<p>The primary aim of this article is to share a multidisciplinary model for risk assessment that has been developed by the authors. We will describe the process and argue the case for active, structured and sensible risk assessment for people with learning disabilities who have epilepsy. In addition the article will outline how this relatively small population often has refractory seizures, which can present with significant risks associated with their epilepsy (Loughran and O’Brien 2001a). Finally, using a case study, we discuss why formal risk assessment is a key role for professionals working with people with learning disabilities and epilepsy but often becomes limiting and suppressive.</p>