Accessible Bathrooms
Hertfordshire, Bedfordshire & Cambridgeshire
Accessible bathrooms, level access showers and mobility adaptations across Hertfordshire, Bedfordshire and Cambridgeshire. Call 01462 506 374 or arrange a survey.
This page is longer than most on the subject because two things get got wrong constantly, and both of them cost people money: the VAT position, and what the Building Regulations actually require. This is general information rather than legal or tax advice.



The VAT position, and the trap almost everybody falls into
There are two different reliefs, they have different qualifying rules, and being charged the wrong one is a live HMRC exposure for the installer as well as a cost to you.

Zero rated, 0%
Applies where the work is for a chronically sick or disabled person, in their private residence, and is necessary to suit their condition.
“Chronically sick or disabled” means a physical or mental impairment with a long term and substantial adverse effect on everyday activities, or a medically recognised chronic condition. A temporary disability such as a broken limb does not qualify.
What qualifies: providing, extending or adapting a bathroom, washroom or lavatory. Constructing a ramp. Widening an existing doorway or passage.
Two details worth knowing because they are money:
- Lost space can be restored at 0%. If converting a bathroom eats into another room, restoring that room to its original size, and only that lost space, is also zero rated.
- Preparatory and making good work is included. Where the qualifying work needs preparation and necessary restoration afterwards, those services are zero rated too.
What does not qualify, and this catches people: constructing a new doorway or passage, as opposed to widening an existing one. Central heating boilers. Replacement windows or doors. Bedrooms, dining rooms, living rooms, utility rooms, offices, kitchens and carers’ rooms.
Reduced rated, 5%
This is the one that gets missed. Certain mobility aids installed in the home of a person aged 60 or over are reduced rated at 5%, not zero rated.
The qualifying list is specific: grab rails, ramps, stair lifts, bath lifts, built in shower seats or showers containing built in shower seats, and walk in baths with sealable doors. The goods must be supplied and installed. Supply only does not qualify.
So, plainly
Disabled person, private residence, necessary to their condition: 0%. Person aged 60 or over who is not disabled, having one of the listed mobility aids supplied and fitted: 5%. Anything else: 20%.
You will need to sign a written declaration confirming eligibility. It has to be separate from, or clearly distinguishable from, the order form or invoice. There is no HMRC exemption certificate, whatever anybody tells you, so if a company says it needs one before applying the relief, it does not know the rules. Where the person cannot sign, a parent, guardian, doctor or other responsible person may sign instead.
One more: for a charity, only a washroom or lavatory can be zero rated. Not a bathroom.


Disabled Facilities Grant
The mandatory maximum in England is £30,000. Wales is £36,000 and Northern Ireland £25,000. It is administered by your local council, not by us and not by the NHS.
Current as of 2026: in February 2026 the government reformed how DFG funding is allocated to local authorities, to reflect local levels of disability and health need. It did not lift the £30,000 cap. A review of the upper limit has been carried out and the right approach is still being considered. Anyone telling you the maximum has gone up is wrong.
Means testing applies to household income and to savings above £6,000, but not where the application is for a disabled child under 18, and the means test does not apply to children under 19. Landlords are not income assessed.
The two part test: the works must be necessary and appropriate to meet the disabled person’s needs, which social services and occupational therapy decide, and reasonable and practicable given the age and condition of the building, which the housing department decides. Councils must approve or refuse within six months of the application.
Councils also hold discretionary powers to top up above £30,000 through their own housing assistance policies, and those vary between authorities across our patch. Worth asking rather than assuming.
The free route people miss
A local authority must not charge for community equipment and minor adaptations where the adaptation costs £1,000 or less. Grab rails, a raised toilet seat, a half step. If that is what you need, you should not be paying for it and you should not be paying us for it either. Ask your council first.
What the Building Regulations actually say, and what they do not
This is the single most misstated thing on competitor pages, so here it is straight.
Approved Document M Volume 1 does not apply to adapting an existing home. Its own text says the recommendations apply to newly erected dwellings and dwellings undergoing material alteration only, and that they do not apply to extending a dwelling. The higher accessibility standards, M4(2) accessible and adaptable and M4(3) wheelchair user dwellings, only apply where a planning condition imposes them.
Volume 2 of Approved Document M, with all its detailed WC layouts and grab rail diagrams, covers buildings other than dwellings. It does not govern your bathroom.
So there is no Building Regulation dictating the seat height or the rail position in a private home adaptation. The dimensions come from the occupational therapist’s assessment of the individual, which is as it should be, because the right height for a WC depends on the person using it rather than on a table.
What is genuinely useful from Approved Document M, and we build to it as good practice: walls, ducts and boxings in a WC, bathroom or shower room should be strong enough to support grab rails, seats and other adaptations, taking loads of up to 1.5 kN per square metre. That matters because a grab rail screwed into unreinforced plasterboard will come off the wall under load, and that is exactly the moment somebody falls.
Where an overhead hoist may be needed, the structure has to carry considerably more, and that is a decision to take before the walls are closed up rather than after.
What we actually install
The floor is formed to fall to the drain, tanked, and tiled, so there is no lip, no tray edge and nothing to step over. On a timber floor this is where most projects meet their real constraint, and it is worth understanding why. The drain body and its trap have to fit within the joist depth, and there are strict limits on how much a joist may be notched, so the answer is sometimes a raised floor, a shallow trap gully or structural work. We survey for that before quoting, not after starting.
Right for somebody who wants a bath and cannot step over the side. Worth knowing that they fill and drain with you in them, so the fill and drain times matter more than the marketing suggests.
Not into a plasterboard wall with hollow fixings.
set to the height that suits the person, and wash and dry toilets where the assessment calls for one.
Approved Document G limits the hot water supply to a bath to a maximum of 48°C using an in line blending valve or equivalent, and the control should not be easily altered by the user. Note the scope carefully, because it is widely misquoted: that 48°C figure is a bath requirement, not a shower one. On an accessible installation we would fit thermostatic protection throughout regardless, because reduced sensation and slower reaction time are exactly the circumstances scald protection exists for.
Widening an existing doorway is zero rated. Forming a new one is not. Outward opening or sliding doors where somebody could fall against an inward opening one and block it.
How the process usually runs
Referral to social services or occupational therapy. Screening, then an assessment, with an occupational therapist for the more complex cases. The OT determines what is necessary and appropriate and makes a formal recommendation. The DFG application goes to the local authority housing department. Means test for adults. Approval, then works.
Worth knowing: a DFG can be accessed before a formal Care Act eligibility assessment. Care Act eligibility criteria should not be applied when awarding one. People are regularly told to wait when they do not have to.
We are happy to work directly from an OT’s schedule of works, and to price against it so the council can see exactly what it is funding.
Arrange a survey
Call 01462 506 374 or tell us what is needed. If you have an OT report or a DFG reference, mention it and we will price against the schedule. Across Hertfordshire, Bedfordshire and Cambridgeshire.
Frequently asked questions
Can I get the work at 0% VAT?
Possibly. Zero rating applies where the work is for a disabled person in their own private residence and the alteration suits their condition. It is a specific relief with specific conditions, and it is not the same thing as the reduced rate. We will tell you which one your job falls under before you commit.
What is the 5% rate then?
A reduced rate that applies where a listed mobility aid is supplied and installed in the home of somebody aged 60 or over. It is a narrower list than most people expect, so check it against your actual job rather than assuming.
Do I need a certificate from HMRC to claim the relief?
No, and this catches people out. There is no HMRC exemption certificate. What is needed is a declaration of eligibility, which we provide and you sign, and which we keep with the paperwork.
Can I get a grant towards it?
A Disabled Facilities Grant is administered by your local council following an assessment. The maximum in England is still £30,000. The February 2026 reform changed how funding is allocated to councils and did not raise that cap.
Does Building Regulations Part M apply to my house?
Approved Document M Volume 1 covers new dwellings. Adapting an existing home is not the same thing, and it does not apply. Plenty of competitor pages say otherwise. What does matter is that the finished room works for the person using it, which is a design question rather than a compliance one.
What does an accessible bathroom usually involve?
Level access showering, a slip resistant floor, grab rails fixed into proper backing rather than plasterboard, a comfort height WC, lever taps, and space to turn or transfer. We measure around the person rather than the fashion.
Areas we cover
We design and fit accessible bathrooms throughout our coverage area.
- Hitchin
- Stevenage
- Letchworth
- Baldock
- Royston
- Biggleswade
- Sandy
- St Neots
- Bedford
- Luton
- Dunstable
- Harpenden
- St Albans
- Welwyn Garden City
- Hertford
- Ware
- Hemel Hempstead
- Hatfield
- Potters Bar
- Cambridge
- Shefford
- Stotfold
- Arlesey
- Knebworth
- Flitwick
- Ampthill
We work across Hertfordshire, Bedfordshire and Cambridgeshire from our base in Stevenage. If your village is not listed, ring 01462 506374 and we will tell you honestly whether we reach you.
Related: wet rooms, shower installation, bathroom installations and bathroom repairs.
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