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Aviva Premiership 16/17 - Round 10

I'm pretty certain Northampton have seriously messed up here and will find themselves in trouble over this. However they are almost certainly not the only rugby team to do have done something like this, they are the ones to get caught - so although they should be punished, I hope people don't go overboard on vilifying them.

If they're found guilty, I certainly will, but I have done the same of any other miscreants in this regard. If they are found guilty of trying to cover their tracks, I will also vilify them for bringing the game into disrepute.
 
Will make Blood Gate look like simple gamesmanship.
 
I'm pretty certain Northampton have seriously messed up here and will find themselves in trouble over this. However they are almost certainly not the only rugby team to do have done something like this, they are the ones to get caught - so although they should be punished, I hope people don't go overboard on vilifying them.
I certainly will, actually I've already seen enough to villify them TBH, even if they get off on a technicality.
I doubt many other teams have been this bad, they've only even had the options of all the angles for this season. They're not the only ones to be blasé about concussion, and not the first to not notice evidence. However, the evidence was available, and they didn't see it; in medical terms that's borderline between negligence and incompetence.

If I have a patient coming in with an MRI scan result and I chose to ignore it, I'm still responsible for knowing what the scan shows, and if I miss something because I didn't look at the evidence available, then I am open to being sued, and will most likely suffer a restriction on practice (can't recall the proper term right now, thankfully I've never needed to swat up like that)
 
Smite them with a points deduction. Fines aren't pain enough for ignoring player welfare
 
Smite them with a points deduction. Fines aren't pain enough for ignoring player welfare

Agreed, punishment needs to be harsh (if found guilty) otherwise clubs will keep doing it.
 
This exact case with the TV angles being central might not have happened before but let's not pretend that other teams haven't for years been getting away with faking HIA results however they can. I'm not saying let them off, I'm saying don't go around pretending everyone else is innocent because they haven't been caught
 
I hope people don't go overboard on vilifying them.
Why?
Getting a concussion on top of a concussion is INCREDIBLY dangerous, he shouldn't have been put in a situation where this could've happened.
It's a massive massive failing on the medical staff's part.
Just because others are getting away with it shouldn't mean a lesser punishment, anyone caught should have the PRL/RPA/whoever coming down on them like a ton of bricks.
 
Has he been confirmed to have concussion then Olyy? I haven't read that.

He was lying still with his eyes shut. That doesn't mean he was 100% knocked out. Being knocked out doesn't 100% mean you have a concussion either.

He passed the HIA tests. Now either they're not good enough for purpose, and he was concussed and still passed, or he wasn't concussed. A number of people have come out and said that the tests are far more rigourous these days, and hard to get around if you are concussed.

David Flatman said that in one ruck when he was playing, he got a blow and was worried about his neck, said he laid perfectly still and had a similar thing where people thought he was out cold, but he wasn't. George had a lot of attention paid to his neck, and could well have been lying there waiting for the medics. If they arrived and he immediately told them he had neck pain, why wouldn't they simply assume he deliberately laid perfectly still? If anything, the claim that they were getting him checked out for HIA could have been the bull**** here, so they could check his neck and get him back out without having to permanently remove him.

Should they have viewed the footage? Absolutely, and it's seemingly a bull**** excuse and my guess would be they did see it, but are trying to claim they hadn't as a PR exercise now that the press and prem rugby have effectively forced them into having North checked out further.

I don't know if he was knocked out, and I don't know if he was concussed. What amazes me is that some many people can apparently tell by watching their TV, and are willing to believe that over the HIA results.
 
Thing is we (the saints) have been really good at removing players who have had head blows etc. There's multiple times were we often rest players for a few games just in case, so I see this more as medical negligence rather than something malicious.

All this talk about fines and points deductions is ridiculous. This was the actions of physics but a club conspiracy. They should be dealt with in a professional competency manner if they have breached something.
 
1. Has he been confirmed to have concussion then Olyy? I haven't read that.

2. He was lying still with his eyes shut. That doesn't mean he was 100% knocked out. Being knocked out doesn't 100% mean you have a concussion either.

3. He passed the HIA tests. Now either they're not good enough for purpose, and he was concussed and still passed, or he wasn't concussed. A number of people have come out and said that the tests are far more rigourous these days, and hard to get around if you are concussed.

4. David Flatman said that in one ruck when he was playing, he got a blow and was worried about his neck, said he laid perfectly still and had a similar thing where people thought he was out cold, but he wasn't. George had a lot of attention paid to his neck, and could well have been lying there waiting for the medics. If they arrived and he immediately told them he had neck pain, why wouldn't they simply assume he deliberately laid perfectly still? If anything, the claim that they were getting him checked out for HIA could have been the bull**** here, so they could check his neck and get him back out without having to permanently remove him.

5. Should they have viewed the footage? Absolutely, and it's seemingly a bull**** excuse and my guess would be they did see it, but are trying to claim they hadn't as a PR exercise now that the press and prem rugby have effectively forced them into having North checked out further.

6. I don't know if he was knocked out, and I don't know if he was concussed. What amazes me is that some many people can apparently tell by watching their TV, and are willing to believe that over the HIA results.
1. As far as I'm aware, concussion has not been confirmed.

2. Correct - however, being KOd IS a sign of concussion, and being KOd means that yo are considered to be concussed until proven otherwise. Being KOd is a much more reliable sign of concussion than any pitch-side tests yet developed. By WR regulations a player MUST be removed from the pitch if there is a suspicion of concussion - AKA if there is a suspicion of being KOd. You don't need any medical trainig whatsoever to see that there is suspicion that George had ben KOd (and most medical people who've commented, including myself, who have seen the footage, believe that GN had been KOd). With that suspicion, a player has to go through the return to play protocols, which tames 5 days, not 5 minutes, and is regardless of the results of a pitch-side HIA.

3. He may or may not have passed the HIA; but he didn't have time to undergo the full test, which takes a minimum of about 10 minutes (typically longer), he was back on the pitch in about 7 IIRC. He certainly failed the part of the HIA that includes looking at the footage of the incident and seeing if there is a suspicion that he was KOd. HIA tests aren't really good enough; and are being improved year-on-year; this doesn't mean they should be ditched, it means they should be improved. Passing an HIA does not overule evidence of a KO.

4. Yep, and that's what I suspect happened, they used an HIA to check his neck, didn't complete an HIA, didn't look at the video with a though towards HIA. This does not excuse them for missing a suspicion that he'd been KOd; medical negligence just doesn't work that way. We are responsible for assessing the evidence before us, ignoring evidence because it's not what we're worried about is not a god enough excuse.

5. My guess is that they didn't look at the footage at all, and are digging themselves a bigger hole by claiming that the footage wasn't available - bringing the rest of the club's management into things, rather than being a purely medical disciplinary issue.

6. I don't know for sure either - but it is absolutely clear that there is grounds for suspicion, and that grounds for suspicion is all that is needed. I am perfectly willing to believe the evidence of my eyes over an HIA test (that probably wasn't performed), because the evidence of my eyes is all that's required. In truth, the evidence of my eyes means that an HIA test diesn't even need to be performed, GN should have been removed from the field of play, and has to undergo Return To Play Protocols because of the evidence of my eyes, whatever an HIA says about things.

The medical negligence issue is one for the GMC, not the RFU. However, the not-following of rugby's concussions protocols is an issue for the RFU; and management are responsible for the actions of their employees. Lying (potentially) about the evidence that was available (rather than saying "we were worried about his neck, so were examining him for neck injuries, not an HIA") is absolutely a case for the RFU to investigate (against the club, not just the medics). Bringing the game into disrepute is absolutely a case for the RFU to investigate, and for the club as a whole to defend.

Living Sarifice - I don't care how many times your club has done it right - it's doing it wrong that's at issue here. No-one cares how many times I catch a red-flag at work, it's the one I miss that'll see me struck off.

ETA: I think Bath may have opened themselves up to similar at the weekend, taking Faletau off for an HIA after an injury to his eye. Difference with that case is that there's nothing pointing to Faletau being KOd; but I hope they still checked the videos for evidence that he might have been anyway.
 
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Why?
Getting a concussion on top of a concussion is INCREDIBLY dangerous, he shouldn't have been put in a situation where this could've happened.
It's a massive massive failing on the medical staff's part.
Just because others are getting away with it shouldn't mean a lesser punishment, anyone caught should have the PRL/RPA/whoever coming down on them like a ton of bricks.

To be clear I'm not talking about the punishment - absolutely they should be punished to the full extent. I'm referring to the public outcry side of things, I can imagine supporters of other clubs getting on their high horses about Northampton without acknowledging that probably most clubs have done similar and not been caught at some point
 
To be clear I'm not talking about the punishment - absolutely they should be punished to the full extent. I'm referring to the public outcry side of things, I can imagine supporters of other clubs getting on their high horses about Northampton without acknowledging that probably most clubs have done similar and not been caught at some point
You'll get some, but I don't think it'll be too much - there was quite a large "there but for the grace of god" when Quins got done over the Tom Williams affair.
Obviously, there was also a lot of moralising, and teasing of Quins fans; but I don't think there was excessive villification.

It also depends on what truth comes out.
IF it's that they sent GN back onto the pitch in full knowledge that they shouldn't - then they should be villified (and I sincerely hope no club has done this since the raised of awareness of the last 2-3 years).
IF it's that they rushed an HIA in record time, and didn't bother to look at the video evidence, and lied to cover their arses - then "there but for the grace of god"; and they should be punished, and their fans teased.
IF it's that they used HIA as an excuse to look at something completely different, and didn't think to do the actual HIA or video analysis - then "there but for the grace of god"; and they should be punished, and their fans teased.
 
Anyone know when we hear about this? I had thought it was supposed to be yesterday; but if we have then I've missed it.
Not that I mind them taking as long as they need to come to the right (and legally watertight) decision, of course.
 
Anyone know when we hear about this? I had thought it was supposed to be yesterday; but if we have then I've missed it.
Not that I mind them taking as long as they need to come to the right (and legally watertight) decision, of course.

According to this article the findings have been presented today, with a full publication being made Wednesday.

http://m.bbc.co.uk/sport/rugby-union/38383231
 
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http://www.bbc.co.uk/sport/rugby-union/38391557
No action taking, but it sounds (via BBC selective quoting etc) like they're unimpressed with Saints, but don't have enough evidence to actually do anything. It'll be interesting to read the report itself


ETA: link to the RFU, and from there, to the report itself: http://www.englandrugby.com/news/cmrg-makes-george-north-recommendations/ - I'll read it properly later when I get the chance.

If you read the premiership rugby article and recommendations it mainly sounds like an IT issue. I assume that from the lack of sanctions the medical team didn't have access to the footage due to wireless issues.

That's what the premiership article infers.
 
Yup - read that now, and it sounds less sceptical. I guess "the wifi wasn't working" is one that's absolutely impossible to check. There's also an implication that the Saints' PVR went AWOL to have a chat; possibly as a result of the wonky WiFi, and therefore missed everything on the big screen as well - which is instinctively naughty, but if current protocols allow, then not something to cause a fuss over; let's learn, correct, and move on.
Either way, on the recommendations themselves:


The Concussion Management Review Group recommendations are:

1. George North follows the graduated return to play protocol to optimise his recovery.
I assume this was already the case; absolutely nothing to be lost by doing so.

2. The pitch side video reviewer (PVR) should remain in their allocated seat;
How was this not already the case? if a man has 1 job to do, then he should be doing that job!

3. Wireless connectivity should be checked for those allocated seats;
Yes, it should have been obvious, but fair enough, I don't expect humans to think of all eventualities beforehand

4. Consideration be given to the introduction of a 'support PVR' to ensure that the video feeds continue to be monitored and additional clips can be downloaded if the PVR is discussing matters with the medical team (e.g. over radio link) or the development of automatically downloaded clips of incidents;
Fair enough, though the PVR with his one job to do ought to be able to multitask to the point of keeping 1 eye on the live feed whilst talking to someone by headset - no need for him to have left his post in the first place to have a face-to-face conversation instead of doing his job.

5. That at the forthcoming mid-season Premiership Club medical meetings, planned for February 2017, the reviewing and training team emphasise and re-enforce the necessity to review footage before starting the HIA assessment and the criteria in respect of permanent removal from the field of play;
It shouldn't need re-emphasising, but it's a new thing; so fair enough (though it reads that this might be a case of "letting them off".

6. The team doctor must review the video footages for permanent removal criteria both before commencing and after completing the HIA assessment in the medical room (or designated HIA area);
I thought this was already the case.

7. Irrespective of whether part of the HIA assessment has or has not been carried out on the pitch, the entire HIA must be completed again once in the medical room by the examining doctor;
Bloody obvious, but if missed, then so be it; let's nail that down formally

8. The maximum permitted time for an HIA process, in the Premiership in the 2016-17 season is 13 minutes. Given the importance of the HIA assessment in respect of player welfare the HIA should not be unduly shortened without clear reason;
Bloody obvious, and I guess the only real way of shortening it is either skipping point 7 above, or by just treating it like a tick-box questionnaire because you're not suspicious of anything - not that I'm claiming that North would have failed an HIA, I just don't think it was conducted properly

9. Hard wire live feeds should be reinstated to the medical/HIA rooms with recording and play back facility which would add resilience to the wireless MyPlayXplay system both in terms of functionality and also definition if, for any reason, there is an issue with the main (Wi-Fi) system.
Fair enough - if WiFi drops out, then a back-up is needed
 
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