For a while now I've been lobbying the Government and various NHS organisations to improve disabled toilet facilities in our hospitals and health care settings. While standard disabled toilets are usually available for outpatients and visitors, there are usually no facilities provided for disabled people who have no degree of independent mobility. I'm trying to change this by asking that Changing Places toilets, with adult changing bench, hoist and toilet become a compulsory feature of hospitals and other health care settings (currently there are only 53 NHS settings in the entire UK that have a registered Changing Place facility). Disabled people visiting outpatient departments are often having to sit in their own mess or having to be changed in inappropriate places (ie public toilet floors or in the back of the car) and without appropriate equipment, others are self medicating to avoid having to use the toilet when attending appointments. Disabled individuals, and their carers, are being put at risk of significant harm and treated in ways that goes against all infection control, moving and handling, and pressure are management policies that are in place to protect individuals within the NHS. In the last 8 months I have contacted the Department of Health, NHS England, and NHS Improvements, all have turned round and said that it's not their responsibility. A BIG thank you to NHS Property Services who approached me, understood the need and who are reviewing their design standards, which has the potential to influence decisions made in the 10% of NHS estate that they look after. I have also, at the instruction of the Department of Health, emailed every acute hospital trust and Clinical Commissioning Group in England. While one hospital and one healthcare setting are planning or developing Changing Places facilities as a result of my emails it quickly became clear that others are les willing to do so – there's lots of talk about considering one at some point in the future (potentially years), but nobody tells me what disabled visitors and outpatients are supposed to do in the meantime. I have therefore written again to the Department of Health and the rest of the NHS departments as well as to relevant MPs , but I'm also asking for your support and help. If you have been directly affected by the lack of a Changing Places facility in an NHS setting then please contact your local PALS with a complaint, I've included a link so you can find the appropriate email address. If you are a nurse or doctor and there aren't these facilities for outpatients & visitors in your setting then please ask for them so that patients aren't being put at unnecessary risk. If you work in the media, then contact your local hospitals and see if they are providing suitable facilities for their patients and report on this. It is time for every disabled person to have full access to appropriate toilet facilities in the healthcare settings that are supposed to be caring for them. It's time to shout from the rooftops that this isn't good enough. It's time for change...