The physical health challenges and reduced life expectancy experienced by people accessing mental health services are clearly documented. Unfortunately, this knowledge has not translated into significant and widespread practice change. The Physical Health Nurse Consultant position was developed by a multidisciplinary research team and is directly informed by research undertaken with consumers, carers and nurses in mental health. With National Health and Medical Research Council funding, this position is being trialled in the ACT. A Randomised Controlled Trial is comparing the Physical Health Nurse Consultant to treatment as usual. A comprehensive evaluation will compare the two groups using clinical outcomes, access to and acceptability of treatment, quality of life, burden of disease and cost-effectiveness. This presentation will provide a brief overview of the development and implementation of this nurse-led position, reflecting the perspectives of consumers, carers and nurses. It will include a warts and all overview of the barriers encountered through the implementation process and the team is learning about major barriers to providing quality physical health care within mental health services. If evaluation is positive, this strategy could provide a model for the improvement of physical health care within mental health services and address a major health inequity.