stalybridge and Hyde for raising these most important issues, and by thanking all the other Members who have been here for the debate. I would be happy to continue to discuss how we can work together to deliver further change in this important area.

Question put and agreed to.