3 in 1

children may have an underlying bladder or bowel problem — most are treatable

Any age

It’s never too early to begin building toilet training skills

2 hrs

Target gap between toilet visits once daytime training is established

Skills infographic

10 skills your child builds on the way to independence

Toilet training isn’t a single skill — it’s ten. Understanding each one helps you support your child at the right moment, without rushing or waiting unnecessarily.

Knowing the right place

Understanding that the potty or toilet is where wee and poo go

Sensing the urge

Noticing and understanding body signals before it’s too late

Communicating need

Using words, signs or picture cards to say they need to go

Holding on

Waiting long enough to reach the potty or toilet without an accident

Getting there

Moving to the potty or toilet independently or with support

Managing clothing

Pulling trousers and pants up and down before and after

Sitting correctly

Staying seated long enough, with feet supported and hips at angle

Wiping

Front-to-back technique — a separate skill to teach explicitly

Handwashing

Washing and drying hands thoroughly after every visit

Getting back on track

Returning to play or learning confidently after a toilet visit

When to start

From birth to night-time dryness

There is no single “right age.” This guide shows what you can introduce at each stage — and why starting early makes the whole journey easier.

Infant-led pottying

Hold your baby over a potty after feeds, on waking, or when they show signs of needing to go. Babies are born with some awareness of when they need to wee or poo — this helps them recognise those signals and understand that there is a right place to go. Many children using this approach are reliably clean and dry well before their second birthday.

Language, routine and environment

Use consistent words for wee, poo, potty and toilet. Change nappies in the bathroom, tip poo down the toilet and flush — so your child sees where it goes. Signs-based communication can start from 6–9 months for children who cannot yet speak.

Regular sitting and catching

Introduce regular sits on the potty after meals, drinks and on waking. Start fully clothed if your child is unsure — gradually reduce clothing. Use special toys only for potty time. When you are catching around half of all wees and poos, you are ready to remove daytime nappies.

Remove daytime nappies

Use washable trainer pants, not pull-ups. Maintain the routine everywhere — at home, at nursery, on visits. Putting a nappy back on, even briefly, can confuse your child and slow progress. Take your child to the potty or toilet regularly, gradually extending the gap to around 1.5–2 hours.

Night dryness follows naturally

Night dryness cannot be taught in the same way as daytime training. Most children become dry at night within months of daytime training. Support this with good daytime hydration, stopping drinks an hour before bed, and a toilet visit at bedtime. Bedwetting in children over 5 who have been dry in the day for six months is a medical matter — seek advice from your GP.

Guidance by role

Support tailored to you

Whether you are a parent at home, a classroom teacher, or a professional, here is the guidance that matters most to your situation.

For parents and carers

  • You do not need to wait for “readiness signs” — start teaching skills from birth
  • Keep the same words and routine with every carer so your child gets consistent messages
  • Accidents are a normal part of learning — clean up calmly and move on without fuss
  • Children with additional needs benefit from the same early start — do not delay without clinical advice
  • If you are struggling after several weeks, ask your health visitor or GP for a referral to a bladder and bowel service
  • Avoid pull-ups once you have removed daytime nappies — they can confuse your child and slow progress

For schools and nurseries

  • Use the same words for body parts and actions as the child’s family — consistency is key
  • Timed toilet visits after snack, lunch and before outdoor play reduce accidents significantly
  • Do not put a child back in nappies — this undoes progress and may cause confusion
  • Children with SEND must be supported to achieve toilet independence at their own pace
  • Request a care plan or EHCP addition if a child needs ongoing support with toileting
  • Take the child’s own potty seat and step on outings — familiar equipment builds confidence

For social care professionals

  • Delayed toilet training is not automatically developmental — rule out constipation and medical causes first
  • Ongoing wetting or soiling should not be attributed to disability or behaviour without proper assessment
  • Looked-after children may have missed early foundations — structured catch-up support is effective at any age
  • Ask for a referral to a paediatric bladder and bowel service if standard approaches are not producing progress
  • Ensure consistent routines and language are shared across all carers in a placement

For health professionals

  • Up to one third of children have an underlying bladder or bowel issue — investigate rather than advise waiting
  • Constipation is a common and frequently overlooked cause of training difficulties; treat it early
  • Enuresis after age 5 with 6 months of daytime dryness warrants formal assessment and referral
  • Delaying toilet training in children with disabilities is not supported by the evidence — early starts are beneficial
  • Best practice guidelines ( Supporting Skill Development for Toilet Training v2) are available in the Bladder & Bowel UK library

Frequently asked questions

Common questions, clear answers

There is no single “right age.” This guide shows what you can introduce at each stage — and why starting early makes the whole journey easier.

When should I start toilet training?

It is never too early to start building toilet training skills. Many families begin infant-led pottying from the first weeks of life. Older children can start at any age — there is no upper limit either. Waiting for “readiness signs” is not necessary, as many children never show them. The skills for toilet training can be introduced gradually, in the same way as other developmental skills like feeding and washing.

Should I use pull-ups or trainer pants?

Washable trainer pants are recommended once you have removed daytime nappies. Disposable pull-ups feel like a nappy to your child and can slow progress because they absorb wetness without your child feeling it. Washable trainer pants provide some protection while still allowing your child to feel wet — which is part of the learning process. Waterproof seat covers can protect furniture and car seats without affecting your child’s training.

My child has additional needs – should I wait until they are older?

No. Children with additional needs or disabilities have the same bladder and bowel development as other children their age. An early start often makes the whole process more straightforward, because toilet-related routines are introduced before other behaviours become established. Ask for an occupational therapy assessment if specialist equipment would help your child feel safe and secure on the potty or toilet, and for a referral to a bladder and bowel service if progress stalls.

How do I handle accidents without upsetting my child?

Clean up with the minimum of fuss. Take your child to the potty or toilet, remind them calmly that is where wee and poo go, and then move on. Avoid both praise and punishment for accidents — a matter-of-fact, relaxed response helps your child learn most quickly. Accidents are a normal and expected part of the learning process, particularly in the early weeks.

When should we expect night-time dryness?

Night dryness cannot be taught in the same way as daytime training — children cannot learn to hold on while they are asleep. Most children become dry at night naturally within a few months of achieving daytime dryness. You can support this by ensuring good daytime fluid intake, stopping drinks an hour before bed, and encouraging a toilet visit at bedtime. Do not wake or lift your child to use the potty during the night. Bedwetting in children over 5 who have been daytime-dry for at least six months is called enuresis — speak to your GP about assessment and support.

What if we are still stuggling after serveral weeks?

Up to one third of all children have an underlying bladder or bowel problem — the most common being constipation. If your child continues to have frequent accidents, or you find it very difficult to catch wees and poos in the potty or toilet, ask your health visitor or GP for a referral to a children’s bladder and bowel service. Waiting longer is rarely the answer, and most underlying conditions are treatable once identified.

Should we keep using the potty if we go out?

Yes. It is important that your child learns they can use the potty or toilet wherever they are. Take your child’s own potty seat and step with you so they can use familiar equipment — this builds confidence in new environments. Ask everyone who looks after your child to follow the same approach, including the same words, routine and equipment, so your child receives consistent messages wherever they are.

Resources

Guides, tools and downloads

Free resources from the Bladder & Bowel UK library for families and professionals.

Parent/carer
Bladder & Bowel UK – Guide to potty and toilet training

All the questions you have in one easy to read downloadable resource…

Parent/carer
Ready or not? When to start toilet training your child

Toilet training is a developmental skill that should be taught and supported early…

Parent/carer
Trouble shooting potty or toilet training

Some children find learning all the skills needed for potty or toilet training difficult…

Parent/carer
Understanding toilet refusal in children

Why some children refuse the potty or toilet, and practical strategies to help…

HEALTHCARE PROFESSIONAL
Best practice guidelines for professionals

Clinical guidance on supporting skill development and referral pathways…

Parent/carer
Promoting a healthy bladder and bowel

Longterm habits that support bladder maturation and prevent future problems…

Parent/carer
Bladder & Bowel UK guide on moving from potty to toilet

Many children start their journey towards managing to use the toilet on their own…

Parent/carer
Introducing potty learning with your baby in the first weeks and months of life

Most children can learn the skills they need…

Parent/carer
Healthy Urinary System in Children

Urine is the waste liquid produced in the body by the kidneys…

About us

Bladder & Bowel UK is a leading UK charitable service providing expert advice, support, and education on bladder and bowel health. We help children, young people, and adults manage conditions such as incontinence, constipation, and other continence issues through evidence-based guidance and practical resources.

Our specialist team supports individuals, families, carers, and healthcare professionals with reliable information on toilet training, bladder control, and bowel management. Through our confidential helpline, training programmes, and online resources, we aim to improve access to continence care and promote better bladder and bowel health for everyone.

At Bladder & Bowel UK, we are committed to raising awareness, reducing stigma around continence problems, and empowering people to seek help and live confidently.

Resource author

Davina Richardson RGN RSCN BSc (Hons)

Children’s Specialist Nurse

Bladder & Bowel UK

Biography

Davina is a specialist children’s nurse with extensive experience across acute care, children’s hospice services, and community nursing. Throughout her career, she has supported children with complex health needs, disabilities, and life-limiting conditions. She went on to establish and lead an NHS community bladder and bowel clinic for children, and has nearly 20 years’ experience working with children affected by bladder and bowel health issues.

Davina joined Bladder & Bowel UK in spring 2015. In her role, she provides expert advice, support, and information to children, young people, and families affected by bladder and bowel conditions. She also delivers education and training to professionals working in this field.

In addition to her clinical work, Davina has contributed to peer-reviewed journals and is actively involved in research projects focused on paediatric bladder and bowel health. She plays a key role in supporting service development within the NHS.

Davina has contributed to the development of national guidance and is an active member of several national groups. She serves as Paediatric Advisor to the Association of Continence Professionals and sits on the committee of the Royal College of Nursing Bladder and Bowel Forum.

Support

Our specialist team supports individuals, families, carers, and healthcare professionals. You are not alone!