Hourglass: Failed Risk Tool Exposed

Older Victim-Survivors Deserve Better Safeguards

Hourglass – the only UK-wide charity dedicated to ending the abuse, harm, exploitation and neglect of older people – has responded to comments by the Safeguarding Minister, Jess Phillips, who admitted the DASH tool “doesn’t work”.

DASH – the UK’s main risk assessment tool for domestic abuse – could soon be scrapped, after mounting evidence shows it has repeatedly failed to identify high-risk cases.

For more than a decade, professionals across the UK have relied on DASH. Yet independent studies reveal that victims who were later killed, or suffered repeated abuse, were often assessed as only ‘standard’ or ‘medium’ risk. Families who lost loved ones are now taking legal action against institutions that relied on this flawed tool.

Hourglass has long warned that DASH was never fit for purpose when it came to older victim-survivors. Abuse in later life often looks very different: dependency on carers or family members, economic coercion, neglect and isolation.

By contrast, DASH questions were built around the experiences of younger victims, often focusing on stalking, harassment or recent relationship breakdowns.

Crucially, Hourglass reminds policymakers that abuse of older people is not just a women and girls’ issue:

  • Older men make up a significant proportion of callers to the Hourglass helpline.
  • Abuse can be perpetrated by adult children, relatives, or even professional carers – not just intimate partners.
  • Risk tools designed solely within a VAWG (Violence Against Women and Girls) framework leave older men, and those outside traditional victim stereotypes, unseen and unsupported.

Richard Robinson, Chief Executive of Hourglass, said: “Older victim-survivors of abuse are too often invisible in the safeguarding system.

“Hourglass has never believed that DASH adequately reflected the realities of abuse in later life – whether those victims are women or men. Replacing DASH must be more than a technical fix.

“It must embed an age-inclusive, gender-inclusive understanding of abuse, backed by training, resourced services, and accountability across every agency.”

Hourglass is calling on government and safeguarding partners to:

  • Ensure any replacement risk tool reflects the unique dynamics of abuse against older people, including economic dependence, carer-abuse, coercion at end of life, and age-related vulnerabilities.
  • Recognise that older men as well as women are victims, and provide specialist services.
  • Mandate specialist training for professionals so older victims are not ‘downgraded’ or dismissed as low-risk.
  • Collect robust age- and gender-segmented data to monitor risk decisions and prevent systemic neglect of older victim-survivors.

Hourglass is urging those keen to support the charity to donate by visiting www.wearehourglass.org.uk/donate or Text SAFER to 70460 to donate £10.

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If you’d like to give £10 but do not wish to receive marketing communications, text SAFERNOINFO to 70460.

Life-saving ambulance drugs programme

MINISTER MARKS INTERNATIONAL OVERDOSE AWARENESS DAY

Drugs and Alcohol Policy Minister Maree Todd has praised the Scottish Ambulance Service’s successful Take Home Naloxone (THN) programme, which has now issued more than 4,000 kits.

On a visit to Springburn Ambulance Station in Glasgow to mark International Overdose Awareness Day, Ms Todd was trained to use naloxone kits which temporarily reverse the effects of an opioid overdose.

The packs are given out to people at risk and their families who can use them to deal with any future overdose while they wait for the ambulance to arrive.

Since Scotland’s National Naloxone Programme began in 2011, up to December 2024, a total of 205,650 take-home naloxone kits have been issued.

Ms Todd said: “Every drug death is a tragedy, and my condolences go to anyone who has lost a loved one, on a day where we remember them.

“The work done by the Scottish Ambulance Service and other partners has been instrumental in saving lives, especially at a time when naloxone has become even more important. I am a grateful for the hard work of all the staff who provide this vital frontline service. I was very pleased to hear about the continued progress in delivery and to be shown how to use the naloxone kits.

“Due to the presence of an increasingly unpredictable drug supply of highly dangerous synthetic opioids like nitazenes, which raise the risk of overdose, hospitalisation and death, I would urge anyone who carries naloxone to have extra life-saving kits with them so repeat doses can be given if required.  

“I am determined to do even more to tackle the harm caused by drugs. That’s why we are providing record levels of funding for drugs and alcohol programmes, including widening access to treatment, residential rehabilitation and life-saving naloxone. We have also supported and funded the opening of the UK’s first Safer Drug Consumption Facility, and are working at pace to deliver drug-checking facilities.”

All SAS crews have been trained in in distributing naloxone since 2023, following the launch of its training programme in 2021. As well as treating people for the effects of overdose themselves, and handing out the take-home kits, crews are providing a vital link to support and treatment.

Scottish Ambulance Service CEO Michael Dickson said: “Our staff respond with care and compassion to anyone who experiences an overdose.

“Our call handlers can offer advice during the 999 call, and our ambulance clinicians provide crucial treatment when they arrive at the scene.

“Ambulance crews are able to supply Take Home Naloxone, are starting to provide clean sterile injecting equipment, and can also connect people experiencing problematic substance use with other services who can provide further care and treatment.”