That this House has considered the matter of safeguarding human rights in supply chains.
Thursday 18 June 2026
[Peter Dowd in the Chair]
Backbench Business
[Relevant documents: Sixth Report of the Joint Committee on Human Rights of Session 2024-25, Forced Labour in UK Supply Chains, HC 633, and the Government response, HC 1404.]
I beg to move, That this House has considered the matter of safeguarding human rights in supply chains.
It is a pleasure to serve under your chairship, Mr Dowd, particularly as you had such short notice. Globalisation and technological advances over the last few years have given us the ability to better connect across the world and improved our ability to trade globally. With increased connectivity comes increased awareness of issues and events around the world, and one issue that that increased awareness has brought into sharp focus is human rights in our country’s supply chains. From the Boohoo scandal, involving the exploitation of workers paid £3.50 an hour in a factory in Leicester, to the Bangladesh sweatshops making our clothes, to state imposed forced labour for the Uyghur community in China, we have never been more aware of the need to ensure that our supply chains do not involve human rights violations and the exploitation of workers at home and abroad.
Supply chains run our daily lives, but the uncertainty over where many of our daily products originate and whether they have been produced through forced labour and in inhumane conditions has wide ranging ethical and national security implications. Here is an example to illustrate the point. This morning, a nurse in the UK woke up to prepare for her NHS shift. She wears a cotton uniform, the fibres of which were produced with Uyghur forced labour. For breakfast, she eats a banana grown by workers facing union busting in Costa Rica. She checks her smartphone, built with cobalt mined by children in the Democratic Republic of the Congo. She makes her journey to work in a car fuelled by petrol from companies linked to threats against environmental defenders and indigenous communities in Nigeria. At hospital, she puts on gloves made in a union busting factory in Sri Lanka, under lights powered by solar panels made with Uyghur forced labour in China, and uses surgical tools linked to child labour in Pakistan. On her break, she gets a cup of tea with a biscuit containing palm oil from Indonesia, where communities and forests have been swept away to be replaced with palm oil plantations.
First, Mr Dowd, I commend you for taking the Chair and saving the debate. It is said that you never go home, so perhaps that is why you were able to get here.
I thank the hon. Member for Southgate and Wood Green (Bambos Charalambous) for securing this incredibly important debate. He has outlined a number of countries where the problems are acute, but does he agree that China is the worst of all? Its abuses—of human rights in particular—are on an industrial scale. Some 70 million Christians are abused in terms of their human rights, including their right to believe, as are millions of Uyghur Muslims and between 7 million and 20 million Falun Gong. China must be taken to task. Does the hon. Gentleman agree that, in summing up the debate, the Minister needs to outline a number of methods to take China on? It has done some 13.75 million forced labour transactions, and it is time for those to stop.
The hon. Gentleman makes an excellent point. I am sure many colleagues in the Chamber will focus on the Uyghurs in their contributions, but he is right to highlight the abuse in China and the need to address it.
That is the reality in UK supply chains: these products, which we use every day, are integrated into our lives. We need legislation to fix that, to prevent the abuse of human rights and the degradation of the environment.
I am grateful to my hon. Friend for securing the debate. As a long time trade unionist, I am proud of the work this Government have done to secure employment rights in our country, but last year the International Trade Union Confederation global rights index found that more than 80% of countries restricted the right to collective bargaining, and 75% denied the right to establish or join a trade union. Does my hon. Friend agree that our duty is to promote human and labour rights wherever we can and to regulate our global supply chains so that workers across the world can enjoy the protections we have?
My hon. Friend makes an excellent point. The lack of trade union rights globally is seriously worrying. I am a proud trade unionist, and we need to ensure that trade union rights are respected in our UK supply chains. I will come on to that shortly in my speech.
Our country is the birthplace of the trade union movement. We pride ourselves on championing workers’ rights, human rights and our democratic values. Our Labour Government recently passed the Employment Rights Act 2025, the biggest reform of workers’ rights in a generation, bringing more security to millions of workers and making work pay. Our freedoms of association and collective bargaining—some of the most important rights we have—allow workers to have representation in the face of unfair treatment and to advocate for fair pay and protections against dismissal, discrimination and other unfair and inhumane conditions.
The same cannot be said for workers around the world. Workers in 75% of countries are denied the right to freedom of association. In many countries, it is illegal to be a trade unionist. Coupled with attacks on freedom of speech, we have countless reports of human rights activists and environmental defenders being threatened, or even killed, when challenging or opposing abuses by large corporations. With 50 million people trapped in modern slavery globally—a number that is growing every year—and labour rights under threat almost everywhere, it has never been more critical to tackle this issue head on.
Without those freedoms, workers have no power to challenge inhumane conditions that exacerbate inequality and poverty, particularly for women and children. The UK was once a leader on safeguarding human rights and supply chains, but we are now falling behind. Currently, we have a patchwork of narrow legislation and guidelines on businesses and human rights that are not enforcing our moral duty to ensure that our supply chains are free from human rights abuses.
My hon. Friend will know that I am a member of the Joint Committee on Human Rights, which recently published a report called “Forced Labour in the UK’s Supply Chains”. One of our recommendations was that the Government need to strengthen section 54 of the Modern Slavery Act 2015, and specifically the reporting duty, in a way that reflects the size and capacity of the business in question. Does my hon. Friend agree with that recommendation? Would he like to see more done to strengthen the Modern Slavery Act?
My hon. Friend makes an excellent point, which I will come to in just a moment. I strongly support the strengthening of section 54 and its application.
With the UK importing £20 billion worth of high risk goods every year, our current framework is not effective enough in preventing goods made with forced labour from entering the UK market, despite the Government’s stated position that no company operating in the UK should have forced labour in its supply chains. The Modern Slavery Act was considered world leading legislation, as the UK was the first country in the world to introduce such legislation. However, the current transparency and supply chain reporting, as set out in section 54 of the Act, is wholly inadequate, applying only to organisations with a turnover of more than £36 million, and excluding public bodies, meaning many businesses and organisations fall through the cracks.
The exclusion of public bodies from the duty to report on transparency in their supply chains can leave our country’s most important agencies vulnerable to being complicit in horrific human rights abuses, which affect not only the welfare of workers globally, but the stability and growth of our economy. In addition, the transparency reporting duty can be met by an organisation simply declaring that it has taken no steps to address forced labour in its supply chains; that is simply not good enough. Corporate giants with big money are given a free pass to escape their moral responsibilities by not even looking for any abuses present in their supply chains.
At present, businesses are able to voluntarily identify, mitigate or prevent any forced labour risks found in their supply chains. Many responsible businesses in the UK want to do the right thing, but are being undercut by corporate giants and less responsible companies. Clear and enforceable rules are needed in order to provide the right guidance for businesses and level the playing field for all. We can address that by introducing mandatory human rights and environmental due diligence legislation to hold all businesses, across all sectors, including financial institutions and the public sector, legally accountable for preventing human rights abuses and environmental harm in their supply chains. Mandatory due diligence would compel corporations to undertake proactive processes to minimise and manage the risk of violations within their operations by, for example, conducting risk assessments, requiring their suppliers to fulfil certain conditions or carrying out unannounced audits.
Internationally, we are far behind our allies and partners. All other G7 nations have introduced or plan to introduce mandatory due diligence laws or import bans on goods made by forced labour. The EU is doing both. With the UK seeking a closer relationship and alignment with the EU, we must catch up.
Businesses themselves have also spoken up. In the last few years, more than 150 businesses and investors, representing more than £4.5 trillion in UK assets, have publicly demanded mandatory standards. The Trades Union Congress, the Ethical Trading Initiative, the British Retail Consortium and the Corporate Justice Coalition, which collectively represent more than 350 high street brands with £800 billion in turnover, have called on the Government to introduce mandatory due diligence laws.
Public support shows that people value companies that responsibly source and produce products we use every day, with four in five adults supporting new laws. By failing to update the current patchwork of legislation and guidelines, and delaying the introduction of human rights and environmental due diligence laws, we are failing workers, communities and environments integrated into our supply chains, failing UK businesses that want to do the right thing and ultimately risking the complicity of the UK economy, as well as our national security.
The Government have already made it clear that supply chain resilience is critical to the UK’s economic security. In June last year, the trade strategy committed to a new supply chain centre within the Department for Business and Trade, which will play a role in supporting businesses to address the risks of forced labour in supply chains. The strategy also launched the responsible business conduct review—the UK’s implementation of the UN guiding principles on business and human rights. A year later, Parliament is still waiting for the review to be published and scrutinised, although I very much welcome yesterday’s publication of the action plan for the supply chain centre.
The trade strategy rightly recognised that strengthening responsible business conduct “is not only a moral imperative”, but “a positive part of the Government’s mission to grow the economy.”
Supply chains and the need to ensure that they are free of abuses and harm are embedded in our growth mission. With modern slavery costing the UK economy £60 billion every year, we urgently need to ensure that we do not lose out on more growth, and we can do that by simply introducing new legislation.
The resilience of our economy goes hand in hand with our energy security. The conflict in the middle east and the ongoing Ukraine Russia war, which have significantly contributed to the cost of living crisis for our constituents, have shown more clearly than ever that the UK must become energy independent and continue focusing on renewable sources of energy.
However, the security of home grown energy is exposed when we look further into its supply chain. An estimated 98% of solar panels in the UK are produced in China, predominantly in the Xinjiang region, with forced labour from the Uyghur community. Therefore, the UK is at risk of being a dumping ground for slave labour produced solar panels. We must ensure that, with new legislation on Great British Energy, home grown energy is produced through ethical means, so that in producing energy to heat our homes, we do not contribute to the inhumane treatment of workers and communities around the world.
In addressing those challenges, we cannot overlook the unbreakable link between safeguarding human rights and protecting the environment in supply chains; when there is a failure to protect one, the other suffers. UK imports of beef, soya, cocoa, rubber and palm oil—also known as forest risk commodities—have wiped out forests the size of our major cities. The UK’s deforestation footprint linked to those imports has increased to 39,000 hectares in the last few years and is likely to be higher. The biggest culprit is corned beef from Brazilian companies such as JBS, which have been linked to the destruction of the Amazon rainforest, the lungs of the earth. When communities lose vital access to clean water because of corporate contamination, when indigenous communities lose access to ancestral lands or when environmental defenders are threatened or killed for speaking out against mega projects that destroy our environment, it becomes a human rights issue.
New legislation must address all human rights and environmental harms in a way that provides clarity to businesses in ensuring that they are conducting themselves responsibly. The legislation needed to address those issues would protect the workers, communities and vital environments involved in producing our everyday goods. Consumers in the UK could be sure that they were shopping responsibly and not contributing to abuses around the world, and businesses could have the clarity they need in order to do the right thing.
I have a few asks of the Government. Parliament continues to await the publication of two reviews set out in the trade strategy last year. Can the Minister confirm when the responsible business conduct review and the national baseline assessment will be published, the key outcomes that should be expected from those reviews, and a timeline for moving from review to action on the recommendations of each report? Given the interconnectedness of human rights, labour rights and environmental harm, can she confirm that the Government will engage in meaningful action to address this issue by adopting a thorough and holistic, rather than narrow, approach to responsible business conduct?
Do the Government agree that we need cross cutting and holistic legislation to provide clarity and certainty to UK businesses, rather than a patchwork approach that burdens businesses that act responsibly while enabling irresponsible businesses to undercut them? Failure to act on human rights abuses and environmental harm will damage the resilience of our supply chains and our economy. Introducing the human rights and environmental safeguards to UK supply chains set out in my speech is not just the right thing to do economically; it is our ethical and moral duty to ensure that the protections that we enjoy in the UK are shared across the world.
I remind Members that we have about five or six minutes, give or take, per person. Just bear that in mind. I also remind Members that they should bob if they wish to be called.
It is a pleasure to serve under your chairship, Mr Dowd. I am sure I speak for us all in extending warm thanks to you for stepping into the breach at the last minute to enable us to have this timely and important debate, and I thank the hon. Member for Southgate and Wood Green (Bambos Charalambous) for securing it.
It is clear that UK business has global environmental and human rights impacts. UK business has impacts on climate change, biodiversity loss, pollution, waste management, deforestation, and of course on human rights and labour rights, as we have already discussed. The Government have acknowledged those concerns.
This debate comes at a particularly timely moment because, as the hon. Member for Southgate and Wood Green pointed out, we await with bated breath the Government release of announcements. I note that the hon. Member for Glasgow North (Martin Rhodes) tabled a question to the Secretary of State in January asking when the responsible business conduct review would be published. The Minister for Trade responded with one word: “Soon.” It is now five months later, so perhaps today’s Minister could assure us in her wind up that soon really will mean soon. We would very much appreciate seeing that review.
Although we have some parts of an existing legal framework—for example, the Modern Slavery Act and the Environment Act 2021—they are too narrow to meet internationally accepted standards. Single issue measures such as robust legislation to prevent and address modern slavery, including through import and export restrictions of goods and services that involve forced labour, are useful but not in themselves sufficient to address the full range of human rights and environmental risks and harms. In particular, if they require companies only to report, rather than to take action, they do not have the force that we need.
The UK risks falling behind its international partners. The UK was once a frontrunner on environmental and human rights legislation, but progress has stalled. The EU’s corporate sustainability due diligence directive will apply, of course, to UK companies that generate significant turnover in EU markets, meaning that UK businesses will face mandatory due diligence obligations abroad without equivalent domestic standards at home. That does not make sense. The UK would be better able to produce and sell goods and services in the EU single market, as well as continue to position itself strongly as a global leader on human rights, if we had our own mandatory environmental and human rights due diligence legislation.
It is not just campaigners who are calling for that; business is calling for a new law. A clear majority of businesses surveyed by the British Institute of International and Comparative Law believe that current UK laws do not provide clarity or sufficient legal certainty on human rights obligations. Nearly three quarters of UK businesses believe that additional regulation would provide benefits, including greater legal certainty and a level playing field. Indeed, I met with people from a large business in my own constituency just a couple of weeks ago who made exactly that point. A level playing field is needed. Business is calling for it.
As has already been reflected, major businesses including the British Retail Consortium, John Lewis Partnership, Tesco, Sainsbury’s and Twinings are all calling for new mandatory due diligence laws on human rights and the environment. As we have also heard, over 160 businesses and investors representing trillions of pounds of investment are calling for the failure to prevent liability model. That failure to prevent model is what underpins the Bribery Act 2010. We already have the legal model in UK legislation that we can adopt in the same way. We do not have to reinvent the wheel; it is simply about applying the wheel more consistently. Three parliamentary Committees have already recommended this. Parliament’s Joint Committee on Human Rights has specifically recommended legislation modelled on the failure to prevent framework of the Bribery Act 2010.
We have business calling for that legislation. We have parliamentary Committees and parliamentarians calling for it. The Good Business Matters pledge has secured cross party support from over 80 MPs and peers from eight different political parties. We also have public support: 145,000 citizens have signed a petition calling for such legislation, and a YouGov survey indicates that three quarters of the British population support stronger legislation in this area.
In summary, introducing mandatory human rights and environmental due diligence legislation is not only the right thing to do to protect the environment and human rights around the world and to be consistent; it is good for our economy. We miss out on opportunities by not adopting such legislation. It is called for urgently by major businesses that want the Government to support them in showing leadership in this area. It is strongly called for by British citizens, who care—people in this country really care about the standards under which our goods and services are produced. We see that in the strong outcry about the continued import of goods and services from stolen land in Israeli settlements in the west bank; in the outcry over the import of goods that are produced under slave labour conditions by Uyghurs in China; and in the outcry over the import of goods and services that result in deforestation, environmental devastation and climate damage. It is time for the Government to act, and I very much hope that the Minister will assure us that they will do so soon.
I thank my hon. Friend the Member for Southgate and Wood Green (Bambos Charalambous) for securing the debate, which is much needed. Also, it is not often that I thank an Everton supporter for anything, but thank you very much, Mr Dowd, for stepping into the breach.
A number of organisations have been working incredibly hard with me and other Members on a number of fronts relating to this issue for some time. I thank the Corporate Justice Coalition, which is a large coalition of organisations. I thank the TUC and my own union, Unison, for circulating briefings. I also thank Anti Slavery International; ActionAid; Sarah Benn Gordon, who put together a range of information for me; and the wonderful House of Commons Library.
The report of the Joint Committee on Human Rights is an excellent piece of work, not surprisingly. My hon. Friend the Member for Bracknell (Peter Swallow) has gone, but he is a specialist in Aristotle, and we can see the logic in the report. I have read the Government’s response and want to make sure that I have it clear; the Minister can clarify later in the debate. First, the response says that the Government share the Committee’s concerns and accept that there are real worries about global supply chains and that we have to ensure that, as a country, we are not complicit. Secondly, it states that “the Government is actively exploring options to strengthen protections.”
Thirdly, it states—as hon. Members have noted—that their response will be based on the trade strategy review that was launched some time ago, which aims to ensure that we have responsible business conduct in supply chains and companies operating in the UK.
I found it interesting that the Government’s response listed exactly the same concerns, about “human rights, labour rights, the environment, and anti corruption”
and said that there has to be due regard to the costs of implementation. It then listed the Departments engaged in the review as “the Home Office, the Department for Business and Trade (DBT), the Foreign, Commonwealth and Development Office (FCDO) and Cabinet Office”.
There was no reference to the Treasury whatsoever—nor, seemingly, to the Financial Conduct Authority or the Bank of England.
The small point I want to make is that the finance sector seems to have been excluded from the whole debate. It is certainly not covered in any of the reports so far. We need to be concerned. It is not just about goods in; our concern is about finance out and the scale of investment by the City and by our finance sector, unfortunately, in abusive business practices around the globe. That investment is sometimes funded by money that has been laundered into the City and then laundered out. I remind people that only a few years ago the City of London was described as the “Russian laundromat” due to the Russian oligarchs’ money that was coming in and then invested in a whole range of schemes that abused human rights and brought about environmental degradation.
That is why I want to know whether the finance sector will be included in the overall review. At the moment, we largely rely on the EU’s corporate sustainability due diligence directive to cover the finance sector. The problem is that the omnibus proposed in 2025 watered down the role that would play and the requirements within it. There is also a finance exemption. A large section of the finance sector is completely exempt, so investment and lending are largely exempt in terms of the requirements on due diligence. It also excludes down- stream partners—the companies they invest in.
Additionally, there is no reference to shadow banking at all. Shadow banking is going on at the moment virtually unregulated. There is other legislation, such as the EU sustainable finance disclosure regulation, but there are various interpretations of how asset managers could comply with that. In addition, we have a situation where compliance is virtually voluntary. Certainly, it is unclear and unmonitored.
We then rely on treaties and memoranda of understanding, but the standards that relate to human rights abuse and labour rights abuse are not consistently applied in treaties. A report from the Public Administration and Constitutional Affairs Committee, which I served on at the time, found that treaties and memoranda of understanding are virtually devoid of parliamentary scrutiny. We never debate treaties on the Floor of the House. There is no central register of memoranda of understanding from which we could get some comprehension of what they cover and so on.
As a result of that, there are numerous examples of the implications of the unregulated nature of our finance sector with regard to human rights abuse and environmental degradation. My questions are: will any new supply chain regulation cover the finance sector; if it does, what consultations will take place to ensure the sector is included; who will be involved in those consultations; and as my hon. Friend the Member for Southgate and Wood Green asked, what will the timescale be? We are waiting—the “soon” we heard is becoming a long soon.
I do not want to take up too much of the debate so I will shut up at this point, but there is always this argument that finance regulation somehow restrains the animal spirits and as a result undermines growth. Actually, in the finance sector, my word is my bond, and nothing is more important that trust and confidence. As a result, proper regulation is required to maintain that trust.
I am pleased that the right hon. Member referred to my generosity, which extends even to Liverpool supporters.
It is always a blessing to have you chairing a meeting, Mr Dowd. It is particularly a blessing today, as we would not have this debate were you not here, so thank you.
I have been active on this subject for some time. I have been sanctioned by China because of the issues that we raised over modern day slavery. I remind Members that it was the Centre for Social Justice, which I set up, that first published the paper “It Happens Here”. We were then able to get the Government to initiate the Modern Slavery Act—the first legislation of its kind in the world. We were all very proud of that Act, but sadly it really has no enforcement. Government and suppliers have no obligation to check. They are supposed to make a declaration, but we know that many of those declarations are in fact deliberately false—they know they will not be checked, and therefore they do not have to worry about it—so while the Act is great, it is rather toothless.
I congratulate the hon. Member for Southgate and Wood Green (Bambos Charalambous) on securing this debate and making such a good opening speech. I will not repeat all he said, although I agree with so much of it. In the limited time I have, I want to focus on certain issues.
First, the reality is that slave labour is not only a massive punishment and a human rights abuse on a scale, like genocide, wider than anything else; it is also commercial. Countries such as China use slave labour as a way to undercut markets, compete unfairly and drive businesses out of business—particularly here in the UK, as we have experienced. One of the big issues is the net zero determination and what we wish to do to clean up the environment because the biggest providers of solar arrays, wind farms and the technology are, in fact, based in China.
The big problem is that the Government have two conflicting requirements. Quite rightly, they want to get on with cleaning up the environment; but they also know that if they cannot buy from China without a clear set of supply chains that are without slave labour, that will cost more money. That impacts the pace and the way in which they can provide a cleaner atmosphere.
We have to say that one thing is more important than the other, and that is the human rights of those people being abused in places such as China. At the end of the day, we cannot go to bed at night with any grace if we say that we put up more solar arrays and wind farms but those were supplied by factories where people may have died, been abused, or had their lives and families destroyed.
We know that China, in the case of Xinjiang, is committing a well established genocide on such a scale that children are now in forced education camps. Millions of adult males are in forced labour, many producing the polysilicon that goes into arrays made in and around Xinjiang. The women, unbelievably, are being forcibly sterilised. The birth rate in Xinjiang has gone off the edge of a cliff. China is going to eradicate an ethnic group; it is very much the policy of the Chinese Communist party to have Han Chinese in charge of China, and nobody else. It also makes money from the fact that people in slave labour, as I said earlier, are producing goods much more cheaply than anyone else can.
Look at what we are not doing: we are not checking supply chains. On this issue, I have been in opposition to whatever Government have been in power—neither the last Government nor this one have made a big effort to check those company declarations. I have had responses from this and the previous Government saying that they were doing their best and trying hard. It is not good enough to do one’s best or try hard; the question is: what is the best?
Look at what is happening in other places. I point to the USA’s Act, which basically outlawed all use of slave labour anywhere in supply chains and put the means in place to check that. The Uyghur Forced Labor Prevention Act in the United States creates a rebuttable presumption that goods produced wholly or partly in Xinjiang, and other places using slave labour, are made with forced labour unless importers can prove otherwise.
That is how it is done—we tell importers, “You must now prove to us that you have avoided any slave labour in your products. Failure to do that has you banned and fined.” It is immediate. They do not simply sit there saying, “Well, other bits of Government are helping us”, because to be honest, the Government do not have the ability to check themselves. They do not have what it takes, but there are companies out there that do this regularly.
I have met the representatives of one such company. Forensic companies such as Oritain, based in New Zealand, specialise in using forensic science to check where goods were made. From that, it knows the footprint and the likelihood of slave labour. It will immediately investigate a company’s declaration and can challenge it. If it challenges it, the US Government will ban and fine the company. That has led to a whole rerouting of supply chains across China for the US market. Sadly, it has also meant efforts have been redoubled to put slave labour products into markets such as the UK, because it is known that the UK is a soft option.
When we look around the countryside of the east of England and elsewhere, we see a load of arrays. I would bet that the vast majority were made with slave labour because no checks were carried out. The reality is that we have to do more. The Modern Slavery Act 2015, which I greatly supported, has now become toothless. Section 54 needs to be upgraded. There needs to be a punishment. Government need the ability to prosecute immediately, and supply chain checks must take place.
I end with this. The reality is that the legislation is a mess. With colleagues on both sides of the House, I successfully tabled an amendment to the Great British Energy Act 2025, to ban the use of products made with slave labour. It was a classic rebellion, and we got it done. Yet when I checked, I saw that next to nothing had resulted from it. There is that offence in the legislation, but the Government have done nothing to call out any of the companies still selling those products. We put a similar obligation into the Health and Care Act 2022, but next to nothing has been done on that—no declarations and no speeches to Parliament about what the Government have done.
We cannot go on addressing this issue in a piecemeal way: it has to be done across the board. That is why I support the hon. Member for Southgate and Wood Green in his call for the Modern Slavery Act to have teeth and for section 54 to be implemented. Any business that, having been checked properly, is found to have misdeclared itself and its supply chain should be punished—it should be banished from importing to the UK and face financial and even criminal penalties. That way, we will stop this practice.
It is a pleasure to serve under your chairship, Mr Dowd. I congratulate my hon. Friend the Member for Southgate and Wood Green (Bambos Charalambous) on securing this important debate, which has implications for human rights everywhere—whether here at home or in Malaysia, China, the Democratic Republic of Congo or elsewhere.
I will focus my remarks first on Bangladesh. In May, the all party parliamentary group on Bangladesh, which I chair, held a meeting on workers’ rights and labour conditions in Bangladesh following the 13th anniversary of the Rana Plaza collapse; we were joined by the Rana Plaza Solidarity Collective, the International Centre for Trade Union Rights and human rights lawyers. On 24 April 2013, 1,134 garment workers lost their lives in what trade unions at the time described as a “mass industrial homicide”.
The incident exposed the brutality of the global production system, in which labour rights are constantly under attack. I want to be clear: those Bangladeshi lives would not have been taken if workers’ rights, which are human rights, were respected in global supply chains. Before the Rana Plaza collapse, workers’ safety concerns were unheard by managers and their attempts to organise unions to address their unsafe working conditions were suppressed.
A global outrage followed the collapse of Rana Plaza, and it is true that there have been welcome advances in workers’ rights in Bangladesh since then, but the truth is that the gains have been slow and partial, and unevenly distributed across industries. That is in part due to a failure to implement universal mandatory responsibilities for human rights and labour rights. Instead, we have seen the spread of voluntary mechanisms for safeguarding rights. Brands in the global north that want to avoid reputational risk are the ones that implement safeguards themselves.
Many garment industry workers supplying the likes of Zara or Walmart do benefit from some of the measures introduced on labour rights, but that is not universal. For those in sectors less exposed to reputational damage, it is a different story. For example, in Chittagong’s deadly shipbreaking industry, workers, including child labourers, still face highly dangerous conditions without safety equipment or compensation on death. Shipping being what it is, that affects nearly every supply chain in the world.
We cannot pretend that Bangladesh’s garment or exporting factories are now all safe. As Labour Behind the Label has pointed out, fires at two separate factories last autumn, in which 17 people were killed, have shown the glaring gaps in protections between firms that have adopted the international accord and those that have not. In the years since Rana Plaza, Bangladesh has seen another 7,160 deaths in the workplace—a figure that is likely a gross undercount. That figure alone should tell us that we have long moved past the point where voluntary corporate responsibilities alone can be considered sufficient.
As we explored in the APPG on Bangladesh, in response to the Rana Plaza collapse France introduced its duty of vigilance law, requiring companies to establish, publish and effectively implement measures to prevent severe abuses of human rights in their supply chains. We have also seen the EU move to bring in a due diligence directive; Members have already pointed out how that has been watered down. None the less, I think its existence has created a legal pathway, absent in the UK, to provide victims of corporate abuse with a path to actually seek justice.
As I have mentioned, in the UK we still rely mostly on voluntary measures that offer little protection to billions of workers globally who work for unscrupulous employers or sectors. In that context, market forces will continue to drive down labour rights in a race to the bottom that rewards bad business practices and exploits or even kills workers. As civil society organisations, including those here today, have pointed out, mandatory due diligence laws are already in force in many European nations and are being advanced in Asia. If the UK fails to keep pace, we risk becoming a dumping ground for tainted goods, with our market enabling abhorrent rights violations.
In the same vein, it cannot be said that it is anywhere near sufficient for the Government to offer new business risk guidance to firms undertaking business with settlements in the Occupied Palestinian Territories. That does not meet the demands of the International Court of Justice’s advisory opinion on the occupation, and offers tacit permission, dressed in strong wording, for firms to continue to do business with illegal settlements. That settlement trade serves to entrench the settlements’ unlawful presence, while the importing of goods and produce justifies their continued expansion.
I want to be clear that that expansion is a violent process of ethnic cleansing undertaken by means of horrific settler attacks, hand in hand with a military occupation that stifles Palestinian people’s livelihoods and demolishes their homes. UK trade policy enables those rights abuses. I note the words of ActionAid, which states that the business guidance “is effectively outsourcing the UK’s compliance with international law to private actors.”
All this shows how all encompassing the issue of human rights in supply chains is. There is no doubt that if the UK Government are serious about protecting people’s human rights, including labour rights, in supply chains, strong legislation must be brought in. I note that at present a model is being advanced in the other place. I hope that all Members will support the calls from trade unions, lawyers and civil society organisations in the Corporate Justice Coalition to bring forward a new business, human rights and environmental Bill.
To be meaningful, protections for human rights, including workers’ rights, must be enshrined in law. We can say that we take human rights seriously only when we take seriously accountability for the abuses committed to bring goods to our markets. That is important because every worker deserves dignity and equality, and upholding those rights is a collective responsibility. We fail in those duties if the rights that we enjoy are denied to those in other parts of the world.
It is a pleasure to serve under your chairmanship, Mr Dowd; thank you for stepping in to chair the debate. I congratulate my constituency neighbour and hon. Friend the Member for Southgate and Wood Green (Bambos Charalambous) on securing this debate. He has a long standing commitment to human rights. He is right to emphasise the international nature of trade and the risks of human rights abuses, for example, from China, as the right hon. Member for Chingford and Woodford Green (Sir Iain Duncan Smith) has said.
As my hon. Friend the Member for Poplar and Limehouse (Apsana Begum) has said, south east Asia, Bangladesh, India and Pakistan are areas where we do a lot of trade but we often do not know enough about what is going on.
I want to add some brief remarks about the UK fashion and textiles industry and human rights here in the UK. I know that the Minister has a background in understanding the potential for human rights abuses. She also understands manufacturing and the scope within the UK to augment that particular sector and produce more jobs for local people. There is the potential for international trade, best practice and home grown industries to sit side by side. I note that when my right hon. Friend the Member for Rawmarsh and Conisbrough (John Healey) was reflecting on defence spending a couple of weeks ago, he said there should be more defence money spent locally, certainly when it comes to uniforms.
When I led a previous debate in Westminster Hall, I detailed the potential that exists to enhance supply chain understanding here in the UK. In parts of the UK like Leicester, much more could be done to support the many women who want high quality jobs in that area. Local authorities and universities are ready to work on that, and it seems a pity not to be enhancing that by being more organised when it comes to how our supply chains work.
Very briefly, I welcome the supply chain centre’s announcement of the 14-point action plan yesterday. I have not yet had time to digest it, but I am sure the Minister will refer to it in her remarks. We know that onshoring in the fashion and textiles industry could unlock £3.1 billion in GDP, 64,000 new jobs and £1.2 billion in tax receipts. That is not throwing away the whole system of international trade; it is just saying that, with some political will, we could be making more with jobs here in the UK. We know that the 2025 Budget included new measures to stop overseas online firms undercutting UK bricks and mortar businesses by ensuring that customs duties apply to parcels of any value. I would be interested in the preparation for introducing those measures, which I believe are coming into force in 2028-29. Will the Minister briefly reflect on that in her remarks?
There are costs to producing in the UK, but what about the benefits? It could mean more flexibility and agility from local suppliers, faster turnaround times that global competitors cannot match due to distance, and more transparency, as customers will know exactly where their clothes are made. “Made in the UK” is a point of pride, so why not have, “Made in the UK, under fair conditions”?
It is an honour to serve under your chairship, Mr Dowd, and thank you again for joining us to allow this important debate to take place. I start by congratulating the hon. Member for Southgate and Wood Green (Bambos Charalambous) on introducing this debate so emphatically and wonderfully—I could not have done it better myself.
I am a member of the Joint Committee on Human Rights, and as we have already heard, last year the Committee published its report, “Forced Labour in the UK’s Supply Chains”. Our inquiry found that, despite Ministers’ repeated assurances that no company operating in the UK should have any forced labour whatsoever in its supply chain, that simply is not happening in practice. Goods made, or at least partly made, with forced labour are still reaching our shelves here in the UK. In fact, we report billions of pounds of goods a year from sectors where forced labour is rife, yet companies are still not required to map their supply chains or prove that their goods are clean.
Nowhere was the gap between rhetoric and reality more clearly seen than in the Government’s China audit. That was a genuine opportunity to set out, transparently in public, exactly how Britain intends to tackle state imposed forced labour against Uyghur Muslims in Xinjiang and other minority groups across China. Instead, the Foreign Secretary offered us “shining a spotlight” and described the audit as an “ongoing exercise”. When our Committee pressed for concrete measures behind that language, the answers amounted to export controls and sanctions that already existed. This is not a strategy; it is a missed opportunity.
Over 95% of the world’s solar panels rely on polysilicon, and over half the world’s polysilicon comes from Xinjiang, so it was unsurprising that the Government’s own evidence to our Committee accepted that there is credible evidence that companies in solar supply chains may be linked to forced labour against people in China. Thanks to the great work of my Liberal Democrat colleagues in Parliament in holding the Government to account, GB Energy’s sourcing rules were strengthened. However, well over a year later, we still will not see panels guaranteed to be free of forced labour, and the issue will only be tackled “as far as possible”. Our Committee found that the industry’s own solar stewardship initiative offers thin reassurance. Certification applies to individual sites, not whole companies, so a firm with mostly uncertified factories can still wear the badge of membership. If we do not get a proper grip on this, it will be the new Achilles heel of the green transition.
This is not only about solar; our inquiry also heard evidence about North Korean workers on Chinese fishing vessels. Last year, I visited the Falkland Islands as part of the armed forces parliamentary scheme. When we met Members of the Legislative Assembly there, we heard about how the Chinese fishing fleet in the south Atlantic was causing problems, and some of the horrific instances where the regime of the Chinese Communist party was selling and buying labour from North Korea.
We have also heard today about tomatoes being processed in China that now sit on British supermarket shelves, which have been documented by the BBC as recently as last year, as well as critical minerals like cobalt from the DRC. We know that the International Labour Organisation estimates that 27.6 million people are trapped in forced labour globally, two thirds of which is linked to commercial supply chains. This is a systemic, cross sector and growing issue.
What have the Government done with the JCHR report recommendations? In October, Ministers published their response and launched a responsible business conduct review. To be fair, that is a start, but they have deferred almost everything to the review. Will the UK introduce mandatory human rights due diligence? “We are waiting on the review.” Will the UK introduce an import ban on goods linked to forced labour? “We are waiting on the review.” Will there be a stronger use of the powers in the Proceeds of Crime Act 2002, which Border Force and the National Crime Agency are deploying far too rarely? Well, the Government told us that they “cannot direct how the POCA powers are used”.
Although that may technically be correct, Governments can resource enforcement, set priorities and fund agencies to act. Choosing not to do so is a policy choice.
Earlier in the debate, the hon. Member for Bracknell (Peter Swallow) talked about section 54 of the Modern Slavery Act. It requires large companies to publish supply chain transparency statements, yet we know that a significant number of companies are not complying, and those that do can satisfy their legal obligations simply by reporting that they have taken no action whatever. That is not an obligation to ensure transparency in any meaningful sense of the word. Our Committee recommended strengthening section 54, and the Government’s response is under consideration as part of the review.
Next week, I will be holding the inaugural general meeting of the APPG for coffee, tea and spices, if anyone is interested—I hope to see Members there. The APPG will look at how supply chains impact women and girls working in those sectors. We heard earlier in the debate from the right hon. Member for Chingford and Woodford Green (Sir Iain Duncan Smith) about the actions that other countries have taken on slavery in supply chains. He pointed particularly to the United States and its Uyghur Forced Labour Prevention Act, which established a rebuttable presumption that anything from Xinjiang was made with forced labour, unless a company can prove otherwise. We also heard about the European Union and its forced labour regulations; we simply have a review.
Our Committee recommended that the Government introduce new legislation within one year of the publication of our report. That deadline is in July 2026, just next month. Will the Government meet that deadline? I ask the Minister to take three other things from that report. First, I ask that the Government introduce mandatory human rights due diligence for UK companies. Voluntary reporting is not creating a level playing field, and businesses told our Committee as much. Secondly, will the Minister follow the United States and the European Union and introduce a proper import ban on goods linked to forced labour, rather than relying on the occasional under used application of Proceeds of Crime Act powers? Thirdly, will the Government use the China audit for what it should have been—a public account of exactly what the UK will do to keep state imposed forced labour out of our supply chains, starting with solar power?
It is a pleasure to serve under your chairmanship, Mr Dowd, and I join other Members in thanking you for chairing this debate. Also, if your Wikipedia page is correct, may I be the first to wish you a very happy birthday for Saturday?
I am grateful to the hon. Member for Southgate and Wood Green (Bambos Charalambous) for securing this debate and to Members from across the House for the thoughtful and serious way they have approached it. The hon. Gentleman really brought to life the way that globally sourced products are infiltrating every part of our daily lives, and I thank him for that. I also thank my right hon. Friend the Member for Chingford and Woodford Green (Sir Iain Duncan Smith) for sharing the benefit of his many years working on this issue. I thank the hon. Member for North Herefordshire (Dr Chowns), the right hon. Member for Hayes and Harlington (John McDonnell), and the hon. Members for Poplar and Limehouse (Apsana Begum) and for Hornsey and Friern Barnet (Catherine West); they all brought different perspectives, for which I am grateful.
There have been differences in opinion this afternoon about the causes of the problem, the strength of the enforcement required and the precise tools the Government should use, but there should be no disagreement on one central point: goods produced through forced labour, modern slavery or serious human rights abuses have no place in UK supply chains. The question is whether the Government are prepared to deliver serious enforcement, potentially with the support of new technologies and businesses such as Oritain; or whether they will simply pile fresh cost and complexity on to responsible British businesses while the worst offenders continue to evade accountability.
The Joint Committee on Human Rights was right to highlight the fact that goods produced wholly or partly through forced labour are being sold in this country. It is also correct that the current framework has not been enforced strongly or consistently enough to stop that happening.
The overwhelming majority of firms—responsible retailers, manufacturers, importers and investors—want to do the right thing. They invest time, money and effort into understanding their supply chains and meeting their responsibilities. They should not find themselves being undercut and placed at a competitive disadvantage by organisations willing to look the other way, nor should they be buried under layers of poorly designed and duplicative new obligations, which create cost and complexity without improving outcomes or catching the individuals who break the law.
The Modern Slavery Act, which was introduced by Baroness May of Maidenhead when she was Home Secretary, was a landmark piece of legislation and placed the issue of modern slavery firmly on the national agenda. It was also Conservative Governments that imposed sanctions on those responsible for the persecution of Uyghurs, strengthened export controls, and introduced tougher penalties for businesses that fail to meet their obligations.
Those achievements should not be diminished, but equally we should not pretend that enforcement cannot be strengthened. We support enforcing the laws that we already have. The first test for the Minister is whether she is prepared to make the existing framework bite on the bad actors. The task for the Government is to strike the right balance between being strong where enforcement is needed, being clear where expectations must be met, being proportionate where businesses are already acting responsibly, and being practical enough to work in the real world.
Public procurement—I include in that Great British Energy, which was raised by my right hon. Friend the Member for Chingford and Woodford Green—has an important role to play in this effort. Government must lead the way. Taxpayers rightly expect that public money is not rewarding forced labour, serious exploitation or suppliers whose conduct falls far below the legally prescribed standards. The challenge is making that principle work in practice, with rules that are clear, usable and targeted at those who break them.
The risks exist across apparel, food and manufacturing, and they exist in sectors that are becoming increasingly important to our future economic and national security. Global supply chains were once viewed mainly through the lens of cost and efficiency; the assumption was that they would deliver cheaper goods and greater prosperity. We now understand that they can also create strategic vulnerabilities when too much control is concentrated in too few hands.
My right hon. Friend the Member for Chingford and Woodford Green has been particularly persistent in drawing attention to concerns around Xinjiang, polysilicon and critical minerals. He is right to do so. Growth and trade must never come at the price of our values, and pursuit of warmer relations with Beijing must not mean going soft on human rights or turning a blind eye to slave made goods entering our market.
If our standards apply only when the politics are convenient for them to apply, then they are not really standards at all. The framework must address risk wherever it appears, it must apply consistently, it must be based on evidence, and it must be enforced fairly.
The Minister has heard the points raised in this debate and no doubt she will address them directly. After the Government’s jobs tax, the Employment Rights Act and a surge of new regulation, businesses are entitled to ask whether labour supply chain plans will be properly thought through and will address their actual needs.
I have some straightforward questions for the Minister. When will the Government’s review of responsible business conduct conclude? What steps does she intend to take to strengthen enforcement? How will she improve traceability in high risk and newly emerging sectors? How will she protect legitimate businesses from unnecessary burdens while ensuring that bad actors and the worst offenders face meaningful consequences? What lessons has she drawn from allies, including the United States, the European Union and others, about what works in practice? How will she ensure that the United Kingdom remains a leader, rather than a follower, in confronting modern slavery and forced labour?
Warm words, statements and reviews on their own will not solve this problem. The Modern Slavery Act was a significant Conservative achievement, and we are rightly proud of it. The challenge now is to ensure it is enforced as seriously, practically and effectively as possible. That is the standard that Parliament should expect, and it is the standard against which we will judge the Government’s response.
Thank you reminding me that I am almost a year older.
It is a real pleasure to serve under your chairmanship, Mr Dowd. I join hon. Members in thanking you for chairing today’s debate at short notice.
I thank my hon. Friend the Member for Southgate and Wood Green (Bambos Charalambous) for securing a debate on this deeply important subject. He made some excellent points, particularly about how fundamental supply chain resilience is to our economic security, and the importance of the public sector procurement regime to ensuring that public bodies do not inadvertently support international labour and humanitarian abuses. He and the other Members here today continue to be excellent and thoughtful advocates on these matters, and I thank all colleagues for their important contributions.
Human rights are just that: they are fundamental, and they exist to protect us all. Infractions cannot be ignored or dismissed simply because they occurred far enough back in a supply chain for us to feel insulated and not responsible for supporting exploitative practices. Never has this issue been more important now that more than 70% of global trade runs through complex global supply chains. Although globalisation has driven productivity, innovation and technological advances that have lifted billions out of poverty and created the life that we depend on, it has also made supply chains more complex and opaque and has reduced the transparency and accountability that consumers, retailers and the Government need to protect workers and the natural world from exploitation.
Members have rightly drawn attention to the egregious human rights abuses that come with forced labour. In 2026, more than 27 million people remain in the shackles of modern slavery across all six inhabited continents, often enduring imprisonment, abuse and coercion, and being exploited for profit. As we approach the 200th anniversary of the Slavery Abolition Act 1833, which abolished slavery in much of the British empire, it is right that I reaffirm this Government’s commitment to tackling this vile practice, which continues to generate nearly £176 billion in illegal profits each year, in all its forms, including non payment or underpayment of wages, excessive working hours and unsafe working conditions. There is also clear evidence of severe environmental harm in our global supply chains, as we lose the equivalent of 11 football pitches of tropical rainforest every minute, and threaten nearly 1 million animal and plant species with extinction.
As we have heard, the UK has a proud record of pioneering global advances to support human and workers’ rights. We put this issue on the international stage with the Modern Slavery Act 2015, which the hon. Member for Bognor Regis and Littlehampton (Alison Griffiths) spoke about. That legislation was world leading and crucial in solidifying our place as a global leader on this issue. For the first time, businesses were made to report how they tackled the modern slavery that might be present in their supply chains. However, as Members have rightly said, although the Modern Slavery Act was world leading at the time, it is now more than a decade old and in need of review if we are to tackle the many violations that still occur globally.
Although many UK businesses respect human rights and the environment throughout their supply chains, unethical international violations undercut the vast majority of UK businesses that support fair international supply chains. That will only increase as geopolitical, industrial and technological shocks continue to transform how and where goods are produced and extracted. That is why we must take a more strategic approach by working with our global allies and trading partners to secure forced labour provisions in our free trade agreements, and by using the developing countries trading scheme to suspend preferential trading arrangements on the ground of serious violation of labour rights.
As my hon. Friend the Member for Southgate and Wood Green noted, I travelled last week to the 114th International Labour Conference in Geneva, where I met trade union delegations and labour and employment Ministers from across the world, alongside some of the most significant manufacturers, extractors and business hubs. This issue is close to my heart, and I worked closely on it before I was elected to this place. Last week, we talked a lot about the work we are proudly doing in Government on the Employment Rights Act and the domestic agenda, and I thank Members for raising that today. We are clear that a collaborative, holistic and cross border approach is the only way to drive the change that exploited workers and environments need, alongside our recognition of other international transitions from voluntary to mandatory measures, such as human rights and environmental due diligence laws.
In the trade strategy, the Government underlined how responsible business conduct is a positive part of our mission to grow the economy, and we launched a review of our approach to responsible business, focusing on the global supply chains of businesses operating in the UK. It is an evidence based review of our policy framework and alternative measures to enhance it, including mandatory human rights and environmental due diligence measures and forced labour bans. It naturally also considers the approaches of our international trading partners and the best way to promote a co ordinated approach that minimises costs, consistent with the Government’s commitment to reduce the administrative costs of complying with regulation by 25% over the course of this Parliament.
So far, we have engaged with more than 200 organisations through the review, including businesses, investors, civil society, trade unions and academic institutions. We have learnt from international partners and met communities affected by supply chain harms. I heard many hon. Members stress the need for urgency today, and I reassure them that we will update Parliament on the review in due course. I thank Members for raising that pressing issue, and we will of course work closely with all those at the debate today.
Could we get a commitment today that the Government will look carefully at what countries that are well in advance of us, such as the United States and some European countries, are doing, to make sure that we urgently get on to resolving this issue, rather than delaying with another review and more debates? We know what needs to be done, and surely we can get on with it pretty quickly.
I thank the right hon. Member for that and his contributions today. I reassure him that we are working closely with the US on the review, updating the Americans on all the work we are doing and understanding their practices too. I will turn soon to the other important points he raised throughout the debate.
My right hon. Friend the Member for Hayes and Harlington (John McDonnell) highlighted our work with the Treasury as part of this review, and I thank him for that. We are doing the review economy wide, and as well as working with the Treasury, we have engaged with investors. We will of course keep him updated, as I know he is interested in—indeed, passionate about—this subject.
We took another key step in the trade strategy by launching the Office for Responsible Business Conduct to provide UK businesses, trade unions and charities with a simpler route to compliance, supporting the integration of responsible business practices and helping victims of corporate malpractice by providing a non judicial grievance mechanism. Alongside the broader RBC review, we are considering how to strengthen the section 54 transparency regime, which lots of Members mentioned today—I thank them for it—including mandatory reporting requirements that extend to the public sector and penalties for non compliance. We published updated statutory guidance on transparency in supply chains in March 2025, calling on businesses to go further and faster.
I thank the Liberal Democrat spokesperson, the hon. Member for Harrogate and Knaresborough (Tom Gordon), for his contribution today, his work in the Joint Committee on Human Rights and his engagement in and focus on this vital issue. I mentioned our work and relationship with the US. I hope that he is reassured by those comments and by our continued and regular engagement with the US Administration as part of our negotiations.
As a proudly internationalist and pro worker Government, we have a responsibility to remain a world leader in tackling modern slavery, clearances and human rights abuses wherever they rear their ugly head. The Government stand firm on human rights, including in Xinjiang, where China continues to persecute and arbitrarily detain Uyghurs and other predominantly Muslim minorities. Lots of Members raised that, and I thank them for it. I hope they know that we raise these concerns with China at the highest levels. That was done recently by the Prime Minister himself and the former Foreign Secretary. We continue to co ordinate efforts with our international partners to hold China to account—for example, by joining a UN statement in October 2024 and co signing a joint statement with the US and others in November 2025.
I respect the work done by the right hon. Member for Chingford and Woodford Green (Sir Iain Duncan Smith) and thank him for his consistency in raising this issue today and outside the House. He also spoke about GB Energy, as did the shadow Minister. As a publicly owned energy company, GB Energy is of course expected to demonstrate leading practice in complying with the UK modern slavery legislation and aligning with the UN guiding principles on business and human rights. We have established an ethical supply chain advisory group to review and inform GBE’s approach to ethical supply chains in its investments and operations; its chair is Baroness O’Grady. Representatives of my Department will serve on that group, and it meets for the first time next week, which I am sure the right hon. Member will welcome.
We must continue working with our international counterparts, and key stakeholders across the international trade union movement and business community to take action against those who illegally destroy families, communities and our natural world for profit. As Members have outlined, this action cannot be singular or a patchwork of separate policy decisions. Only co ordinated, root and branch decisions will enable our constituents to know that they can trust that the T shirt they are wearing, the bag they are carrying and the food they are eating did not arrive in our country at the expense of exploited people and areas thousands of miles away. Delivering that confidence for British people is good for business and good for growth, and re cements our position as a world leader on these matters.
I again thank all right hon. and hon. Members for their contributions. We look forward to working closely with them on the review and more widely to ensure that we continue to focus on this issue, which is a priority for our Government. I will end, Mr Dowd, by wishing you a very happy birthday for Saturday and thanking you again for chairing the debate.
We have had a great debate. There has been lots of agreement in the room, and I am sure the Minister heard the strength of feeling about what needs to be done. We would very much welcome the responsible business conduct review happening as quickly as possible. I know that it is not in the Minister’s direct brief and I know that she is a champion of international labour rights, but we need it to happen as quickly as possible. We also need to ensure that section 54 is strengthened. That has cross party support and I am sure that we will get there eventually, but it needs to happen quickly. I look forward to having a more detailed response from the Department in due course.
Mr Dowd, thank you again for stepping into the breach at the last minute and allowing this debate to proceed. We could not have done it without you. I hope you have a very happy birthday as well.
Question put and agreed to. Resolved, That this House has considered the matter of safeguarding human rights in supply chains.
Sitting suspended.
I beg to move, That this House has considered public toilet provision for people with stoma.
Thank you for standing in, Mr Dowd. It is much appreciated by us all. It is always good to have you in the Chair, no matter what, but today is a special occasion. This is not what I would call a particularly fashionable debate, but it is one that affects many people and it needs to be aired in Westminster Hall so we have the opportunity to put forward a case.
Throughout my life, I have had occasion to engage with people who have stomas. I never quite understood what they were, other than that there was something wrong with their bowel system and a stoma as a method to give them a normal life, if that is the right way to put it. In some cases, the stoma was there for only a short time because the person recuperated. Sometimes their body needed a bit of rest, and perhaps that was one way of doing it.
I am pleased to have secured this debate, and I am grateful to the colleagues who have come along to participate. I also place on the record my thanks to Colostomy UK for its support in preparing for the debate and, more importantly, for the work it does every day to support people living with stomas across the United Kingdom. I recently had the opportunity to meet representatives from Colostomy UK to learn more about the challenges it faces, and the challenges faced by patients living with stomas. The discussions highlighted an issue that many of us rarely think about, but it affects thousands of people every single day. This debate is not just about public toilets for those with stomas. At its heart, it is about dignity, independence and inclusion. Those are the three themes that I wish to put on the record.
I apologise for not saying at the beginning that it is lovely to see the Minister in her place. I understand that this is her first debate, and I wish her well in her new role. We will not be hard on her—that is not in my nature—but we will collectively put forward a case, and she will respond in a positive way to encourage us on what we are asking for. I have four asks for her to look at.
For most of us, access to a toilet is something we take completely for granted. We leave home to go to work, visit friends, attend events, go shopping and go travelling without giving it so much as a second thought, because there will always be a toilet. That reminds me of a story. When I was in the armed forces parliamentary scheme, John Spellar, who used to be a Member, told me that he had two pieces of advice when we went on a course—he always gave good advice. He said, “If you see a toilet, go, and if you see food, eat.” Those were the two things he told me to do whenever I went anywhere, and I have always remembered his words of wisdom. The fact of the matter is that I did not have a stoma, so I could go to the toilet anywhere, but it becomes a great problem for those who have a stoma.
We assume that if we need a toilet, one will be available, but the many people living with a stoma do not have that certainty. That is the key theme of this debate. For the benefit of those following, a stoma is a surgically created opening in the abdomen that allows waste to leave the body into an external pouch. People may require a stoma following bowel cancer, Crohn’s disease, ulcerative colitis, diverticulitis, trauma or other serious health conditions. I have had a couple of friends over the years with Crohn’s disease and one with colitis. For a short period of their life they had a stoma, which helped them to heal and eventually they were able to do without it.
For many people, a stoma is lifesaving surgery that allows them to have a comparatively normal life. It enables them to regain their health, maintain their independence and continue living active and fulfilling lives. Having a stoma should not mean they cannot do that; it just means they have to deal with the toilet issue.
I thank the hon. Gentleman for securing this important debate and raising awareness of this issue. Anyone who was at Prime Minister’s questions last week will have seen me talk about living with ulcerative colitis. I am grateful that the Prime Minister has arranged for the Minister to meet me to talk about the issues that people with inflammatory bowel disease face. If the hon. Gentleman or anyone else is interested in trying to join that meeting, should the Minister allow it, I would be more than happy to include them in that conversation.
I thank the hon. Gentleman, and I will take advantage of that opportunity if it comes.
More than 200,000 people across the United Kingdom live with a stoma. For some, it may be a short term issue, their body may heal and they will recover—that is to be welcomed. However, there is a lot of anxiety for those who have to live with a stoma even for a short time. Many find that something as simple as leaving home can require careful planning and considerable anxiety. One of the strongest messages I took away from my discussions with Colostomy UK is that many people living with a stoma plan their life around toilet access. It is a fact of life, and if they are going to a restaurant or a shopping centre, or if they are going on a journey, they have to make sure there is toilet provision.
I thank the hon. Gentleman for being so generous with his time. He listed restaurants, businesses and other places where one might find a toilet. In recent years, we have seen the hollowing out of local government and the loss of publicly accessible toilets provided by town councils, unitary authorities or whatever it might be. Does he agree that when local authorities look either to close or to charge for those facilities, they need to consider the impact on people with stomas and other IBD conditions?
The very poor provision of toilets is an issue I will address shortly. Fortunately, we have been proactive in my constituency, which may be something that others wish to follow.
The availability of a suitable toilet can determine whether a person feels confident enough to attend a family gathering. When all the family is there and the kids are running about, they wonder, “Is the toilet handy?” or “Are there two toilets, if somebody is in one, because I need to make sure I get there fairly quickly?” It determines whether they can enjoy a day out, travel for work, visit a town centre or simply spend time with friends. It is not a situation any of us would wish to see.
Evidence gathered by Colostomy UK highlights the significant scale of the issue. Its Stoma Aware survey found that 62% of people living with a stoma avoid activities that many of us take for granted because suitable toilet facilities are not available. One in four had been challenged for using an accessible toilet, despite having a genuine need to do so. Most concerningly, 4% said they left home only for emergencies. Those figures are striking. It seems that they are almost a captive in their own house.
The figures tell us that this is not an issue of convenience, but of social participation, confidence and, for many people, isolation—isolation is the key issue. In this House, we spend a great deal of time discussing loneliness and social isolation, to which the Government rightly respond positively by trying to make the situation better. We talk about encouraging people to remain active in their communities and ensuring that those living with long term health conditions are not left behind, yet, as the hon. Member for Harrogate and Knaresborough (Tom Gordon) said, inadequate toilet provision can be a significant barrier to those ambitions, affecting the way a person plans their day, their journey or their outing.
If someone cannot be confident that they will find a suitable toilet when they need to, they may begin to avoid situations that others take for granted. They may stop attending social events, going to family occasions, travelling or visiting friends and family, or they may avoid shopping centres, cultural events or community activities. “If I go there and am caught short, where do I go? Is there provision? How far can I travel?” It is not that they lack the desire to participate, but that they are concerned about the predicament they might find themselves in because they lack confidence that the facilities they need will be available.
People living with stomas can also experience complications that require immediate access to a toilet, such as leakage, pancaking or ballooning. Those can happen without warning and often require urgent attention. I remember when one of my friends was caught short unexpectedly and went to the toilet. The problem was that his stoma had overflowed. Apart from the embarrassment, the people around him did not quite understand what was going on. For my friend, especially, it was incredibly worrying. Such situations can happen without warning and often require urgent attention, so when they occur, having access to a suitable toilet is not a luxury but essential—“We must get there right now.”
I have heard some of the comments made by people who responded to the Colostomy UK survey. One respondent said: “I plan every journey around toilets. Sometimes I cancel plans because I can’t face the stress”.
That is the stress of not knowing whether a location has a toilet, whether they will have access to it or whether there will be a problem.
Another respondent said: “I once had a woman yell at me for using the accessible toilet because I looked fine”, and she could not understand what was going on. The respondent did not go out again for weeks because of the fear of having to deal with somebody else who might shout at her, maybe saying worse things.
Those comments are a reminder that many conditions are invisible. People should not have to justify their need to use an accessible toilet, nor should they be challenged at any time when doing so. The impact extends far beyond physical inconvenience; it affects confidence, wellbeing and quality of life.
It strikes me that the solutions to this issue are neither complicated nor expensive, so I have some thoughts to put to the Minister on how to move forward. We are not talking about major infrastructure projects or significant new financial burdens. In many cases, we are talking about practical measures that can make a substantial difference to people’s lives. The challenge is not a lack of solutions, but ensuring that those solutions are consistently available and embedded in policy and practice.
That brings me to the two key issues I wish to raise with the Minister. The first concerns public toilet provision. Across the United Kingdom, public toilets have disappeared from town centres and public spaces. Communities that once had facilities on which people could rely have seen those facilities close, often without any indication that they will be replaced. That issue is well known. The hon. Member for Harrogate and Knaresborough referred to it in his intervention, and it will be commented on by others.
I commend the hon. Gentleman on being one of the most generous Members I have encountered. On the provision of public toilets, the issue is not only the toilet closures, but the lack of maintenance and spending to make them a toilet that someone wants to use. Does he agree that we need to make sure that, where we have those facilities, they are up to the standard that anyone, let alone someone with one of these conditions, should expect?
That is, again, an incredibly powerful intervention from the hon. Gentleman, who is very focused on the issue. The toilet should be of the right level of cleanliness, and with the relevant attendance, so that it can be used by everyone.
The wider decline has been highlighted by the Royal Society for Public Health, which has warned of the emergence of public toilet deserts in the UK. Recent research found that there is now one public toilet for every 15,500 people in England and that public toilet provision has fallen by 14% since 2016. That is incredibly worrying, and highlights the importance of this debate. It is also why my requests to the Minister will be fairly specific.
For many people, the lack of provision may simply be frustrating; for somebody living with a stoma, it can be life limiting. It can influence where they go, how long they stay and whether they feel able to leave home at all. Public toilets are not simply a convenience for many people: they are essential infrastructure and an essential part of everyday life. The Royal Society for Public Health has warned that, for some people, access to a public toilet can be the difference between whether they leave the house or not. That is the reality that Colostomy UK hears from people living with stomas.
I do not set aside the financial pressures facing local authorities, and I appreciate that there are difficult decisions to be made, but I hope the Minister agrees that nobody should be excluded from public life because they cannot access a suitable toilet when they need one. I therefore hope the Government will consider how local authorities can be supported to ensure that people living with stomas and other long term health conditions are not disadvantaged by a lack of public toilet provision. I also hope the Minister will consider whether the current discretionary approach to public toilet provision is sufficient for those who rely on these facilities to participate in everyday life.
The second issue I wish to raise is separate but equally important. The first issue is whether people can find a toilet at all; the second is whether, when they do find one, it is suitable for their needs. That is key. Even where accessible toilets exist, they do not always meet the needs of people living with stomas. A toilet may be accessible from a mobility perspective, but may still lack the practical features needed by somebody managing a stoma, as the hon. Member for Harrogate and Knaresborough outlined in his three key interventions.
As I mentioned earlier, I am fortunate to be the hon. Member for Strangford, but I also represent the largest part of the Ards and North Down borough council area. What the council has done, which I have supported over the years, is so important and is perhaps a blueprint for other councils to follow. It has worked with Colostomy UK on a strategy and a process to upgrade all accessible toilets in council owned facilities and make them become stoma friendly. In doing so, it became the first council in Northern Ireland to make all accessible toilets within its facilities stoma friendly, demonstrating real leadership on this issue. Ards and North Down borough council—the council I served on for some 26 years—has led the way, and I hope others will take forward its policy.
The improvements include practical additions such as shelves, mirrors, hooks and appropriate disposal facilities. As the hon. Member for Harrogate and Knaresborough referred to in his intervention, that is one way forward. Those may sound like small changes, but they make a significant difference to people managing a stoma. I commend the council for recognising the needs of people living with stomas and for taking practical action to improve accessibility across its estate.
The fact that the first council in Northern Ireland has already implemented changes demonstrates that they are achievable and can be delivered within existing public sector budgets. The council delivered those special features in the toilet facilities it has in my constituency. That is particularly encouraging, because it demonstrates that the solutions being proposed are practical and achievable and can be delivered. The council recognised the need, worked with people who understand the issue and implemented changes to make public facilities more accessible. The question we should ask ourselves is this: if we recognise that these features are necessary, why should their provision depend on the goodwill of individual councils, businesses and organisations? Should they not become the standard that people can expect?
As things stand, provision is inconsistent. Some facilities include those features, while others do not. As a result, people living with stomas cannot be certain that an accessible toilet will meet their needs. That is why Colostomy UK is calling for stoma friendly features to be incorporated in part M of the building regulations and in future accessibility standards. These are constructive policies, put forward so that people with stoma bags are able to have a better quality of life.
The success of Changing Places toilets shows what can be achieved when the Government identify a genuine accessibility need and respond positively. The features required to make a toilet stoma friendly are modest, yet they can have a profound impact on people’s daily lives. I therefore believe that there is a strong case for examining whether stoma friendly features should become a standard requirement for accessible toilets in any new developments.
The Minister has already seen them, but before I conclude I have four specific questions for her. First, will she agree to meet Colostomy UK to hear directly from people living with stomas and discuss their issues further? I understand and appreciate that she has only just taken over, but if she could make the time, we would appreciate the opportunity to act on this issue.
Secondly, on public toilet provision, will the Minister engage with her ministerial colleagues in the Ministry of Housing, Communities and Local Government to explore how local authorities can be supported to maintain adequate public toilet provision for people with stomas and other long term health conditions? There are many pertinent long term conditions, which the hon. Member for Harrogate and Knaresborough referred to in one of his interventions.
Thirdly, on building standards, will the Minister ask officials to examine whether part M of the building regulations could and should be updated so that stoma friendly features become standard for accessible toilets in new developments? Fourthly, will she work with Colostomy UK and other stakeholders to ensure that people living with stomas are able to participate fully in work, education, travel, culture, community life and, indeed, normal life?
Let us be quite clear: this is not a party political issue. In the debates that I bring forward, I try to never make it about that, because it is not; it is about the people. It is a practical issue, an accessibility issue and, above all, a human issue. No one should feel excluded from society because they cannot access a suitable toilet when they need one.
I look forward to hearing other Members’ contributions, and I thank the hon. Member for Harrogate and Knaresborough for his interventions. I look forward to the contributions of the shadow spokespeople, the hon. Members for Mid Dorset and North Poole (Vikki Slade) and for Mid Bedfordshire (Blake Stephenson), and I really do wish the Minister well in her role. Today we have the opportunity to work collectively to do better for our people.
It is a pleasure to serve with you in the Chair, Mr Dowd, especially on what I think is your birthday—thank you for choosing to spend your special day talking about public toilets with us. I also thank the hon. Member for Strangford (Jim Shannon) for calling this important debate. Not only is he the most industrious contributor to debates and question times across this House, but he champions matters that really cut to the heart of why we are here and that really matter to people in their everyday lives.
Anyone who has supported a loved one, family member or friend who has gone through the process of requiring a stoma will realise that you often do two things together: laugh and cry. If you do not do the laughing, you will just spend all your time crying. As hon. Members can probably already tell, this is quite a personal subject for me. A little irreverence and humour is a good way of dealing with the issue of stoma care and inflammatory bowel disease. In fact, I would say it is essential. It also helps to break down the barriers and the embarrassment of talking about the subject in the first place.
We have had a good explanation of what a stoma is, namely a surgical opening to allow waste to leave the body. It usually comes at the cost of having significant amounts of intestine, or in many cases the entire colon, removed, which is as painful, damaging and difficult to recover from as you would imagine. However, the conditions that often lead to someone requiring a stoma involve—let us be honest—talking about poo, and the British public are not particularly comfortable talking about. So although the hon. Member for Strangford has outlined what a stoma is, most people are embarrassed about them. As I said, one way people get around that is by having a sense of humour. I have met many people with stomas; a very close loved one has a stoma, and I have met many of the friends she has made over the years during her many hospital stays.
Among the things I have picked up on is what you call a stoma once you have one. The names are quite creative, and the naming process is, first, quite humorous and, secondly, about a degree of taking ownership of it. I will run hon. Members through some of the names that people come up with for stomas, so that we get beyond just a “surgical opening”. Some are ones that I have seen in research, and some are from people I know who have a stoma. Most of the names are a play on words, such as a rhyme with stoma, or references to poo or pumping—apologies to Members in advance, but hopefully there will find something in this for one of you.
As an opening gambit, there is Paloma Faith, which is a good name for a stoma. Winnie the Poo is another one. Another favourite of mine is Vladimir Poopin, just because it takes the mick out of a dictator. To take something straightforward and simple, there is Windbag, which is pretty much what we are talking about. Captain Craptastic is another good one. Others include Donald Trumps and Bilbo Baggins. Finally, my favourite is Louis Shitton, which I think is excellent—I am delighted to have got that into Hansard. I hope that that gives a bit of insight. People who have had to have a stoma because of their suffering have been through difficult times, but they are remarkably resilient people, many of them with a great sense of humour.
Every Member in this House will have a constituent who has inflammatory bowel disease, colonic cancer or another of the conditions that leads to a stoma, and we will all have constituents with stomas—that is beyond doubt. Many conditions can lead to people requiring a stoma, although that will depend on how controllable a condition is in any individual person—whether they get Crohn’s or colitis flare ups or whether the cancer is caught and treated early enough. Given all those things with a similarity of issues, Members will have hundreds, if not thousands, of constituents who have a stoma or who know someone directly affected.
The conditions themselves are embarrassing. It is not just about having a stoma, when you have got to that point; by the time you get to having one, you have usually been through years of having to deal with a condition and having to suffer it in silence, because you do not want to talk about it. There is also a lot of misunderstanding; a lot of people think that Crohn’s and colitis, for example, are some form of irritable bowel syndrome. Even well meaning people suggest eating less spicy food or not eating brown bread, because they do not realise that the condition generates internal ulcers in the most painful place they could possibly be, and that those bleed internally, creating internal blood clots that need to pass through your system urgently, in an incredibly painful way—whether you had a Madras on Friday night makes absolutely no difference to that condition.
Toilet provision is so important for people with stomas as well as those with the conditions mentioned. That is important to remember, because we can look at the number of people with stomas—Colostomy UK has provided a helpful briefing ahead of this debate—but that would give you a very distorted view about the total number who require access to toilets due to health conditions.
As other hon. Members pointed out, when someone who has a stoma goes to the toilet, they are either going to empty it or change it. Changing it is not a quick thing and if there is a leak, which is something anybody with a stoma lives in absolute fear of, that needs to be urgently dealt with. Visualise where that would be on your body. Even if just emptying it, the proximity to the toilet means also getting very close to the floor and the toilet itself. People suddenly become experts in the cleanliness of toilets and which companies keep clean toilets and which do not. It goes back to remembering the human in all of this, and not just taking it from a purely clinical and public health perspective.
Imagine going through years of dealing with a health condition that leads to needing major surgery that is life changing and life threatening in its own right and results in a stoma. Regardless of your age, but especially for younger people in this hyper body conscious world, that is not something that you want—it is not something that you are proud of—and it is something that you are often embarrassed about and will try and conceal and hide. Imagine having been through all of that and having recovered and just about psychologically coming to terms with having a stoma—and you want to go out. You want to pick up the courage to go out. You find some clothes that for the first time you think cover it so you do not feel self conscious about it. You go out, you feel sexy, you feel confident. It is a big boost. Then you either need to empty the bag or have the dreaded leak, and there is nowhere to do anything about it.
As one of my friends—I apologise in advance, Chair, but I am quoting—said: “Imagine getting dressed up for date night and then having to go and crawl around on a piss covered floor simply to change your bag.”
Would that do anything other than knock your confidence, dignity and self respect? It is not fair.
There seems to be a general consensus among forums and things I have read that we men need to have a little more care and attention in toilets than women do and that the standard in male toilets is often significantly lower. However, it is a point none the less. That is what I want to get across in this debate; I do not want to talk about the stats, figures and percentages. Every one of those numbers has a human being behind it who is trying to get on and rebuild their life under immense physical, psychological and emotional damage. That is what makes this so important.
There are also other issues including access to private toilets. All of this cannot fall to local councils. I have been working and campaigning on this since I was elected as a county councillor in 2017. I moved a motion in full council—those were the days—around access and the card that people can carry that says they need access to the private toilets in a commercial facility.
We have our own experiences of that in our family. These are pre stoma but they highlight the conditions as well. When shopping you suddenly feel the urge to go, and, as we have already established, you are not having a poo or a pump but are passing blood clots in an incredibly painful way and your body is trying to get them out of your system and you cannot contain it, and poo will come out with them. You are shopping and have decided to go out—even though, as hon. Members have already highlighted, a lot of people plan their journeys around that—you show your card to a member of staff and they point blank refuse to let you use the private toilets. You soil yourself in the middle of the shop, and then you do not go out for a long time afterwards because of the embarrassment.
I do not want to name or shame any individual companies that may have been involved in that example, but if I say that their slogan is “You can do it if you…it”, Members can draw their own conclusions. That chain was horrific. From my lobbying, I believe it has got an awful lot better of late. It is about raising understanding in organisations of what the cards are and why people carry them. That goes back to stigma and the “Not every disability is visible” campaign, which I pushed to be rolled out across Lancashire all those years ago. These conditions are not visible. Someone may look physically well but experience that urgency. We must make sure that people with stomas, advanced Crohn’s, colitis and so on know that they can get a RADAR key.
People need to know where the toilets are. Lots of different people have tried this in lots of different ways. We already accept that councils cannot be responsible for providing a toilet in all places at all times. If someone is going to go out and they are dependent on toilets being nearby, they need to know that there is a network of companies and commercial organisations that will let them use their toilets, even if there are not a lot. It is just about pubs and hotels knowing that sometimes, someone may need to come in. I know it is really annoying when non paying customers come in and use the toilets, but having those apps is important so that people can plan their days out and their journeys with confidence.
There are knock on benefits to the NHS and public health of helping people to have and maintain normal lives post traumatic bowel surgery and helping them with the psychological recovery. If they had to quit work, that could help them to get back into work. Stomas can be noisy. They rumble and pump. They are bowels, just on the outside of the body, or moving to the outside of the body. Dealing with that is hard enough. Therefore, people may not wish to empty or change a bag at work. They may wish to go somewhere near work to do it. They may work on the tools, in an outdoors job where they do not have routine access to toilets.
There are knock on benefits to the Government and to the Treasury of helping people back into work, stopping people becoming ill with mental health issues from lack of confidence and emotional damage, and helping people to manage their condition better so that they are not continuously spiralling and going back into the NHS. It is not just about doing the right thing and the moral obligation to those people.
The hon. Member for Strangford has already outlined Colostomy UK’s requests for things that could be advanced through building regulations to make toilets more stoma friendly and the general need for more public toilet provision. I am sure it will continue to lobby effectively on that. A lot of the time, this is about the role the Government can play in creating awareness among public bodies and organisations about why this is important—the human element that I have tried to outline. This is about people’s lives and the quality of life of some of people who deserve our support the most. It is about simple things, such as making sure that councils have nice, clean toilets, that toilets are open and that people can access information about where public and IBD friendly toilets are.
I am about to start repeating myself, so I shall end my speech, which is probably a personal best for inappropriate Hansard contributions—I look forward to reading them back. Once again, I thank the hon. Member for Strangford for securing this debate. This really is an important topic, and I know the debate will mean a lot to people. As I said, a lot of people with these conditions do not want to talk about it. They want to hide it. They suffer in silence. Their voice will not be heard. They will not contact their MP to ask if they can have better public toilets as they have a stoma or IBD, because they do not want people to know. It is therefore really important that we, as their elected representatives, are their voice. I hope that we can be their voice today, and I look forward to what the Minister and shadow Minister, my hon. Friend the Member for Mid Bedfordshire (Blake Stephenson), have to say.
I call the Liberal Democrat spokesperson.
It is a pleasure to serve with you in the Chair, Mr Dowd. I thank the hon. Member for Strangford (Jim Shannon) for securing this important debate.
It is great to follow the hon. Member for Fylde (Mr Snowden), who did better than I did in my maiden speech, when I managed to mention Shitterton and Happy Bottom—and I have now done so in Hansard for a second time. By the way, they are both places in my constituency. When I first stood for Parliament in 2015, the closure of public toilets was one of the key issues raised with me by local people. In fact, we pretty much had a whole hustings on it at Canford school.
Since arriving in this place I have repeatedly sought opportunities to improve provision, whether through debates or legislation. I am therefore delighted to speak today in a debate focused on people living with stomas, although many of the issues we are discussing apply equally to people with other conditions or disabilities or, indeed, other sections of our community. For many people, the worry about whether a public toilet exists, is open, clean and has the facilities they need is lifechanging. It is the difference between participating in public life or staying at home.
This issue is close to home for me, as one of my close family members needed a stoma last year. It stopped them travelling into London to watch me speak in Parliament and it will even stop them travelling to see their grandchild perform in the west end in a few weeks’ time. I know they desperately want to enjoy those experiences, along with the rest of the family, but they feel trapped close to home and close to the facilities they know they can rely on.
Following the hon. Member for Fylde, I will have to ask my family member what they call their stoma. Given the prevalence of bad jokes that emanate from their home on a daily basis, I am sure they will come up with something. I may need to catch the hon. Member in the Tea Room and let you know what they come up with. Simple changes, such as shelves, mirrors, disposal bins, hooks and space to manage the stoma with dignity, can cost such a small amount but make such an enormous difference.
That is why the Liberal Democrats are calling on the Government to support further research into the adjustments that could promote the dignity, comfort and independence of people living with stomas. I would be interested to hear the Minister’s views about potential changes to part M building regulations, as suggested by the hon. Member for Strangford. Too often, these small facilities are absent or even removed for fear that they might be misused for other purposes.
It is shocking that more than a third of stoma users report being challenged or criticised for using accessible toilets because their condition is invisible. Two thirds of all disabled toilet users have experienced disapproving looks and almost half have been verbally challenged. Imagine how distressing it must be, particularly for someone recently diagnosed with a life changing condition who might already be worried about getting to a toilet on time, to face the judgment of strangers.
For people with stomas, older people, those managing disabilities or continence conditions, pregnant women and parents caring for young children, access to an appropriate toilet is not just a convenience; it is essential. With the new EHRC guidance, those who are transgender, non binary or do not conform to gender stereotypes—for whom the disabled loo is not their preferred choice, and nor should it be—now find that the disabled toilets may be the only way to protect their dignity and stay safe. Public toilets are becoming even more of an issue for more people.
There is also a widespread assumption that men’s toilets do not need sanitary bins, but they are essential for many men living with stomas. I was also delighted to join Matt Forde in Parliament last year as part of the prostate cancer “Boys Need Bins” campaign. For people with continence issues, the absence of bins can have a completely unnecessary effect on their confidence, dignity and independence. This includes people with stomas or bladder, bowel or digestive conditions.
Liberal Democrats are therefore calling on the Government to ensure that all public toilets are equipped with sanitary bins and to update workplace guidance to reflect the needs of men as well as women. There has been progress thanks to organisations such as Colostomy UK, as well as retailers such as Morrisons and B&Q, both of which made their toilets stoma friendly, possibly after the experience the hon. Member for Fylde shared earlier. We want the Government to work with national retailers to ensure that accessible toilets are routinely made stoma friendly. As some businesses have shown that it can be done, the challenge should be to make good practice the norm.
On access to toilets more widely, the British Toilet Association estimates that the number of public toilets has fallen by around 40% since the turn of the century. Its estimates suggest that only 4,000 public toilets remain in England—one public loo for every 14,000 people. We call them public conveniences, but they are in fact a public necessity. Their decline is happening as our population is ageing and more people need the confidence that facilities are available when they go out. If we want thriving high streets, vibrant parks and successful tourist destinations, we need decent public toilets.
The needs of other groups, including homeless people, refuse collectors, postal workers, delivery drivers, community nurses, social care staff, taxi drivers and highway maintenance crews, are also forgotten. I know that from personal experience, because about 10 years ago, I worked a full eight hour shift alongside refuse collectors, starting at 5 am. When I climbed into the cab with my bottle of water and my can of Coke, they said, “You can’t drink; you can’t eat. There’s nowhere we can go.” I thought it was ridiculous that those people, who worked for us, had absolutely nowhere on their route where they could go. There was no way that we could go into a supermarket or a petrol station; we absolutely stank. It would not have been reasonable for us to go into a private business and expect to use its toilets. Thankfully, the local council addressed the issue with changes to its workplace facilities, but that sort of thing should concern us all.
The Government rightly speak about healthy ageing, thriving town centres and reducing inequalities, yet all those things become harder to achieve if people are not confident about finding a toilet. If the problem is so obvious, why has it continued to get worse? Part of the answer lies in the law. Currently, councils have a power to provide public toilets, but not a duty to do so. When budgets are stretched, discretionary services are often among the first things to disappear. I do not blame councils; I used to lead one, and I know that the system is so stretched and that few options are available when budgets are getting smaller and smaller.
I propose a change in approach, and I hope that the Minister and her colleagues will give it serious consideration. Councils should have a statutory duty to ensure sufficient public toilet provision within their area. That does not mean that every council must directly own or operate those facilities—community toilet schemes and partnerships with businesses, libraries, leisure centres, churches and town councils can all play an important role—but there should be a duty to assess local need, identify gaps in provision, and ensure that facilities are available when people need them and reflect a local population’s health profile. I am sure that the Minister will refer to the Pride in Place scheme, which is great for the areas that have it, but thousands of communities around the country will not have access to that capital. There needs to be a way for those areas to ensure that their residents are also protected.
The Liberal Democrats also believe that Governments must support local authorities to reverse the decline in public toilet provision. Councils cannot be expected to deliver improved services if they are being continually asked to do more with less. Alongside the duty should come expectations for accessibility, maintenance and cleanliness. A toilet that does not lock, or is filthy or unusable, is not really a toilet. Where facilities are built or refurbished, they should be genuinely inclusive, including by being stoma friendly. We should also think carefully about signage. Not every disability is visible, and the current image of a wheelchair may itself drive the perception that someone is “not disabled enough.” The adjustments required are small, simple things: shelves, mirrors, hooks, disposal bins and signage.
This is a public health issue because people who choose not to go out will become more isolated, and that will affect their mental health. Those who restrict fluids to reduce the risk of getting caught short can develop other conditions. Those who are forced to change their stomas on filthy floors, or change their disabled child behind a bush, will not only face distress but risk serious infection.
The hon. Member touches on a point that I started but never finished in my walkthrough of life with a stoma, and it relates to children. I have a four year old. I have read the stories of parents trying to deal with children who are months old, not years old, and require stomas. As parents, we know what it is like managing a day out, but imagine trying to manage it for a child with a stoma. Imagine trying to give that child as normal an upbringing as possible. Unfortunately, the reality for that child is that they could face bullying and self confidence issues from everything that goes with having a stoma. Those parents should be able to plan normal days out and provide normal lives for their children, so ensuring that schools and councils manage public toilets in a way that is friendly to people with stomas is important. I cannot feel anything other than real heartache for families who have to deal with that as they try to do their best by their child.
I thank the hon. Member for his intervention. I worked for Diverse Abilities, which looks after disabled children and adults in Dorset. The number of times that we could not ensure that the children in our care had suitable facilities was really frightening. I spoke at the Backbench Business Committee earlier this week, where the hon. Member for Bexleyheath and Crayford (Daniel Francis), put in a pitch for a debate on a new strategy for Changing Places toilets. That is hugely important, and I would absolutely support it.
Let me read out an example. I do not know this young lady, but you know her incredibly well, Mr Dowd. She is a young constituent called Jessica, who has had a stoma since she was four years old and has campaigned for 16 years. She fundraises to provide special teddy bears with their own stoma bags to children preparing for surgery. They are called Buttony bears. She works with Colostomy UK’s “Step Up for Stomas” campaign to promote an active and positive lifestyle. You are right to say that she is a heroine, Mr Dowd; she is a very brave young girl. She has her own Facebook page to raise awareness. We now know her story because you have shared it. We think of her, too.
I thank the hon. Member for his intervention on behalf of the Chair, and I pay tribute to Jessica—what a fantastic young lady! Her story, having gone through her childhood and teenage years with this condition, is incredibly heartwarming.
Wales already has the statutory requirement for a local toilet strategy. Surely England can do the same—it is not a flashy proposal. As we said earlier, it is about very basic needs. It does not require a new quango or a major reorganisation; it is simply about recognising that public toilets are part of the essential infrastructure of a modern and civilised society.
Whether someone is living with a stoma, raising a young family, managing a disability, working outdoors all day or simply getting older, access to a toilet should not determine whether they can take part in public life. The British Toilet Association’s “Legalise Loos” campaign talks about the “loo leash”, and states that “14 million people have incontinence issues; 15 million people menstruate, and 16 million people have a disability.”
We are failing all those people if we do not have decent toilets.
My message is simple: support research into stoma friendly facilities, work with retailers to make accessible toilets fit for purpose, ensure sanitary bins are available wherever they are needed, support councils to reverse the decades of decline in public toilet provision and make it a statutory responsibility to have a strategy. Alongside those measures, move from powers to duties by requiring councils to assess need, ensure sufficient provision and provide clean, accessible and dignified facilities. Public toilets are not an optional extra or a convenience; they are part of essential infrastructure. Until we recognise that fact, too many people will remain excluded from public life simply because they cannot be sure where they will go when nature calls.
It is a pleasure to serve under your chairmanship, Mr Dowd—I wish you a happy birthday. I welcome the Minister to her place. I congratulate the hon. Member for Strangford (Jim Shannon) on securing this debate on the provision of public toilets for people living with stomas, which is too often overlooked and too rarely spoken about. He began by saying that although this is not a fashionable debate, the issue needs to be aired, and he was absolutely right about that. He was also right to say that this issue is about dignity and independence, as Members from across the House have said.
This debate is important for many people throughout the UK—that is evident from the personal stories that have been shared by hon. Members. My hon. Friend the Member for Fylde (Mr Snowden) described the importance of humour to deal emotionally with this difficult and embarrassing condition, including by naming stomas, which is new to me—I did not know that was a thing; every day is a school day. I have to say that my favourite from his catalogue was also Vladimir Poopin, but maybe that reflects our politics more than anything else.
I thank all hon. Members for their thoughtful contributions throughout the debate, particularly in highlighting the human reality of living with a stoma. Around 200,000 people in the UK live with a stoma following surgery for bowel cancer, Crohn’s disease, ulcerative colitis, diverticulitis and many other conditions. I do hope that I have pronounced those correctly—there is a reason I am not a medic. On average, in a constituency such as Mid Bedfordshire, around 200 to 250 people are likely to be living with a stoma. With an ageing population and increasing diagnoses of bowel conditions, this need will grow, not diminish, over time.
For those people, a toilet is not a convenience but a necessity, as the Liberal Democrat spokesperson, the hon. Member for Mid Dorset and North Poole (Vikki Slade), said. A stoma bag must be emptied or changed at the moment it is needed. There is quite literally no waiting when it is required. Yet the facilities that most people with a stoma rely on—standard accessible toilets—are frequently not fit for purpose, as my hon. Friend the Member for Fylde eloquently described. Too often, there is no shelf on which to lay out medical supplies, no hook for clothing or a bag, no mirror to help someone change safely, no basin within reach and nowhere hygienic to dispose of used products. I thank the Liberal Democrat spokesperson for highlighting the “Boys Need Bins” campaign, which is an absolutely fantastic campaign that we should all get behind.
At present, provision depends on good will rather than on standards, which leaves a postcode lottery for something as basic as using a toilet. The result is people changing stoma bags balanced on their knees or on dirty floors. Someone with a stoma often must plan their entire day around whether a usable toilet exists. I come from a rural constituency and acknowledge what a challenge that must be on days out in the countryside.
There is a second barrier, which is one of attitude. A stoma is, in the main, an invisible disability, as hon. Members have said. Many people with a stoma or inflammatory bowel disease report being challenged or even abused for using an accessible toilet, or accused of being “not disabled enough” because they do not use a wheelchair. Simple signage and staff awareness can prevent the confrontations that many people with invisible conditions face. Those attitudes are a stain on us, and it is precisely why Crohn’s & Colitis UK’s “Not every disability is visible” campaign and Colostomy UK’s Stoma Aware work matter so much.
I am proud that the last Conservative Government understood that dignity in this area is a duty of the state, not an optional extra. When he was Local Government Minister, the former Prime Minister, my right hon. Friend the Member for Richmond and Northallerton (Rishi Sunak), led the drive to expand Changing Places toilets, with larger facilities with benches, hoists and space for carers, which the most severely disabled people need. He set in motion the change to building regulations that, from 2021, made Changing Places mandatory in large new public buildings in England, including shopping centres, stadiums and arts venues. That was backed by a £2 million fund to install them in more than 100 NHS hospitals, further investment in motorway service stations and funding for a national online map so that families could find them more easily. The public sector could lead by example across councils, hospitals and transport networks.
The number of Changing Places has risen from 140 in 2007 to around 1,200. That is a record of practical, compassionate action and I pay tribute to the programme, but—I say this candidly—Changing Places, vital as they are, are designed for the most profoundly disabled. Most people with a stoma are fully mobile. The solutions that they need are cheaper: the simple stoma friendly standard of a shelf, a hook, a mirror and a bin in ordinary accessible toilets. Some retailers—B&Q was mentioned, but I am sure there are others—have shown that it can be done across an entire estate at a modest cost. The additions required often cost less than a few hundred pounds per facility. This is not major capital infrastructure work; it is a small retrofit that has a huge impact on people’s dignity. The building blocks exist; what is missing is national leadership to join them up.
When people cannot rely on basic facilities, they withdraw —from work, from shopping and from social life. That is not just a personal loss; there are wider economic impacts, too. Constituents in Mid Bedfordshire have told me that living with these life changing conditions can be exhausting, isolating and unpredictable. The hidden nature of their symptoms means that they are often invisible to other people, but they deeply impact the daily lives of the people who have them. It is an honour to represent those people at the Opposition Dispatch Box in such a good debate, in which there is cross party consensus.
I would be grateful if the Minister could address three points. First, what are the Government considering doing to make places more stoma friendly? Secondly, what meetings have Ministers had with Colostomy UK and Crohn’s & Colitis UK to discuss options? Thirdly, what consideration are the Government giving to local government facilities, recognising the interesting proposal from the Lib Dem spokesperson, the hon. Member for Mid Dorset and North Poole, for a statutory duty?
This is not a party political issue; it is about whether someone can leave their home with confidence. The previous Government opened the door with Changing Places. I urge this Government to walk through it, finish the job and support people with stomas.
It is a pleasure to serve under your chairmanship, Mr Dowd.
I begin by paying tribute to Members from across the House for the incredibly thoughtful and personal stories that they have shared. I am very conscious that Members speak on behalf of their constituents, and that some Members speak from personal experience. Although I do not have that personal experience, I have a very close family member who does, and I have heard Members speak in the Chamber before about their own experiences and have reflected very carefully on the power of those remarks for those beyond the House who hear them. I thank Members very much for their contributions.
I also thank the hon. Member for Strangford (Jim Shannon) for securing this very important debate, and for his continued interest in this issue. I know that he is a committed advocate for public toilet provision, including for those with non visible disabilities such as stoma use.
I recognise the importance of the provision of good quality, accessible public toilets more broadly. For far too many people, access to clean and safe public toilets can be the deciding factor in whether they feel able to visit a town centre, a high street, a park or any local attraction. As others put it so eloquently, such facilities support the dignity and independence of people with disability and accessibility needs. Of course, accessibility to a decent facility encourages everybody to spend more time in their local areas, and to use the shops, services and attractions in them. I do not need to detail the benefits of that in itself.
It is true that for many people, it is just too difficult to access the facilities that the rest of us can access so easily every day. Members have correctly pointed out that that is a challenge not only for those with a stoma, but for many other people, including those with ulcerative colitis or irritable bowel disease. The list is much longer than that; the point is that many people are impacted by the lack of accessibility facilities.
However, this debate is focused on stomas, and I want to place on the record the Government’s recognition that this is absolutely a real challenge. Approximately one in 335 people of all ages in the UK is estimated to be living with a stoma, and each year more than 13,000 people in the UK undergo stoma surgery. For people living with a stoma, access to suitable toilet provision is not simply a matter of convenience; it is fundamental to their dignity, safety and independence. Many people living with a stoma feel anxious about leaving home, particularly in the period after surgery.
The Government recognise that being able to live well, to work, to enjoy days out, to shop and to socialise requires access to appropriate public toilet facilities. However, as Members across the Chamber have said, standard public toilets may not always provide that facility for everybody in a safe and dignified way. It is important that we recognise the specific experience of people with invisible disabilities, who are often uneasy about using a disabled facility for fear that it may be a challenge to do so—assuming that the disabled facility would even meet their needs.
In recognition of the importance of this subject, at the last spending review, in 2025, the Government committed more than £5 billion over the next three years for essential local services, including public toilets, and we continue to provide 100% mandatory business rates relief for stand alone public toilets, which is helping reduce ongoing costs for local authorities, but I absolutely accept that the facility needs to exist in the first place. I recognise that, for stoma users, practical features such as clean shelf spaces and discreet disposal bins can make a significant difference. I thank Members for raising the issue of facilities in male toilets, which are so frequently overlooked.
It is worth highlighting that all building work must meet the functional requirements of the Building Regulations 2010, which address accessibility and provide guidance on meeting those requirements, including the installation of shelves, sanitary disposal units and accessibility toilets. However, I accept that the very fact we are having this debate means that the reality on the ground is very different.
The Building Safety Regulator has a duty under the Building Safety Act 2022 to keep the standard of buildings under review, and I welcome the fact that the Opposition spokesperson, the hon. Member for Mid Bedfordshire (Blake Stephenson), drew attention to the £30 million Changing Places programme, which supported the targeted installation of almost 500 new disabled toilet facilities. I learned much about that programme when I served as a council leader—if I learned anything from my days in local government, it is that bins and toilets are two topics that people get very passionate about.
The role of local authorities is central to this conversation. It is the Government’s view that local authorities are best placed to understand the needs of their communities, and to make decisions about the provision that is right for their areas. I take careful note of the important arguments made about statutory requirements and regulations, but I say gently that local authorities might not think that is the best approach. I am yet to come across a local authority that does not want to do the best for its area, and I think there is a conversation to be had about how we can better support them to do that.
Having been a councillor and served on the front bench of a council, I know about delivering these facilities, and I feel for councils when it comes to doing so. As has been said, the reality is that even if councils want to do their best, and they know what is best for their local areas, funding is tight. We all know that ever increasing adult social care bills and so on are creating bigger burdens on local government finances, and statutory requirements will always take priority over other things. I do not want to create a system that ends up costing more than opening the toilets themselves through its complexity and bureaucracy, but it is really important to place some greater requirement on councils to understand the provision and fill the gaps. If the Minister is looking for a commissioner for the crappers in the future, it may be a role for me!
I absolutely take the point. There is a conversation to be had with the sector, local authorities and the Local Government Association about how we can best support local authorities to do that. I think there is a real willingness among local authorities. I accept the point about statutory services, but there are great examples of local authorities providing services that are not statutory because they recognise the importance of public provision.
I take the Minister’s point. As a former council leader, I know that the last thing that councils need is a whole load of additional things that they have to do, but the point is that there is fear and inconsistency. If there is a postcode lottery when it comes to whether a council is sufficiently interested in ensuring provision or making information available to people, people will end up staying at home because they do not know what the rules are in the place they are travelling to. I gently urge the Minister to think carefully about placing a duty on local authorities to make provision in their area. If we want everybody to have the opportunity to engage in public life, that is the bare minimum.
I absolutely take the point, but there is scope for us to consider how to do that without putting additional statutory burdens on local authorities. Ultimately, we want the same outcome: we do not want a postcode lottery. A person who needs accessible toilets should know that they can leave the house and access them. I am open minded about whether we do that through regulation or by having schemes that support the roll out of better facilities. There are good examples of services being delivered across the country, so we should look at how the sector can learn from them and how the Government can best support local authorities.
Bins and toilets are areas of interest for local authorities, councillors and council leaders. I note the experience of Members in the Chamber who have a local government background. I recall rolling out a community toilet scheme when I was council leader. That required very small things, such as small grants to businesses—I think they were £1,000—to encourage them to make their facilities available to the public. That meant that the local authority did not have to think about additional toilet spaces. In many ways, the provision of a toilet in a local business or on a high street meant that our residents had more access than they would if they had to go to a park.
I cannot resist the opportunity to plug the fact that, prior to being the council leader, I had a business on Broadstone high street, and we were part of the community loo scheme. There are currently five or six businesses in my ward that have open access to their toilets. Previously, there was one public toilet, which was often closed, vandalised or subject to crime. I want to take the opportunity to tell the public that “use your loo” schemes are there for people; they do not need to buy anything. It is really important that we remind our residents of that, because people are often reluctant to go into a café if they are not going to spend money.
That is exactly the point that I am making. I thank the hon. Lady for highlighting that very good example of what local leadership can deliver in the community. It is important that we empower local authorities and leaders to think outside the box, champion this issue and speak up on tricky topics. That gives me the opportunity once again to pay tribute to hon. Members for taking part in this debate. By talking about and giving attention to a difficult subject, we are able to shift views and encourage our public sector to provide facilities that meet the needs of our communities.
The role of councils is incredibly important. The Government’s 10-year health plan sets out a shift from hospital to community, from sickness to prevention and from analogue to digital. For stoma care, moving from analogue to digital could mean remote monitoring for high risk people living with a stoma, app based ordering of stoma appliances, reducing prescription errors and delays, and digital self management for diet, hydration and troubleshooting. Those are all critical issues for the health service to consider when moving from analogue to digital. I ask the Minister, whether or not it is in the notes I gave her, to look at that point as well. I also ask that she meets Colostomy UK with all Members present. That organisation has much more knowledge than me, and we look forward to that opportunity.
Absolutely. I am very happy to meet any campaigning organisation to discuss this important issue. I note that other hon. Members have also made that request. If charities would like to contact me, I will happily meet them to talk about how we can better support the needs of all our communities.
On the important point the hon. Gentleman makes about the NHS plan and healthcare support, he is absolutely right. It is all the more reason why we need a joined up approach to what local authorities and NHS local boards are doing. I take the opportunity to highlight health and wellbeing boards across the country, which will play a really important role in making sure that, as one part of the local authority is delivering something, it is making the most of what it is doing so that it meets the objectives of a different part. In the case we are talking about, health is a really obvious example.
To return to my general point about local authorities thinking outside the box and doing things differently, one area we should encourage them to consider is how they conduct procurement. There are many examples across the country where public toilets in parks and open spaces have fallen into disrepair. Some local authorities are addressing that through procurement processes by stipulating, for example, that the owner of a new café must look after the toilets in that space. Those are good ideas that should be encouraged and will ultimately make it easier for our communities to access facilities.
The Minister is being incredibly generous with her time. She probably entered this room and, having seen only one Back Bench Member, thought this debate would not get close to 4.30 pm—but here we are.
I have two points. First, is there a greater role for section 106 moneys, potentially through planning processes, in supporting public toilets? The Minister gave a really good example of creative thinking around ownership of toilets in parks and cafés. My sister will kill me for saying this, but when she was growing up she had a phobia of metal toilets. I think it was actually just a phobia of unclean spaces. A lot of people would rather use a well kept toilet in a private business, where they will not be judged for using it—provided it is not at the far end and they do not have to walk past all the tables with everyone looking at them—than use a public toilet that, by its nature and because it is not in a manned location, cannot always be guaranteed to be as clean. I think that is a great example. Will the Minister work with colleagues in local government to see whether that can be rolled out more, and consider how section 106 moneys might help to create more of an incentive for commercial operators who might not otherwise be able to afford it, or for whom it might not be viable?
I welcome the hon. Gentleman’s contribution. Section 106 moneys are often thought about in terms of big infrastructure money, but for a very small amount of money we can make a big public impact; the grant funding of £1,000 to a business is a good example of that. I am very happy to take that back. There are lots of examples across the country of where this is being done well, and we should, as a Government—I will take this back—find a better way to communicate some of that best practice.
I also want to comment on the very important point the hon. Gentleman makes about lived experience. Too often, Governments and councils design and deliver schemes with good intentions, but they do not necessarily meet the real needs of communities. That is why lived experience must be at the heart of policymaking. He referenced his sister’s experience, and I will join him: my sister’s experience is not dissimilar. As he said, many people who live with such conditions develop great resilience over their lifetime. My sister, too, is incredibly resilient, because of her experience of living with her colitis, which was diagnosed as a teenager, as it is for many people. It is a very particular experience to be diagnosed with a lifelong condition as a teenager.
People who experience that are some of the most resilient individuals in our community, and their lived experience is central to making sure that our councils and the Government design provision and services that meet their needs. In that spirit, I welcome continued dialogue with Members. I know that there are others who are not in this Chamber who also feel very strongly about this topic. Local government, MHCLG and partners can work together to deliver more accessible, well maintained public toilets. We should look at existing schemes and new schemes that can encourage such provision.
I thank hon. Members, particularly the hon. Member for Strangford for securing this important debate and for his warm words in welcoming me to my place; it was very generous of him. The Government recognise the importance of ensuring that public spaces are accessible, inclusive and supportive of people’s dignity and independence. I welcome further representation from hon. Members, the brilliant charities that do fantastic campaigning on this issue, local authorities across the country and other partners who want to see the provision of public toilets improve.
I thank everyone for their participation, and those in the Gallery who gave us information to use in the debate. The hon. Member for Fylde (Mr Snowden) brought a focus to this issue in a way that I would have been too hesitant to do. I am too much of a traditionalist, too much of a conservative and maybe a wee bit careful, but I thank him for that. We need a bit of humour sometimes; he gave us that, and I thank him for it. I was fearful of what the next name he would come up with was going to be. I was sitting here thinking, “Don’t say that!” but that is by the by.
Toilet provision must be clean. The psychological adjustment is something that we need to focus on as well. I just know how I feel and think, and if I had such a condition, I know how much worse it would be to try to deal with it. We must also focus on the knock on effect on the NHS. The Minister has grasped that issue. The hon. Member for Harrogate and Knaresborough (Tom Gordon) always makes very perceptive interventions. He is no longer present, but in his absence, I thank him for his interventions on toilet provision and living with a stoma bag.
The hon. Member for Mid Dorset and North Poole (Vikki Slade) has great knowledge of this matter. She has been active on this subject for some time, especially since she was elected but even before that when she was on the council. It would cost a small amount to address this issue, but it would have a big return. It is a bit like a credit union; if we invest a wee bit, we will get a lot more out of it. Toilet access has a big impact, as it protects people’s dignity. Some 40% of toilets in the UK have disappeared. They are a public necessity, and surely England could do better. Public toilets must be a part of modern society.
The shadow spokesperson, the hon. Member for Mid Bedfordshire (Blake Stephenson), also brought knowledge to this debate. He referred to the 200 to 250 people in his constituency who have had a stoma in the last year. He also referred to the “Boys Need Bins” campaign, which others have referred to, and which those in the Gallery have made us very much aware of.
The disability is invisible—we need to remember that. I know about stomas only because of friends and constituents. Under the previous Government’s Changing Places policy, the number of toilets has risen, which is good news, but there is a lot more to do. I think the hon. Member for Mid Bedfordshire referred to that as well. He also asked for a meeting with Colostomy UK—I think we can help each other on that.
I congratulate the Minister on her debut in Westminster Hall. I wish her well in the role that she has chosen—or that someone else has chosen for her. [Laughter.] It does not matter; it is a role that she is capable of. On behalf of our constituents, I was very pleased with her response to us as individuals and collectively as well. She referred to the 13,000 each year who have the stoma operation. Independence for people with such a disability is important for them to live a normal life and not be conscious of all the things that can happen. The standard of public toilets needs to be up to a certain level. The hon. Member for Fylde explained things about going to the toilet that I had not thought of or even conceived of, but he explained it very well. Only then do we realise how important it is to have a certain standard of toilet.
Local authorities were also referred to. The Minister gave us some assurance, which I am very pleased about, in relation to the 10-year plan and how the scheme will change from analogue to digital. It is important that we look at ways of doing things better.
Again, I thank you, Mr Dowd. We do not often say this, but we should thank our Hansard staff who come along and decipher our words, or my accent or my Ulster Scots isms or whatever it may be. I thank them and the civil servants who come along and dutifully listen to all the things we have to say, take notes and never show emotion. That is the standard of a good civil servant.
Question put and agreed to. Resolved, That this House has considered public toilet provision for people with stoma.
Sitting adjourned.