Rugby chiefs have admitted to Sky News their sport is not “incredibly safe” due to the “high risk of injuries”, while insisting players should be encouraged they are prioritising addressing concussion concerns.
The candour on the dangers from head collisions comes ahead of the Women’s Rugby World Cup starting in England next week.
At that tournament, for the first time at a World Cup, smart mouthguards will flash red if they detect potential concussions that require further assessment by measuring the force and movement from a head impact.
“We could stick our head in the sand and pretend something doesn’t exist, but that’s not going to help anybody,” World Rugby science and medical manager Dr Lindsay Starling told Sky News.
“It is a sport that has a high risk of injuries and that comes from the physical contact nature of the game, which is also what we all love about watching it. And so that can’t be ignored.
“We can’t pretend that the sport is incredibly safe and there’s no risk of injury. And so by creating more awareness when there has been a substantial head knock, that’s important to educate people.”
Image: England’s squad for the World Cup. Pic: Reuters
There is an expectation one player per match could be removed due to potential head injury at the World Cup, which opens with England playing the US in Sunderland next Friday.
Players would then leave the pitch for a head injury assessment. Footage is then analysed to see how steady players are after the impact.
Then they would be asked a series of questions to test memory and concentration. Players are asked to remember words from a list read out and to repeat numbers in a different sequence.
A critical time for rugby
Rugby being so candid about the potential risks from head injuries comes as the sport is facing legal action from more than 700 mostly male former players who claim leaders were negligent in failing to take reasonable action to protect them from brain injuries.
The case is progressing slowly with challenges, including around historic medical records.
“Concussion is obviously incredibly serious,” Dr Starling said at the England team HQ at Twickenham.
“It’s absolutely our number one priority in terms of understanding why they happen and doing what we can to reduce that.
“The other side of that argument, though, is that we know this information. It would be more scary or more of a worry if we didn’t know that.”
Image: Dr Lindsay Starling, World Rugby science and medical manager
World Rugby believes female players are more susceptible to being concussed than their male counterparts but at “much lower magnitudes”.
They are still exploring why. It could be due to physical differences in neck strength and blood flow metabolic rates, or it could combine with female players accessing more technical training later on.
Parental concern over women’s game
But how does the spectre of brain injuries chime with the mission of the World Cup to super-charge the women’s game in England, by expanding the audience and encouraging youngsters to play?
Especially with those flashing mouthguards warning of potential concussions.
Dr Starling admits it creates a concern. But to parents doubting whether their children should take up rugby, there’s an attempt to offer some reassurances from those overseeing safety, citing enhanced technology.
“We’ve never been in a situation where we know more about what the risk is,” World Rugby chief medical officer Dr Eanna Falvey told Sky News.
“That will improve over time, so our job is to give parents the autonomy to make a decision that they can about their daughter’s playing.
Image: Dr Eanna Falvey, World Rugby chief medical officer
Ferocity at the heart of rugby
“If their daughter wants to play, we want to help them arrive at a decision that they’re happy with the level of exposure the daughter has and what they can do about it.
“There’s a lot of health dangers from not being involved in sport. Physical inactivity is the biggest health concern in the Western world right now.
“So being involved with team sport has huge benefits.”
And Prof Falvey emphasised the essence of rugby is, at times, the ferocity.
“It’s a contact sport,” he said. “Nobody shies away from that fact. I think people who play the game play it because they want to play contact sports. Our job is to make that game as safe as we can.”
The UK lacks a national plan to defend itself from attack and is moving at a “glacial” pace to fix the problem despite threats from Russia and China, a report by MPs has warned.
With the whole country needing to understand what it means to be ready for war, the Defence Select Committee also said it had seen no sign of a promised “national conversation on defence and security” that was launched by Sir Keir Starmer in June.
Sky News and other journalists were even blocked on Monday from interviewing sailors aboard HMS Prince of Wales, the Royal Navy’s flagship aircraft carrier, in direct contrast to the prime minister’s stated aim of greater engagement.
Image: Royal Navy aircraft carrier HMS Prince of Wales. File pic: AP
Public needs to know ‘what to expect’ from war
“We have repeatedly heard concerns about the UK’s ability to defend itself from attack,” said Labour MP Tan Dhesi, chair of the committee.
“Government must be willing to grasp the nettle and prioritise homeland defence and resilience.
“In achieving this, government cannot shy away from direct engagement with the public.
“Wars aren’t won just by generals, but by the whole of the population getting behind the Armed Forces and playing our part.
“There needs to be a co-ordinated effort to communicate with the public on the level of threat we face and what to expect in the event of conflict.”
Image: The Royal Navy tracked a Russian submarine in UK waters last month. Pic: Royal Navy/MOD
‘The Wargame’ made real?
The findings of the report support a podcast series by Sky News and Tortoise Media called The Wargame – released in June.
It simulated a Russian attack on the UK and played out what the impact might be for the country in the absence of a credible, resourced and rehearsed national defence plan – something Britain maintained rigorously during the Cold War.
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2:10
Flagship aircraft carrier to be placed under NATO command
Report’s assessment of war-readiness
The Defence Select Committee report – based on a nearly year-long inquiry – found: “The UK lacks a plan for defending the homeland and overseas territories with little progress on the Home Defence Programme.”
It said this meant the government was failing to meet a fundamental commitment to the NATO alliance – the Article 3 requirement to maintain the “capacity to resist armed attack”.
The report quoted Luke Pollard, a defence minister, acknowledging that “we have been very clear that we are not satisfied with Article 3 in the UK”.
Image: Britain’s new Ajax fighting vehicle, which arrived overdue and at great financial cost. Pic: PA
Yet the MPs’ report added: “Despite this recognition from government… measures to remediate seem to be moving at a glacial pace.”
It said: “Cross-government working on homeland defence and resilience is nowhere near where it needs to be. The government has said repeatedly that we are in an era of new threat, yet decision-making is slow and opaque.”
The rebuke from the MPs was published as John Healey, the defence secretary, prepares to announce that 13 sites across the UK have been identified as possible locations for at least six new weapons factories.
“This is a new era of threat,” he will say at a speech in Westminster later.
“We are making defence an engine for growth, unambiguously backing British jobs and British skills as we make the UK better ready to fight and better able to deter future conflicts.
“This is the path that delivers national and economic security.”
Industry will be invited to submit proposals to produce ammunition and explosives, with the Ministry of Defence saying it hopes work on the first factory will begin next year.
Ultra-processed foods (UPFs) are a leading cause of a “chronic disease pandemic” linked to worsening diets, experts have warned.
UPFs include items such as processed meats, some ready meals and cereals, ice cream, crisps, biscuits, mass-produced bread and fizzy drinks.
They often contain a high level of saturated fat, salt and sugar – as well as additives such as sweeteners and preservatives.
UPFs leave less room for more nutritious foods and are also believed to negatively affect gut health.
Forty-three scientists and researchers have now sounded the alarm and accused food companies of putting “profitability above all else”.
Writing in The Lancet, they said the firms’ economic and political power is growing and “the global public health response is still nascent, akin to where the tobacco control movement was decades ago”.
They warned that while some countries have brought in controls on UPFs, policy is lagging due to “co-ordinated efforts of the industry to skew decision-making, frame policy debates in their interest, and manufacture the appearance of scientific doubt”.
Professor Chris Van Tulleken, from University College London, one of the authors, said obesity and diet-related disease had increased in line with a “three-decade history of reformulation by the food industry”.
“This is not a product level discussion. The entire diet is being ultra-processed,” he warned.
However, several experts not involved with the article urged more research, cautioning that existing studies had shown a link with poor health and UPFs but not established causation.
Kate Halliwell, chief scientific officer at the Food and Drink Federation (FDF), which represents the industry, said companies had made a “series of changes over many years to make the food and drink we all buy healthier, in line with government guidelines”.
She said FDF-member products now contained a third less salt and sugar and a quarter fewer calories than in 2015.
A 2023 meta analysis in the PubMed journal said evidence suggested an association between UPF intake “and the risk of overall and several cancers, including colorectal, breast and pancreatic cancer”.
Get cancer symptoms checked, charity urges
It comes as Cancer Research UK warned too many Britons are putting off getting potential symptoms checked.
A poll for the charity suggested the top reasons people delay getting potential signs of cancer checked is because of a lack of GP appointments, or thinking their symptoms might not be serious.
More than half (53%) of the 6,844 surveyed said they were put off as they believed getting seen would be difficult, while 47% said they actually had found it difficult to get an appointment.
Some 44% put it off as they though the symptom wasn’t serious, 41% believed they could manage things themselves, and 40% didn’t want to be seen as making a fuss.
Cancer Research UK said it had now trained Tesco pharmacists to spot possible cancer signs – and that people can speak to them in private if they needed.
The pharmacists will be able to give advice on next steps and whether a GP appointment is recommended.
Scotland secured a place at the men’s World Cup for the first time since 1998 as stoppage-time goals by Kieran Tierney and Kenny McLean secured a thrilling 4-2 win over Denmark at Hampden Park.
Scott McTominay’s spectacular third-minute bicycle kick had given the hosts a half-time lead.
Rasmus Hojlund equalised for the Danes in the 57th minute shortly before Rasmus Kristensen was sent off, but Lawrence Shankland restored Scotland’s advantage.
When Patrick Dorgu brought Denmark level again with nine minutes remaining, it seemed they would claim the point needed to top the group and book their place at next year’s tournament in the US, Canada, and Mexico.
However, Tierney fired an unstoppable shot past Kasper Schmeichel in the third minute of stoppage time
And then, with the Denmark goalkeeper up in attack at the other end of the pitch, McLean hit a long-range effort from his own half to spark delirious scenes.
Image: Scotland’s Kenny McLean celebrates scoring his side’s fourth goal against Denmark. Pic: PA
He told the BBC: “We certainly put the country through it, but I’m sure it will be worth it.”
“I couldn’t get my mate Diogo Jota out of my head today,” he added. We spoke so much together about the World Cup. When he missed out in Qatar through injury and I missed out when Scotland never went.
“We always discussed what it would be like going to this World Cup. I know he’ll be somewhere smiling over me tonight.”
The draw for the 2026 World Cup will take place in Washington on 5 December.