Dear Mr Morrison REGULATION 28: REPORT TO PREVENT Future OEATH: CHARLIE BENJAMIN CRAIG (DECEASED) Thank you for your Report daled 15 February 2018 made under paragraph 7 , schedule 5, of the Coroners and Justice Act 2009 and regulalions 28 and 29 of the Coroners (Investigations) Regulatlons 2013 ("Report" ) which has been made following the inquest louching the dealh of Charlle Cralg which was heard at Slockport Coroner's Court on 13t and 14t February 2018. We have set out below our response to the Report addressing the malters of concem raised in (he Report, namely that British Cycling does not currently undertake health assessments or medlcal screening prior lo accepling young riders onlo the apprentice stage or (he World Class Programme ("WCP") Great Britain Cycling Team ("GBCT") WCP As you are aware Ihe GBCT operales & performance palhway which nurtures promising Ialent ultimately leading lo parlicipation on the WCP . performance palhway is broken dow into an apprentice slage for riders between the ages of 14 and 16, the Junior academy for riders between Ihe ages of 16 and 18, the senior academy for riders between the ages of 18 and 23 and the podium slage for riders aged 21 upwards In the apprentice slage the training Is regionalised and riders are not subject to a full lime training program and in fact only (rain wilh the GBCT for, on average, 15 (o 20 days per year As riders progress through (he various slages the training becomes more extensive ad Is centralised in Manchester GBCT medlcal assessment At presenl; on joining the apprentice slage, rders are required lo complele health questionnalre. As riders progress through the slages and Ihe training becomes more Intense, so does the medical ravlew whlch Includes a full medical screening including cardiac screening In the form of an ECG, followed by a echocardiogram where abnormalitles are detected on the ECG HSBC UK 58' Uk sport Gwg eh The Brluth Cyclint Fadarbbon Vading 48 'Brllhh Crallrt" I $ Oonpurq Itiled 6y Guuranter Mtblcred I Emlend NoJ90lt Kttuered Ollke: Bnuhth Gyctit Faderdoa Saurt Sucrl, Mnchatc? 49I 45q any The

HSBC @UK BritiSh 0 CYCLNG Britlsh Cycling Stuart Street Manchesler M11 40 T;+44 (0} 161 274 2000 F:+44 (0) 161 274 2001 brilishcycling uk Review of medical screening on the GBCT The type of lesting envlsaged as a possibility by Ihe Coroner has in fact been under research since last Seplember when a new Head of Medical Services was appointed and Brillsh Cycling believes that this lesling will meet what is envisaged by the Coroners report. Since his appolntment Ihe new Head of Medical Services has been working with some of Ihe UKs leading sports cardiology experts at Liverpool John Moores Unlversity to produce new GBCT cardiac screening guidelines ( Guldelines") covering all alhletes on the WCP logether with (hose at apprenlice level. The recommendalions for Guidellnes are due lo be submitted for review by Ihe GBCT Senior Leadership Team by 16 April 2018, following whlch lhe Guidelines will be Implemented across Ihe WCP and (hose at apprentice level. The screening of individuals below the age of 16 has previously been a contenlious area across al sports, as due lo the developmenlal changes in the heart which are slilI laking place at Ihis age ECG monitoring can produce false positive ECG findings. However; Ihe lalest prolessional consensus al the UK Cardiology in British Sport Symposlum (23 March 2018) is (hat screening al thls age can be slalistically relevant It Is proposed that under the Guidelines, as a minimum , apprentice riders will nol be allowed to parliclpate In Ihe performance pathway until Ihey have: satisfaclorily compleled a health questionnaire and any areas of concern have been addressed by the GBCT medical team , provided a fitness to participale certificale from thelr General Practitioner; and provlded evldence that cardiac screening has been underlaken In the fomm of an ECG, and where abnormalities are detected on the ECG, evidence has been oblained that a satisfaclory echocardiogram has been compleled: abnormalilies found at Ihe time of screening will trigger referral to sporls cardlologist for further aclion; Including decisions on further participation on Ihe performance palhway. We trust lhat the above addresses Ihe mallers of concern raised in Ihe Report; however, should further information be required please do not hesitale t0 contact us.