Britain has lost an estimated 50% of its public toilets in the past 10 years. This is a problem for everyone, and for some it is so acute that they are either dehydrating before going out or not leaving home at all

For about an hour and a half before she finishes work and gets the bus home, Jacqui won’t eat or drink anything. Once, while waiting at the bus stop, and suddenly needing the loo, she had to head to the other end of town; the public toilets nearby had closed. She didn’t make it in time. Jacqui, who has multiple sclerosis, which can affect bladder and bowel function, says: “I go everywhere with a spare pair of knickers and a packet of wipes, but it’s not something you want to do if you can help it.”

Jacqui was diagnosed with MS five years ago, and in that time she has noticed a decline in the number of public toilets. Of the ones that are left, one only takes 20p coins, “and in this increasingly cashless society, you have to make sure you always go out with a 20p”. The other block of loos are “up two flights of stairs or the lift, so it’s not the most suitable access”. If she is out for the day, she will research where the loos are, and it has meant missing out on trips with friends, such as to an outdoor festival, where the loos just weren’t accessible enough. The MS Society has given her a card, which she shows in cafes requesting access to their loos when she’s not a customer, and every person she has flashed it to “has been wonderful”. But, she adds: “You use it as a last resort because you don’t really want to burst into a cafe in front of people and say: ‘Excuse me, I need to wee.’”