An improved patient transfer and toileting sling comprising an additional flap 3 fabric and adjustment strap 4. The additional fabric and adjusting means allows for enhanced security during transfers and can be easily and quickly removed to facilitate access to patients clothing during toileting. Adjustment buckles 6 allow the sling to be secured and fitted around a patients bottom for enhanced comfort and security during transfers. They can also be used to secure the additional flap 3 fabric up and out of the way during toileting to allow for improved access to a patients clothing.