For several years, in-house clinical skills training has been used in hospitals and clinical settings. There has been a dramatic increase in recent years in the usage of clinical skills training to underpin role development and improve practice standards among healthcare professionals. This article describes the evaluation of an evidence-based electrocardiogram (ECG) lead placement training that was devised and implemented by the Whittington Health National Health Service (NHS) Trust Clinical Education Department to meet the gap in training needs. The findings will provide the department with facts if the trust is on the right path of accomplishing its planned goals to support role expansion, expert improvement and alteration in practice to improve patient care.