1. safeguarding people with dementia: building up evidence based policy and practice jill.manthorpe@kcl.ac.uk

2. Taken for granted? Dementia syndromes increase vulnerability to abuse, mistreatment and neglect Dementia syndromes increase vulnerability to abuse, mistreatment and neglect Dementia decreases discovery, disclosure and detection Dementia decreases discovery, disclosure and detection Dementia increases risks of false positives and false negatives Dementia increases risks of false positives and false negatives Dementia leads to over protection Dementia leads to over protection

3. Policy pile ups 2008 Review of No Secrets 2008 Review of No Secrets 2008 Dementia Strategy 2008 Dementia Strategy 2008 Safeguarding Vulnerable Groups Act 2008 Safeguarding Vulnerable Groups Act 2007/8 Personalisation 2007/8 Personalisation 2008 Review of Adult Social Care funding 2008 Review of Adult Social Care funding 2007 Mental Capacity Act 2007 Mental Capacity Act

4. practice Legislation covering discrimination, crime, human rights, public safety, at population and sub population levels Legislation covering discrimination, crime, human rights, public safety, at population and sub population levels Underpinned by public services, market regulation, professional duties, enforcement and inspectors, partnerships, education Underpinned by public services, market regulation, professional duties, enforcement and inspectors, partnerships, education Augmented by advice, advocacy, professional services/therapy Augmented by advice, advocacy, professional services/therapy

5. Secondary Rights and duties to investigate, share data, override other general duties Rights and duties to investigate, share data, override other general duties Support for alleged victims and perpetrators Support for alleged victims and perpetrators Surveillance, risk assessments, screening Surveillance, risk assessments, screening Codes of practice, policies and procedures Codes of practice, policies and procedures

6. Tertiary Legal remedies – future prevention Legal remedies – future prevention Therapeutic responses Therapeutic responses Interventions, harm minimisation Interventions, harm minimisation Support for victims (and others), recovery and survival Support for victims (and others), recovery and survival

7. Building up policy evidence New offences under MCA Early cases Early cases Evidence and records Evidence and records Decision making Decision making Postvention – recovery and survival Postvention – recovery and survival Cultural or organisational impacts Cultural or organisational impacts

8. Building up practice evidence Recording casework Recording casework Recording case conferences Recording case conferences Critical incident analysis Critical incident analysis Serious case reviews Serious case reviews Complaints and comments Complaints and comments Wider consultations Wider consultations Staff views Staff views What worked and what would have been helpful What worked and what would have been helpful

9. Dementia specifics Role of care navigator or similar Role of care navigator or similar Opportunities to raise the issues Opportunities to raise the issues Medication abuse Medication abuse Neglect -thresholds Neglect -thresholds End of life care End of life care Role of IMCAs Role of IMCAs

10. Building up Plans Plans Foundations Foundations Bricks Bricks Mortar Mortar