GPNs act as the gatekeeper for many conversations within primary care, and with many studies highlighting that nursing is one of the most trusted professions, it is no secret that alcohol consumption discussions become a core part of conversations with patients. These conversations can start due to Quality and Outcomes Framework (QOF) requirements, but the role of GPNs in holistic assessment goes further than this to help provide supportive measures and guidance around what services may be available. Having direct clinical guidance will no doubt enhance the already high-quality level conversations that are taking place in general practice by GPNs, but it is important that they can also escalate to other members of staff if they feel that this skill is not within their remit. However, through this article it is clear how the role of the community in identification, referral and advice can help shape the future conversations around alcohol dependence, and GPNs will be key through their unique position in the community and strength at building strong therapeutic relationships.