Proposed in the Conservative Party’s 2007 White paper on health 'NHS Autonomy and Accountability', on the 20th May 2010 the Coalition Government announced its intention to “establish an independent NHS board to allocate resources and provide commissioning guidelines”. Details of the independent board’s composition, scope and role are expected in the Government’s forthcoming health White Paper this summer. In the absence of specific details about the independent board at this stage, the Conservatives’ 2007 health white paper is the best indication of the board’s future design and scope. Using the Conservative’s vision for the independent board as a basis, this paper seeks to begin a discussion on what an independent board will mean for Nursing and nurses. It will consider what are the important questions and issues likely to arise from its creation, and discuss what the Government should consider when developing and implementing its decision.