We support people with profound and multiple learning disabilities, PMLD - their families, carers and professionals. We are a leading organisation that is responsive to the needs of the people we support in innovative and creative ways. Our commitment is to ensure that: people with PMLD are valued as contributors to the community individuals receive all the support needed to participate fully in everyday life choices, abilities and needs underlie all provision and policy affecting their lives the knowledge and experience of family carers is recognise. To achieve this, PAMIS offers: practical help, advice, training and information individual support, and contact with other families assistance with achieving better access to community resources, whether mainstream or specialist the opportunity to significantly influence policy and services, both at local and national levels. Our services include Family Support Service, inclusive leisure activities, learning and development, postural care, self directed support, research, transitions, digital passports and multi sensory storytelling. PAMIS is co founder of the Changing Places Campaign and a member of the Changing Places Consortium. The Consortium campaigns throughout the UK and beyond for Changing Places toilets to be provided in all public places, including city centres, shopping centres, railway stations, airports and leisure complexes. Changing Places toilets are designed to meet the needs of people with complex care needs.