Current Meeting Information:
Meeting Title: Pitch side sports medicine; Concussion and head injuries in
Sport
Meeting Date: 7 November 2014
Meeting Venue: Royal College of Surgeons, London
Meeting Information: Organised by Professor Maffulli and Chaired by Dr Beasley and Dr
O'Driscoll, this is a high level interdisciplinary meeting aimed at senior practitioners. The day focuses
on Pitch side sports medicine; Concussion and head injuries in Sport and is open to all SEM
and healthcare professionals. The Pitch side session will be chaired by Dr Ian Beasley, the Concussion
and head injuries session by Dr Gary O'Driscoll. 6 FSEM CPD accreditation points have been awarded
for the day. A maximum of 80 delegates will attend with the attendance fee for the day
of £150 including attendance at all academic sessions, refreshments, hot lunch, delegate pack,
attendance certificate and DVD with all meeting presentations uploaded (sent to you after the day).
For your information the recently revised FA guidelines on head injuries is found
at www.thefa.com/news/2014/aug/head-injuries-in-football
Professor Maffulli will be very grateful if you can make all colleagues aware of the day in
case they are interested in attending.
If you would like a booking form for this day, please email
Barry Hill E: [email protected]
Meeting Schedule:
SEM Meeting - Pitch side sports medicine; Concussion and head injuries in Sport
07 November 2014
At The Royal College of Surgeons, London
(6 FSEM UK CPD points awarded)
Meeting Schedule
0800 Registration, Refreshments and Commercial Exhibition
0850 Meeting Welcome Prof Nicola Maffulli
Morning Session - Chair: Dr Ian Beasley
0900 The Sports First Aid Context Mr Mike Healy
0930 Pitchside and on-field realities when working as a physiotherapist in Football Mr Gary Lewin
1000 Immediate Care Training - Can we finish what we've started? Mr Brian Carlin
1030 Refreshments and Commercial Exhibition
1100 Tae kwon do 'mat side rescue' Dr Charlotte Cowie
1130 Pitch side care - on the road Dr Ritan Mehta
1200 Immediate Care in Rugby Dr Andy Smith
1230 Roundtable Discussion All
1315 Lunch and Commercial Exhibition
Afternoon Session - Chair: Dr Gary O'Driscoll
1415 The management diagnosis and RTP of Concussion from the rugby perspective Dr Phil Batty
1445 Concussion in Football: Use Your Head Dr Shabaaz Mughal
1515 What has been happening in Concussion since Zurich 2012? Dr Mike Turner
1545 Refreshments and Commercial Exhibition
1615 Traumatic brain injury Mr Anthony Belli
1645 The Emerging Legal Issues on Rugby and Football Neuro-Trauma ** Mr Brendan Roche /
Mr Tim Meakin
1715 Roundtable Discussion All
1800 Meeting Close
** topics to be covered in this presentation include:
1. The legal issues affecting rugby neuro trauma. Outlining the duty of care of clinicians, sports
governing bodies etc.
2. The case law relating to particular aspects of safety of the sport and who could be a potential
defendant: club doctors, physios, and related staff.
3. Examples of how these cases will be approached by courts in practice, including how the duty of
care can be discharged in the case of rugby by the measures in place to protect players.
4. Case law on football neuro-injuries and their latest developments and parallels with rugby.
5. Causation of injury and whether the head injury can be proved to be related to any breach of duty
of care in particular cases. Will these cases ever succeed on causation of injury?
Meeting Organiser:
Professor Nicola Maffulli MD MS PhD FRCS (Orth) FRCP FFSEM is Professor of Musculoskeletal
Surgery, Consultant Orthopaedic Surgeon, University of Salerno, Italy and Professor of Sports and
Exercise Medicine, Consultant Trauma and Orthopaedic Surgeon, Mile End Hospital. His main clinical
interests lie in the management of lower limb sports injuries and in paediatric musculoskeletal sports
medicine. Special interests include Anterior Cruciate Ligament and Patellar and Achilles tendons. His
main research interests are the histology and biology of overuse tendon injuries and the effects of
intensive training in young and older athletes. A florid research programme is under way with
international collaborators, focusing on orthopaedic genetics, outcome measures and randomized
controlled trials in trauma and orthopaedics, and tissue engineering of tendons. Professor Maffulli has
recently been awarded the Fellowship of the Royal College of Physicians.
Meeting Chairs:
Dr Ian Beasley MBBS MRCGP MSc Dip Sports Med FFSEM(UK) - Ian is a Sports Physician with clinical
interests in Groin injuries, Troublesome muscle tears, Tendon problems and Management of all injuries
in dancers. He has worked in professional football for 25 years, is now Head of Medical Services to the
FA, and Team Doctor to the England Men's Team. Dr Beasley went with the team to the World Cup
2010 and the European Championships in 2012. He was Governing Body Medical officer for Hockey
from 1992-2002, and attended two Olympics, Two World Cups and a Commonwealth Games. Dr Beasley
is also Medical advisor to The Royal Ballet Company, London, and see dancers of all levels at the
company.
Dr Gary O'Driscoll MBBS BSc (Hons) Dip SEM FFSEM is now in his sixth full season at Emirates
Stadium as the Medic al Director to Arsenal Football Club and has overseen major developments in the
medical department since joining the Club. Gary qualified in 1997 having previously completed a degree
in Pharmacology and has worked as a sports physician in a series of full and part time roles since.
Initially Ireland U21 Rugby Union Doctor for three 6 Nations tournaments & three World Cups he was
appointed Doctor to the Ireland senior squad in 2002 covering more than 70 Internationals with a
squad that won 3 Triple Crowns a Championship and a Grand Slam. He was one of the Drs on the
British & Irish Lions tours to New Zealand in 2005 and South Africa in 2009 and also worked with
Saracens Rugby Union and Melbourne Storm rugby league. In December 2008 he was appointed
Medical Director to Arsenal Football Club, a position he still holds. Gary is the Chairman of the Premier
League Drs Group and was a member of the Medical Steering Group to the 2012 London Olympics.
Gary is an instructor in the ATLS& SCRUMCAPS Emergency Medicine courses and also involved in
research in a variety of areas and is a Fellow of the Faculty of Sports & Exercise Medicine of Ireland.
Meeting Speakers:
Dr Philip Batty MB ChB MRCGP DRCOG PG Dip (SEM) FFSEM (UK) is on the GP Register and Specialist
Register for Sports and Exercise Medicine. Dr Philip Batty has been involved in elite sports medicine for
17 years. He worked as the deputy club doctor at Manchester United between 1996 and 1999 before
joining Blackburn Rovers Football Club as Head of Sports Medicine. He combined this role with positions
at the English Institute of Sport and Sedbergh School. He became head of Sports Medicine at
Manchester City Football Club in 2011-2012 before taking on his current role as Senior Team Doctor
for the England Rugby Team. Dr Batty has served as the Training Programme Director in Sports and
Exercise Medicine for the North West and also on the Speciality Advisory Committee. He is a member
of Council of the Faculty of Sports and Exercise Medicine and also holds the following positions:
Honorary Senior Lecturer at the University of Salford; Honorary Senior Lecturer at University College,
London; Honorary Consultant at Wrightington Hospital; Sports and Exercise Medicine Consultant at
Isokinetic Medical Group; Member of Examinations Committee and Examiner for the Diploma in Sport
and Exercise Medicine, Faculty of Sports and Exercise Medicine; Appraiser in Sports and Exercise
Medicine, Faculty of Sports and Exercise Medicine; His clinical interests are paediatric sports injuries,
injection therapy and diagnostic musculoskeletal ultrasound imaging.
Mr Tony Belli MD FRCS is a Consultant Neurosurgeon at Queen Elizabeth Hospital Birmingham. Mr
Belli's research interest is in neurobiochemistry and neuromonitoring of acute brain injury. Working with
cerebral microdialysis, he has focused on early markers of tissue damage and on the prevention of
secondary injury after trauma and subarachnoid haemorrhage. Mr Belli is the principal or chief
investigator of several acute brain injury studies. He graduated from Tor Vergata University in Rome in
1992 with a degree in Medicine and Surgery. He completed a doctoral degree (MD) on
neurobiochemistry of brain ischaemia and reperfusion at Tor Vergata University and then moved to the
UK in 1994. He trained as a neurosurgeon at Kings College Hospital, Atkinson Morley's Hospital, The
National Hospital for Neurology and Neurosurgery, Great Ormond Street Hospital, The Royal Free
Hospital and Charing Cross Hospital. Mr Belli is on the editorial board several neurology journals and is
an advisor to NICE and the Care Quality Commission - bio tbc
Mr Brian E Carlin Dip IMC RCSEd - Brian is currently the clinical lead for the Football Association (FA)
Advanced Resuscitation & Emergency Aid (AREA) course programme. He is a Senior Medical Educator
for the International Rugby Board (IRB) worldwide; with a responsibility for raising the standards of
pitch side care in all union playing countries. Brian has a keen interest in medical education especially
in the areas of assessment and promoting academic integration within pre-hospital care and medical
aspects of sports. He was part of the curriculum development group for the sub-specialty in pre-hospital
care in UK, amongst a number of academic programmes he has been involved with. These include
being the author and Course Director of the RCSI FSEM Standard Principles of Resuscitation & Trauma
in Sports (SPoRTS) and the ICGP Immediate Medical & Emergency Care (IMEC) Courses. Brian is a
Senior Examiner for the Faculty of pre-hospital care at the Royal College of Surgeons of Edinburgh
(RCSEd) and is the FPHC advisor for the DIMC/FIMC exams in Immediate Medical Care for all Ireland
(Southern & Northern Ireland). He played both football and Rugby before injury and now is a keen
Marathon and Ultra-marathon runner. Recently acted as one of the Field of Play Medical Leads for the
Commonwealth Games 2014 Track & Field events in Glasgow
Dr Charlotte Cowie MBBS DipSportMed DM-SMed FFSEM(UK) is Clinical Director for Perform at St.
George's Park. Charlotte Cowie undertook her initial training in Sport and Exercise Medicine at the Royal
London Hospital (now QMUL) in 1993 and since then has worked both part time and full time within
elite and professional sport. She added an osteopathic degree to her training and has continued to take
a particular interest in musculo-skeletal medicine, working at the Bupa Musculo-skeletal centre of
excellence in London for many years. She has worked mainly in professional football, having worked
initially as the MO at Millwall FC and for the England Women's Football Squad, subsequently working
as Head of Medicine and Sports Science at Fulham FC and then as Head of Medical Services at
Tottenham Hotspur FC. She has also worked as a Medical Officer for TeamGB at 3 Olympics and in the
2012 Olympics was also present in the role of NGB doctor to British Taekwondo. She is currently the
clinical director at Perform at St George's Park, the medical facility for the National Football Centre in
Burton upon Trent.
Mr Mike Healy, FA Head of Medical Education - Mike has been with The FA for 12 years where he
worked as Head of Medical Services to England Development Teams (U16-U20s) for five years before
becoming Head of Medical Education in 2010. As Head of Medical Education, Mike has the responsibility
for the delivery of a high quality medical education programme for the whole game that is appropriately
resourced and delivered by tutors with strong FA Learning values.
Mr Gary Lewin MSc GradDipPhys MCSP SRP is Head of Physiotherapy Services to the FA and
physiotherapist to the England Senior Mens Team. Born in 1964 in East Ham, London. On leaving school
in 1980 became an apprentice professional footballer at Arsenal Football Club. Unfortunately was
released in 1982 and undertook the Chartered Society of Physiotherapy course at Guy's Hospital of
Physiotherapy, qualifying in June 1986. During this training, worked at Arsenal Football Club on a parttime basis working with the youth and reserve teams. Once qualified worked at Guy's Hospital as a
Junior Physiotherapist before being offered the First Team Physiotherapist job at Arsenal Football Club
in September 1986. Worked at Arsenal Football Club for twenty-two years before leaving on 31st July
2008. In 1996 was appointed to the England Senior Men's football team, working part-time. Went to
three FIFA World Cup Finals in 1998 (France), 2002 Japan NAD Korea) and 2006 (Germany) and two
UEFA European Championship Finals in 2000 (Holland and Belgium) and 2004 (Portugal). Finally was
appointed Head of Physiotherapy Services to the FA and Physiotherapist to the England Senior Men's
team on 1st August 2008. Went to the 2010 FIFA World Cup Finals (South Africa), the 2011 FIFA Under
20 World Cup Finals (Colombia), the 2013 FIFA Under 20 World Cup Finals, the Euro 2012
Championships in Poland and Ukraine, was part of Team GB for the 2012 Olympics working with the
Team GB Football Team and went to the 2014 FIFA World Cup Finals (Brazil). Appointed to the
Operations advisory panel to the building of St. George's Park in August 2010. Saint George's Park
successfully opened in October 2012. Trustee to Brain and Spine Foundation Charity, Ambassador to
the Willow Foundation Charity and Trustee to Rainbow Nation Charity.
Mr Tim Meakin is a practising Barrister at 7 Bedford Row, where he specialises in sports law,
professional negligence, and serious personal injury law. His areas of practice include; Disciplinary,
Child Safe-guarding and Regulatory Sports Law, providing advice and representation in
disciplinary proceedings in Courts, Arbitrations and Tribunals in the UK as diverse as the FA, British
Canoe Union, and British Gymnastics. He is also on the UK Anti-Doping list of advocates representing
sports personnel in doping proceedings, including the recent Commonwealth Games. Sports Related
Personal Injury; Tim advises and represents clients on sports related injuries, including both
individual sports personnel and major sporting organisations (UK Athletics, the British Cycling
Federation, Premiership/Championship Footballers, and the RFL). In addition, he has extensive
experience in Sports Related Professional Negligence Law, representing individuals and defence
organisations on cases involving injury consequent on clinical and related negligence from doctors,
coaches, and/or physiotherapists, leading to financial loss and damage. Tim is a member of the British
Association for Sport and Law and writes and lectures on sports law issues.
Dr Ritan Mehta MBBS BSc MRCGP MSc (SEM) MFSEM is currently the Medical Officer for England
Women's Football at the FA and Team Doctor to the Senior England Women's football team. He has
previously worked with a variety of teams within the FA and was the lead medical officer for England
at the FIFA U20 Men's World Cup 2011 in Colombia. Ritan Mehta initially trained as a General
Practitioner and pursued his interest in Sport and Exercise Medicine by completing an MSc in Sport and
Exercise Medicine (SEM) at QMUL in 2009, passing with distinction and awarded the DJO John King
Prize for his research on 'Post-exercise cardiac troponin release is related to exercise training
history'. He has now returned to QMUL as a Senior Clinical Lecturer and Honorary Consultant in SEM
after undertaking higher specialist training in SEM in London. Ritan has worked in a variety of sports
throughout his career and was honoured to have worked at the London 2012 Olympic and Paralympic
Games in athletics at the Olympic stadium. His main area of interest however is football medicine. He
is currently the team doctor at Watford Football Club and has lectured on football medicine at both
national and international conferences.
Dr Shabaaz Mughal MBBS MRCGP MSc(SEM) FFSEM(UK) CESR - Dr Mughal is currently the full time
Club Doctor at Tottenham Hotspur Football Club and the President Elect of the Sport and Exercise
Medicine Section at the Royal Society of Medicine. He received international recognition and acclaim
for performing the on field Cardiopulmonary Resuscitation of Fabrice Muamba, the football player from
the opposition team Bolton Wanderers FC, who collapsed due to cardiac arrest during an FA Cup match
in March 2012. Shabaaz has previously been Club Doctor at Leyton Orient FC. He has also worked in
various other sports including Athletics, Basketball, Boxing and Cricket. Shabaaz is a Consultant in Sport
and Exercise Medicine (SEM) having completed the London Deanery Higher Specialist Training
Programme and holds dual specialisation in both SEM and General Practice. He completed his MSc in
SEM at St Barts and the Royal London, QMUL in 2006. He has presented internationally on behalf of
the Football Association (FA) at the Confederation of African Football Medical Congress as well as
lecturing on various MSc courses and SEM seminars in London. He has written a chapter on Head
Injuries and Concussion Management in the 'Emergencies in Sports Medicine' Handbook and is involved
in ongoing research in SEM. Shabaaz is also a representative on the FA/Premier League Medical Working
Group on Head Injuries and Concussion.
Mr Brendan Roche MA (Oxon) is a practising barrister at the Chambers of Simeon Maskrey QC at 7
Bedford Row, where he specialises in professional and clinical negligence, personal injury, child
protection and sports law. He is regularly instructed in complex or difficult medical litigation including
cases of alleged baby-shaking, fabricated illness and disputes over appropriate treatment. He has
argued the boundaries of the tortious duty of care before the highest courts in England and Wales. He
regularly advises on high value personal injury and neuro-trauma cases. Brendan is a member of the
British Association for Sport and Law and writes and lectures on sports law issues. He also sits as a
Recorder.
Dr Andy Smith BSc(Hons) MB ChB MRCS(Eng) FCEM FIMC RCSED FFSEM(UK) MSc SEM is an
Emergency Medicine Consultant at Mid Yorkshire Hospitals NHS Trust, Yorkshire Ambulance Service
BASICS doctor, Faculty of Pre Hospital Care RCSED Training & Standards Board Vice Chair, Senior
Lecturer at Leeds Medical School, visiting Lecturer at Salford, Hull, Bolton, St. Mary's and Middlesex
University's. In sport Andy is the Yorkshire RFU & England Counties Doctor, Twickenham Match Day
Player & Officials Clinical Lead, RFU Immediate Care in Sport Programme Director, IRB Immediate Care
in Rugby Technical Director and Clinical Governance Advisor to Premiership Rugby. Andy worked at
both the Olympics and Commonwealth Games as a Field of Play Team Leader for the athletics.
Dr Mike Turner MBBS MD FFSEM is Chief Medical Adviser (CMA) to the Lawn Tennis Association, a
post he has held since 1994. He retired as CMA to the British Horseracing Authority on 31st December
2013 after 21 years in office and was formerly Medical Adviser to the British Ski Federation and a
member of the Medical Committee of FIS (International Ski Federation). He was Director of Medical
Services at the British Olympic Association and Team GB Medical Officer at Calgary, Albertville and
Lillehammer Winter Olympic Games. He is on the Editorial Board of the British Journal of Sports Medicine
and his particular areas of interest are safety in high risk sports, protective equipment in sport, child
protection, concussion and doping control.