In 2001, consultant gynaecologists at Bradford Hospitals NHS Trust extended the services in the outpatient hysteroscopy department from being purely diagnostic to offering simple operative procedures. As a result, it was decided that two existing nurse facilitators would undertake the diagnostic work. To equip them with the necessary skills and competence, an advanced practice hysteroscopy module was developed in collaboration between the hospital and the University of Bradford. Successful completion of academic and practical work allows nurses to practise diagnostic hysteroscopy independently. Feedback from patients about the service now offered by nurses has been positive.