Background: A specialist community public health nursing service introduced practice development from the year 2000 to promote local innovative service and practice.

Aims and objectives: This article discusses experiences of practice development through Mezirow’s reflective discourse.

Conclusions: Practice development promotes practitioner-led innovation and participating leads to transformative learning, challenging assumptions, group cohesion and consensus.

Implications for practice: Practice development within specialist community public health nursing practice reinforces a consensual process benefitting all participants and their employing organisations. Nursing socialisation and group membership are key themes emerging to drive successful practice-based innovation. Group membership affects the individual and vice versa through consensual communication to transform learning and practice.

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This article by Paul Regan is licensed under a Creative Commons Attribution Non-Commercial 3.0 License.