<p>This article, the first in a series of three on developing a framework for learning disability nursing practice, discusses how a bespoke nursing model was devised from elements of other models. As the article makes clear, such frameworks must keep up with evolving needs, practices, policies and laws in the learning disability nursing field. The framework, devised by nurses from the Haringey Learning Disabilities Partnership, in London, is reflective, person centred, evidence based and outcome focused.</p>