There are over 200 consultant nurses in post in the four UK countries. They work in a variety of settings – such as mental health, sexual health, public health, infection control, midwifery and the care of older people. Lothian Primary Care Trust established the first consultant nurse post in learning disabilities in Scotland and I was appointed to it last October. Similar posts in Glasgow and Inverness are being developed, with the possibility of others to follow. The creation of these posts in learning disability practice is good news for people with learning disabilities and their carers, given the indisputable evidence of their high health needs and the often complex challenges of trying to meet them. The key to our success will be our ability to work in partnership with people with learning disabilities, their carers and other key stakeholders to improve health and wellbeing.