UK Concussion Guidelines for Grassroots Sport

Chris Bryant Excerpts

Tuesday 2nd May 2023 Commons Chamber

[Sir Chris Bryant (Rhondda) (Lab)]

(Urgent Question): To ask the Secretary of State for Culture, Media and Sport if she will make a statement on UK concussion guidelines for grassroots sport.

[The Parliamentary Under-Secretary of State for Culture, Media and Sport (Stuart Andrew)]

The UK concussion guidelines for grassroots sport mark an important step in making sport safer for millions of people. Taking part in sport has many benefits. It is great for people’s physical and mental health, and it brings friends and communities together. We want to protect that and encourage more people to enjoy being active and play a sport.

As I set out in my written ministerial statement published today, the vast majority of people participate in sport safely, but head injuries do occur. We want to reduce the risks associated with concussion and make sport even safer for everyone. Research has shown the importance of fast, effective, tailored treatment, and we are issuing this expert guidance to help people spot and treat head injuries. Our guidance is a tool for the thousands of people who enjoy sport at the grassroots level. Whether it is used in a local leisure centre during a swimming lesson or in the second innings of a village cricket match, this landmark guidance has the chance to make a real difference to people across the UK.

The guidance was developed by a world-leading panel of medical experts, and I am grateful to the whole expert group for giving so freely of their time while drafting the guidance. I pay tribute to the efforts of the group and to the valuable input of the Sport and Recreation Alliance, which has worked tirelessly to produce this excellent guidance. All that builds on the world-leading work conducted in Scotland by raising UK-wide awareness of the issue of concussion and making sport safer for all who take part. Fundamental to the guidance is an overriding simple message:

“If in doubt, sit them out.”

Finally, this guidance is an essential but first step. The Government remain committed to working with the industry to help to make sport safe and enjoyable for everybody, including on technological solutions and the prevention of concussion.

[Mr Speaker]

I call Sir Chris Bryant.

[Sir Chris Bryant]

Thank you, Mr Speaker, and thank you for granting this urgent question.

Sport is indeed good for us, but as we have seen from countless footballing legends and rugby league and union players, repeated sporting concussions and sub-concussive events can lead to depression, anxiety, suicide and early-onset dementia. I have seen tough men weep and heard from sporting stars with no memory of their victories and triumphs. I am therefore delighted that the Government have worked hard to produce these guidelines. I pay tribute to Professor James Calder and the team, to the Minister and to Dawn Astle, Alix Popham, Steve Thompson and Peter Robinson, who have campaigned for all this to happen.

However, I do have some concerns. These guidelines rightly say:

“If in doubt, sit them out.”

That is what to do after a brain injury on the pitch, but what are we going to do about preventing brain injuries in the first place? Should we not look at further limiting youngsters heading the ball in football and curtailing rugby training sessions that include tackling? Why is there no reference to multiple concussions? Surely a young person who suffers two or more concussions in a 12-month period must be referred to a specialist. Why is there no recommendation that medical approval be sought before a return to play? That is weaker than the Scottish guidance. How do the guidelines align with existing ones, such as in boxing and equestrianism?

What about elite sport? The sporting bodies have shown a shocking disregard for the health of their own professional players for far too many years. If they do not act, should we not legislate for a duty of brain injury care? How can we ensure we get reliable statistics on brain injury in sport when nearly one in five rugby league players say that they deliberately did not report a concussion last year lest they be not allowed to play?

How do we get schools to understand concussion and brain injury better? Would it not be better to say “brain injury” rather than “concussion” because that is what it actually is? How can we ensure far greater co-ordination of research into concussion in sport, for instance through saliva tests and new generations of mouthguards, and especially into concussion in women’s sport? Are we sure that we have enough rehabilitation services for those with more serious injuries?

Brain injury is a hidden epidemic. We cannot normally see it. Let us do everything we can to prevent brain injuries, spot them, understand them, treat them and give people back the best possible quality of life.

[Stuart Andrew]

First of all, I congratulate the hon. Gentleman on all his work in this area. He has been a passionate advocate and campaigner, and I welcome all the further work that he is doing with those across Government. He is right to mention many campaigners who have been working hard in this area.

Prevention is important, which is why the guidelines will go out through all sports’ national governing bodies. We want them to go out to schools, so that teachers and medical professionals all have them. The advice in the guidance has been led by senior medical experts—I am not a medical expert so I am relying on their advice. I note the hon. Gentleman’s point that it perhaps looks weaker than Scotland’s guidance, but the professor involved with the Scottish guidelines has been instrumental in these, and has learned a lot of lessons from their publication.

The hon. Gentleman has raised with me the terminology of “brain injury” or “concussion”. The reason “concussion has been used is that it is more broadly understood among the grassroots organisations. We are trying to reach millions of people through the guidelines. I assure him that they are just the first step, as I said in my opening comments. I will continue to raise this issue with all the national governing bodies—I had a summit with them just last week to talk about it. We will ensure that sport is held to account to look after all players who take part.