This paper summarises the discussions of 24 leaders from frontline services, academia and policy implementation in England, who came together at a Think Tank event on 7 July 2009. The discussions looked at how to improve community personal support services for people with dementia and their carers. It focused on the challenges, solutions and actions that stakeholder needed to carry out. Annexes include the event programme, notes form the personal testimony from a carer, suggested actions recommended by the Think Tank, and a background paper on personalisation and dementia.