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Chamber

Meeting of the Parliament 20 March 2019

20 Mar 2019 · S5 · Meeting of the Parliament
Item of business
Inflammatory Bowel Disease

I thank Pauline McNeill for bringing this important subject to the chamber and for her comprehensive contribution. I, too, will focus on a particular aspect of the debate: the accessibility of public toilets, which is mentioned in the motion.

As we have heard, Scotland has the highest rates of Crohn’s and colitis in the UK, and their incidence among young people has soared in recent decades. Despite the growing demand for public conveniences, we know—thanks to a story in The Press and Journal—that, on average, Scottish local authorities have closed about 45 per cent of their public toilets. That has deprived neighbourhoods and communities of a vital public service, but it particularly affects people who have conditions such as inflammatory bowel disease. Crohn’s and Colitis UK recognises that access to toilets is of great concern to people who live with such conditions. Last year, it conducted a survey in which 75 per cent of people said that they or a family member with Crohn’s or colitis had had an accident in public because they could not reach a toilet in time. Just imagine that—it should not be happening.

The emotional impact of such conditions should not be underestimated. Having an accident in public can be profoundly embarrassing and hugely distressing. We must get to grips with the issue and ensure that people have the facilities that they need. We want to ensure that everyone is confident about getting out and about: if they cannot do so, they will avoid leaving home, which will result in isolation and loneliness.

The lack of suitable toilets on public transport must also be addressed urgently. My colleague John Finnie found that 22 per cent of ScotRail’s toilets failed an audit that was conducted in 2017. Even when toilets are provided on public transport, they are not of a suitable standard, which, again, can severely inhibit the mobility and freedom of people who have bowel conditions.

Monica Lennon mentioned the Planning (Scotland) Bill. In September 2018, I successfully lodged an amendment to that bill—in the Local Government and Communities Committee’s debate, in which Pauline McNeill and Monica Lennon were very supportive—to ensure that local development plans must include a statement of the planning authority’s policies on provision of public toilets, which could be part of a community access scheme. The City of Edinburgh Council has such a scheme, through which businesses are paid £500 a year to allow free access to their toilets. New developments could be encouraged to plan for their toilets to be accessible to the public in a similar manner.

I also commend the many save our loos campaigns that have sprouted up across the country, from the Highlands to more locally. The issue is a very important one.

I was contacted by a constituent, who has given me permission to refer to her email. She writes:

“I work in the health sector and I know that there are many people who plan their outings around where they know they can access public toilets. There is a growing elderly population, and a long list of health issues which affect people’s ability to control their bowel and bladder, as well as mobility issues”.

As she said, that can mean that people need more time to access facilities. However, she continues:

“in the past few months, I have witnessed two customers asking if there was a toilet they could use and both being told no—one a small food outlet with a sit-in facility, the other a large store on Princes Street.”

That is happening everywhere, and it is an issue that we have to address.

Monica Lennon is right in saying that it can be very uncomfortable to have to ask for a key or a code. Sanitation is a basic human right, and, if we are not providing that in 21st century Scotland, we need to have a good look at ourselves.

I realise that I have gone over my time, Presiding Officer. We must do all that we can to make sure that people with hidden disabilities do not feel stigmatised. I congratulate Crohn’s and Colitis UK on its not every disability is visible campaign, and I look forward to working with colleagues to address the issue further.

17:36  

In the same item of business

The Deputy Presiding Officer (Linda Fabiani) SNP
The final item of business is a members’ business debate on motion S5M-15431, in the name of Pauline McNeill, on the prevalence of Crohn’s and colitis in Sco...
Pauline McNeill (Glasgow) (Lab) Lab
I thank all the members who signed my motion and those who are taking part in the debate. I also thank the Parliamentary Bureau for selecting my motion for d...
Clare Adamson (Motherwell and Wishaw) (SNP) SNP
I thank Pauline McNeill for securing the debate and for the stewardship and leadership that she has shown on the cross-party group on inflammatory bowel dise...
Miles Briggs (Lothian) (Con) Con
I thank Pauline McNeill for bringing the debate forward and for her long-standing campaigning on behalf of patients. I also thank the organisations and const...
Monica Lennon (Central Scotland) (Lab) Lab
I, too, thank Pauline McNeill for securing this important debate and pay tribute to the cross-party group on inflammatory bowel disease, of which Pauline is ...
The Deputy Presiding Officer SNP
I was tempted there to say, “Monica Lennon, would you please just get on with it?” On a serious note, I know that everyone is getting on very well tonight, ...
Alison Johnstone (Lothian) (Green) Green
I thank Pauline McNeill for bringing this important subject to the chamber and for her comprehensive contribution. I, too, will focus on a particular aspect ...
Liam McArthur (Orkney Islands) (LD) LD
I, too, congratulate Pauline McNeill on securing the debate and on her co-chairing, with Clare Adamson, of the cross-party group on inflammatory bowel diseas...
Willie Coffey (Kilmarnock and Irvine Valley) (SNP) SNP
I thank Pauline McNeill for securing the debate, and for the attention that she continues to pay to the issue and her work with the CPG on inflammatory bowel...
Brian Whittle (South Scotland) (Con) Con
I add my congratulations to Pauline McNeill for securing time in the chamber to debate the topic. In doing so, Ms McNeill is helping to raise awareness of Cr...
The Deputy Presiding Officer SNP
I am tempted to say, “Aye, right.” 17:50
The Minister for Public Health, Sport and Wellbeing (Joe FitzPatrick) SNP
I thank all members who have taken part in this evening’s important debate, which I congratulate Pauline McNeill on securing. I thank her for her continued w...
Pauline McNeill Lab
Will the member take an intervention?
Joe FitzPatrick SNP
Is it on that point?
Pauline McNeill Lab
No.
Joe FitzPatrick SNP
Is it to do with toilets? I will deal with toilets later.
Pauline McNeill Lab
It is not to do with toilets.
Joe FitzPatrick SNP
On you go, then.
The Deputy Presiding Officer SNP
Could you two make up your minds?
Pauline McNeill Lab
I did not want to mislead the minister—my question is on the modern outpatient programme. Earlier, I mentioned that, given the number of tests that people wh...
Joe FitzPatrick SNP
On the point about letters, there is a responsibility in the Patient Rights (Scotland) Act 2011 to ensure that such information gets to patients using termin...
Miles Briggs Con
Monica Lennon also raised the fact that some private businesses—indeed, some coffee shops not far from here—have locks on their toilets. Obviously, they are ...
Joe FitzPatrick SNP
We all have a role in encouraging businesses to understand that making their toilets accessible is good for business—that is one of the important things that...