I graduated from Paisley University in 1988 with an Honours degree in Mathematical Sciences. Since then I have worked as a statistician, primarily in the field of health services research; from 1988 to 1990 at the Health Services Research Unit, University of Aberdeen; from 1990 to 1994 at the Institute of Occupational Medicine, Edinburgh; and from 1994 to 1996 at Ayrshire and Arran Health Board, on secondment from the Department of Public Health, University of Aberdeen. In 1993 I obtained an MSc by research from the University of Aberdeen, and in 1997 was awarded Chartered Statistician status. In July 2001 I took up the post of programme director at NMAHP Research Unit, developing what is now the Pelvic Health programme. Current clinical areas of research interest include prolapse, urinary catheters and urinary incontinence. Methodologically I'm interested in the process of developing and evaluating complex interventions and the measurement of health outcomes.  The work of the progamme involves systematic reviews and multi-centre RCTs. I was awarded my PhD from Glasgow Caledonian University in 2006 and a personal Chair in 2009. I became Deputy Director (GCU) of the NMAHP Research Unit in 2017. I am an expert committee member of the International Consultation on Incontinence, a statistical editor for the Cochrane Incontinence Review Group and an adjunct assistant Professor at the School of Nursing, University of Pennsylvania.