Robert Jenkins discusses how nurses can promote the use of independent advocates to help protect this increasing group of patients from abuse

Older people with learning disabilities may be viewed as potentially vulnerable and therefore in need of safeguarding. Advocacy should be part of the safeguarding process and is useful to ensure the views of older people with learning disabilities are communicated. The role of nurses in advocating for individuals in their care has been made clear by the Nursing and Midwifery Council. However, advocacy is not without risks and dilemmas for nurses and at times they may need to take an indirect role by promoting self-advocacy and independent advocacy.