Brain Injuries in Football

Debate between Stuart Andrew and Ian Blackford

Wednesday 24th April 2024 Westminster Hall

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

It is a pleasure to serve under your chairmanship, Ms Rees. I thank my hon. Friend the Member for Folkestone and Hythe (Damian Collins) for securing this important debate. I am under no illusions about the significant interest in the issue among right hon. and hon. Members. The fact that so many colleagues are here for a half-hour debate proves that point.

Brain injury in football is an important issue that touches many people’s hearts. Last September’s Backbench Business debate on the links between football and neurodegenerative disease demonstrated the wide cross-party support and depth of feeling about this vital issue in the House and in wider society. That has been reflected in the many personal stories of constituents that hon. Members have raised.

[Ian Blackford]

I am grateful to the right hon. Gentleman for referring to the debate that we had on 14 September. As he rightly says, it was a cross-party debate; I led it with the hon. Members for Moray (Douglas Ross) and for Easington (Grahame Morris). I was very encouraged by the response from the Government Front Bench at that point. Subsequently, on behalf of the three of us, I had discussions with the Industrial Injuries Advisory Council.

There is a recognition of the wealth of evidence that exists, but we now need some help from a Government Minister to get to the next level. The previous Minister for Disabled People, Health and Work—the hon. Member for Corby (Tom Pursglove), who has now moved on—had indicated that he would have a meeting with the three of us. I have been trying to push the replacement Minister by letter: I wrote to her on 18 January and on 13 March. Will the right hon. Gentleman assist us in getting that meeting for the benefit of everyone engaged in that debate and this one, so that we can do the right thing and ensure that more people like John McNamee—a Hibs legend as well as a Newcastle one—do not face the same financial injustice?

[Stuart Andrew]

It was certainly a pleasure to respond to that debate, and I made a commitment to write to the Department, which I did. I was due to meet the Minister for Disabled People yesterday, but I had to spend all day in the Chamber for the Second Reading of the Football Governance Bill. That meeting will be rearranged, and I will be sure to raise the right hon. Gentleman’s request. I will come on to his point about industrial injuries shortly.

The safety, wellbeing and welfare of everyone who takes part in sport is paramount. I also know how important football clubs and players are to all our local communities. The recent examples of dementia-related deaths of former footballers are of great concern to Members across the House and to me as the Minister for sport. It is important to acknowledge that the vast majority of people play sport safely, but head injuries in sport do occur.

Player safety must be a major focus for sport, as we recently highlighted in our Government sport strategy, “Get Active”. More work is still needed to ensure that robust measures are in place to reduce that risk and improve the diagnosis and management of sport-related head injuries at all levels of sport. That should apply during not just matches but training, and there should be provision for both professional and amateur players, as hon. Members have mentioned.

The national governing bodies are rightly responsible for the regulation of their sport and for ensuring that appropriate measures are in place to protect participants from serious injuries. I am pleased to say that positive progress has been made across different sports in recent years. For example, home nation football associations have changed their guidelines to prevent under-11s from heading footballs during training in England, Scotland and Northern Ireland, and the FA is co-funding research with the Professional Footballers’ Association to build the evidence base relating to brain injuries in football. It is not just national governing bodies contributing to improvements in player safety; players’ associations such as the PFA also play a valuable role in supporting professional players and providing short and long-term support to those affected by sporting injuries.

--- Later in debate ---

[Stuart Andrew]

I would be more than happy to do so. In fact, I suggest that it is probably sensible to do so before we do the roundtable, so that I can reflect what I hear from the families.

There has been some discussion of the industrial injuries disablement benefit. The Department for Work and Pensions provides specific support for that benefit and the Industrial Injuries Advisory Council is the independent scientific body that will make recommendations. I know that many Members feel strongly that the council should explore professional footballers’ access to the benefit. My understanding is that the council is currently considering any connection between neurodegenerative diseases such as dementia and the possible effects of repeated head injuries sustained during a career as a professional sportsperson. It needs to give further consideration to the evidence before it can make a decision and will publish its findings when the investigation is complete. It would be premature for me to speculate on how that will progress, but I will definitely raise the matter with the disability Minister.

[Ian Blackford]

I am grateful for the Minister’s remarks, because many of us feel that the research is now overwhelming. The role that we can play on a cross-party basis, with his assistance, is to demonstrate to the advisory council that an early determination would be welcome, particularly in the light of the hardship that so many footballers experience as they struggle with the impact of brain injury. We cannot allow this to be dragged out ad nauseam. We need to get to a conclusion and make sure that footballers get the help they deserve.

[Stuart Andrew]

I will try to reflect the right hon. Gentleman’s comments as accurately as possible at my meeting with the disability Minister.

It is important to highlight that the Government are leading work on brain injuries in sport, and specifically on concussion. As part of that, my Department has worked with interested parties to develop the first ever single set of shared concussion guidelines for grassroots sports across the UK. The guidelines, which were published last April, were developed by a panel of UK and international experts in the field of sport-related concussion. They build on the world-leading work in Scotland that hon. Members have mentioned.

We are grateful for the support of Scottish, Welsh and Northern Irish colleagues in expanding the remit of the new guidelines to cover the whole UK and their full use for everyone involved in grassroots sport, from school age upwards: participants, coaches, volunteers and parents, as well as those working in education settings and healthcare professions. Through the guidelines, we want to encourage more people to enjoy the benefits of being active and playing sport. We hope that they will be a useful tool in reducing the risks associated with concussion. At all levels of sport, if someone is suspected of having concussion on the field of play, the overarching message, as my hon. Friend the Member for Folkestone and Hythe said, is “If in doubt, sit them out.”

Evidence-based research is an important component of ensuring that sport is made as safe as possible. My Department has therefore established a research forum to look at concussion in sport. That group brings together key academic experts with experience in traumatic brain injury, neurology and concussion to identify the priority research questions around sports concussion that still need to be addressed for the sporting sector. It is now formulating a report to identify the priority research questions, which is expected to be completed this year. Alongside that, our Department has established an advisory panel with the aim of identifying tech innovations that can help with concussion in sport.

Separately, the Department of Health and Social Care is formulating the Government’s new strategy on acquired brain injury, including dementia. Our Department is feeding into that process to ensure that those who play sport are represented in the gathering of evidence. We remain committed to working with the sector to make sport safe and enjoyable for everyone, including through technological solutions and the prevention of concussion.

Football and Dementia

Debate between Stuart Andrew and Ian Blackford

Thursday 14th September 2023 Commons Chamber

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

I, too, congratulate the right hon. Member for Ross, Skye and Lochaber (Ian Blackford), the hon. Member for Easington (Grahame Morris) and my hon. Friend the Member for Moray (Douglas Ross) on securing this important debate. I thank all Members for the constructive manner in which it has been held. I would also like to take this opportunity, if I may, to welcome my new opposite number, the hon. Member for Barnsley East (Stephanie Peacock). I look forward to working with her very closely on the important issues we will be facing. I also put on record my thanks to her predecessor, the hon. Member for Manchester, Withington (Jeff Smith), who was extremely constructive and very easy to work with. On that note, there has been much coverage of the fact that the new shadow Secretary of State has not attended a football or rugby match before, so may I take this opportunity to extend my plus-one to the next game I am invited to?

I have enjoyed the cross-party approach to the debate. The hon. Member for Easington talked about the England win in 1966 under a Labour Government. Well, this Conservative Government are very proud of the tremendous successes and efforts of the Lionesses.

[Ian Blackford]

It is important that we applaud the growth and success of the women’s game, and reflect on how much things have changed. In Scotland, we often think about a woman called Rose Reilly, who was not permitted to play football in Scotland and had to go abroad. She ended up as the captain of the Italian women’s team that won the World cup. Thank goodness people can now play for Scotland or for the Lionesses. We should make sure that we get behind women’s football and support it, including in relation to dementia and other such diseases.

[Stuart Andrew]

I could not agree more with the right hon. Gentleman. I will come on to women’s football shortly, because some of the contributions have highlighted the fact that we have come such a long way, which is fantastic, although it is extraordinary that we have had to go on this journey.

The hon. Member for Strangford (Jim Shannon)—I am pleased to say that I will be visiting his constituency next week—clearly has a very wise wife. Not only did she marry him, but she is a Leeds United supporter. He worried me slightly as he built up the expectations for my response to this debate, but I will endeavour to do what I can.

The issue of dementia in football is clearly very important, and it touches the hearts of many people. Indeed, we have heard some extraordinary examples today, bringing testament to extremely emotional stories and accounts such as those of Jeff Astle and Gordon McQueen. I am grateful to Members for raising those important personal stories, because it is important to remember that we are talking about individuals and their families. The fact that the debate has drawn such cross-party support demonstrates the depth of feeling about this vital issue across the House, as well as in wider society.

The safety, wellbeing and welfare of everyone taking part in sport is absolutely paramount. On top of that, I know how important football clubs and players are to our local communities. Recent examples of dementia-related deaths of former footballers are of great concern to Members across the House, and certainly to me as the Minister for sport. The vast majority of people participate in sport safely, but we know that head injuries in sport do occur. Player safety must be a major focus for sport, as we highlighted in our recently published strategy, “Get Active”. Much more work is still needed to ensure that robust measures are in place to reduce risk, and to improve the diagnosis and management of sport-related head injury at all levels of sport. That should apply not just during matches, but during training. There should be provision for both professional and amateur players. That will be a key focus as we start to implement the strategy. I can assure the House that I will continue to make sure it is a high priority for me personally.

As we have heard, sports’ national governing bodies are rightly responsible for the regulation of their sport and for ensuring that appropriate measures are in place to protect participants from serious injuries. We look to individual sports to take responsibility for the safety of their participants. I am pleased to say that positive progress has been made in this area across different sports over recent years.

In football, for example, as others have mentioned, the football associations have changed their guidelines to prevent under 11s heading footballs during training in England, Scotland and Northern Ireland. However, it is not just national governing bodies that are contributing to improvements in player safety. Player associations play a valuable role in supporting professional players, providing short and long-term support to those affected by sporting injuries. In all the meetings that I have had with those player associations, I have taken every issue that they have raised with me up with the relevant agencies straightaway, because I recognise its importance.

The Government are also leading work on brain injuries in sport, specifically concussion. As part of that, my Department has worked with interested parties to develop the first ever single set of shared concussion guidelines for grassroots sport across the UK. It was published in April. The guidelines were developed by a panel of UK and international experts in the field of sport-related concussion. They build on the world-leading work that was first conducted in Scotland; I pay tribute to Professor Willie Stewart for the work that he did. We remain grateful to Scottish, Welsh and Northern Irish colleagues for their support in expanding the remit of the new guidelines to cover the whole of the UK. I also want to say thank you to Professor James Calder and Laurence Geller for helping us to get to this point.