The analysis suggests that, in comparison to the United States, elder abuse initiatives in England place elder abuse within a larger category of “vulnerable adult protection,” do not require mandatory data collection and reporting, emphasize abuse by formal caregivers rather than domestic violence, advocate a multi-agency approach to investigation and intervention, and support a less punitive regulatory oversight approach. In 2004, “The Report of the House of Commons Health Committee on Elder Abuse” identified many inadequacies in the public management and response to elder abuse in England and presented recommendations for improvement. The report recommends standardizing and expanding the definition of elder abuse and establishing inspections of National Health Service facilities to detect abuse. It further suggests the requirement of training on elder abuse issues for staff working with older persons and the development of multiagency vulnerable adult protection committees in each local authority. The government’s response was to point out recent initiatives that already addressed the problems outlined in the report. The government further stated its opposition to mandatory reporting on the grounds that it would be burdensome and uncomfortable for service providers. The analysis of policies and statutes in England regarding elder abuse suggest that they are divided into three categories: (1) social care; (2) protection of rights; and (3) “other.” The social care guidelines pertain to both institutional care and formal care delivery within the home but do not address informal care provided by unpaid caregivers. The protection of rights policies are tied to the Human Rights Act enacted in 1998 that guarantees freedom from inhuman or degrading treatment. The “other” category addresses such issues as the over-prescription of medications, age discrimination, and the promotion of the health and independence of older persons. Figure, table, notes, references