Third Report - Concussion in sport

Select Committee
Culture, Media and Sport Committee HC 46 22 July 2021
Report Status Government responded
Conclusions & Recommendations 21 items (15 recs)
Government Response (AI assessment · 21 of 21 classified)
Government response
Government Response to DCMS Select Committee Report on Concussion in Sport · published 10 Dec 2021

Recommendations & Conclusions

21 results
1 Conclusion Acknowledged
Despite the need for acquired brain injury to be taken seriously by sport, the detail...
Conclusion
Despite the need for acquired brain injury to be taken seriously by sport, the detail of which we will come onto later in this Report, both written and oral evidence to this inquiry support the health benefits to people through … Read more
Government Response Summary
The government acknowledges the committee's conclusion, agreeing that mass participation in sporting activity offers tangible health benefits, including reducing the risk of dementia and other health conditions.
Department for Culture, Media and Sport
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2 Recommendation Accepted
Para 17
The reality is that, for most people playing sport, there is no one to stop...
Recommendation
The reality is that, for most people playing sport, there is no one to stop them except themselves, their friends, teammates, and family. That is how far down the knowledge and awareness of concussion and how to respond to it … Read more
Government Response Summary
The government agrees with the recommendation and will task a working group to develop a communications campaign to ensure participants at all levels of sport are aware of key concussion messages.
Department for Culture, Media and Sport
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3 Recommendation Accepted in Part
Para 24
Doctors may not be able to rely on patients to remember previous concussions or head...
Recommendation
Doctors may not be able to rely on patients to remember previous concussions or head traumas, especially if these happened at different times playing different sports. They must instead be able to rely on robust information that should be collated … Read more
Government Response Summary
The government partially accepts the recommendation, stating NHSX will work to create standardized codes for sport-related concussion using SNOMED CT13 to improve data quality in patient records. It also notes the Emergency Care Data Set and Shared Care Record programme will enhance data collection and sharing.
Department for Culture, Media and Sport
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4 Recommendation Accepted in Part
Para 25
We recommend that NHS England reviews the way in which it collates data about concussion...
Recommendation
We recommend that NHS England reviews the way in which it collates data about concussion and concussion-related brain injury and ensures that doctors have a full history available to better inform patient treatments.
Government Response Summary
The government agrees in part with the recommendation, stating NHSX will work to improve data quality and reporting by recommending the creation of specific codes for sport-related concussions, using standardised clinical coding for structured data entry.
Department for Culture, Media and Sport
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5 Conclusion Accepted in Part
Para 26
We are also concerned that the relative infrequency with which clinicians encounter this kind of...
Conclusion
We are also concerned that the relative infrequency with which clinicians encounter this kind of condition suggests that many of them are likely to be out of date with regard to the best possible practice in treating these patients and … Read more
Government Response Summary
The government agrees in part with the concern, committing NHS England and NHS Improvement to collaborate with several medical bodies to review existing guidance and training on sports-related concussion and make necessary improvements. However, they clarify they do not produce clinical guides or set curriculum for GPs or emergency clinicians.
Department for Culture, Media and Sport
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6 Recommendation Accepted in Part
We recommend that NHS England, in collaboration with the Faculty of Exercise and Sport Medicine,...
Recommendation
We recommend that NHS England, in collaboration with the Faculty of Exercise and Sport Medicine, within the next twelve months, prepares a learning module on the best practice for treating and advising those who present with concussive trauma and ensure … Read more
Government Response Summary
The government agrees in part, committing NHS England and NHS Improvement to collaborate with several medical bodies to review existing guidance and training on sports-related concussion and make necessary improvements. However, they stop short of committing to preparing a specific new learning module within a fixed timeline or ensuring mandatory recurring training for practitioners, noting their limitations in producing clinical guides or setting curriculum.
Department for Culture, Media and Sport
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7 Conclusion Accepted
The current organisational structures in sport mean that there is no overall responsibility to mandate...
Conclusion
The current organisational structures in sport mean that there is no overall responsibility to mandate minimum standards for concussion and head trauma or to assess whether protocols are followed. The system allows sports to be funded as long as their … Read more
Government Response Summary
The government agrees and will work with UK Sport and Sport England to ensure publicly funded sports use new shared concussion protocols, encouraging them to decide the best approach. It will also recommend sports utilize English Institute for Sport expertise and consider similar clinical governance structures adopted by British Cycling.
Department for Culture, Media and Sport
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8 Recommendation Accepted in Part
Para 38
It is no longer acceptable for concussion to be addressed in this fashion.
Recommendation
It is no longer acceptable for concussion to be addressed in this fashion. We recommend that the Government mandate UK Sport to take a governance role in assuring that all sports it funds raise awareness on the dangers of concussion … Read more
Government Response Summary
The government agrees with the recommendation and will work with UK Sport and Sport England to explore how to ensure publicly funded sports use new shared concussion protocols that will be commissioned. However, they will encourage rather than mandate sports, noting UK Sport's non-regulatory role.
Department for Culture, Media and Sport
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9 Recommendation Accepted in Part
Para 39
We are concerned that UK Sport, uniquely in our evidence base, considers the Consensus Statement...
Recommendation
We are concerned that UK Sport, uniquely in our evidence base, considers the Consensus Statement by the Concussion in Sport Group as a satisfactory basis for concussion protocols. We recognise the value in the Consensus Statement that provides a baseline … Read more
Government Response Summary
The government agrees with the recommendation and will work with UK Sport and Sport England to explore how to ensure publicly funded sports use new shared concussion protocols it intends to commission. It maintains that sports will decide how best to approach this, with encouragement rather than a mandate.
Department for Culture, Media and Sport
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10 Recommendation Accepted in Part
We recommend a more precautionary approach is taken and a greater proportion of the money...
Recommendation
We recommend a more precautionary approach is taken and a greater proportion of the money spent on elite sport is focussed on protecting the athletes who are at the core of UK success in sporting endeavours. We also recommend that … Read more
Government Response Summary
The government partially accepts the recommendation, committing to strengthen athlete protection requirements within UK Sport funding agreements as protocols develop. However, it rejects the specific recommendation for a UK Sport-funded chief medical officer to attend major events, stating that medical provision is the responsibility of the British Olympic Association and British Paralympic Association.
Department for Culture, Media and Sport
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11 Conclusion Acknowledged
Para 48
Football’s engagement with the issue of concussion, both in England and internationally, has taken too...
Conclusion
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 … Read more
Government Response Summary
The government agrees with the committee's conclusion regarding the past failures of football bodies to address concussion, and states its ambition to make sport safer. It intends to provide updates on its own concussion in sport initiatives through its Government Sport Strategy annual report.
Department for Culture, Media and Sport
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12 Conclusion Acknowledged
Para 52
The problems faced by both football and rugby are common to a multitude of other...
Conclusion
The problems faced by both football and rugby are common to a multitude of other sports which do not have the same media attention or the same resources to apply to possible solutions. One of the biggest problems is the … Read more
Government Response Summary
The government agrees with the committee's observations and states its ambition to ensure sport is as safe as possible. It intends to provide updates on its concussion in sport initiatives through its Government Sport Strategy annual report.
Department for Culture, Media and Sport
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13 Recommendation Accepted in Part
Para 60
The protections afforded by the state to workers apply as much to footballers and jockeys...
Recommendation
The protections afforded by the state to workers apply as much to footballers and jockeys as they do to miners and construction workers. The Health and Safety at Work Act 1974 was a landmark piece of legislation to protect the … Read more
Government Response Summary
The government agrees in part, supporting greater recording of sports concussion incidents but believing other organizations are better placed than HSE to collate data. HSE will assist National Governing Bodies in establishing a reporting scheme and endorse a code of practice, while the government will investigate a national register and convene a forum to develop a standard framework for recording head injuries.
Department for Culture, Media and Sport
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14 Conclusion Not Addressed
Para 61
Our inquiry into concussion has demonstrated that the long-term effects of acquired brain injury are...
Conclusion
Our inquiry into concussion has demonstrated that the long-term effects of acquired brain injury are not simply those events that lead to a diagnosis of concussion. Therefore, any impacts that impair clear thinking or involve a heavy impact could contribute … Read more
Government Response Summary
The government's response, while detailing actions on injury recording and HSE's role, does not directly engage with the specific substance of the committee's conclusion regarding the broad nature of long-term effects of acquired brain injury beyond diagnosed concussions.
Department for Culture, Media and Sport
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15 Recommendation Accepted in Part
We recommend that the Government immediately mandate the Health and Safety Executive to work with...
Recommendation
We recommend that the Government immediately mandate the Health and Safety Executive to work with National Governing Bodies of all sports to establish, by July 2022, a national framework for the reporting of sporting injuries. Within a year of the … Read more
Government Response Summary
The government partially accepts the recommendation, agreeing on the need for better recording but suggesting other organisations are better placed than HSE to collate the information. It commits to looking into the feasibility of a national register and will convene a forum to discuss developing a standard framework for reporting head injuries.
Department for Culture, Media and Sport
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16 Recommendation Accepted in Part
Para 69
We recommend that the Government uses its power to convene interested parties and establish a...
Recommendation
We recommend that the Government uses its power to convene interested parties and establish a single research fund that will co-ordinate and fund research. The allocation of funds should follow the model of the research councils to ensure it is … Read more
Government Response Summary
The government agrees with the intention to simplify research funding but rejects establishing a single fund, citing existing medical research funds. Instead, it will convene a “sports concussion research forum” to identify research goals and share findings, aiming to improve coordination.
Department for Culture, Media and Sport
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17 Recommendation Accepted
Para 70
We also recommend that the Government convene its own specialist group on concussion, drawing on...
Recommendation
We also recommend that the Government convene its own specialist group on concussion, drawing on campaign groups, relevant scientific expertise and sporting institutes to assess, every four years, the emerging science on this issue. This group should take a broader … Read more
Government Response Summary
The government agrees with the recommendation and will task the “sports concussion research forum” to undertake the role of assessing emerging science on concussion, with its full brief and reporting timeframe to be defined.
Department for Culture, Media and Sport
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18 Recommendation Accepted
Para 74
We find it difficult to see any downside of a coherent UK-wide protocol for concussion...
Recommendation
We find it difficult to see any downside of a coherent UK-wide protocol for concussion and recommend that the Government look to the Scottish model and then work with the devolved governments in Scotland, Wales and Northern Ireland to develop, … Read more
Government Response Summary
The government agrees with the recommendation and will work with the devolved nations and sports councils to develop a UK-wide concussion protocol, based on the Scottish model. The Sport and Recreation Alliance will lead this work, expected to start by the end of 2021 and be completed by the end of 2022.
Department for Culture, Media and Sport
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19 Recommendation Accepted
Para 75
Once this protocol is in place we recommend the Government deliver a comprehensive communications campaign...
Recommendation
Once this protocol is in place we recommend the Government deliver a comprehensive communications campaign to ensure that everyone involved in sport, from the athletes to coaches and doctors, is aware of best practice. This campaign should signpost where people … Read more
Government Response Summary
The government agrees with the recommendation and will task the working group developing concussion protocols to also create a comprehensive communications campaign to raise awareness of best practice among all involved in sport.
Department for Culture, Media and Sport
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20 Recommendation Accepted
Para 82
We are concerned that there is history of the Government looking into issues of sporting...
Recommendation
We are concerned that there is history of the Government looking into issues of sporting safety and failing to follow through with practical interventions that would Concussion in sport 33 make a difference to the safety and health of those … Read more
Government Response Summary
The government agrees with the recommendation to take real and effective action on sporting safety and commits to providing updates on progress with its concussion in sport initiatives through its Government Sport Strategy annual report.
Department for Culture, Media and Sport
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21 Recommendation Accepted
It will never be possible to ensure that sport is one hundred percent safe.
Recommendation
It will never be possible to ensure that sport is one hundred percent safe. It should, however, be expected that participants are aware of the risks involved and that there is a precautionary approach to risk management. The Government cannot … Read more
Government Response Summary
The government agrees with the recommendations to ensure sport is as safe as possible and commits to providing updates on progress with its concussion in sport initiatives through its Government Sport Strategy annual report.
Department for Culture, Media and Sport
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