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The failure to establish a protection of vulnerable adults list was little short of a "scandal", Heather Wing, adults director of the National Care Standards Commission, told delegates evaluating the implementation of guidance to protect vulnerable adults from abuse.

Echoing Wing's calls for greater commitment to adult protection, Hilary Brown, consultant in social care and adult protection at Canterbury Christ Church University College, in Kent, proposed the development of a national forum.

"While there is evidence of action at both practice and policy levels there needs to be a more nationally strategic lead," she said.