The road to non-medical prescribing in the UK has been a long and somewhat thorny one. It is now almost 20 years since the initial report highlighting the need for nurse prescribing (now referred to as non-medical prescribing). This article explores the non-medical prescribing process, focusing on both current practice and exciting new developments. The legislation in the UK that is leading implementation and practice, the current format of practice and proposed new initiatives will be examined. The perceived need for non-medical prescribing and associated benefits will be explored, together with the disadvantages relating to people with diabetes and the health professionals caring for them. Issues and concerns from diabetes specialist nurses and other health professionals regarding nurse prescribing will be debated. We will begin this journey in England and follow the path to nurse prescribing in other European countries.