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It's usual for children to be out of nappies in the day time anywhere between 18 months and 3 years old. Most children show signs between 2 and 4 years of being ready to use a potty. Look for cues like staying dry for longer, showing interest in the toilet, disliking soiled nappies, or communicating the urge to go, before you attempt to toilet train your child as starting too early can cause stress. 

Remember that all children develop at different rates and some children will not be ready to start toilet training until later than this. 

Night time bladder control develops later than daytime control and it is perfectly normal for children to still need night nappies until ages 3-5, with many not achieving consistent dryness until 5 or 6 years old. Signs of readiness to stop wearing nappies can include dry nappies for several mornings, asking to stop, or waking to use the toilet during the night.

Many children with Children with Special Educational Needs and Disabilities (SEND) will follow a similar path to being toilet trained as other children do, even if they achieve this a bit later than usual.

Children with SEND may stay in nappies longer due to a variety of reasons, including:

  • Sensory sensitivities 
  • Communication barriers 
  • Developmental delays 
  • Resistance to change 
  • Underlying medical issues like constipation

Support with Toilet Training and Containment Products from the NHS

We understand that learning to use the toilet can be a challenging time for some children and their families. If your child has an underlying medical reason that makes it difficult for them to become toilet trained, they may be eligible for an assessment for continence containment products (nappies) from their fifth birthday onwards.

To help every child reach their potential, we encourage families to follow a toilet training programme for at least six months before containment products are provided. This gives children time to develop skills and confidence. We know that for some children—such as those with a neuropathic bladder or bowel—traditional toilet training may not be appropriate. In these cases, the healthcare team will discuss the best approach with you.

If your child is assessed as needing containment products, the number provided each day will be based on their individual needs. Typically, this would be up to four products per 24 hours. Modern containment products are highly absorbent and designed to be changed only when they are full or soiled, which means that four per day usually meets most children’s needs.

Our goal is always to support you and your child with understanding, care, and practical guidance. If you have questions or need more advice, your healthcare professional is here to help.

More information

Visit your GP to be referred to the Continence Team

Support with Toilet Training and Containment Products from the NHS

We understand that learning to use the toilet can be a challenging time for some children and their families. If your child has an underlying medical reason that makes it difficult for them to become toilet trained, they may be eligible for an assessment for continence containment products (nappies) from their fifth birthday onwards.

To help every child reach their potential, we encourage families to follow a toilet training programme for at least six months before containment products are provided. This gives children time to develop skills and confidence. We know that for some children—such as those with a neuropathic bladder or bowel—traditional toilet training may not be appropriate. In these cases, the healthcare team will discuss the best approach with you.

If your child is assessed as needing containment products, the number provided each day will be based on their individual needs. Typically, this would be up to four products per 24 hours. Modern containment products are highly absorbent and designed to be changed only when they are full or soiled, which means that four per day usually meets most children’s needs.

Our goal is always to support you and your child with understanding, care, and practical guidance. If you have questions or need more advice, your healthcare professional is here to help.

More information

Visit your GP to be referred to the Continence Team