More needs to be done to address the professional issues that arise from inflammatory bowel disease (IBD) specialist nurse practice. The lack of regulation of advanced nurse practitioner (ANP) roles in the UK raises questions in relation to inconsistencies of benchmark standards, scope of practice and qualification processes. A review of the literature supports the view that a competency framework for ANP roles would demonstrate knowledge and skills in the absence of UK regulation. The benefits of such a framework have already been recognised in different areas of gastroenterology and other specialties. A specific competency framework is required for IBD specialist nurses to provide transparency and governance in this area of practice.