How does a University respond to a clinical practitioners’ need for knowledge in a dynamic practice environment? And what factors contribute to this environment of continual change for health professionals? This presentation offer an insight into the forces shaping changes in health practice and a critical appraisal of potential responses to a dynamic practice environment. As the complexity of care offered patients and the competency needs of clinicians is constantly changing, the capacity of the education providers (both within the hospital and outside) is constrained. In hospitals there has always been a tension between ‘service’ and ‘education’. Our approach is to integrate education into the service provision of care offered by clinicians. Transforming formal learning into flexible mode offerings and using different technologies to focus on clinicians needs for knowledge application and what has been achieved to date will be discussed. Next, we will report on the clinician’s and hospital staffs response to this integrated approach to clinical learning, what have they had to say about this approach. Finally, we will offer a glimpse into the future of our ‘integrate education service model that operates in a complex bureaucratic organisation.