Guidance to help improve the care and experience of children and adults with continence problems was published by NHS England in November 2015. Excellence in Continence Care provides a framework that enables commissioners to work in collaboration with providers and others to make a step change so that safe, dignified, efficient and effective continence care is consistently provided. This article looks at the potential impact of continence problems on health, and summarises the guidance on how health professionals can improve the experiences of people with continence needs.