Purpose: In 2014, National Institute for Health and Care Excellence (NICE) announced it was going to develop its first set of guidelines on learning disabilities. The topic was “behaviour that challenges” and in May 2015 NICE published a full set of guidance (371 pages) covering service user and carer experiences, assessment, risk factors and interventions for behaviour that challenges (NICE, 2015). The linked quality standards were published later in 2015. The paper aims to discuss these issues. Design/methodology/approach: This paper explains the process of developing the guidance. Findings: The final guidance is described in summary form, together with the quality standards. Originality/value: This paper provides a brief summary...