In some cases, a medical examination may be required as part of the evaluation to:
For example, is the bruise on the side of a person with dementia commensurate with stumbling against a table or is the cause more likely to be non-accidental?
Consent of the adult at risk should be sought.
If the individual does not have capacity to consent, a decision should be made as to whether it is in the person’s best interests (Section 4 Mental Capacity Act (2005)) for a medical examination, which may be intrusive, to be conducted.
If the decision is taken it is in their best interests, then consider:
Preserving forensic evidence, for example clothing;
The involvement of any family members or carers;
Support the adult at risk, for example by establishing who is the most appropriate person to accompany them;
Refer the individual for an advocate.