The School of Health Sciences at the University of Birmingham provided opportunities for the development of student learning communities and online resources within the neurological module of the BSc Physiotherapy degree programme. These learning communities were designed to facilitate peer and independent learning in core aspects underpinning clinical practice, thus laying the foundation for the development of effective clinical reasoning. This paper examines some of the problems that staff encountered, including the lessons that they learnt through the design, development, and implementation processes of the module, and the subsequent modifications that were made. Student experiences of this course are also included, as they provided staff with further insights into the ways in which these problems impacted upon their preparation for clinical practice and how the module might be improved for future cohorts. From an analysis of the problems that staff encountered and then sought to resolve, and of student experiences of the course, this paper identifies foundations for good practice in the development and delivery of innovative learning and teaching methods.