All change for changing places

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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:

http://www.changing-places.org/news/changes_to_the_consortium.aspx

Aveso say:

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Tell it as it is – for world toilet day.

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19th November is World Toilet Day , a global opportunity to explain how lack of toilets impacts many aspects of life.

Join our Tell It As It Is event to share your story about the lack of usable and accessible toilets in the UK.

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.

When surgery is the only option.

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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.

Read above one woman's experience.

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.

Helpful or not – petitions

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There are over 80 petitions on Change.org calling for signatures to back calls to governments and businesses for accessible toilets. Most are by individuals calling particularly for Changing Places toilets.

Are petitions helpful?

Psychologically petitions and demonstrations by disabled people and carers are useful – providing the 'I feel I am doing something rather than nothing'. People who sign genuinely want to say 'this needs to change'. However, the reality is that petitions rarely achieve results.

No amount of signatures is going to change the law or monitor adherence to building regulations. In the UK, the government have heard, via parliamentary debates, how we need accessible toilets. They end with empty promises.

As we speak the draft of revised access standards has been drawn up – setting British standards for what could be used in buildings which last over 50 years. They don't include any change to toilet provision. They are based on the dimensions of wheelchairs, for example, from 20 years ago. Petitions won't impact these.

Dilution of support

Petitions aim for x number of signatures …. people might sign one or two but 80? If campaigns were centralised into one petition there could be thousands of supporters rather than a few hundred.

Change in strategy

The movement to ensure toilets for all is disjointed. Often it's based on promoting the needs of children rather than the needs of disabled people of all ages. People with obesity, dementia and autism are often totally ignored. Many campaigns are based on the need for hoists and changing benches – yet we still have toilets being built that are supposed to follow strict building regulations, but don't for 'independent' disabled people. There are failings at every level. Equality laws do nothing to persuade businesses that disabled people need accessible toilets.

What can we do to actually make a difference?

  • Share a petition rather than recreate one for yourself
  • Look out for opportunities to comment on building regulation guidance, local access consultations, health consultations etc.
  • At every opportunity provide feedback about toilet access. Use social media, review websites, council feedback forms, patient feedback cards at hospitals etc.
  • Use formal complaints procedures.
  • Write to your MP
  • Provide witness statements for parliamentary debates

Sounds like a lot of effort? That's why it's easier to sign a petition and have our social guilt relieved – we've done all we can, right? Now everything will be ok?

No it won't – but deep down you know that.

Draft of BS 8300 -2 available for comment

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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.

(BSI, 2017)

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). 

Museums and accessible toilets

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Are museums no go zones?

Museum of London, Docklands

Have you ever been to a museum that hasn’t had a toilet for visitors, staff and volunteers? If it’s a medium to large museum – probably not. They are probably high on the list if not essential.

Disabled people are potential employees, volunteers and visitors, yet still so many museums fail to provide usable, safe toilets for people with access needs. 

I’ve been to hundreds of UK museums of all sizes, only 2 fully met my needs. If I am with my care assistants I can only visit places with hoists.

If a museum provides accessible and usable toilets for people, the benefits are perhaps obvious:

  1. Larger pool of employees to choose from
  2. Disabled and older people can visit
  3. More attractive to disabled and older volunteers
  4. More attractive to schools who have disabled teachers or students

This leads to increased community outreach, education, visitors and profits / grants.

Without usable toilets, museums and galleries are choosing not to welcome and exclude disabled people. 

We have accessible toilets

You have to be very ‘able’ to safely use ‘standard’ accessible toilets. You have to have either strong arms or legs (to transfer from a chair or stand/sit), good balance, good dexterity and grip to hold support rails. Many people are not that ‘able’ e.g. people with MD, MS, MND, arthritis, CP, paralysis, stroke, short limbs, learning difficulties, autism, anxiety … that’s collectively millions of people!!

Florence Nightingale Museum


This type of toilet might meet most of the standard criteria but only for the very able. 

Museums need to:

  • Audit standard toilets against the most recent recommendations for access 

This one below has a raised seat which is not part of access criteria and can make it extra difficult or impossible for wheelchair transfers. The toilet roll is high up and the emergency cord is wrapped around the support rail.

Horniman Museum

  • Install either a space to change toilet or Changing Places. These have essential space and equipment like a hoist and changing bench. 
  • Install a ceiling hoist over standard toilets to increase the number of visitors/staff who can only get out of their wheelchair with a hoist (like Lincoln Castle has below).

  • Advertise your facilities or people won’t go if they are not confident there is a usable toilet.
  • Show pictures of your toilets in access guides and provide clear signage.
  • Have regular reviews of toilet access.

It is still disappointing that so many museums exclude people. Most of the big museums across London for example do not provide usable toilets (notably Cardiff and Edinburgh have full facilities in key museums) .  When these London venues are approached they don’t want to know. 

“In Kent there are no museums with hoists in their toilets – so I can’t visit at all.”

Attitudes must change if disabled people are to get inside museums – it doesn’t matter how many tactile maps, quiet areas and ramps you have if people then have to worry if they will wet themselves and have a miserable stressful day out.