Concussion in Sport

Nigel Huddleston Excerpts

Thursday 11th March 2021 Commons Chamber

[The Parliamentary Under-Secretary of State for Digital, Culture, Media and Sport (Nigel Huddleston)]

I thank the hon. Member for Rhondda (Chris Bryant) for securing this important debate. I know—he has just illustrated this—how deeply he is concerned about the welfare of sportspeople and this issue. I greatly appreciate the care and commitment he has shown in regard to concussion and brain injury in the sporting sector and beyond over many, many years. He has spoken eloquently yet again today, showing great empathy and emotion. I have indeed interacted with many people he has interacted with over a much longer period than I have, and the stories I hear are absolutely heart-rending.

The fact that this debate is taking place is testament to the hon. Gentleman’s energy in chairing the all- party parliamentary group for acquired brain injury. The subject is getting increasing attention across the House and beyond, and I genuinely give him and the APPG credit for highlighting it.

Sports national governing bodies are rightly responsible for the regulation of their sports, and for ensuring that appropriate measures are in place to protect participants from serious injuries. We look to individual sports to take primary responsibility for the safety of their participants, but the hon. Gentleman is right to point out that it must go beyond that, and that the Government have a responsibility too.

I am pleased to acknowledge that positive progress has been made in recent years on this issue, and I am sure it will continue to be made. The Rugby Football Union has been researching head injury in the UK for the last 20 years. Its extensive Headcase education programme, which the hon. Gentleman mentioned, has helped increase understanding of concussion prevention and management. The British Horseracing Authority has also made extensive efforts to improve its concussion management protocols.

In football, although there is clearly more to do, I welcome the Football Association’s introduction of two concussion substitutes per FA cup match earlier this year. I am also glad to see that the Premier League started trailing the use of concussion substitutes last month, as the hon. Gentleman also highlighted—we should have shared a speech. Indeed, England is one of only five out of more than 200 countries to trial the new International Football Association Board concussion protocols. I am hopeful that far more countries will follow our lead. We can be proud that we are leading, but there are clearly many more countries to follow.

The FA also issued guidelines last year to help prevent children aged 11 and under from being taught to head footballs during training in England, Scotland and Northern Ireland. It is not just national governing bodies contributing to improvements in player safety. Last November, the Professional Footballers’ Association announced that it would set up a dedicated taskforce to investigate further the issue of brain injury diseases in football, and two independently led research studies supported by the FA are currently examining former professional players for early signs of deteriorating cognitive function. Those are demonstrably good steps across sports, but there is clearly more to do. That will be a familiar theme.

Concussions are notoriously difficult to identify. It is important to note that about 10%—but only about 10%—of reported concussions involve a loss of consciousness, so they are not always readily apparent and the player’s injuries may be far more serious than they appear at the time. Player safety is the No. 1 concern for sport. Much more work is needed to ensure that robust measures are in place to reduce risk and improve the diagnosis and management of sport-related concussion at all levels of sport.

That is why the Secretary of State and I hosted two roundtables on concussion in sport last month. I am grateful to the current and former sportspeople who attended the first roundtable. There were many heartfelt contributions to the discussion, which gave valuable insight into the experience of those who have suffered the consequences of brain injury directly or via loved ones. Attendees acknowledged that sports were now taking concussion far more seriously and players were now more likely to admit to being concussed, but there are still concerns about culture, promoting safety for children, differences between the amateur and professional levels and levels of education among players, whether that is advanced education or education and awareness on the pitch when an injury happens and, indeed, all the way to A&E and so on. There are many areas to investigate.

The second roundtable we had involved mainly national governing bodies and academics who focus on this area. The Secretary of State and I wanted to further understand what work is under way, what research is being undertaken and what more can be done. Chief executives and medical officers from various contact sports attended, along with academics. We also had in attendance representatives from the Department for Education and NHS England, and I am grateful again for those contributions.

We are in the early stages of these discussions, and it is clear that the Government have an important convening role to play here, and perhaps more. Collaboration on best practice, research and concussion protocols must be a priority for sports governing bodies, because one of the things that struck me is that while a lot of work is being done and a lot of research is being undertaken, I was not necessarily convinced there was a lot of sharing of that information and research. As the hon. Gentleman mentioned, collaboration is key to moving forward here. We must also ensure that players are not in a position to overrule doctors on medical issues.

[Chris Bryant]

One of my anxieties is that some sports are nervous about sharing because they think that there are legal cases coming, and they do not want to reveal their hand. We need to create a space in which they can do that with safe harbour.

[Nigel Huddleston]

I thank the hon. Gentleman for that comment. He may well be right. Of course, as soon as we get into the area of litigation, I am not really able to say much more. But on the principle of encouraging the sharing of information and data wherever possible, he is absolutely right, and we will look at what role we can play in encouraging that. That is a really important point.

The hon. Gentleman also mentioned the fact that there is lots of research on men but very little on women. We brought that up in the roundtable. We were proactively saying, “Do you have any research? Is there anything more on women?” I think there was a recognition that there is far more work to be done there, but, of course, women suffer injuries as much as men do. In fact, the physiology is perhaps not as well understood, and I therefore appeal to all stakeholders to particularly focus on that area.

We are currently reflecting on the ways that we can move forward on the issues raised in these discussions, and we plan further work and further discussions. The hon. Gentleman is right to sound slightly frustrated—there are lots of discussions, but we do intend to act. I do not know what the conclusions of the work we are doing will be, but I do want to see action. I do not want this to just be a talking shop and ongoing discussions. I also welcome, as he did, the Digital, Culture, Media and Sport Committee’s inquiry, which I hope will add valuable evidence to this debate.

I know that sports want to make progress in this area. It is in their best interests to improve safety for players and, indeed, everybody involved in sport as much as possible. As I said, we want tangible actions. The hon. Gentleman is aware of the further work that is happening across Government on the issue of brain injury. I was delighted to attend a meeting convened by the Chancellor of the Duchy of Lancaster and the Minister for Care. We will continue that work across Government, and I am sure that the hon. Gentleman will be involved. I invite ongoing discussions with him; in fact, I am due to meet him and the APPG shortly.

Last week I met a non-governmental organisation, Podium Analytics, which is starting to carry out more important research in this area, particularly focused on under-18s, alongside work and collaboration with the Department for Education. That is important, and that work will continue. Collaboration between sports, player associations, NGOs and others is clearly important, and we want to ensure that it continues and progresses.

The importance of sport has come even more into focus in the last year. We want to redouble our efforts to ensure that progress is made, and I am determined to play my part. I firmly believe that we need to continue to work together in driving forward research and continuing to improve player safety and welfare at all levels of sport. Everyone involved has a love for their sport, and good work has already been done, but there is more to do. We will do everything we can to ensure that all reasonable steps are being taken on safety and to protect British sport from concerns both now and in the future.

Question put and agreed to.