In 2007, the Winnipeg Regional Health Authority introduced a full-time Nurse Practitioner into a 116-bed non-profit nursing home in downtown Winnipeg. This appointment provided an opportunity for the authors to explore the relationship between a Nurse Practitioner, acting as the primary care provider, and a single physician serving as the consultant for complex care issues. Outcomes were measured in terms of resident and family satisfaction, quality of care indications and cost effectiveness. Data were collected from preexisting quality indicators, including a resident/family satisfaction survey, as well as transfers to acute care and statistics on medication use. Unstructured interviews were also conducted with nursing staff and members of the interdisciplinary team. The following is an edited rendering of an article published in Canadian Nurse (Vol. 105, No.9; November, 2009) that describes the relationship that was established.