Improving pain control is an area where nurses have the clinical expertise to make a significant difference to the quality of patient care. The inhaled analgesic 50% nitrous oxide and 50% oxygen is ideal for use when undertaking short, potentially painful procedures as it is a safe and effective method of pain relief. Many patients in the community require procedures that can be extremely painful. This article describes how this analgesic has been successfully introduced throughout a PCT, through collaborative working between acute pain nurses based in the hospital setting and community nurses.