Earlier this year, the authors, all members of the UK Learning Disability Consultant Nurse Network, completed development of the Health Equalities Framework. This framework was developed after a review of evidence for health inequalities among service users indicated that outcome measures should be improved across all health and social care services. It explains why the framework should inform the commissioning of services for people with learning disabilities. : Dave Atkinson and colleagues describe how a group of professionals created a framework for assessing the effect of services on clientsʼ wellbeing