Football and Dementia

Caroline Dinenage Excerpts

Thursday 14th September 2023 Commons Chamber

[Ian Blackford (Ross, Skye and Lochaber) (SNP)]

I beg to move,

That this House asks the Government to investigate the links between football and sport-related neurodegenerative disease.

I am grateful to the Backbench Business Committee for granting this debate, and to the number of Members across the House who support the motion, particularly my co-sponsors of the debate, the hon. Members for Moray (Douglas Ross) and for Easington (Grahame Morris). To use an old-fashioned footballing term, what a half-back line the three of us would make—although, if the hon. Member for Easington will forgive me, I will take up position on the left. I hope that we have an engaging debate and that, at the end of it, the Government will commit not just to examining the issue but to recognising our duty to support those suffering from football-related neurodegenerative diseases, and that the Industrial Injuries Advisory Council will conclude that classing those as industrial injuries is the right thing to do.

Many of us in this House are passionate about football and can celebrate just how much joy the beautiful game his given so many, but it is utterly tragic that so many of our heroes have suffered so much from diseases of the brain that academic research shows conclusively are a result of head impacts from careers in football. So many of those suffering, as well as their families, face challenging and distressing times, often without the professional and financial support that would make a difference.

Football holds a special place in the hearts of many people in Scotland and right across these islands. It is a sport that brings communities together, fosters camaraderie and showcases incredible talent. However, beneath the glory and the cheers lies a silent but devastating issue: dementia among football players. Dementia suffered by players should be classed as an industrial injury. That reclassification would provide much-needed financial and social support. As parliamentarians, it is up to us to demand that the UK Government and the devolved Administrations use their powers to support those who need early intervention and appropriate care and support.

Football has been an integral part of Scottish culture since the formation of the Scottish Football Association 150 years ago. Indeed, the oldest international game was Scotland versus England in Glasgow in 1872. Generations of players have graced our pitches, showcasing their skills and passion since the establishment of the game all those decades ago. However, the physical nature of the game, especially in the past, when head injuries were not adequately addressed, has left a legacy of suffering. Many former players are now facing the harsh reality of dementia, which robs them of their memories and quality of life. It is a tragic situation, and it is high time that we acknowledged that that is an industrial injury.

The connection between repeated head trauma and dementia is well documented in medical literature. Studies have shown that chronic traumatic encephalopathy, a degenerative brain disease, is prevalent among athletes, particularly in contact sports such as football. The repeated blows to the head during tackles, headers and collisions can result in long-term brain damage, leading to dementia in later life. According to a study by the University of Glasgow, professional footballers in the UK are three and a half times more likely than the general population to die of neurodegenerative diseases such dementia. That alarming statistic highlights the urgency of recognising the condition as an industrial injury.

In 2002, the passing of Jeff Astle at the age of 59 brought the issue of CTE into the public arena. Jeff, an ex-West Brom and England centre forward, was diagnosed post mortem with CTE. He had suffered from that terrible degenerative illness for five years. We should be grateful for the work done by Glasgow University, which conducted a field study of 7,676 former professional football players from Scotland. Although the headline rate is that footballers are 3.5 times more likely than the general population to die with a neurodegenerative disease, that risk increases to five times more likely for developing Alzheimer’s disease, four times for developing motor neurone disease, and double for developing Parkinson’s disease. The evidence is all there; these should be classified as industrial illnesses.

There is also a link to the length of a player’s career. If they played for less than five years, they are 2.26 times more likely to suffer from brain injuries, but if they played for more than 15 years, that figure rises to no less than 5.2 times. There is a demonstrable link between playing football, heading the ball and brain injuries, and we must recognise that now.

[Dame Caroline Dinenage (Gosport) (Con)]

I hesitate to interrupt the right hon. Gentleman, because he is making an excellent speech and I do not want to disrupt his flow. He will have heard that the Premier League and the Professional Footballers’ Association have launched a £1 million brain health fund to assist former players and their families who are impacted by dementia. I have a foot in each camp, as a former Health Minister and with my Culture, Media and Sport Committee hat on, so I see the issue from a range of perspectives. A dementia diagnosis is a diagnosis not just for the individual concerned, but for their entire family and all their friends, as we know. September is World Alzheimer’s Month. That £1 million health fund is an important step forward, but there are 55,000 male and female former professional footballers in England alone. Does he agree that that fund must be merely a starting point in the work that the various football associations put in to tackle the issue?

[Ian Blackford]

I am very grateful to the hon. Member, who makes valid points. We must recognise that the people we are talking about—the Jeff Astles and the thousands of people who are suffering, as she has identified—were often paid an average industrial wage; they were not well paid. They are in very serious ill health relatively early in life, and they do not have the financial circumstances to support themselves. They often have to rely on family members, and have to give up work early—let us remember that football players very often went into other careers. We are talking about people who are in many cases financially destitute, so that help from the PFA—with which I have worked closely in preparation for the debate—is welcome, but we cannot get away from our responsibility as a society to recognise football-related dementia as an industrial injury. Let us ensure that there is support for football players, as well as for those who suffer from these conditions in other sports. We cannot leave them, as we have been doing, to die on their own without support. That is the salient point.

The position a footballer played on the park also was a key determinant. Defenders were 4.98 times more likely than players in any other position to suffer from neurodegenerative diseases—perhaps that is not surprising given the propensity for defenders to head the ball. No tragedy better encapsulates the gravity of the risk to defenders than the case of Billy McNeill, the iconic Celtic and Scotland captain. Billy was a legendary figure in Scottish football, perhaps best known for leading Glasgow Celtic to their historic European cup triumph in 1967. Sadly, he became a victim of dementia in his later years. His family revealed how this once mighty figure gradually lost his memory and ability to recognise his loved ones. Billy’s case serves as a poignant reminder that dementia in football does not discriminate.

I recently had the opportunity to speak with Billy’s son Martyn, and as Martyn pointed out, it was not just about heading the ball; it was the multitude of head knocks that were endured in a player’s career. Of course, in those days, players tended to stay on the park regardless of their condition. There were no substitutes back then and little, if any, in the way of physio support.

In Scotland, we also pay tribute to Amanda Kopel, who has fought valiantly to highlight the case of her sadly departed husband, Frank. Frank passed away in 2014 aged 65, having been diagnosed with vascular dementia back in 2008. Frank started his career at Manchester United but is perhaps best known for his 10 years with Dundee United. Indeed, he was the first signing of the legendary manager Jim McLean. I see I have an Arab sitting beside me—my hon. Friend the Member for East Renfrewshire (Kirsten Oswald). Amanda fought a long time to make sure that the Scottish Government put in place free personal care for those such as Frank, who at the time were excluded from such support, which was available only to those aged 65 or over when it was introduced in 2002.