Mandy Butler is Lead Urodynamic /Continence Clinical Nurse Specialist at Gloucestershire Foundation NHS Trust with 30 years continence Care working in both primary care and secondary care.  Mandy specialises in Urology, Bladder & Bowel dysfunction, Urodynamics, indwelling urinary catheter skills & care. Mandy provides regular education programmes to both Trusts within Gloucestershire (secondary & primary care). Mandy has been instrumental at streamlining continence services between acute and community care with attending regular MDT meeting with uro-gynae, microbiology, colorectal with the aim of cohesive working and care. She also runs twice / month  joint clinics with pelvic health physiotherapists.