Launching our new campaign

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Today we launch our new campaign #BiggerIsBetter [Bigger Is Better].

We hear over and over again how much people struggle with the size of wheelchair accessible toilets.

Unfortunately, the size suggested by building regulation guidance is far too small for the types of wheelchairs and scooters that people use today.

We need to raise awareness and explain why meeting  building regulations does not mean they are meeting their legal duties to provide usable toilets under the Equality Act [Disability Discrimination]. Very few businesses are aware of this.

Wheelchair users can often not get into these toilet spaces, turn around or transfer safely. They become unusable. An unusable toilet might as well not be built.

Every toilet that gets built to this size could mean decades of  being unable to use that toilet. If nothing happens now – the future will remain bleak.

If the standards are not going to change, then the only way forward is to reach out to as many businesses and new developments as possible and encourage them to see that bigger is better.

 

We need to encourage larger spaces and where possible Space to Change or Changing Places. Without larger spaces, wheelchair and scooter users will continue to struggle to live as equal citizens in the UK.

Please join the campaign and help spread the word. Share our posters, pictures and your experiences.

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Standards for people with sight loss

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For buildings completed since October 2015, the following features will satisfy the requirements for sanitation provision.

These features are essential so that people who are blind or have a visual impairment, can access the toilet.

General considerations

  • Contrasting colour of door handles, door and door frames – always good to know where the door is and how to open it! 
  • An auditory alarm to warn of a fire (i.e not just a visual indicator)
  • An emergency chord alarm that is distinguishable from the fire alarm
  • An emergency chord that is identifiable and visible
  • Surface finishes of fittings and support/grab bars must have a particular level of contrast with the wall and floor (and the wall and floor should also contrast).

I have been into many toilets where there is a white floor, white walls, white toilet, white sink, white emergency chord  ….. a field of white glare to many people with visual impairments. I also find it a bit disorientating and I have good vision.

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Lack of contrast colours in a hospital accessible toilet and written only information

The statement on what is meant by ‘visual contrast’ has been deleted in the latest Building Regulation Doc M. Further work is being done to evidence what level of contrast or finish might improve visibility.

Light reflected of surfaces can be measured – called LRV (Light Reflection Value) when a surface is illuminated. Nearer to 0 would represent black and nearer 100 represent white on this scale.

The difference in visible light reflected provides differences in these values.  A LRV difference of 30 was generally a good figure to use and to avoid high gloss finishes. This would enable more people to tell the difference between surfaces when their vision is impaired – which may cause a reduction in the hue (nature of the colour) or chroma (intensity of the colour). 

Equality Act considerations

For any toilet room / toilet block, the following are also ways to meet the Equality Act 2010 to complement the above.

  • Clearly defined toilet roll dispenser (or toilet roll)
  • Assistance to navigate to the toilet room
  • A Braille description is good practice for any visual signs (toilet door symbol, warning signs, how to operate equipment etc). 
  • Appropriate space inside or outside the toilet room for assistance animals.

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People with sight loss need to be able to find a toilet and use it to have equal access to sanitation. This might mean altering signage or providing someone who can audio describe where the features are in the toilet. 

I’ve been to toilets where the  toilet roll is randomly placed on the floor, a shelf or ‘pick a wall, any wall’. This would probably be unlawful as it creates barriers for people.

The last thing you want to be doing is feeling around a public toilet or having to get so close to see something that you can almost touch it with your nose. Pretty disgusting.

Poor lighting, flickering lighting – it all makes a difference.

It is also useful to consider that some people with sight loss may also have other impairments such as learning difficulties, hearing loss, brain injury, or a person be on medication which impairs vision – so they should be equally able to use an accessible toilet. 

Attention to lighting can help people with autism as well – so insist on new accessible toilets meeting the full British Standard as a minimum to feel confident you have tried to be as inclusive as possible.

 

 

 

 

New report: Toilet access within the NHS

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Disabled people of all ages, and those who support them, are putting their health at risk because of lack of usable toilets within NHS hospitals and clinics.

Inaccessible toilets at UK hospitals and clinics are also having an impact on the health and recovery of people who may not identify themselves as a disabled person. People with dementia, bowel/bladder disorders, those receiving treatments for cancer or heart/lung disease, rehabilitation therapies or mental health illness for example.

Our 43 page report with a summary of key findings (below), brings together the experiences of patients and families.  

Contributors all have a long term health condition or illness which makes it difficult or impossible to use the toilets currently provided. 

Download the report from the link below.

NHS Accessible Toilet Report 2016

We a very grateful to everyone who participated, providing much needed insight of the urgent need for equality of toilet provision, within the NHS, to support physical and mental wellbeing.

 

Key findings 2015-2016

Stigma

  • Due to stigma, embarrassment and sometimes cultural or gender reasons, patients and visitors rarely complain about difficulties accessing/using the toilet or sharing their experiences.

Rights and Equality

  • Provision of toilets are the most overlooked Human Right contained in the European Convention on Human Rights and the UK Human Rights Act.
  • Access to sanitation is a Human Right being ignored within the NHS.
  • Equality Act duties are not being met because a worse standard of toilet provision is provided for disabled people with no reasonable adjustment.
  • Patients who do not meet the Equality Act definition of ‘disabled’ are also affected by lack of facilities due to short term illness, injury etc.
  • NHS buildings are failing to meet building regulations or strive for British Standards. 
  • Standard wheelchair (Approved Document M ) accessible toilets are not meeting the health and sanitation needs of a wide range of people, particularly those with:
    • Obesity
    • Muscle weakness / neurological impairments
    • Spinal injury
    • Stroke related difficulties 
    • Limb loss
    • Shortened limbs
    • Arthritis  / joint immobility
    • Dementia
    • Diabetes
    • Urinary Incontinence including urgency needs
    • Bowel Incontinence  
    • Learning Difficulties
    • Brain injury and balance disorders.

Safety concerns 

  • Some toilets have been found to be unsafe e.g. by not using non-slip flooring, no emergency cords / unreachable cords or not having the right type and placement of support rails. 
  • Hospitals are failing to ensure dignity, safety and well being of patients, staff and carers by offering unsuitable alternatives to standard toilets.
  • There are 155 acute NHS trusts plus 56 mental health trusts as of October 2015.  Many having multiple buildings across several locations.   Out of all these buildings, only 42 provide a basic Changing Places toilet with hoist, extra space and bench access.
  • NHS staff, for the safety of themselves and patients, can not assist by lifting people from wheelchair to toilet or from a seated to standing position. Where Changing Places are not provided or other suitable equipment such as adjustable height toilets, patients must take a family member to do manual lifting/assisting. This has caused long term back pain for many carers and is painful and dangerous for those being lifted.

Poor signposting

  • NHS staff are not familiar with the needs of patients regarding sanitation which results in poor signposting to toilets / inability to locate a toilet and unsuitable ‘alternatives’ being offered.
  • Not all toilets are shown on hospital maps/signs – and the facilities in each are variable, resulting in difficulty locating a suitable toilet.
  • Very few NHS websites detail information about where toilets are located and the facilities in each – making planning for an appointment difficult.
  • Toilet signs are often difficult to understant, see or follow.

General Health and Wellbeing 

  • Women are worst affected due to the need to be seated on the toilet, menstrual hygiene needs, increased risk of urinary infections and being more likely to have bladder problems such as urgency.
  • Patients say they would rather miss appointments because of fear of not having toilet access.
  • Families are prevented from visiting their spouses/children or friends in hospital because they can’t access a suitable toilet.
  • Patients are choosing to stay at home rather than go to A&E where long waits and no usable toilets are normal.
  • Patients are having surgery to remove the need to sit on a toilet (ostomy or suprapubic catheters)  because of access reasons not because of a medical need.
  • A healthy adult empties their bladder every 2-3 hours, yet many disabled patients are avoiding food and liquids for several hours because they know they can not use toilets at hospitals and clinics.
  • Avoidance / withholding urination and defecation has caused kidney, bowel and bladder damage.
  • Patients are taking extra medication to prevent urination or defecation when outside their homes for several hours impacting work, leisure and attending health appointments/treatments.

Difficulties specific to wheelchair and Scooter users

  • Wheelchair and Scooter users can not get close enough to the toilet for safe transfer. (People with a wide gait, obesity, users of frames/walkers or crutches are also affected by this space restriction).
    • 82% of powered wheelchairs will not fit into the transfer space at the side of a toilet that meets current building regulations.
  • Out of 613 models of scooter and powered wheelchairs – only 140 can turn around in the turning circle recommended in the current building regulations.
  • Severely disabled patients are spending several hours in soiled pads whilst they attend hospital appointments because of no hoist or changing bench facilities.

 

The NHS, by its very nature, will serve a higher percentage of people who need very specific facilities to use the toilet. Therefore, adapted toilets need to be of a higher quality to maximise independent toilet use and maintain a high standard of dignity, safety and hygiene compared to other ‘away from home’ facilities.

Due the nature of a persons’s impairment, illness, injury or medical condition, they may:

  • need the toilet more urgently
  • spend longer on the toilet (and getting on and off the toilet). 30 – 40 minutes is an average time.
  • go more frequently
  • require furniture/equipment to aid removal of clothes e.g. bench/chair
  • need toilet provision beyond what is required within building regulations e.g. extra space, access to bidet facilities/washrooms, access to a hoist and changing bench, access to a height adjustable toilet or other equipment.

To substitute a dedicated room (that non-disabled people are provided with) which has a flushing toilet, sink, waste bins, toilet paper, privacy (locked door/single person use) and space for any of the following (which are common practice alternatives) is not appropriate and probably unlawful.

  • offering no support or equipment – no usable toilet.
  • offer of a commode, spare bed / cubicle (often with a wait) alternative for people who could use a toilet room if one was provided.
  • suggesting patients pre-arrange hoist and nursing support (where space exists to safely use these as a hoist can not be used in a standard wheelchair accessible toilet space). Few people know exactly when they will need the toilet to plan days in advance.

Many alternatives cause pain, embarrassment, and mental distress. Solutions exist because people are able to use the toilet in their own homes – so why not in hospitals and clinics?

This toilet needs your help

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What if toilets had feelings?

Toilets need your help, today.

Today we bring you a toilet and a sink which have not been treated equally like the other toilets.

Left neglected and abandoned by their owners. No toilet should have to be this way.

They have been incapacitated by the lack of care and maintenance given to the ‘regular’ toilets and if they could ask for your help – they would. They are crying out in desperation.

All they want to do is provide a safe, hygienic place to go to the toilet. A place of comfort and dignity. Many will see only pain, tears and distress. Wrong fittings, missing support rails, cramped spaces … the list is long. All they can do is watch helplessly.

Today a frail elderly man fell because there was no support rail – and no emergency cord to get help.  I felt responsible.

Yesterday a severely disabled little boy had to be changed on the floor, right next to me and the bin. He was too heavy for the baby changing table.  I kept willing him to try not to wave his arms around and touch me because of all the germs. Of course he couldn’t help it. My heart was breaking. I wanted to help. There was nothing I could do. My room didn’t have anything better to offer.

[Anonymous Toilet in Kent, UK]

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People stay at home more where they have fully accessible bathrooms – leaving toilets like these isolated and lonely.


We can change things

Act now and together we can change things. You can do something to help toilets like this.

Customers – tell people what is wrong. It costs you nothing and provides businesses with an opportunity to put things right.

Managers and architects –  offer hope to these poor toilets.  No toilet should have to suffer this way.

Just £67 could buy this toilet room a new tap or fix the existing one.  £100 could enabling local people to fix the flush and understand why it needs to be reachable from the space beside the toilet.

 

 

You could use ‘Euan’s Guide’ cards to remind people not to tie up the emergency cord and take away help from people who might desperately need it.

[We took the opportunity to provide one for the ‘accessible’ toilet at the Fairway pub, Ickenham, Middlesex featured in our video]

Save a life

You could save a life and help toilets provide a safer, cleaner and more dignified experience for their users.

Thank You.


World Toilet Day 2015

World Toilet Day is THE day for action. It is the day to raise awareness about all the people who do not have access to a toilet, and the urgent need to end the sanitation crisis. And it is the day to stand up (or sit down or squat if you prefer) to do something about it.

Equality of toilet provision – The Equality Act 2010

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Whilst not a legal guide, information is provided here, and in our guides, to help you assess if your toilet provision is meeting the required standards and your Equality Act duties. Only a court can decide if you have failed to prevent or caused disability discrimination.  Similarly, toilets which do not comply with health and safety will be subject to further actions and investigation from relevant safety bodies.
Guide to Accessible Toilet Standards and Equality Act Requirements

The Equality Act 2010

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In the UK, the Equality Act protects the rights of all disabled people, as individuals – which includes sanitary facilities that are provided.

Facilities being offered must provide equal access to toilets for disabled customers / visitors and employees, to the same standard as non-disabled people.  This means meeting their Equality Act 2010 obligations. Public bodies such as councils, schools and hospitals have additional duties under human rights law and the Equality Act.

The Equality Act does not recognise ‘minimum standards’. An individual disabled person or carer could argue that there has been no ‘reasonable adjustments’, as required by law, as it relates to them.  Also, what is ‘reasonable’ changes over time and adjustment is an ongoing obligation.

Being Reasonable

A business should pay close attention to how ‘reasonable’ is judged in courts and described in the Equality Act. Many businesses underestimate the extent of their duty to make adjustments and do what is reasonable in all of the circumstances.  Citing ‘too expensive’ or ‘disruptive’ without evidence of a thorough assessment and providing strong reasoning would be unwise.

Making adjustments

Businesses must take positive steps to remove barriers to disabled people and make reasonable adjustments. They must think ahead and plan to remove barriers – not wait until a person has had difficulties or feels they have been discriminated against.

Listen to the experiences of disabled people and if a problem has occurred take reasonable action to prevent discrimination from re-occurring in a timely manner – the ongoing obligations of the Act.

If someone doesn’t cooperate with their duty to make adjustments, the Equality Act says it’s unlawful discrimination.

The duty to make reasonable adjustment, imposed by the Equality Act 2010, means that provisions beyond that in Approved Document M [AD M] of the building regulations are likely to be required to anticipate the needs of a range of disabled people so they have equal toilet access.

You may have to upgrade your toilets now rather then wait for a ‘refit’ or new toilet block to be built.

Reasonable adjustments may include:

  • Gaining a thorough understanding of the needs of a range of different people and understanding particular needs e.g. asking “what do we need to do specifically for people with profound and multiple learning difficulties” as opposed to ‘what facilities do disabled people need’ or ‘what is the minimum standard we have to meet’.
  • Auditing toilet facilities thoroughly – not just against minimum standards.
  • Consulting with disabled staff, customers or other organisations to ensure facilities meet a wide range of people with different hygiene needs.
  • Making physical adjustments / building new toilets.
  • Providing Changing Places toilets or hiring a mobile unit
  • Publishing access statements about toilet facilities.
  • Making people aware of the type of facilities you have (e.g. widths of doors, heights of toilets, layout of grab rails, type of lighting etc).

What do the building regulations say?

Although the guidance in this Approved Document, if followed, tends to demonstrate compliance with Part M of the Building Regulations, this does not necessarily equate to compliance with the obligations and duties set out in the EA [Equality Act].

This is because service providers and employers are required by the EA to make reasonable adjustment to any physical feature which might put a disabled person at a substantial disadvantage compared to a non-disabled person.

In some instances this will include designing features or making reasonable adjustments to features which are outside the scope of Approved Document M. It remains for the persons undertaking building works to consider if further provision, beyond that described in Approved Document M, is appropriate.

[http://www.planningportal.gov.uk/uploads/br/approved-documents-amends-list_2013.pdf]

How do I upgrade my existing toilets?

cp_doorTo provide good facilities the following types of venues (but not inclusively) should be looking at 1 or more Changing Place toilets alongside provision of toilets that meet the latest building regulations (October 2015) – these have diagrams of exactly how to fit out a toilet, what size it should be etc for maximum accessibility.

  • major transport terminals or interchanges such as airports, large railway and bus stations
  • motorway service stations
  • sport and leisure facilities, including entertainment arenas, stadiums, large hotels, large theatres and multiplex cinemas
  • cultural centres such as museums, concert halls and art galleries
  • shopping centres, large retail developments and Shopmobility centres
  • key public buildings within town centres such as town halls, civic centres and principal public libraries
  • educational establishments, including universities
  • health facilities such as hospitals, health clinics etc.
  • portable facility at outdoor events

There is also a British Standard for accessibility BS8300:2009.

Guides on our link/resources page will also help you.

Full details about Changing Places and are available from:

http://www.pamis.org.uk/cms/files/publications/Changing%20Places%20a%20Practical%20Guide.pdf

Smaller venues should look at recent building regulations below and also look at whether other facilities could be offered e.g. a hoist or a changing bench for disabled children if they can not provide a Changing Place.

http://www.planningportal.gov.uk/buildingregulations/approveddocuments/partm/adm/
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If toilet facilities are not meeting the needs of individual disabled people, organisations must change things to make sure there is suitable toilet provision. Not having useable toilet facilities would be a major barrier to using / visiting , or working for an organisation.

Having no usable toilet facilities is also highly likely to prevent substantial income generation from disabled people and their families because they would be unable to visit, or visit for the same length of time as non-disabled people might.

Guest Blog – Inclusivity? Let’s talk toilets.

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Thank you to our guest Blogger this month – Gillian Kemp.

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Gill is the founder of Truckers’ Toilets UK www.facebook.com/TTUKcampaign

and joint founder of Public Toilets UK www.facebook.com/PTUKcampaign  – both are facebook campaigns which aim to improve toilet provision in the UK.

She has been involved with the British Toilet Association [BTA] for a number of years and has given evidence on the effects of public toilet closures to the Health & Social Care Committee at the Welsh Assembly.


Inclusivity? Let’s talk toilets

Mention the word ‘TOILETS’ and what’s the reaction?  Titters? Silence? Embarrassed looks? Jokey responses?  Yet once you get past all that everyone has an opinion of some sort on the subject.  And toilets – whatever you think of them – are needed by all of us several times a day.  Why oh why then aren’t they a regulatory requirement?  That is what the campaign PUBLIC TOILETS UK is all about.  We are trying to gather evidence to show that public toilets are essential not only for our health but also vital to tourism and the economy.  ‘Holding on’ should not be an option.  It can damage the bladder and bowel – and reduce concentration if you’re driving.

In the meantime Councils are closing facilities when we need more.  On the one hand we are told to get out and about but without access to toilets many of us are fearful of stepping outside the door.

Those of us with disabilities whether visible or hidden have additional needs when it comes to toilets.  Accessible toilets suitable for wheelchair users vary greatly.  In some places they are still labelled ‘Disabled toilet’.  Well, to me – and I’m not alone, a ‘disabled toilet’ is one that is not working!!!!   I visited one recently where I couldn’t even open the door – and I’m not in a wheelchair! – so perhaps that one was named correctly!  There are British Standards and building regulations related to toilets but what was appropriate several years ago is, in many instances, no longer suitable for today’s needs.

For those of us with ‘hidden’ disabilities such as ilostomies, diabetes etc space is also an issue, so we can attend to our particular needs.  Others of us with urgency issues such as IBS cannot stand in a queue and need prompt access to a toilet.  We may even need to change our clothes. The only solution to date is to use the Accessible Toilet and I know I’m not the only one to be embarrassed to find a wheelchair user waiting outside.

Going to the toilet is not a choice.  We shouldn’t have to fight for access to a loo.  But the fact is that currently, we do.  Toilets are a prime example of inclusivity – currently you might say ‘exclusivity’. In the 21st century we are still changing a disabled person on the floor.  This is not acceptable.  Thankfully Changing Places facilities www.changing-places.org  are increasing, but there are still many places without one.  If there are no suitable facilities then we are not an inclusive society.

How can we address this?  Where to start?  We must begin talking LOUDLY about toilets.  If you’re embarrassed get over it and join us.  Change won’t happen overnight but if we work together we can begin creating an inclusive society – but we have to start at the bottom!!!!!

Not Fit for Purpose

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 If you have a story to share, and want to be a guest blogger – because a short Tweet won’t do your story justice … Let us know.

We are always writing to companies and tourist venues about poor standards of toilet provision. If you want us to include quotes from your experiences – tell us below.  

What would you tell businesses to persuade them to provide toilet facilities that are fit for purpose? 

 

Dignity down the pan – does it have to be this way?

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It might be a quaint way to describe a lavatory but how I wish bathrooms weren’t the ‘smallest’ room in the house. You can hardly swing a cat in most of them and if you have restricted mobility, then what are you supposed to do….

Time to do some myth-busting and explore the nemesis for wheelchair users that is The Loo.

 

1. Wheelchair users don’t need to pee (or poop).

They probably have catheters or something and pee into a bag or wear incontinence pads? Do people really think that is what happens – and they don’t need to provide accessible toilets? I was once approached by a complete stranger and asked ‘do you use a catheter’. It is bizarre, rude and ignorant – but it happens.

Yes some people do but not everyone – most of us pee and poop the way nature intended and need to get to the loo. Even people with catheters and bags that hold the urine have to be emptied – so we all need a toilet.

2. Disabled people poses super powers to hold themselves for several hours at a time and don’t need a toilet.

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My friend Daniel Baker at MCM Comic Con – so maybe people do have super powers?

I certainly don’t poses this power and I doubt anyone else does.

If I drink, inevitably I will need the loo at some point. If I drink tea then you’d better have either a toilet or a mop to hand – your choice.

Seriously though, I can’t visit anyone’s house without resorting to only having a sip of water before I go, and nothing until I get home. I can’t risk needing the non-existent loo so my favourite cup of tea has to go on hold.

I use a small adult power chair – but bathrooms in people’s houses are either upstairs or too small to get into (or close enough the loo to transfer).

You know those times when you just know you will be up and down to the loo all day – they are the worst days. I don’t know if I will be able to wait half an hour, an hour or three hours before having to dash home. You sure do feel those pot holes – in fact the number of potholes you bump over directly correlates with the urgency of need.

3. All public places have a disabled toilet, don’t they?

Where do I start with this one! Some don’t have any accessible toilets – going out usually involves using the internet or phoning places to ask for specific details. Often staff do not know what type of accessible toilet they have and provide the wrong information – or leaflets do not specify. Very annoying.

In England the law doesn’t say the public have to have access to a toilet – so councils are not obliged to provide them to anyone!! [Public Health Act 1936].  Generally though, there are good practice standards that should be incorporated into the design of buildings to include flushing toilet facilities that are accessible to disabled people.

The reality, however, is that not even my local or national hospitals meet these standards – never mind the pub down the road or the multi million pound cinema and bowling complex in town!

4. What types of toilets are there and what’s the problem with them?

Well, let us say someone has looked at the building regulations (known as Part M) and chosen to have an accessible toilet on site.  What could possibly go wrong!

Ignore regulations…

10155072_10201673897397303_1686122137207154089_nMy friend Carole found a great example from the New Inn in Durham – the door has no handle. The metal part is for a Radar Key. Some have a step up to them or  display the wheelchair symbol yet are not big enough for many modern day wheelchairs! Others use strong sprung hinges so you can’t open the door … the list goes on and on and the regulations might as well not exist.

Did you know there are 3 types of accessible toilets?

Yes – three! However – this doesn’t make them automatically comply with UK equality legislation or mean they are accessible to everyone.

Type 1 – Accessible to people who can walk.

The first is a slightly larger cubicle with some grab rails or a higher seat for example – these are for people with restricted mobility but who can walk a few steps – ambulant disabled people.

Some venues say they have a disabled toilet – but don’t say it’s only for those who can walk.  Some of these wrongly display the wheelchair symbol. This happened to me at work once and I had to cross my legs for 8 hours! The venue then went and built a new toilet block with two ‘wheelchair’ accessible toilets – but still these were not big enough for even a manual chair. Sometimes you just give up and I refused to go to that venue again. Not having toilets within reach can prevent disabled people from working – this is what happened to Boots Opticians when they failed to provide a nearby accessible toilet for a member of staff.

 

Type 2 – Accessible to some athletic wheelchair users who can perform acrobatics.

The second type displays the wheelchair symbol and is a toilet that should meet building regulations for wheelchair access.  The sticking point with these is that the recommended space is only big enough for the length of a compact /short length chair – and not everyone has one of those.

WC_dimensionsHere is a scaled picture of a wheelchair accessible toilet according to building regulations. The green rectangle is the footprint of my NHS power chair. Next to it is the recommended (same scale) turning area the regulations use for ‘enough space’. As you can see it’s based on a manual chair, it’s a tight fit and it doesn’t mean there is available floor space by the toilet where you actually need it!

 

Throw in the difficulty caused by the addition of a baby changing unit on the wall and baby nappy bin on the floor – no floor space or room at all to turn!

To deny someone appropriate toilet facilities is a huge black mark in the book of human dignity and rights.

 

My husband has to stand me up and then hold me to try and swing round and move me backwards between the gap of the sink and my chair, to sit on the loo! You have to be a circus performer to pull that one off without falling and banging into things. Not to mention trying to maneuver your clothes off …. that’s when you say ‘sod it’ and stay at home.

Type 3 – Accessible to all and includes an adult changing bench and hoist. They are known as Changing Places toilets.

These are few and far between – only 600 in the UK – if you need to change a pad without these facilities you might have to lay on the floor of a public toilet like this child has to do.

5. So what do you do then?

Stay at home, don’t visit family for long periods or spend lots of time finding out about the exact nature of the toilet facilities on offer – then decide whether to go or not.

Even more degrading for women.

Some men have the options of using a portable urine bottle – but women experience the most difficulty having to transfer to the loo every time and also deal with menstruation. Give yourself pins and needles so you can’t move your legs much, wear mittens and then try and change a pad or try asking your husband to help …. now try it in a cramped toilet on the first day of your period with the nauseating smell of baby poo lingering in the air. Not so nice is it?

Welcome to my world and hundreds of thousands of women like me – a part of our lives that goes unspoken about, unnoticed  – but it doesn’t have to be this way.

With proper facilities, assistance and good information, we can make informed choices and retain a level of dignity and hygiene that might otherwise be flushed down the pan.

Louise Watch, writing for Blogging Against Disablism Day 2014.  BADD2013

Blogging Against Disablism Day, May 1st 2014