Nothing to see here: Concussion-plagued NRL declared a safe workplace

By Geoff Parkes / Expert

In December 2020, Australian Rugby League Commission chairman Peter V’landys announced a raft of law changes designed at improving the flow and spectacle of rugby league. “You’ve got to give the customer what they want,” he said.

The announcement referenced changes made ahead of the 2021 season, with V’landys contending that “It is clear the new innovations last season were a success… the six-again rule has addressed the biggest issue that was in the game and that was the wrestle.”

Maybe it was a figure of speech, or perhaps it is indicative of the closeted bubble that the NRL operates within, but is wrestling really a bigger issue in rugby league than the existential threat that is concussion?

The matter of head injury is a concern for all contact sports. Typically, sports approach the matter from two distinct angles: the treatment and management of affected players; and the design and application of laws and coaching to minimise instances of concussions occurring in the first place.

Complicating the matter is a mounting body of research that suggests a high proportion of player concussions are not one-off major events but an accumulation of seemingly minor occurrences. For example, cases from soccer, attributed to heading footballs over a long period of time, fall into this category.

This has implications for how sporting administrations address things like the amount of contact training that is undertaken, and poses a difficult challenge given the relative ease with which these types of ‘small’ knocks can be picked up.

Notwithstanding, in the two rugby codes and AFL, there are frequent instances of concussions occurring from one-off, high-impact, trauma events.

Both the AFL and rugby union strictly enforce rules concerning high contact. They are prepared to wear the cost of a ‘soft’ penalty or free-kick for an arm slipping over the shoulder as a device to compel tacklers into aiming lower.

Other sports are far tougher than rugby league when it comes to penalising and suspending players for forceful high contact. For example, in eight matches of Super Rugby so far this season, there have been five players sent off and suspended, one for a dangerous tip tackle and four for striking or forceful contact to the head of an opponent.

Red cards are a common sight in rugby union. (Photo by Chris Hyde/Getty Images)

In the NRL, since 2016 – where there have been many more matches and countless more instances of head-high contact – only five players have been sent off in total. Of those, only two involved head contact: Curtis Scott for punching and Chad Townsend for an after-the-whistle, high, flying shoulder-charge.

Neither rugby union nor the AFL are blame-free when it comes to concussion. But their actions (including a new ‘head contact process’ released by World Rugby, and the pending appointment of a head of concussion by the AFL) at least reflect organisations with some understanding of the importance of the issue.

Rugby league, meanwhile, concerns itself with getting rid of the wrestle and tidying up its off-field image, lest it lose sponsors.

In September last year, I examined the NRL’s laws pertaining to high tackles, and the refereeing and judiciary outcomes relating. It made for sobering and concerning reading.

Week after week, multiple players are subjected to head knocks serious enough to warrant head injury assessments (HIAs). Many of these are a result of high contact by a tackling player – illegal under the NRL’s own rules.

For many people in the game, including media and fans, when a player is hit in the head in a high tackle, too often the focus is on any perceived injustice for the offending player, should he be sent to the sin bin or placed on report.

(Photo by Cameron Spencer/Getty Images)

There are multiple risk factors at play for the NRL. Increasing media focus on the dangers of concussion potentially leading parents to prevent their children from taking up rugby league, and more players coming forward with concussion-related medical conditions to sue the NRL, are two obvious ones.

Another potential concern is the sport being subject to penalty under industrial relations laws. There is a growing body of opinion that historic cases such as that of UK footballer Jeff Astle, where a causative link was established between his head trauma and his profession, and Australia’s James Hardie asbestosis case, where a breach of duty of care in an industrial framework was established, means that in a professional sporting context, concussion and its consequential neurological impairments create an industrial disease.

During 2019 and 2020, WorkSafe Victoria conducted no fewer than three investigations into the AFL with respect to concussion. The reports have not been made public, yet the fact the investigations occurred at all, and the AFL acted last month to drastically toughen its return to play protocols from a minimum six days to twelve, points to a degree of concern with respect to potential liability.

Late last year, I contacted SafeWork NSW to inquire if any similar investigations were ongoing, or being contemplated, with respect to concussion in the NRL. A spokesperson provided the following response”

“Work health and safety duties apply in relation to professional sports people for whom sport is work and sport organised by businesses or undertakings. Sports injuries are notifiable only if arising out of the conduct of a business or undertaking for example:

  • the way a work activity involving sport is arranged
  • the way the sporting activity is managed or controlled
  • the condition, design or maintenance of premises or equipment, or
  • the way work is carried out, for example inadequate supervision.

“Sports injuries are not notifiable if arising out of the normal conduct of a sports activity for example rough and tumble of a game.”

In other words, no. The statement is worthy of closer examination.

Are the injuries suffered by Billy Slater, Lachlan Lewis, Martin Taupau, Dylan Edwards, Alex Glenn, James Maloney and other victims of high-impact, unlawful headshots in recent seasons examples of the “normal conduct of a sports activity” and the “rough and tumble of a game”?

Further, does the inability of the NRL to ensure that the perpetrators of these and other high, reckless and dangerous tackles face appropriate on and off-field sanction, and the consequent failure to provide an effective deterrent to prevent other players similarly offending, constitute acceptable performance with respect to how the competition is “managed or controlled”?

(Photo by Mark Nolan/Getty Images)

It seems, according to SafeWork NSW, that it does.

I took SafeWork NSW’s response to the NSW government and opposition for comment. Interestingly, the matter was passed through the Minister for Better Regulation and Innovation, Kevin Anderson, to the Acting Minister for Sport, Geoff Lee.

The following questions were posed:

From Minister Lee’s office, an Office of Sport spokesperson answered.

“A number of sports such as the Australian Football League, National Rugby League, Rugby Australia and Football Australia have their own individualised concussion policy responses.”

In other words, no to all four questions.

For their part, the NSW opposition raised the matter of concussion in sport at budget estimates on Friday, March 5, directing the following question to a departmental secretary, Rose Webb.

“What day-to-day involvement does SafeWork NSW have with professional sportspeople, given this emerging discussion about concussion?”

After Ms Webb took the question on notice, Shadow Minister John Graham clarified that he was inquiring broadly about professional sports (not just the NRL), and was “just wanting to get a sense of what are the activities in this area”.

So, at least it’s on their radar, but it’s really baby steps from the opposition.

By way of background, SafeWork NSW also informed me that:

“The NSW Government recognises the challenges around head trauma and concussion in community sport. In 2018, the Office of Sport partnered with Sports Medicine Australia (SMA) to release the Concussion in Sport Policy for NSW State Sporting Organisations and State Sport Organisations for people with disability. The NRL Chief Medical Officer assisted in the development of the Policy. The Office of Sport and the SMA are best placed to provide comment on the policy.”

Are we thus to determine that it is the view of SafeWork NSW that because the NSW Government has released a concussion in sport policy, under the advisement of the NRL’s own chief medical officer no less, there is no need to consider the matter of concussion in the NRL any further?

That’s akin to not testing Crown’s suitability to hold a casino licence just because it happened to assist the government in constructing a policy on money laundering.

With SafeWork NSW and NSW’s state politicians adopting a ‘nothing to see here’ position, the matter now rests back with the NRL. Will the 2021 season be business as usual when it comes to forceful head contact to the head, or will there be a change with respect to how the game is refereed on-field and in judiciary outcomes off-field?

On Saturday, the Roosters’ Jared Waerea-Hargreaves was placed on report for making deliberate and forceful contact to an opponent’s head with his elbow. He escaped suspension.

Jared Waerea-Hargreaves. (Photo by Cameron Spencer/Getty Images)

On Sunday, Cronulla’s Jesse Ramien hit an unsuspecting Matt Dufty with a crude, forceful shot to the head. He was cited with a grade-one offence and accepted a three-week ban. If the sport was serious about stamping out unnecessary, impactful contact to the head, would Ramien not have been handed a more severe grading and sanction?

It’s only one round in, but on the evidence so far, nothing has changed.

On February 16, I asked the NRL if they will, for the 2021 season:

  1. be collating data on the number and outcome of HIA tests conducted in all matches?
  2. be conducting deeper analysis on the reasons for the HIA tests?
  3. be collating data on the number and outcome of incidences of concussion at training sessions?

And, if the answer to any of those questions is yes, will the outcomes be made publicly available?

The NRL declined to respond. Once again, nothing to see here.

On Saturday, the Roosters’ Jake Friend – not for the first time in his career – was heavily concussed after a head clash in a tackle. The Roosters now have both of their co-captains, Friend and Boyd Cordner all severely impacted by concussion for this season, while leading player Luke Keary has had issues with head injuries in the past.

Deliberate or accidental, this is more than simple bad luck at play. Something is wrong with the way the game is being played and, by the NRL not confronting the issue publicly, administered.

It will be interesting to see what stance is adopted from here by the mainstream media. The plight of ex-players Shane Tuck, Danny Frawley and Allan Stoneham has ensured that the issue of concussion has dominated media coverage of the AFL off-season in Melbourne.

It defies all logic and common sense for concussion to be a headline issue with respect to football players south of the Murray River but to barely warrant a mention north of it.

Do the Sydney rugby league media genuinely believe that concussion, CTE and early-onset dementia is a regional issue? Or is there implied pressure at work, with respect to not rocking the NRL boat?

The truth is, with respect to concussion, the NRL’s boat is already rocking, even if they and SafeWork NSW don’t yet realise it.

The Crowd Says:

2021-03-20T06:39:33+00:00

Chris Love

Roar Guru


I don’t think there’s a silver bullet here but I think there’s one part the NRL is getting clearly wrong. Watch the slow motion replay of the Kaufusi hit on Ryan Matterson on Thursday night. Kaufusi clearly cocks his elbow before driving it down on Matterson’s head. I showed the replay to two foreigners who don’t know League and both said to them it looked clearly intentional. Yet Kaufusi remained on the field and only received a 2 week suspension. 2 weeks for that is disgusting.

2021-03-19T07:54:00+00:00


I believe it's only a matter of time before RUgby league is banned, or sanitised as a game so much that it wont be worth watching. Brain Injuries are a real concern, and heartbreaking. But the only alternative to cut all risk is - don't play the game.

2021-03-18T10:18:21+00:00

Monorchid

Roar Rookie


Didn't see it Geoff. Will look for it. Unless you've headed a ball from a long kick out, you can't realise what an impact there is on the neck. And by implication, the head. Thanks for the response. Appreciated.

2021-03-18T02:39:32+00:00

nics

Roar Rookie


Re your “MYOB argument, it becomes “our” business when these injured players then get treated at public hospitals, receive support services, all funded by taxpayers. Easy to socialise the losses eh? Rights don’t exist in a vacuum.

2021-03-18T02:15:58+00:00

Munro Mike

Roar Rookie


Helmets are only so useful.....and can provide a dangerous false sense of security. Playing rules are interesting - - in that rules to protect the head can encourage some to put their head in danger to claim the benefit. So adjudication needs to take into account whether some one ducked into a tackle compared to someone being clumsy in their tackle. The other factor - as grounds improve with better drainage and management - the surfaces are generally firmer on average than in the past (when grounds got muddy in the middle of winter). A lot of head injury comes from head on ground contact. Clearly tackling technique is important......not dumping (spear/sling) tackles. AFL has something perhaps the Rugby codes don't - - and that's the contested ball on the ground. Accidental head clashes can happen. Generally the preference is to coach kids to go in sideone rather than head first. A lot of coaching really needs to focus on how to tackle and how to prepare to get tackled. The Rugby codes have a slight advantage again over AFL. In AFL the player getting tackled is compelled to attempt to dispose of the ball (if they had "prior opportunity"). This can make that player more vulnerable/less balanced and less focused on self-protection.

2021-03-18T01:42:46+00:00

mushi

Roar Guru


Look Ad-O has CTE, let's cut him a break. Let him shuffle off this earth then we can get on as a better version of humanity without him

2021-03-18T01:40:26+00:00

mushi

Roar Guru


Um yes it should be, well your version of neuter which is pretty hyperbolic

2021-03-18T01:38:17+00:00

mushi

Roar Guru


You clearly don't watch any more...

2021-03-18T01:37:45+00:00

mushi

Roar Guru


There was a report about a decade ago from beyond blue I think that had league players some 3 or 4 times more likely to be affected by mental health issues.

2021-03-18T01:34:37+00:00

mushi

Roar Guru


It's called the "expert opinion" carve out. Team doctors are genuine experts in getting concussed players back on the field!

2021-03-17T23:55:59+00:00

astro

Roar Rookie


For me, the incident of Boyd Cordner being allowed back on the field in last year's SOO was the worst example of this problem...It was appalling. I understand that on the field, things happen quickly. Maybe the ref misses something, maybe the game quickly moves on, maybe tough players don't want to be taken off and get up quickly...It happens. But the Cordner incident was evidence of a player very likely not able to think clearly himself, being allowed by a team to re-enter a game where he could have suffered significant and permanent damage. It was a considered and conscious decision by the Blues team staff, and was completely unacceptable. It beggars belief not more was done after that incident...

2021-03-17T23:50:46+00:00

astro

Roar Rookie


"Why not take up a crusade against the brain damage done to people who don’t exercise at all?" Well, because there's evidence to suggest that playing contact sports elevates your risk of CTE significantly. This article/study is a good one. Sample of 750 people studying athletes vs non-athletes and CTE found: "The likelihood of developing CTE was 2.6 times as high for football players as for nonathletes, the researchers found, but more than 13 times as high for football players who continued beyond the high school level, compared with nonathletes." The article also states how more research needs to be done, but the evidence thus far is clear that playing sports like football, especially professionally and for many years, increases your chances of CTE. The NRL know this, and (should) have a legal obligation to minimise or address this risk, and yet, do nothing... https://www.sciencemag.org/news/2019/07/even-if-you-don-t-play-contact-sports-you-could-develop-signs-traumatic-brain-injury

2021-03-17T23:42:09+00:00

astro

Roar Rookie


So, hypothetically, if I owned a large manufacturing facility using dangerous machinery, and I decided to save myself money by getting rid of all occupational health and safety measures, and just said to my employees "You know the risks. Don't work here if you don't want to. If your arm gets ripped off by one of my machines, bad luck." You'd have no problem with that?

AUTHOR

2021-03-17T20:51:54+00:00

Geoff Parkes

Expert


You don't come across as a crank, TB. There are many of us who want to see something tangible done about concussion who don't want the fabric of rugby league altered beyond recognition. Whether that can be achieved or not is clearly a difficult proposition, but a good starting point would be for the NRL to acknowledge the issue and make a start on it. And I don't mean window dressing by throwing a bit of money at 'concussion research'. As for Friend, you and I aren't going to solve that issue here. It's complex. But same as above, a good place to start would be to acknowledge the issue, then throw a whole lot of people in a room - biomechanists, concussion experts, coaches, strategists and so on - and start on the path of making changes that balance health concerns with trying to retain the essence of the sport.

AUTHOR

2021-03-17T20:45:38+00:00

Geoff Parkes

Expert


I didn't say that the NRL is going to be liable for $5b, warren. Self-evidently, the scale of any lawsuit, or settlement, will be proportionate to the number of players involved, and the specifics of any case. How certain are you that the NRL doesn't have information on concussion that it hasn't acted on?

2021-03-17T20:10:44+00:00

The Barry

Roar Guru


But what do you do about it? Friend got that tackle wrong. But are we rally saying he has a poor technique? He’s one of the best defenders in the NRL He makes 50 tackles a week, 20-odd weeks a year Even if his technique is right 99% of the time (no way anyone gets it that right, there are too many variables) there are going to be at least 10 tackles he gets wrong per season What are we going to do suspend Friend for his technique I know I side like I’m on the crank side of this argument. I’m really not. I think the game needs to continue to develop concussion protocols based on research. It needs to be FAR more punitive on head shots by defenders But to have a mature discussion about this, we also need to accept that there are going to be collisions and incidental head contact. If we’re looking at tackles like Friend’s and saying “we need to get that out of the game” we’re barking up the wrong tree...

2021-03-17T19:55:14+00:00

The Barry

Roar Guru


That’s a pretty sensible approach I agree with you with technique issues like we saw with Dylan Napa a few years ago where he was trading to hit players on the left side of his body with his right shoulder, which meant he was leading with the head and knocking blokes out. Players that are doing that sort of stuff could/should get sat down until they get it right Overall though, I think players are coached to tackle a safe way. Don’t lead with your head, use the shoulder on the side the ball carrier is running, put your head behind the legs, etc It’s not in the player’s or the club’s best interest to have them sitting out with concussion Jake Friend makes 50 tackles a week, 20-odd weeks a year. Even if his technique is perfect 99% of the time, he’s still going to get 10 tackles wrong a year... obviously not all of those will end in concussion Boyd Cordner’s most recent concussion was from an ordinary tackle where he just got hit by Kaufusi’s elbow as Kaufusi tried to turn and fend. There was nothing wrong with Cordner’s technique and nothing wrong with what Kaufusi did, it was an accident on all fronts We need to keep this in perspective. This is a high paced, high collision game played by elite athletes who are heavy, strong and fast. There’s just not a completely low risk way to tackle

2021-03-17T12:28:15+00:00

Ian_

Roar Rookie


I think what you have to be able to say is that we've coached players to tackle a particular, low risk way, and that where you've seen a problem with someone like Friend, or Cordner, that you've worked with them to coach them to change their technique (and not allowed them to return to play until satisfied they've fixed their technique issues).

2021-03-17T12:25:05+00:00

Ian_

Roar Rookie


One thing I'd say about this is that Ramien deserved more than a sin bin. If you do something illegal under the rules, and it results in a player needing a HIA, then I'd think you should be getting a red card, every time. Likewise, if you do something bad enough to earn 3 weeks suspension, to me, that's red card time.

2021-03-17T12:22:14+00:00

Ian_

Roar Rookie


I think there's a fundamental flaw in the game of rugby league that needs to be dealt with and that is that there is so much about it that puts the head and neck close to the target area for hard physical contact. You want to lock the ball up in tackles so they are aimed around the mid-chest to shoulders - not much room for error resulting in head contact. Then you have a load of grappling to tie the ball carrier up, much of it around the shoulders, neck and head. Really what you want from a risk management perspective is say "keep away from the head (and neck)" with any contact with those areas being seriously penalised. But to do this, you'd fundamentally change the game. It would end up (I suspect) as a very fast, high scoring game because stopping ball movement would be much much harder. But I think this sort of change is basically inevitable.

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