A grant can now be applied for to install Changing Places toilets in NHS hospitals.
A grant can now be applied for to install Changing Places toilets in NHS hospitals.
The government is undergoing a public consultation (part 1) providing the finer details of including Changing Places toilets in the Building Regulations (Document M, Sanitation).
You can have your say on issues such as:
Full details are contained in the pdf document provided on the consultation page. You can participate by email or online.
The usefulness of toilet finding/rating Apps rely on many things such as:
Here are a few worth looking at – each had its own merits so tell us what you think (and let the website/App developers know so they can hopefully make them better suit your needs).
They are all free at the time of listing.
I thought this App had great potential and the developers responded positively to feedback. This is both a rating and finding App. You can rate virtually every toilet feature including access features and cleanliness. Changing Place toilets are included as a review type – and a photo can be submitted for elements you wish to highlight. Reviews are personal reflections which is something to consider but with enough contributors and a date the reviewer visited that facility, this could become a leading database to look at.
This App is by the RADAR Key Company and is free to download:
You do not have to enter your e-mail to go into the App. A web version also exists with enhanced features. This is a toilet finding App for Changing Places toilets which have a hoist and changing bench. The title is somewhat misleading as this is not the Changing Places Consortium map. Here are some screen shots. The inclusion of data such as whether you need to pay, need a NKS (RADAR) key or if locked is very helpful.
A quick test did not reveal all the sites registered on the CP Consortium map – but it did list toilets that didn’t meet the full CP criteria which was useful. You can let them know if a toilet is missing.
Tom Gordon from the company who is involved with the App tells us:
“Our updated Changing-Places-Toilet-Finder website and phone apps (Apple and Android) are free from http://www.loo.org
Ours was the very first one, has 200 more toilets than the British Toilet Association have on theirs, more accurately described and with a more intuitive design of programme.
A similar free website for accessible toilets will follow, so the 5 year old sheets from Disability Rights UK will then be able to be binned.
Next is map that is perhaps the most familiar to hoist and bench users.
The Changing Places Consortium have their own map of registered CP toilets viewable at:
The one function I’d really like to see developed is to search by venue type eg to search for ‘zoo’ or ‘restaurant’ rather than just by location. I’d also like a map somewhere of hoist assisted toilets for people who don’t need a bench or perhaps more info on equipment eg if a toilet riser or bidet is provided.
Speaking of bidets, Closomat have a map where you will find their toilets – also useful if you want to try one out.
Lastly this website seems to have lost its place (and funding). You can enter toilet data in a basic format but to be honest, it’s pretty poor.
As you can see it never found any toilets near me.
Other sites that list some details about toilets at venues include Euan’s Guide ( a review site where people can describe accessibility of venues including the toilets)
and Disabled Go (lots of information but not every toilet at a venue is described).
News from The Changing Places campaign:
We wanted to share the news that Muscular Dystrophy UK is taking over from Mencap to lead campaigning activity across England, Wales and Northern Ireland, and will co-chair the Consortium alongside PAMIS.
More about this news can be found at:
19th November is World Toilet Day , a global opportunity to explain how lack of toilets impacts many aspects of life.
Starting on the 18th of November, we will be putting up a Facebook post on our page – inviting you to tell it as it is.
How does the lack of usable / accessible toilets impact your life?
Whether it’s just a sentence or a short story or photo – please do drop by and share your story by replying to that post on the 18th or 19th.
You can also join our Twitter hashtag #tellItAsItIs and also use the main tag #WorldToiletDay
*All replies will be moderated and those advertising a product or not meeting our adult and child protection policy will not be displayed.
Every day, disabled women are choosing surgery because there are no usable toilets outside their home.
Sometimes it's an ostomy bag for poo or more frequently a supra pubic catheter.
A catheter allows urine to drain from the bladder [through a hole in the skin] into a
bag or through a valve into a bottle/toilet. It's a big life changing decision.
Getting surgery for a catheter is the most talked about topic within women's forums and social media groups.
The reason is not often for medical purposes – but simply because toilets are not accessible / available. They don't have the right amount of space or equipment to be usable. Sometimes they aren't provided at all or are padlocked. If you need a hoist then you only have a choice of around 1000 toilets – across the whole of the UK or Northern Ireland. There may be none in the county you live.
Catheters can cause regular infections and several other medical problems – yet bring an element of liberation and the ability to leave the house. They don't remove the need to manage menstruation hygiene though and many women also choose contraceptives or surgery to control this (oral contraceptives pose a high risk for blood clots in women who aren't active) – because they can't get on the toilet.
Disabled women experience the most discrimination when it comes to using toilets. They take the most life changing health risks. This has to change.
Have you had surgery because of no usable toilets? Tell us in the comments below.
British standards are helping businesses thrive. Some of them define access for disabled people outside and inside public buildings.
What is a British Standard?
Standards define best practice in many different areas. They’re put together by groups of experts and come in a number of different kinds, from a set of definitions to a series of strict rules.
… Standards are not the same thing as government regulations, but they’re often used in legislation to provide the technical detail.
Standard BS 8300 defines access requirements from ‘set down points’ in car parks to the distance to the toilet or width of lifts. There is a section about toilet access, dimensions, fixtures, fittings etc which is best practice.
A new draft for BS 8300 is available to read and comment on. There are two parts – the toilet section is on 8300-2.
Link to draft BS 8300-1 and BS 8300-2 (enter 8300 in the search).
Gill, a fellow toileteer, had a couple of questions – which I felt might be a useful topic to take a look at. Here is the first one:
Changing Places: Changing places room is greatly needed and appreciated by users, but it would appear that in general they get very little use. I believe that this is partly due to signage. The facility might appear on an app but once in the building there may be poor directions. Also once found they might well be locked and someone has to go on a key hunt. Apparently some providers are closing them as they have never been used, and the average usage is once every six months. There’s been a suggestion that they could become a more multi use facility? eg first aid room; baby changing room for a disabled parent. Do you have any thoughts on this?
Changing Places and similar toilets are very valuable. However, imagine you’re a shop or tourist attraction who has invested thousands in providing a large fully accessible toilet with a hoist and bench… only to find it’s rarely used. A waste of money, you say angrily, as you knock it down to make way for valuable retail space.
Aghhhhh. What went wrong?
We can break down some of the key reasons as to why they are at risk of being underused.
1) The toilet is not signposted within the venue or town.
I’m a CP toilet user and so many times I find there is no signposting. I know from the CP map that the venue has one … but it’s not on any venue map, booklet, and no directions given from public toilet blocks. (O2 Arena, Bluewater Shopping Centre and my local town come personally to mind).
Yesterday I looked at the CP map and saw Toddingto Services had one … I went in only to find it was on the northbound side and I was southbound. Whilst it’s on the Google map section of the CP map, the description didn’t indicate which side!
2) The toilet isn’t called a Changing Places.
Staff might not know that a Changing Places toilet might be labelled, in their venue, as a ‘high dependency unit’ , ‘Space to Change’, ‘Hoist assisted toilet’, ‘Adult Changing Room’ etc. as there is no official standard name. People who use these toilets might not realise to look/ask for alternative names. (Bluewater/O2 Arena / mobile units come to mind).
In Lincoln castle they have a hoist … but they just call it ‘the accessible toilet’. No mention of it on their visitor literature!
3) Location, location, location
These toilets might be a significant investment … so location is critical. Even if a large venue has a CP toilet, if you have to walk for 30 minutes to reach it, you might not use it. Maidstone has one in its council building – great only it’s over 30 minutes fast walk uphill from the museum, theatre, main shopping area etc. It’s quicker for me to drive home!!
Yesterday I was at Chester Zoo. It’s a huge venue. I was a long way away from the CP toilet (about 600 metres) and it was back in the direction we had come from, so I used a basic loo. Does that count as none use or just my personal choice and need for the loo quicker than we could reach it? The location is good though and well signposted – in fact I’d say in this instance 2-3 toilets would all be used well.
4) How is use being monitored?
Unless a person has to request one to be opened or someone is constantly watching the entrance (and this is being recorded) then usage monitoring might not be happening. Use might be ‘guessed’ by something as simple as ‘the bed paper roll’ still looks full or ‘the toilet roll hadn’t gone down in months’.
These methods have obvious flaws. Thinking of the many CP toilets I have used, only 1 was visible by staff at a reception desk (who had other work to do rather than to vigilantly act as official toilet monitor). How can venues say with certainty if they are being used or not?
Do cleaners make notes if it looks ‘used’?
Most are ‘just toilets’ with no special key and might be used for clothing changes or something which wouldn’t leave any dent in the toilet roll. I often use my own specialist wipes that are flushable – so you’ll never know I’ve been in.
Could they have other uses?
Thinking about secondary uses, the two obvious choices are noted by Gill. A first aid room or for wheelchair accessible baby changing.
The latter could be problematic in that parents using chairs are likely to need to sit under the changing table area to access their baby and CP benches are not open underneath. A height adjustable baby changing table might be an option that could fit in the full size CP toilet to assist disabled parents.
What about using it as a first aid room? There is nothing in health and safety legislation to suggest that a toilet space can not be a first aid room. However, whether someone would want to be treated in a room with a toilet nearby could be a problematic. Hygiene and infection control may be an issue and CP benches are often just a shower trolley – not meant for laying on for a prolonged period and not that comfy. There is also the consideration of what you would do if the room is being used and you needed the toilet or someone needed first aid. How likely this is to occur will depend on many factors. Location of the toilet and size may influence any decision to have a multi use room. For small to medium stores etc, multi use may be worth considering with the addition of a chair and first aid cabinet/wall mounted kit.
Let a toilet be a toilet
I see a simple solution. You don’t HAVE to use a bench or hoist to use the facility. Why not just have it as a toilet for use by anyone who would normally need an accessible toilet? Do disabled people in general know they can use it?
Currently building regulations say that venues need a standard wheelchair accessible toilet … and CP toilets are additional.
Well perhaps this should change – the only difference would be a finger wash basin near the toilet (and this could be fitted in a CP toilet as a moveable / swing out basin perhaps). That way one toilet suitable for all could be provided. Even going as far as enabling parents with children in prams to use the room in smaller venues where low use might be a financial issue?
Maybe, in small venues, we need to start providing shared facilities that serve more than just disabled hoist/bench users.
Earlier this year I was delighted to be invited to contribute to the Travelling Toilet Tales film – where a number of us shared our story about planning journeys around toilet requirements. At home I have the right facilities, space, design etc … but outside the home and on holiday it’s a different story.
I chose to contribute via narrating a poem about how difficult it is to go on a day out and find a toilet that is suitable – even with the basics!
Pop to the festival to find out more, listen to our contributions and chat with those attending. I can’t go in person but I will be around on Twitter and our Facebook page to chat about the weird and wonderful (and hugely varied) toilet designs and how this can impact disabled people.
The Utopia Fair will be hosting 35 representatives from contemporary utopian movements from all over the UK on stalls in the Somerset House courtyard. The Travelling Toilet Tales stall will offer the public an exciting first glimpse of a draft of our animated Toilet Tales film. Featuring stories from a range of toilet users, including truckers, disabled parents, and non-binary people, the film is an exploration into the ways in which everyday journeys are planned around the un/availability of a suitable toilet. Visitors will also get the chance to listen to the individual toilet stories in full, browse our postcards and artwork, and talk to the special guests joining us on the stall.
Next door, the Servicing Utopia project will be joined by artists who will invite visitors to create utopian toilet models. This weekend will also present the first opportunity to view the interactive digital Toilet Toolkit and short animated film produced by the Servicing Utopia team. The toolkit is aimed at architects and other design professionals to promote the accessible design of toilet spaces and will allow users to virtually ‘walk around’ toilet spaces and interact with items within the space.
Our newest research projects, Travelling Toilet Tales and Servicing Utopia, will both appear at the Utopia Fair in Somerset House in London this weekend (24th-26th June). The Utopia Fair will be hosting 35 representatives from contemporary utopian movements from all over the UK on stalls in the Somerset House courtyard. The Travelling Toilet Tales stall […]