Football and Dementia

Chris Stephens Excerpts
Thursday 14th September 2023

(8 months ago)

Commons Chamber
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Grahame Morris Portrait Grahame Morris (Easington) (Lab)
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It is a pleasure to follow the hon. Member for Southend United West, and I wish her well in her efforts to secure the future of her team. I would like to express my gratitude to the Backbench Business Committee—to my dear friend the hon. Member for Gateshead (Ian Mearns) and his colleagues—for giving us the opportunity to participate in this crucial debate in the House of Commons. I also thank my good friend, the right hon. Member for Ross, Skye and Lochaber (Ian Blackford), as well as the hon. Member for Moray (Douglas Ross), for their support in securing Back-Bench time for the debate.

I also want to acknowledge the Professional Footballers’ Association and the invaluable contribution of Dr Judith Gates, who is one of my constituents. Dr Gates is a distinguished academic and educator, renowned for her expertise in chronic traumatic encephalopathy, the condition that has been linked to repetitive head impacts in sport. On Monday, in Ferryhill in County Durham, we will witness the launch of Head Safe Football, a new charity with a specific focus on brain-related issues in football. Dr Gates spearheaded that initiative at the request of the footballing community, aiming to provide emotional support, evidence-based knowledge and up-to-date research for footballers and their families.

Dr Gates’ dedication to this cause is deeply personal, because she is the spouse of the former England and Middlesborough footballer Bill Gates. Bill was diagnosed with dementia after a career that included a training programme involving hundreds of headers every day. Unfortunately, that led to headaches with migraines, and caused him to retire from football aged only 30. Bill was a renowned centre-half and is remembered for his prowess in the air, but his legacy is promoting Head Safe Football and raising awareness of the link between repetitive head impacts and CTE. I also commend the Scottish Football Association, as the right hon. Member for Ross, Skye and Lochaber did, on its proactive stance on addressing CTE and other brain diseases that are caused through football. Its efforts—including research initiatives, concussion protocols, restrictions on heading in youth football and limits on repetitive heading in training—have set a commendable example.

The evidence overwhelmingly supports the link between repetitive heading of a football and brain diseases. Several people have suggested to me that that link is theoretical, or that there is some doubt about it, but there is absolutely no doubt: there is a huge amount of evidence, both at home and from abroad, and I will mention some of those academic studies later in my speech. My late father was a coalminer, and sadly, miners were subjected to many industrial diseases including pneumoconiosis, chest diseases, and vibration white finger through the use of pneumatic power tools. Many of my constituents worked in the textile industry—in the rag trade—and many of those women machinists suffered Dupuytren’s contracture as a result of their work.

All those conditions are recognised as occupational diseases.

I am looking at the Minister; I do not know whether he has the power to direct—or he could ask—the Industrial Injuries Advisory Council to look at the issue. Until CTE is formally recognised as an industrial disease, the compensation that the people involved and their families so richly deserve will not be available to them. We often focus on the top-flight celebrity professional footballer, but many footballers who do not play at the highest level have been similarly exposed to repetitive brain injury. They are living in hardship and we have a duty of care to them.

I want to mention again the study that the University of Glasgow carried out quite recently, in October 2019. It revealed a clear connection between professional football players and neurodegenerative diseases. The research compared the mortality rates of more than 7,600 former Scottish footballers with a general population sample of more than 230,000 individuals—a very large sample. The findings indicated that the mortality rate due to neurodegenerative diseases among the former professional footballers was three and a half times higher, with notable increases in Alzheimer’s disease, motor neurone disease and Parkinson’s disease.

Another study, by the Karolinska Institute in Sweden, published in The Lancet here in the UK, showed that footballers are 50% more likely to develop dementia compared with the general population. The research involved comparative analysis of the health records of 6,000 top division Swedish players and over 56,000 non-footballers. The study also explored the contrast between outfield players and goalkeepers. Researchers discovered that, as we might expect, outfield players faced a much higher risk of Alzheimer’s and other types of dementia compared with the general population. In contrast, goalkeepers, who seldom head the ball, showed no increase in Alzheimer’s, dementia or similar conditions.

The World Health Organisation says that between 5% and 8% of the general population over the age of 60 have dementia. However, the figure is different for England’s greatest ever team, the 1966 World cup winning team—we are not being partisan in this debate, but that victory was achieved under Harold Wilson’s Labour Government; I think we also won the Eurovision song contest that year. Research carried out by “Sky Sports” news found that 46%—almost half—of that World cup winning team were suffering from some degenerative brain condition such as Alzheimer’s disease.

Chris Stephens Portrait Chris Stephens (Glasgow South West) (SNP)
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I thank my good friend for giving way. I had actually forgotten that England won the World cup in 1966; it is not something we hear often.

The hon. Gentleman has been dealing with the issue of scepticism. Does he agree that many former wingers actually worked the connection out? They were crossing the ball and worked out that the high-profile cases involved either centre halves heading the ball out or centre forwards heading the ball in.

Grahame Morris Portrait Grahame Morris
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That is a good point. Academic studies have identified that goalkeepers are not at any more risk than any other member of the population, but centre halves and centre forwards certainly have been. I am talking not just about the 90 minutes of football, but the many hours of training—consistently heading the ball. The general community and football authorities have a duty of care to the people who are suffering.

I want to mention another academic study, from Boston University in the United States. It identified CTE in young amateur athletes who played contact sports. After examining post mortem the brains of 152 participants who had died under the age of 30, it found that 41.4% had signs of CTE. More than 70% of those diagnosed were amateur athletes. The figures are shocking. It is imperative to pursue further research to determine not whether there is a link—there is; that is not in dispute—but whether there is a safe threshold for heading the ball. The ideal level is zero, but football authorities must undertake comprehensive research to fulfil their duty of care to players and establish a head-safe level.

I am not anti-football; I love our national sport, but I want it to be safe. I want us to recognise our responsibility to former players who are now suffering from these terrible conditions. Players themselves are rightly concerned about the risks associated with heading. A study by the Drake Foundation found that 66% of amateur footballers feared the impact of heading the ball on their health, with 70% advocating for guidelines to restrict heading in training and 48% desiring reduced heading in matches. There is also substantial support for extending rules in youth football, with 56% of parents endorsing restrictions on heading in training for children up to the age of 18.

The onus lies squarely on football authorities to ensure that their protocols and practices prioritise player safety. That includes ongoing research, immediate reductions in heading during training and matches, and a willingness to adapt the game to mitigate risks. There is no doubt that the game has changed. When I was first watching the game, it was much more physical. There were substitutions, but I think only one was allowed. The game has evolved and changed and it is right that it has. There will inevitably be a shift in the way football is played, but such evolution is inherent to the sport.

I hope SNP Members do not mind me mentioning the recent England-Scotland match on Tuesday night; I do not mean to be divisive—[Interruption.] I have forgotten the score already. I am not gloating.

Chris Stephens Portrait Chris Stephens
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I just want to put on the record that Scotland do not do too well in football against lesser nations.

Grahame Morris Portrait Grahame Morris
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I thank the hon. Gentleman for that.

The England-Scotland match was the 150th anniversary of international football, but I am sure it bore little resemblance to the inaugural England-Scotland international game in 1872 in how it was played; I do not just mean the longer shorts and so on. So the game does change and that is not a bad thing. It is critical to recognise that player safety should not be perceived as a threat to the game. Instead, it should be viewed as a new chapter in the ongoing development of a sport that we all cherish.

To safeguard football for generations to come, we must wholeheartedly support the concept of head-safe football. From a Government perspective, the implications are clear: we should adopt a public health approach. The Minister holds a crucial role in funding education and awareness efforts to future-proof football for today and tomorrow. That includes raising awareness about the risks associated with repetitive heading and its links to degenerative brain disease.

The right hon. Member for Ross, Skye and Lochaber mentioned the former West Brom striker, the legend Jeff Astle, who died in 2002 from a neurodegenerative disease associated with heading the ball. The coroner ruled he suffered death through an industrial disease, although it is not identified officially as an industrial disease. It is worth noting that my constituent Dr Judith Gates has diligently lobbied the Industrial Injuries Advisory Council over the past three years to recognise CTE as an industrial disease. Despite presenting extensive and authoritative information and research, the IIAC has unfortunately fallen short and failed in its duty to acknowledge this disease. I hope the Minister will be able to assist in his closing remarks in persuading the IIAC to look at that again. The evidence supporting that recognition is overwhelming and includes numerous peer-reviewed studies and coroner verdicts. It is high time to prompt the IIAC to step on to the pitch and fulfil its responsibilities by acknowledging the issue and taking the necessary actions.

Football holds a special place in our national psyche. It is a sport enjoyed by millions of people each week. It is evident that participation is on the rise. The professional football landscape is evolving, with National League North team South Shields transitioning to a full-time model, signalling growth even in the lower divisions, yet the most remarkable growth lies in the Women’s Super League and Women’s Championship.

The Lionesses have been a source of inspiration for the nation. We have had tremendous success and it is heartening to witness more young girls embracing football and getting involved in active sport. However, as the women’s game expands, it brings new challenges because medical studies indicate that female athletes are almost twice as likely to develop CTE as their male counterparts. I wholeheartedly support the surge in women’s football, but amidst the growth the safety of players remains paramount. Given the additional risks faced by female athletes, I hope the WSL will be a trailblazer in establishing head-safe football.

Football is a tight-knit community, and it must address this issue both now and in the future. Clubs that have prospered thanks to the skills and contributions of players such as Bill Gates, my constituent, have a responsibility to prioritise the wellbeing of their players. It is imperative that we take action to support a generation of players who are currently facing the challenges of degenerative brain diseases such as dementia and Alzheimer’s. With the clear connection between repetitive heading and CTE now established, it is high time we focus on increasing awareness and providing education at all levels of the game. Additionally, we should implement policies and procedures to restrict heading, whether during training sessions, or in actual games.

I ask the Minister to make it clear to the football authorities that this is their opportunity to deliver head-safe football, reducing the risk today and progressing the research to understand if there is a safe level of heading. If as an industry—a multi-billion-pound industry at the highest level—the football authorities do not accelerate their action on this matter, the Minister must be clear that the Government will have no option but to intervene to protect public health.

I would like to end with the words of my constituent Bill Gates, who on his diagnosis told his family, “It is too late for me, but I want to plant a tree, so others can benefit from its shade.” I thank Judith, Bill and the whole family. I will do everything I can to future-proof football for today’s and tomorrow’s players. I hope the Minister will commit to doing the same.

Chris Stephens Portrait Chris Stephens (Glasgow South West) (SNP)
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I thank my good friends, my right hon. Friend the Member for Ross, Skye and Lochaber (Ian Blackford) and the hon. Member for Easington (Grahame Morris), and the hon. Member for Southend West (Anna Firth), who made an excellent speech; I know her predecessor, the great David Amess, would undoubtedly have been here taking part in this debate, pushing the case not only for Southend United, but for his beloved West Ham United. I am sure that when West Ham won the Europa conference league he was looking down with a smile.

I also commend Labour Member of the Scottish Parliament Michael Marra, who has been leading some debates on this in the Scottish Parliament. I commend, too, the Daily Record for its support for that campaign. I was very pleased that it published a story highlighting this debate. Michael Marra and the Daily Record have had the support of former footballers who have written to the authorities asking that the diagnosis of an industrial injury be put in place, including Alex McLeish, former Scotland manager, and the great Sir Alex Ferguson.

We have now heard evidence of industrial injury from Glasgow and Nottingham universities and Boston University in the United States, and it is clear that there is definitely a link and that football injuries such as head injuries or heading the ball are leading to dementia, Alzheimer’s and other conditions. Why is that? The Daily Record published a story about this debate and I made the mistake—a schoolboy error as it would be known in football—of reading the comments afterwards; a journalist once told me, “Never read the comments of a story you’re mentioned in.” There was a lot of scepticism in the comments. What frustrated me was people saying that there was no link.

As I said in my earlier exchange with my good friend the hon. Member for Easington, I am doing some work with Rangers football club former players association on this: they are very interested in this topic because they also think there is something in it. They have been providing support, thanks to donations from their supporters to former players. That includes paying for respite care for the families of those former players who have dementia and ensuring that family members can have a break for an hour or two a week to go off and do shopping and other things. The work the association is doing in this regard should also be commended.

There was initial scepticism even within the former players community when this link was first talked about, but the advocates of there being something in it and of the fact that the evidence is now clear includes former wingers. They have worked out that they were running down the wing and crossing the ball and it was then being headed by the centre-half or centre-forward, and it is they who are now the high-profile cases—many of the great players that have been mentioned in this debate.

I want to highlight the issue of wages, too, which has also been touched on. There are some sceptics who think we are advocating for rich people. Telephone number-type salaries flash up on Sky Sports News on transfer window final day, but that does not reflect the situation for many who are caught up in this. As has been said, those who played at the top level in the ’60s and ’70s probably earned twice the amount of an average tradesman and those in the lower leagues would have been getting about the same wage as an average tradesman. Some play, of course, for the love of the game, and they might only get £10; I remember some football clubs in Scotland even in the 1990s would just pay travel expenses and £10 for playing, and there were reasons for that, of course.

Gordon Smith, the former Rangers, Brighton and Hove Albion and Manchester City player, and former chief executive of the Scottish Football Association, had a chat with me about this issue, when he heard it was to be debated. He told me that when he signed for Rangers football club, Jock Wallace, the then manager, told him, “I have been trying to sign you, Gordon, for the last four seasons.” Gordon Smith did not know that because, at the time, the registration of a player was held by the club, and if the club chose to keep the player, they would not be told that another football club was interested in them. That was driving wages down.

We need to hear from the Minister today to ensure that this matter is recognised as an industrial injury in the work he is doing with his colleagues in the Department for Work and Pensions. As was touched on by the hon. Member for Strangford (Jim Shannon), the ball that was used in the ’50s, ’60s and ’70s was a lot heavier and harder, especially if people were playing in inclement weather. It might surprise you, Mr Deputy Speaker, but in Scotland we do get inclement weather during the football season. If there was rain or the ball was caught in mud, it would become even heavier, and that is almost certainly one of the reasons this situation has come about.

It is fairly clear that there is cross-party consensus on this matter, and I thank all the Members who signed up to have this debate today. I look forward to hearing from the Minister, because we now need a strategy with his Department and the Department for Work and Pensions so that our heroes can get the support they need.

Kirsten Oswald Portrait Kirsten Oswald (East Renfrewshire) (SNP)
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I am sure that anybody who is interested in football and the many people whose families have been affected by neurodegenerative diseases, such as dementia, will be interested in what is being said today. I am sure they will want to support the calls that have been made for research, proper safety provisions and proper support.

There is no doubt that dementia is more prevalent among football players than in the general population. We have heard about the research that underlies that. The recent studies that I have been looking at have found that professional footballers are three and a half times more likely to die from neurodegenerative diseases than the general population. That is quite a statistic. We have also heard about the study in Sweden that concluded that male football players who had played in the Swedish top division had a significantly increased risk. That was among outfield players, but not goalkeepers. The evidence is all pointing in the same direction. It is not necessarily new evidence, either. We have known about this issue for some time, with studies from as early as 2017 showing a great risk of dementia among professional football players. I say this as a very big football fan, but I know there are risks that come with sport. There are risks associated with participating in football, but those risks need to be balanced against the need to keep people safe.

This debate is welcome, and I am grateful to my right hon. Friend the Member for Ross, Skye and Lochaber (Ian Blackford) and colleagues who secured it. I put on record my gratitude to Tony Higgins, who was mentioned earlier. He gave a helpful briefing, which I attended, detailing the issues around football and other sports and neurodegenerative diseases. It was thought-provoking, particularly in relation to the health impacts on people who are at their work. I usually look at football through a different lens—I am enjoying the sporting element—but we cannot take away from the fact that the people on the pitch who we watch in football stadiums and on the telly are doing their jobs. Perhaps it is because we are accustomed to looking at it through that particular lens that we are maybe neglecting to consider the welfare of those participating. As a football fan, this is not the situation I want for the sport that I enjoy so much. I cannot think that fellow fans would want their enjoyment of football to be at such a significant cost to health. Things need to change, and it is high time that we saw that happening.

I was pleased to hear the hon. Member for Easington (Grahame Morris) mention women’s football. I had a fantastic constituency visit a couple of weeks ago to the wonderful Busby Girls AFC. It is a new and young club, but it already has hundreds of girls out there playing. Seeing that made me incredibly happy, and I say that as someone who is still smarting, four decades on, from being told at school that girls do not play football and having my football confiscated. I do not think I will ever let go of that issue. Girls do play football, and it absolutely is for girls. Hats off to all the folk at Busby for the brilliant work they are doing.

It is heartening that we can watch women’s professional football and enjoy it much more easily now, because it is there for us all to see. We do not have to hunt it out so much; there are so many more opportunities to see women at the top of their game playing football, and so many young girls are inspired by that. That is to be encouraged.

The challenge is that we cannot be entirely clear about the impact that heading the ball has on women and girls and exactly how it is different from men. I have looked at that question, and the answer is we do not know enough about it. We know it is not good, but we do not know the detail that underlies that, and that is unacceptable. I am aware of reports about Sheila Parker, who captained the England women’s team in the early 1970s. She was renowned, apparently, for her heading of the ball with frequency, gusto and accuracy. Her family believe that that has caused significant damage to her health. I send my best wishes to Sheila and her family, but it makes me think, and that kind of sad situation is a glaring example of the thing we cannot escape: we just do not know what the impact is on women of heading a football, and the more that we see women playing football and the more that women are playing football, the more pressing it is that we close the gap in research, and sharpish. Women and girl footballers deserve far better, so research and further discussion are necessary as a matter of urgency.

It is not only girls’ clubs that need us to focus on this issue. I also recently visited Giffnock Soccer Centre, which is doing fantastic work at all levels and bringing the whole community into the footballing world. I never like to miss an opportunity to speak about the Mighty Arthurlie in Barrhead. All these clubs and all the other great clubs in East Renfrewshire and all other constituencies also deserve our attention. We have heard clearly that this issue does not just affect those playing at professional level, and the hon. Member for Easington quoted stark figures on brain injury in amateur athletes. We need to focus on this issue at all levels of football, not just the highest levels. I say the highest levels, but as my right hon. Friend the Member for Ross, Skye and Lochaber mentioned, I am a lifelong and very enthusiastic Dundee United fan. That can be character-building—that is probably the most constructive way for me to describe it.

Chris Stephens Portrait Chris Stephens
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Not as character-building as supporting Partick Thistle.

Kirsten Oswald Portrait Kirsten Oswald
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My hon. Friend points out that there are other teams that give us grey hair.

Chris Stephens Portrait Chris Stephens
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My hon. Friend seriously believes that supporting Dundee United is character-building, but it is not as character-building as being a Partick Thistle supporter. You need nerves of steel when you go to the theatre of dreams, Firhill stadium.

Kirsten Oswald Portrait Kirsten Oswald
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My hon. Friend is tempting me to giggle in an unparliamentary manner, which I will avoid doing. I will go back to the serious remarks made by my right hon. Friend the Member for Ross, Skye and Lochaber in opening the debate. I thought that his speech was powerful and timely, and he made some important points. I was delighted that he spoke about Frank Kopel.

I said earlier in the debate that Frank Kopel was a hero of mine. He was a shining star in an era of shining stars at Dundee United. We were at the pinnacle of our success—I am sure those times will come again—and it was a joy for a football-mad wee girl to watch Frank and his fellow players at that time.

My right hon. Friend also spoke powerfully about the huge contribution of Frank’s wife, Amanda Kopel. She has made a huge difference to so many people. She is a giant, just like Frank, and they have both made their mark. We really owe them, and all of the families who have experienced the utter sorrow of what dementia and other neurodegenerative diseases do, to keep on at this subject.

We know that there is a higher incidence of these terrible diseases among people who play football. The figures noting which football positions people have played in show that, without doubt, there is a link. Despite the availability of very clear evidence over a number of years, it is a shame that more concrete action has not been taken. I would like to see concrete plans to minimise damage in the future. We cannot keep repeating the mistakes of the past.

It is time to consider reclassifying this as an industrial injury. It is absolutely clear what is happening. It is time to look at what all of the structures and guidance for men’s and women’s football say, and make sure that the appropriate levels of safety and support are built in. It is also time that we all change the way we think about football, so that it can remain a safe and enjoyable pastime well into the future.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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First, may I congratulate the right hon. Member for Ross, Skye and Lochaber (Ian Blackford) on introducing the debate, all Members who have made contributions, and those who will reply from their Front Bench? I look forward very much to the Minister’s response. I do not mean to put any pressure or expectation on him, but we are very fortunate to have a Minister who always tries to give us a response that is constructive and helpful. We as MPs are trying to garner a response for our constituents. I know that he will listen to all of the points of view put forward and then respond in a way that helps us.

We have asked the Government to investigate the links between football and sport-related neurodegenerative disease. A 2019 public study revealed that football players were at increased risk of diagnosis of neurodegenerative disease. The risk increase was observed for Alzheimer’s disease and other dementias, but not for all types of neurodegenerative disease, and for outfield players but not goalkeepers. As others have said, if three or four of the 11 who play in a team do not have it but the others do, there must be an issue. The call for this to be classified as an industrial injury is heavily backed in Northern Ireland as well, so it is important for me to be here to give that Northern Ireland perspective.

Last year, some of Northern Ireland’s most iconic footballers reunited to raise funds for Dementia NI at the Spirit of ’82 event in Belfast. It was held in memory of their good friend and teammate, the legendary Northern Ireland manager Billy Bingham, who had been living with dementia for 16 years before he passed away on 9 June 2022. I do not think there is much between my age and that of the right hon. Member for Ross, Skye and Lochaber, but I am old enough to remember Northern Ireland playing at the World cup in Spain in 1982. I had the opportunity to meet all the football players and Billy Bingham, who was an inspiration to me at that early age. He was an inspiration on the pitch as a footballer, and he then became an inspiration as a manager.

I was also in Mexico in 1986, which was before I got married—everything changes when we get married, and we are not able to get away the same as we used to—and on coming home I had the opportunity to get the autographs of the Northern Ireland team and Billy Bingham. A Brazilian football supporter and I swapped a Brazilian shirt and a Northern Ireland shirt, so I have in my office a shirt with the autographs of all the Northern Ireland team of 1986 plus Billy Bingham. I pass that shirt every day and remember very clearly that he was a player who inspired me and inspired us all, yet he passed away as a result of the game he played so well. It is important to be here today to speak on behalf of the Billy Binghams of this world and others who have suffered and passed away.

It is fantastic that high-profile footballers recognise the link. That is also true of retired managers such as Sir Alex Ferguson and Alex McLeish. They were great players who we all looked up to as young boys and young men. That emphasises the importance of investigating this link further and gathering the evidence.

A study has found that footballers are 50% more likely to develop dementia than the rest of the population—that is evidence, factually based and cannot be ignored—fuelling calls to restrict rules for heading a football. Classifying it as an industrial injury would mean that former footballers suffering with the disease would be able to claim certain benefits for industrial injuries that occurred in the workplace. Their employment and the source of their income is the sport that they play. I support those calls, given the evidence, which is becoming clearer. My belief has been reinforced by all Opposition and Government Members who have spoken today. They have been galvanised by what they have heard in their own constituencies and from their own personal experience. The hon. Member for Glasgow South West (Chris Stephens) spoke of what Rangers football club is doing. It is really important to have that in place.

The other evidential base is from football in the States—or soccer, as they call it. I find it hard to get my head around the word “soccer”, because we call it football. In the US, they have imposed guidelines limiting players’ exposure to heading, despite controversy over whether dementia is caused by heading the ball. The fact is that, as has been said, they have introduced precautions. The hon. Members for Easington (Grahame Morris) and for Glasgow South West referred to evidence from the universities. There is quite clearly an evidential base in the United States of America.

Chris Stephens Portrait Chris Stephens
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Will the hon. Gentleman give way?

Jim Shannon Portrait Jim Shannon
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Absolutely.

Chris Stephens Portrait Chris Stephens
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I have always wanted to intervene on the hon. Gentleman. He has mentioned Billy Bingham and footballers in Northern Ireland. I am sure he will agree that it is important to note that the wages in Northern Ireland football are not at the elite level that we read about in all the sensational headlines in the newspapers. Does he therefore agree that access to the industrial injury benefit will help former footballers and their families?

Jim Shannon Portrait Jim Shannon
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The hon. Gentleman is absolutely right. The wage structure in Northern Ireland is nowhere near that level. There is some expectation of teams in the Irish league. There have been many buy-outs and clubs with lots of money-making financial investments, but let us be honest: in the years past many people probably played because they loved the sport. I thank the hon. Gentleman for his intervention.

Will the Minister undertake discussions with our American counterparts and share information so as to ensure that we have the most accurate information available on which to base our response to tackling this issue?

--- Later in debate ---
Stuart Andrew Portrait Stuart Andrew
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The hon. Gentleman is pre-empting later parts of my speech, but I think that it is important to highlight the concussion guidance. It is important that we give information to grassroots organisations that often will not have medical advisers on hand. Having that information available for grassroots volunteers is incredibly important and valuable, but that is the start of our work.

As I say, the guidelines are for the use of everyone involved in grassroots sports from school age upwards: participants, coaches, volunteers and parents, as well as those working in education settings and healthcare professions. The guidelines are especially helpful for grassroots players and being able to recognise and respond to concussion symptoms appropriately when no trained medical person is on hand; as we know, that is more likely to be the case than in a professional setting. Through the guidelines, we want to encourage more people to enjoy the benefits of being active and playing sport and we hope that they will prove to be a helpful tool in reducing the risks associated with concussion.

We have also established a research group on concussion in sport. My hon. Friend the Member for Southend West (Anna Firth) and the hon. Member for Easington mentioned international experts, and I am pleased to say that they will be represented so that we draw on the latest and best information. The group is working across the sport and academic sectors to identify the key research questions on sports concussion that need to be addressed. The aim is for the research efforts to become more co-ordinated across sport so that the sector can pool its understanding and expertise. Just a few months ago, I went to see some of the incredible work that Loughborough University is doing in this area and some of the equipment it uses to test what would make sport safer for all.

Alongside that work, DCMS has established an advisory concussion in sport innovation and technology panel to identify tech innovations to help with concussion in sport issues on an ongoing basis. The Department for Health and Social Care is formulating the Government’s new strategy on acquired brain injury, including dementia, and DCMS is feeding into the process to ensure that those who play sport are properly represented. We remain committed to working with the sector to help to make sport safe and enjoyable for everyone, including through technological solutions for the prevention of concussion.

To turn to more specific points, as the Chair of the Select Committee, my hon. Friend the Member for Gosport (Dame Caroline Dinenage), mentioned, there have been developments within football, too. The Professional Footballers’ Association and Premier League recently established a new care fund to provide financial support to former players who have been affected by dementia and their families. The initial amount of £1 million will be made available immediately to provide discretionary financial support to former players and their families to help to improve the quality of their life. I have discussed the great work of the Professional Footballers’ Association on player welfare with its chief executive.

As it is the first of its kind for English football, I welcome the creation of the fund and hope it will provide help to the former players who need it most. We will continue to liaise with the football authorities in support of funding for cross-game initiatives. The Professional Footballers’ Association also has a dedicated brain health team that provides a range of support to former players and their families, including assistance with claiming state support and benefits.

During the debate, there has been discussion about whether dementia in footballers should be treated as an industrial disease. The Department for Work and Pensions provides specific support to people with industrial injuries through industrial injuries disablement benefit. As many will know, DWP is advised by the Industrial Injuries Advisory Council, an independent specific body, on changes to the list of occupational diseases for which IIDB can be paid. I know that many Members feel strongly that professional footballers’ access to such benefits should be explored, as was mentioned by many members, including the hon. Member for Glasgow South West (Chris Stephens).

The hon. Member for Easington asked whether I could instruct the IIAC. If I had that power, I would love to use it, but I am pleased that the council is considering any connection between professional sportspeople and neurodegenerative diseases such as dementia. The council will publish its findings when its investigation is complete in due course, but given that the question has been raised a number of times, I will of course highlight the debate and the views raised in it to my colleagues in the DWP. It is important to remember that this is a complex area of work, and that going through the raft of published scientific literature that is available is significant work.

Chris Stephens Portrait Chris Stephens
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That is a very helpful response from the Minister and we would certainly welcome that. Could he perhaps facilitate some discussion with the IIAC and hon. Members who might be interested? I think a number of us would be interested to have such a discussion, if he could feed that back. We could then report back to our constituents. I welcome the comments that he has just made.

Stuart Andrew Portrait Stuart Andrew
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The hon. Gentleman will appreciate that the IIAC is an independent body, but I would absolutely be more than happy to write to it or to my colleagues in DWP to say that colleagues in this House would welcome the opportunity to engage with the council.