PIP toilet needs: descriptors and example answers

Managing toilet needs or incontinence asks whether you can get on and off the toilet, wipe yourself, manage clothing, and manage pads, a catheter or a stoma. DWP looks at whether you can do this safely, to an acceptable standard, repeatedly, and in a reasonable time, on more than half of days.

Checked 27 September 2026 against GOV.UK
Short answer

Whether you can manage toilet needs and incontinence safely, in time, and to a good standard, on most days.

In this guide

In short

  • It's question 7 on the PIP2 form.
  • Covers getting on and off the toilet, wiping, clothing, pads, a catheter or a stoma.
  • Aids, prompting, supervision and physical help from another person all count.
  • Accidents, needing pads, and avoiding going out because of this all matter.
Answer the toilet needs question

Pick what's hard, what you use, and what happens. The helper writes it up in plain, dignified words for question 7.

What the activity asks

Managing toilet needs or incontinence is question 7 on the PIP2 form. It asks about getting on and off the toilet, wiping yourself, managing your clothing, and managing incontinence products such as pads, a catheter or a stoma.

It's not about how often you need the toilet. It's about whether you can manage safely and to a normal standard, on your own, each time you need to.

What counts for this activity

Things that count include:

  • needing an aid such as a raised toilet seat or grab rails;
  • needing supervision or prompting, for example someone checking you're managing;
  • needing physical help to get on or off the toilet, or to manage clothing;
  • needing help managing incontinence of your bladder, your bowel, or both.

Managing incontinence is looked at separately from other toilet needs, so describe both clearly if they both apply to you.

What 'reliably' means

For every activity, DWP should only count what you can do:

  • safely, without real risk of harm;
  • to an acceptable standard, without accidents or having to clean up after yourself in a way you shouldn't have to;
  • repeatedly, as often as you'd reasonably need to;
  • in a reasonable time, no more than twice as long as someone without your condition.

If you can usually manage but sometimes don't make it in time, or need help occasionally, say so. That's part of describing how you manage on most days.

The descriptors

These are the official statements, from no difficulty to the most help needed. DWP picks the one that fits you on more than half of days. The PIP descriptors guide shows how each one is scored.

  1. Can manage toilet needs or incontinence unaided.
  2. Needs to use an aid or appliance to be able to manage toilet needs or incontinence.
  3. Needs supervision or prompting to be able to manage toilet needs.
  4. Needs assistance to be able to manage toilet needs.
  5. Needs assistance to be able to manage incontinence of either bladder or bowel.
  6. Needs assistance to be able to manage incontinence of both bladder and bowel.

Example answers

Invented examples, not real claims. Write your own, in your own words, about your own day.

Weak: "I sometimes have accidents."

This doesn't say how often, what helps, or what happens as a result.

Clearer: "On most days I need about 10 minutes' warning to get to the toilet, and I don't always make it in time. I've had 3 accidents this month, so I wear pads all day as a precaution. I also need help pulling up my trousers afterwards because of stiffness in my hands."

This gives how often it happens, what you use, what help you need, and a real example.

Good days and bad days

DWP looks at what's true on more than half of days over a year. If your control varies, say what happens on a typical day and on a bad day, and how many bad days you have in a normal week or month.

Evidence that helps

Useful evidence includes a letter from a GP, continence nurse or consultant that mentions your toilet needs or incontinence, a hospital or clinic report, or a note from someone who helps you. Send copies, not originals. See what to send with your PIP form.

Common questions

What counts as an aid for toilet needs on PIP?

Aids include a raised toilet seat, grab rails, or continence products such as pads. Say what you use and what happens without it.

Does needing pads count for PIP?

Yes. Needing pads, a catheter or a stoma to manage incontinence counts. Say how often you need them and what happens if you're caught without.

Is incontinence scored differently from other toilet needs?

Yes, managing incontinence of your bladder or bowel is a separate part of this activity from getting on and off the toilet. Describe both if they both apply to you.

What if I only have accidents sometimes?

Say how often it happens and on how many days a week or month. DWP looks at what's true on more than half of days.

Can I get PIP for a catheter or stoma?

Managing a catheter or stoma is part of this activity. Describe what you need help with, such as changing or emptying it, and how often.

Claiming is free

You can apply to DWP directly, and Citizens Advice can help at no cost. We're here if you'd rather do it yourself, at your own pace, any time, with no appointment to wait for.

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