Learning disability nursing is at a tipping point, with the opportunity to reimagine itself or fall into an abyss. For many readers this statement will be no surprise; after all, the profession has been here before. However, learning disability nursing recruitment has dropped considerably and the number of registered learning disability nurses (RNLDs) on the Nursing and Midwifery Council register is at an all-time low. Add to this repeated claims that our unparalleled profession struggles to articulate itself and the wider uncertainty about what RNLDs do.