Finding ways to help learning disability nurses respond to changes in the way services are delivered has become a major challenge. Peter Zaagman explains how one university is responding

This article describes the innovative way in which Oxford Brookes University has responded to recent trends in the delivery of services by registered learning disability nurses (RNLDs) and career pathways of graduates. The approach outlined here allows students to enhance their knowledge, skills and experience in a particular service setting or for specific client groups before qualifying, to better prepare them for a particular chosen specialty.