Areas to address:
We believe there is merit in strengthening the links between these existing and future clinics to build a more cohesive response to the problems caused by concussion occurring in a sporting context.
DCMS needs to improve liaison with other Government departments on concussion issues in sport, to share best practice and improve the effectiveness of concussion health interventions in emergency medical settings for those engaging across the sporting landscape.
Action to be taken:
DCMS will work on strengthening and coordinating links across Government. This will include more effective protocols and pathways for use in treating concussion in sport injuries in NHS Accident & Emergency settings which will focus on the specific needs and issues of individuals and continually improve the safety of players of all levels, genders and ages across sport.
We will liaise with key organisations such as the Medical Research Council, UK Dementia Research Institute, Alzheimer’s Research UK and leading centres of research in the UK to provide a focal point and encouragement for research in this field. We will also consider the approach of the Ministry of Defence (MOD), who have undertaken extensive work on concussion in regards to the UK armed forces. (The Department for Health and Social Care, through the National Institute for Health Research (NIHR), and the MOD are co-funding the NIHR Surgical Reconstruction and Microbiology Research Centre (SRMRC) at the Queen Elizabeth Hospital Birmingham. This joint funding has been supporting the REpetitive COncussion in Sport (RECOS) project in the SRMRC portfolio, which seeks to develop a yes/no concussion test with the aim of catching all concussion, working with participants who had suffered blast and concussion injuries).
We will be asking sports to convene with player associations to discuss training protocols. DCMS ministers will contact sports to stress the crucial need to account for the long-term welfare of players when considering their training methods. We expect sports to go further in ensuring that player safety is treated with maximum importance. Should sports not demonstrate sufficient progress in prioritising player protection, Government will be prepared to consider the matter through the lens of welfare in sport.
Our discussions with player associations made clear the importance of sports addressing training protocols. The associations were keen to contribute to further discussions with sports on this important issue.
We acknowledge that sports have progressed work in this area, such as The FA’s introduction of heading guidance, focused on training sessions (where most heading occurs) across the professional and amateur game from the start of the 2021-22 season. The Premier League’s two research studies into heading in training are also welcome initiatives. World Rugby has also recently introduced guidelines to reduce the amount of full contact training undertaken by rugby players to 15 minutes per week.
We will also explore further the possibility of working with the Premier League on a pilot scheme for clubs to embed player welfare as part of the governance of their organisations which could then be extended across the sporting sector.
Premier League clubs have been working on integrating their duty of care responsibilities into governance plans. This work needs further examination and could prove to be a useful template for other parts of the sport sector. The Premier League Board recognises that it has a legal duty of care towards protecting the health and safety of its employees and others, and that managing health and safety is a business-critical function.
This work needs further examination with the help of the Premier League’s Football Medical Governance Group, and could prove to be a useful template for other parts of the sport sector.
Milestones:
• The first phase of LOTG’s feasibility study into improving coordination and use of existing medical centres/clinics will be completed during 2022. DCMS will consider the recommendations of the study aligned to its ongoing work in this area.
• The Minister for Sport will write to national governing bodies to emphasise the importance of player welfare, including concussion, when formulating governance procedures for their sports by the end of 2021.
• DCMS will convene a meeting with the Premier League and relevant Premier League clubs to discuss player duty of care as a key requirement of those clubs’ training and playing contracts. We will then look to initiate a pilot scheme in partnership with selected clubs to assess the effectiveness of introducing such a governance requirement for players with a view to further rollout into other parts of the sporting sector.





