The starting point for making the changes called for in the report may well be for each of us to reflect on our individual attitude to older people. I am in no doubt that, if we are to make an impact on the problem, it must involve major cultural change on the part of us all. We must begin to question our attitude to older people to satisfy ourselves that we do not harbour in-built negative feelings towards them, for they can often be the source of unintentional abuse of older people. We must now proceed on a journey during which we will have to absorb much and learn to cope with what may be considerable fallout.