The Council of Deans of Health welcomes engagement with the NMC on the future of the EU Directive for nursing and midwifery education. However, we believe its current proposals are a missed opportunity to truly innovate and move to a fully outcome-focused model. Increased hours for cutting edge simulation opportunities, that go beyond the NMC’s current proposals, would allow students to further develop their skills and knowledge to meet professional standards in new settings. Moving from an hours-based requirement to a three year minimum programme would allow for further innovation and flexibility to develop programmes that better meet the needs of students, service and patients. While we are disappointed the NMC has not gone further at this time, we are pleased that it has committed to reviewing its approach as the evidence base continues to increase. We remain committed to partnership work with the NMC to build the evidence base towards innovation in healthcare higher education.