Thank you, Mr Speaker, and thank you for granting this urgent question.
Sport is indeed good for us, but as we have seen from countless footballing legends and rugby league and union players, repeated sporting concussions and sub-concussive events can lead to depression, anxiety, suicide and early-onset dementia. I have seen tough men weep and heard from sporting stars with no memory of their victories and triumphs. I am therefore delighted that the Government have worked hard to produce these guidelines. I pay tribute to Professor James Calder and the team, to the Minister and to Dawn Astle, Alix Popham, Steve Thompson and Peter Robinson, who have campaigned for all this to happen.
However, I do have some concerns. These guidelines rightly say:
“If in doubt, sit them out.”
That is what to do after a brain injury on the pitch, but what are we going to do about preventing brain injuries in the first place? Should we not look at further limiting youngsters heading the ball in football and curtailing rugby training sessions that include tackling? Why is there no reference to multiple concussions? Surely a young person who suffers two or more concussions in a 12-month period must be referred to a specialist. Why is there no recommendation that medical approval be sought before a return to play? That is weaker than the Scottish guidance. How do the guidelines align with existing ones, such as in boxing and equestrianism?
What about elite sport? The sporting bodies have shown a shocking disregard for the health of their own professional players for far too many years. If they do not act, should we not legislate for a duty of brain injury care? How can we ensure we get reliable statistics on brain injury in sport when nearly one in five rugby league players say that they deliberately did not report a concussion last year lest they be not allowed to play?
How do we get schools to understand concussion and brain injury better? Would it not be better to say “brain injury” rather than “concussion” because that is what it actually is? How can we ensure far greater co-ordination of research into concussion in sport, for instance through saliva tests and new generations of mouthguards, and especially into concussion in women’s sport? Are we sure that we have enough rehabilitation services for those with more serious injuries?