Football’s engagement with the issue of concussion, both in England and internationally, has taken too long and its current prominence is due to the campaigning of organisations like the Jeff Astle Foundation and prominent spokespersons like Chris Sutton. We would have expected the Football Association, as the National Governing Body, to have taken a stronger, sustained interest in the issue after the coroner’s verdict of Jeff Astle’s death. We would also have expected the Football Association to have been publicly hounded by the Professional Footballers’ Association, whose key concern should be player welfare. Over the past 20 years neither the Football Association nor the Professional Footballers’ Association have fought hard enough, or publicly enough, to address this issue within the broader football community. They are, however, only part of a broader failure to address the issue of acquired brain injury in sport.