Science and Technology Committee Sports and exercise science and medicine: building on the Olympic legacy to improve the nation’s health Oral and written evidence Contents Arthritis Research UK – Written evidence ......................................................................................... 3 Arthritis Research UK, Institute of Sports and Exercise Medicine, UK Sport and Medical Research Council Epidemiology Unit – Oral evidence (QQ 69-103) ........................................... 6 Professor Greg Atkinson, Teesside University – Written evidence .............................................. 7 Professor Sir Steve Bloom, Imperial College London, Professor Tim Cable, Liverpool John Moores University, Colonel John Etherington, Faculty of Sport and Exercise Medicine and Professor Hugh Montgomery, University College London – Oral evidence (QQ 1-25) ........ 10 British Association for Applied Nutrition & Nutritional Therapy (BANT) – Written evidence ..................................................................................................................................................................... 23 British Association of Sport and Exercise Science (BASES) – Written evidence ...................... 26 Professor Tim Cable, Liverpool John Moores University, Colonel John Etherington, Faculty of Sport and Exercise Medicine, Professor Hugh Montgomery, University College London and Professor Sir Steve Bloom, Imperial College London – Oral evidence (QQ 1-25) ......... 35 Department of Culture, Media and Sport (DCMS), NHS Confederation, National Institute for Health and Clinical Excellence (NICE) and Department of Health (DH) – Oral evidence (QQ 26-68) ............................................................................................................................................... 36 Department for Culture, Media and Sport (DCMS) – Written evidence .................................. 37 Department for Culture, Media and Sport (DCMS), Hugh Robertson MP, Minister for Sport and the Olympics – Oral evidence (QQ 129-160) .......................................................................... 41 Department of Health (DH) – Written evidence ............................................................................ 55 Department of Health (DH), Department of Culture, Media and Sport (DCMS), NHS Confederation and National Institute for Health and Clinical Excellence (NICE) – Oral evidence (QQ 26-68) .............................................................................................................................. 58 Department of Health (DH) – Supplementary written evidence ................................................. 73 Department of Health (DH), Anne Milton MP, Parliamentary Under-Secretary of State – Oral evidence (QQ 104-128) ............................................................................................................... 74 Department of Health (DH) – Further supplementary written evidence .................................. 85 Colonel John Etherington, Faculty of Sport and Exercise Medicine, Professor Hugh Montgomery, University College London, Professor Sir Steve Bloom, Imperial College London and Professor Tim Cable, Liverpool John Moores University – Oral evidence (QQ 1-25) ........................................................................................................................................................... 88 Colonel John Etherington – Supplementary written evidence ...................................................... 89 Institute of Sports and Exercise Medicine, UK Sport, Medical Research Council Epidemiology Unit and Arthritis Research UK – Oral evidence (QQ 69-103) ......................... 90 Intelligent Health – Written evidence ............................................................................................... 103 Professor David Jones, Manchester Metropolitan University – Written evidence ................ 107 Professor Alison McConnell, Brunel University – Written evidence ........................................ 110 Medical Research Council Epidemiology Unit, Arthritis Research UK, Institute of Sports and Exercise Medicine and UK Sport – Oral evidence (QQ 69-103) ............................................... 118 Ministry of Defence – Written evidence .......................................................................................... 119 Professor Hugh Montgomery, University College London, Professor Sir Steve Bloom, Imperial College London, Professor Tim Cable, Liverpool John Moores University and Colonel John Etherington, Faculty of Sport and Exercise Medicine – Oral evidence (QQ 1- 25) ............................................................................................................................................................. 123 Professor Hugh Montgomery, University College London (UCL) – Supplementary written evidence ................................................................................................................................................... 124 Professor David Mullineaux, University of Lincoln – Written evidence ................................... 126 NHS Confederation, National Institute for Health and Clinical Excellence (NICE), Department of Health (DH) and Department of Culture, Media and Sport (DCMS) – Oral evidence (QQ 26-68) ............................................................................................................................ 129 National Institute for Health and Clinical Excellence (NICE), Department of Health (DH), Department of Culture, Media and Sport (DCMS) and NHS Confederation – Oral evidence (QQ 26-68) ............................................................................................................................................. 130 The Physiological Society – Written evidence ................................................................................ 131 Register of Exercise Professionals (REPs) – Written evidence ................................................... 137 Research Councils UK (RCUK) – Written evidence .................................................................... 140 The Royal College of Physicians (RCP) – Written evidence ....................................................... 154 The Sport and Exercise Nutrition Register (SENr) – Written evidence .................................. 158 Sport and Recreation Alliance – Written evidence ....................................................................... 160 Sport England – Written evidence ..................................................................................................... 172 University of Central Lancashire – Written evidence ................................................................... 180 UK Sport – Written evidence ............................................................................................................ 182 UK Sport, Medical Research Council Epidemiology Unit, Arthritis Research UK and Institute of Sports and Exercise Medicine – Oral evidence (QQ 69-103) ................................................ 196 UK Sport – Supplementary written evidence ................................................................................. 197 Professor Jose Viña, University of Valencia – Written evidence ................................................ 198 Professor Gerta Vrbova, University College London (UCL) – Written evidence ................. 199 Wellcome Trust – Written evidence ................................................................................................ 201 Arthritis Research UK – Written evidence Arthritis Research UK – Written evidence 1. Arthritis Research UK welcomes the opportunity to respond to The House of Lords Science and Technology Committee inquiry: ‘Sports and exercise science and medicine: building on the Olympic legacy to improve the nation’s health’.1 Through the examples in this submission we provide a brief overview of our charity’s involvement in this area. We would be pleased to expand on the points below, and to provide further information to the Committee as oral evidence. 2. Arthritis Research UK is the UK’s fourth largest medical research charity. Our vision is ‘a future free from arthritis’. Our remit includes arthritis and musculoskeletal conditions, which are disorders of the joints, bones and muscles – including back pain – along with rarer systemic autoimmune diseases such as lupus.2 Together, these conditions affect around ten million people across the UK and account for the fourth largest NHS programme budget spend of £5 billion in England.3,4 Arthritis is the biggest cause of pain and disability in the UK and with other musculoskeletal conditions accounts for one in five General Practice consultations.5 As a charity we fund research, provide information to patients and educational resources for healthcare professionals. 3. Whilst acknowledging the health and well-being benefits of exercise, we are concerned that questions about the long term effects of sport and exercise on musculoskeletal health should be addressed. There is a need for consideration of areas including: • The effect of individual episodes of injury as well as the cumulative effect of sports activity on the body; • Impact on elite as well as casual participants; • Particular concerns about the long term consequences of injuries in children, and the need to ensure these are considered in relation to training regimes. How is sports and exercise science research co-ordinated? Who sets