Urinary incontinence is a common symptom that can affect women of all ages, with a wide range of severity and nature. Offering patients adequate and thorough assessment of their symptoms, helps avoid 10-14 referrals per month and unncessary medical tests or surgical interventions. Whilst rarely life-threatening, incontinence may seriously influence the physical, psychological and social wellbeing of affected women. The impact on the families and carers of women with urinary incontinence may be profound, and the resource implications for the health service considerable. Urinary incontinence is distressing and socially disruptive. It maybe the cause of personal health and hygeine problems. It may restrict employment and educational or leisure opportunties, and lead to embarassment and exclusion. Results of an audit informed the initiative, which looks to address compliance with NICE guidance at referral for secondary care. This led to more regualr teaching sessions for primary care staff, the development of an easy step guide for use in primary care and the establishment of regular audits.