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Open letter claims 'flagrant breach of HIA protocol' in Francis incident

By PA
(Photo by Getty Images)

The handling of an incident involving Wales’ Tomas Francis in Saturday’s clash with England has been criticised as a “clear and flagrant breach” of head injury assessment protocol.

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Prop Francis sustained a head injury in the 20th minute of the Six Nations contest at Twickenham.

In an open letter to World Rugby, the Welsh Rugby Union and Six Nations Rugby, Progressive Rugby, a lobby group on player protection, said: “After England pressure their second row Charlie Ewels carries the ball into contact near the Welsh line. As a result, two Welsh players – Owen Watkins and Tomas Francis are left prone on the field.

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“Watkins receives a clear and obvious injury with blood flowing from a cut to his head and is correctly removed for a head injury assessment (HIA) which he subsequently passes.”

“Francis attempts to stand and falls back and struggled to get to his feet.

“He is seen holding his head. He is then seen using the post for support. He displays clear signs of ataxia and of being dazed. He is seen by a physio/medic – it is not clear which.

“Francis displayed clear symptoms/indications under the World Rugby Head Injury Assessment protocol that necessitate the immediate and permanent removal from play. No HIA was needed.

“While, after a delay, Francis was removed from the field he was, incorrectly, allowed to undergo an HIA assessment and returned to the field, playing until the 56th minute, at which time he was permanently replaced by Leon Brown.

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“Progressive Rugby is concerned that the events demonstrate that individuals who have incurred brain injury have continued to be permitted to play which will place them at likelihood of risk.

“We consider the above incident demonstrates a clear and flagrant breach of HIA protocol that potentially puts both the short-term and long-term health of an elite athlete at risk.”

The letter added: “In addition, we still await the outcome of investigations into the failure to remove (England’s) Jack Nowell from the field during the game against Italy (Feb 13) and behaviour of the England medical team at the culmination of the Italy v England U20 game (Feb 11).

“It is our major concern that the public has observed that in Rugby Union individuals have incurred brain injury and been permitted to continue to play.

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“Until satisfactory explanations are provided, we remain unable to accept World Rugby’s assertion that player welfare is the game’s number one priority.”

The PA news agency has contacted World Rugby and the Welsh Rugby Union for comment.

A statement from World Rugby on Sunday read: “Player welfare is paramount for everyone involved in rugby and a collaborative approach is at the heart of ensuring all processes, such as the Head Injury Assessment (HIA) operational in elite competitions, are followed for the good of the game.

“As with other elite international competitions, World Rugby works alongside Six Nations Rugby, who conduct reviews following every Championship game, to identify and address any potential issues that arise from these matches.

“This approach is supported by a dedicated HIA review process, which is available to tournament organisers where required.

“Meanwhile, World Rugby can confirm that all match officials involved in the current Six Nations participated in an education workshop delivered by the Chief Medical Officer last week to reaffirm their critical role in supporting the HIA process.”

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Bull Shark 1 hours ago
Jake White: Are modern rugby players actually better?

Of the rugby I’ve born witness to in my lifetime - 1990 to date - I recognize great players throughout those years. But I have no doubt the game and the players are on average better today. So I doubt going back further is going to prove me wrong. The technical components of the game, set pieces, scrums, kicks, kicks at goal. And in general tactics employed are far more efficient, accurate and polished. Professional athletes that have invested countless hours on being accurate. There is one nation though that may be fairly competitive in any era - and that for me is the all blacks. And New Zealand players in general. NZ produces startling athletes who have fantastic ball skills. And then the odd phenomenon like Brooke. Lomu. Mcaw. Carter. Better than comparing players and teams across eras - I’ve often had this thought - that it would be very interesting to have a version of the game that is closer to its original form. What would the game look like today if the rules were rolled back. Not rules that promote safety obviously - but rules like: - a try being worth 1 point and conversion 2 points. Hence the term “try”. Earning a try at goals. Would we see more attacking play? - no lifting in the lineouts. - rucks and break down laws in general. They looked like wrestling matches in bygone eras. I wonder what a game applying 1995 rules would look like with modern players. It may be a daft exercise, but it would make for an interesting spectacle celebrating “purer” forms of the game that roll back the rules dramatically by a few versions. Would we come to learn that some of the rules/combinations of the rules we see today have actually made the game less attractive? I’d love to see an exhibition match like that.

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