The ACA is privileged to have the following patrons to help and support the association and its objectives in the wider health and political arenas.

Patron - Melanie Reid 


Melanie Reid is an award winning writer and columnist at The Times, who in 2010, fell off her horse and broke her neck. She started writing Spinal Column in The Times Saturday Magazine during her year-long stay in hospital and now records the unvarnished realities of life for the chronically ill.

As a tetraplegic, she has an in-dwelling supra-pubic catheter and has suffered long-term and recurrent bladder infections. She has now reached just about the last line of antibiotic defence, gentamicin, and would really like to stay alive a little longer. In her column she has described incontinence as the NHS's hidden scandal and campaigns for increased resources and research into treatment.

Her boast is that she succeeded in getting The Times to write an editorial, the first ever in a national newspaper, she believes, about catheters.

She was UK Columnist of the Year in 2011 and in 2014, she won the Edgar Wallace Award for Journalism and an Editorial Intelligence Comment Award. She is a graduate of Edinburgh University and has an honorary degree from Stirling University.

Patron - Mr Paul Abrams MD FRCS


Paul Abrams is considered one of the world’s leading experts in the field of lower urinary tract dysfunction. He introduced the term “Lower Urinary Tract Symptoms (LUTS)” in 1994 and, with Alan Wein the term “Overactive Bladder (OAB)” in 1996.

Professor Abrams received his MB ChB in 1970 from Sheffield University Medical School, was appointed a Fellow of the Royal College of Surgeons in 1974, received his MD from Bristol in 1977 and was accredited in Urology in 1981.  He is currently Professor of Urology, University of Bristol and Honorary Consultant Urological Surgeon, Southmead Hospital, Bristol and a Director of the Bristol Urological Institute.

Professor Abrams served as General Secretary of the International Continence Society (ICS), a position he held from 1985 to 2003..  In addition, he has been Chairman of all five International International Consultations on Incontinence He chaired the Urodynamic Sub-committee of the International Consultation on Benign Prostatic Disease, was co-chair of the 2005 Consultation on Male Lower Urinary Tract Dysfunction, and President of the 2012 Consultation on Male LUTS. He was Vice-Chairman of the International Consultation on Urological Diseases (ICUD), becoming Chair of ICUD in 2008.

He was deputy editor of Neurourology and Urodynamics (1995 – 2006), is a member of several editorial boards and an expert reviewer, as well as a journal referee, for many leading urology journals.  He is currently a member of data monitoring committee for the NIH (in the US).  He was a member of theNICE Interventional Procedures Advisory Committee until 2008, and was on the review group for Female Incontinence Guidelines(2013) and for Quality Standards for Male Lower Urinary Tract Symptoms(2013) and  for Female Urinary Incontinence (2014). He was the first Chairman of the BAUS Section of Female and Reconstructive Urology.  He is also extremely involved in UK national and local academic and administrative work: he was the Royal College of Surgeons’ Director for Professional Affairs in the South West from 2008-2013.

Professor Abrams was Chair of the Strategy Planning Office and a member of the Board of the European Association of Urology (EAU) until 2012, and was Chair of Courses and Consultations at the Societé International d’Urologie (SIU), until 2009. He was Scientific Chairman of the SIU meeting in Marrakesh in 2010 and organised the 1st ICUD-SIU International Consultation on Obstetric Vesico-Vaginal Fistulae, held at the same meeting in 2010.

An invited speaker at meetings in over 45 countries, he has lectured and presented at all the major international urological meetings.  He has edited more than 15 books, has contributed chapters to more than 40 academic books and has produced over 370 peer-reviewed journal articles and published more than 100 invited articles and abstracts.  The third edition of his book “Urodynamics” was published in 2005. He co-authored the recently published book on leadership: “Lead by VIP”


Clinical Advisors:-

The ACA Clinical Advisors assist the Association with all matters relating to practice within their specialty.  

General Practice Advisor:-

Dr. Julian Spinksdr-julian-spinks.png

Dr Julian Spinks, Partner, Court View Surgery

Dr Julian Spinks is a full-time GP working in a practice in Medway, North Kent. For over a decade he has developed a particular interest in the primary care management of patients with urological and continence problems.

In recent years he has served on development groups for the National Institute for Health and Care Excellence including the 2006 guideline on Female Urinary Incontinence, the guideline on Male Lower Urinary Tract Symptoms and the Quality Standards for male LUTS . He is a member of the Fellows Board of the Map of Medicine, writes for a number of GP publications and also lectures on the management of urinary tract conditions.  He is the national GP advisor to the Association for Continence Advice, a member of the LUTS Expert Group and Radio Kent’s GP.


Paediatric Advisor:- 

June Rogers, MBEjune-rogers-mbe.jpg

PromoCon Paediatric Continence Specialist

RN, RSCN, DPSN, BA(Hons), MSc, ENB216,  ENBN01, ENB978.

June is a Paediatric Continence Specialist , working at PromoCon under the umbrella of the charity Disabled Living. With over 30 years experience working with children with bladder and bowel problems June has published widely and presented papers both nationally and internationally as well as winning a number of awards for her work including in 2007 the Nursing Times Continence Care Award and in 2011  the Nursing Standard Child Health Award. In 2013 June was runner up in the BJN Bowel Nurse of the Year and the winner of the ACA Bowel SIG Award. In 1998 she was awarded an MBE. June has been involved with a number of national working parties both for the DH and NICE re continence issues and is currently a member of the NHS England ‘Excellence in Continence Care National Programme Board’.

Medical Advisor:-

Mr. Mark Stottmark-stott.png

Consultant Urologist, Royal Devon and Exeter Hospital.

Mark Stott trained as a medical student in Bristol in 1980. He had basic training in surgery in Leicester, Bournemouth and Southampton.

He conducted research into neuropathic bladders with Paul Abrams in Bristol from 1986-1988. He was a senior registrar in urology at Norwich and Cambridge and has been a consultant in Exeter since 1992.

He has worked as a general urologist but developed sub intersets in paediatric urology, bladder sysfuntion and renal cancer. He developed the 1st botox service in the south west and has treated over 500 patients. More recently they have introduced PTNS and sacral neuro-modulation to Exeter, providing some services for Devon.

His interests include Egytptology, flying and restoring vintage aircraft. A keen educator Mr Stott has worked on registrar and national training committees and has mentored many nurses and 1 physio! through the non medical prescribing course.

 ACA Representative Adviser

Catherine Williams - Parliamentary Groups & Other Formal Groups Representative

Clinical & Operational Lead, Bladder & Bowel Service, North Somerset Community Services:

History with ACA: I joined the ACA in 1994 whilst working in a continence post on a fixed term contract. I returned to District Nursing for a couple of years and gained a permanent continence post in 1996. I initially became involved with the South West ACA (SWACA),  and have since served 12 years on the ACA executive including 2 years as chair 2005-2007. I stood down from the Executive in 2018.
Work Role: I spent 17 years working as a Continence Nurse Specialist before moving into a managerial role. I am a non-medical prescriber and have an MSc in Specialist Practice.
 I have managed all aspects of community services over the last 5 years and currently manage Specialist Community Services which includes the Bladder & Bowel Service, where I still undertake a regular clinical session.
I have previously held a role within commissioning and work closely with local commissioners to deliver and improve services. I am currently supporting work to amalgamate 3 local providers to deliver services across Bristol, North Somerset and South Gloucestershire

Positions held: Chair 2005- 2007

Academic Advisor:-

Professor Carol Curran

Chief executive of UU Health Ltd.