The debate about the competence of newly qualified nurses and midwives has a long and contentious history. Much of this debate has not been informed by a strong evidence-base, but has often relied on anecdote, personal experience and deeply held opinion. Recently, Clark and Holmes (2007) reported findings that in England ward mangers have low expectations of newly qualified nurses, who themselves reported feeling poorly prepared for their new role. Whether this reflects an accurate picture of real competence is open to question and this potential disjuncture between judgements about competency and actual competency is at the heart of this evaluation