Martin Kent is a general practitioner with a special interest in the management and care of people with diabetes, and a clinical advisor in diabetes to the local Primary Care Trust (PCT). Matt Rangué is the Associate Director of Nursing & Clinical Governance to the Trust, with responsibility for workforce development, training and quality in the delivery of the new UK Diabetes National Service Framework (NSF). Martin and Matt see the UK Diabetes NSF as a valuable tool around which to plan and deliver services to people with diabetes. However, they are aware that implementation in their area will pose significant challenges for primary care.