Safeguarding etc. I agree it’s essential that, for example, Social Services should be contacted; however I would like to provide brief details of when I ended up as a ‘victim’ accused and being reported to a Local Authority’s Safeguarding team. Non-dementia friendly hospital ward It took place over a period of many months in a NHS hospital ward which was not dementia friendly. An elderly patient – a relative living with dementia, was initially admitted for a short period of rehabilitation before being assessed for discharge to return home with extra support provided. The patient didn’t receive enough physiotherapy, discharge arrangements including the discharge planning meetings were poorly coordinated and were delayed and delayed. Sadly during the extremely prolonged period in hospital the patient lost a significant amount of weight and was often dehydrated. This was simply because he was not encouraged and helped to eat and drink. He didn’t have enough energy to do the mobility exercises when physiotherapy staff did turned up. And the total lack of suitable mental stimulation in that non-dementia friendly hospital ward every day for three months simply increased his cognitive decline. Previously he had attended an excellent Day Centre six days a week. It was during hospital visiting hours (afternoons and evenings) I started to get concerned when I saw many drinks left on the patient’s table – lined up not drunk. I was told a patient was free to refuse food and fluids, and ‘busy’ medical and care staff don’t have the time to assist patients to eat and drink. Initially I was praised when I managed to encourage the patient to drink and by this stage using thickened fluids and later pureed foods. However, soon I became aware of being ‘spied on’ by medical and care staff in the ward every time I visited. I was fully aware of the correct procedure when assisting the patient to eat and drink, these include head upright, and allowing plenty of time to swallow etc. – to prevent choking etc. The pureed meals looked unappealing – these were brightened up when I took in and started adding tomato sauce and mayonnaise! In the end I was reported by the medical staff – because of the alleged safeguarding issue ‘guilty’ of pushing liquids and force feeding. Eventually the patient was discharged from hospital in a far worse state physically and mentally than when admitted, now unable to stand or walk even with aids. Ironically, just prior to discharge, Fast Tracked NHS Continuing Health Care was arranged because of his extremely poor health, (a formal request for NHS CHC which was made about a month earlier had been rejected). The patient never returned home, despite some mobility modifications had been put in place - when at a time - during one of the earlier discharge meetings there was agreement he was OK. He ended up in a Nursing Home being nursed in bed and where he was well looked after - which of course includes ‘fed and watered’! My concerns about this non-dementia friendly hospital ward were forwarded onto the Care Quality Commission and also to the county’s HealthWatch team.