This article discusses the experience of one university in the development, implementation and evaluation of a modular programme of study for practitioners working with people with long-term conditions. It addresses the complexity of developing a curriculum in response to Department of Health initiatives, at times pre-empting central guidance. It highlights the importance of partnership working underpinning every aspect of programme development. The article provides some context for the policy initiative, discusses some of the challenges in programme design, content and the requirement for work-based learning. The assessment, learning and teaching strategies are described, highlighting some of the benefits of portfolios as a means of evidencing and enhancing learning. Evaluation and progress of the programme to date is shared, highlighting some future challenges. This includes ensuring that the programme continues to complement other courses and that modules meet future challenges, including the Nursing and Midwifery Council requirements for advanced practice.