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Moving and Handling White Paper

Guide to specification for moving & handling in a toilet environment

Regardless of ability, 20% of our adult population has difficulty doing everyday tasks.1 Going to the toilet is one of the top 10 most ‘dangerous’ activities2 in and out of home. Yet it is something we all do, on average, eight times a day.

Falls cost the NHS at least £2.3billion.3

Low falls cause five fatalities and over 150 major injuries to care residents each year.4

People handling is the most common cause of injury to health and socialcare staff, with over 500 injuries to employees per annum.

Transfer from a wheelchair to toilet was rated as the most stressful taskundertaken by care workers.3

Using appropriate mobility, moving and handling aids when going to the toilet

  • Reduces risk of falls and injuries
  • Restores some or all of the user’s control over their limitation
  • Enhances their dignity and independence
  • Reduces carer cost.

Good specification requires balancing short-term budget costs and user needs,to the user’s potentially changing requirements over time, achievement of best value from the chosen aid(s)’ lifetime costs.

There is also the consideration of the financial cost of providing carer support for the user’s needs now, and as they change, against the cost of appropriate equipment be it for the short, medium or long term.


For the majority of elderly or disabled people, the main issue is justgetting on and off the toilet.