This paper addresses the imperative to address sustainability and climate change in nurse education. This will be done by outlining the socio-political and policy context and a discussion of a 'triad' of sustainability-climate change-health. However this is not about introducing new content. The form of education itself has to change and to address goals other than the transmission of skills and knowledge to prepare graduate nurses for a role in the NHS. Key concepts and propositions for a sustainability education within nursing will be outlined. This is offered in the spirit of stimulating argument and debate.