The practice setting for intellectual disability nursing is difficult to define because it is located in a complex landscape of service provision. This includes, for example, residential care homes, independent living homes, supported living arrangements, as well as people with intellectual disabilities living in their own homes as well as family homes. There are also larger service configurations and very specialist settings, such as treatment and assessment services and challenging behaviour units, as well as specialist health or social care settings, such as hospices or homes for older people. Therefore much of the care planning and delivery of intellectual nurses now no longer takes place in traditional settings; rather it takes place in within the context of multi-disciplinary and multi-agency settings (Alaszewski et al., 2001). However, because of professional requirements for intellectual disability nurses, regardless of where people with intellectual disabilities live, if they are in receipt of nursing care this should be guided by a care plan, whether the care comprises short intensive nursing interventions or long periods of care and support (Nursing and Midwifery Council, 2004c).