Even with the help of two carers it can take Josh up to two hours to get ready every morning.

The 21-year-old has muscular dystrophy, a degenerative disease that slowly breaks down muscles, paralysing the sufferer.

The day begins with Josh's carer – usually his dad Rick or mum Tanya – switching off the ventilator which helps him breathe overnight.

Then comes dressing, bathing, toileting, including "logrolling" to put his clothes on. Josh is then hoisted on to his wheelchair, ready to be fed breakfast and face the rest of the day.