We call on the UK Government to develop and implement a National Pelvic Floor Health Strategy to improve awareness, prevention, early diagnosis and equitable access to specialist services for people affected by pelvic floor dysfunction (PFD).
Pelvic floor dysfunction affects millions of people across the UK, including women and men. It includes urinary incontinence (bladder leakage), faecal incontinence (bowel leakage), obstructed defecation, chronic constipation related to pelvic floor dysfunction, pelvic organ prolapse (such as rectocele, cystocele, enterocele and vaginal vault prolapse), chronic pelvic pain and sexual dysfunction.
Evidence suggests that up to one in three women experience urinary incontinence during their lifetime. Faecal incontinence affects a significant proportion of adults and is often under-reported due to stigma. Many men experience urinary incontinence following prostate surgery. Obstructed defecation and pelvic floor related constipation can significantly impair quality of life and frequently coexist with prolapse.
Despite its prevalence, awareness remains limited and access to specialist pelvic health services varies considerably across regions.
The impact extends beyond physical symptoms. Pelvic floor dysfunction is associated with anxiety, depression, social isolation, reduced workplace participation and relationship strain. Many individuals delay seeking help due to embarrassment or lack of information.
We ask the Government to:
• Recognise pelvic floor dysfunction as a public health priority
• Fund a national awareness campaign addressing urinary and faecal incontinence, constipation and obstructed defecation
• Expand routine pelvic health screening postnatally and following relevant urological, gynaecological or any pelvic floor related  surgery
• Ensure equitable NHS access to specialist pelvic health services across England
• Develop workplace guidance to support affected individuals
A coordinated national strategy would improve quality of life, reduce preventable complications and address a significant but often hidden public health burden.

Submitted by a Specialist Pelvic Floor Lead Nurse  Practitioner,

 Manchester constituent.