What is the difference between an over toilet aid and a commode?

An over toilet aid (also called a toilet surround or toilet frame) is a freestanding frame that sits over an existing toilet, providing armrests and support to help the user sit down and stand up safely. It may include a seat or bucket — but typically, the user toilets directly into the toilet below. A commode is a chair with a built-in toilet seat and removable bucket beneath, which can be used either over a toilet or as a freestanding bedside toilet when bathroom access is not possible. Many products in our range are multifunctional — such as 3-in-1 designs — and can be configured as an over toilet aid, a freestanding commode, or a raised toilet seat depending on the situation. Many mobile commodes are also designed to be used in the shower to allow for hygiene care.

What should I look for when choosing an over toilet chair for an elderly person?

Generally, we recommend always consulting an appropriately qualified healthcare professional prior to purchasing any bathroom or toileting aids. The key factors to consider are seat height adjustability to ensure the user’s feet rest flat on the floor with hips at approximately 90 degrees, armrest height and stability to support sitting and standing transfers, weight capacity to ensure the product is rated for the user’s weight, and whether back support is needed. For users who require carer assistance with transfers, a drop-arm design that allows the armrest to be lowered or removed from the side makes lateral transfers significantly safer and easier. If the user has had a hip replacement, your occupational therapist or physiotherapist may specify a particular seat height or armrest configuration — it is worth checking this before purchasing.

Can over toilet aids and commodes be funded through the NDIS?

Yes. Over toilet chairs and commode aids are commonly funded under the NDIS Assistive Technology support category where assessed as reasonable and necessary for the individual’s personal care and toileting needs. Safety and Mobility is a registered NDIS provider and can provide itemised quotes in the format required by plan managers and support coordinators. Contact us on (02) 9983 9520 or via our quote request form to get started.

What is a drop-arm commode and when is it recommended?

A drop-arm commode has one or both armrests designed to swing down or fold away to the side, creating an open transfer surface. This is particularly important for clients who transfer laterally — for example, from a wheelchair to the commode — as it removes the barrier of a fixed armrest and allows a much safer, more controlled transfer. Drop-arm commodes are commonly recommended by occupational therapists for clients who use a wheelchair, have had a hip replacement with specific movement precautions, or where a carer is assisting with a slide or hoist transfer. Safety and Mobility stocks both standard and bariatric drop-arm commode options — contact our team if you would like guidance on which is appropriate for your client.

Are there over toilet aids suitable for bariatric clients?

Yes. Safety and Mobility stocks a dedicated range of bariatric over toilet aids and commodes rated to higher safe working loads and featuring wider seat widths to safely and comfortably accommodate clients of larger body size. Options include width-adjustable designs and drop-arm configurations to support safer lateral transfers for bariatric clients. For a full overview, visit our bariatric commodes and over toilet aids page, or contact our team for guidance on which product is most suitable for your client’s specific needs.