The Football Mental Health Alliance Professional Academy Toolkit
Academy Impact Assessment

The Players You're
Not Seeing Clearly

Enter your academy's player numbers by phase. What follows is an evidence-based estimate of your neurodivergent player population, your compliance exposure under EPPP standards and the Equality Act 2010, and what it means for your academy's long-term performance outcomes.

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EPPP Compliance & Equality Act 2010 โ€” Your Dual Obligation

The Elite Player Performance Plan (EPPP) requires all licensed academies to demonstrate active welfare provision, inclusive practice, and documented support for players with additional needs across all phases. This operates alongside โ€” not instead of โ€” your obligations under the Equality Act 2010, under which neurodivergent conditions are protected characteristics requiring reasonable adjustment. For academies operating an education programme within the Youth Development and Professional Development phases, OFSTED-adjacent scrutiny applies to how additional learning needs are identified and supported. Across all three frameworks, the standard being applied is no longer intent โ€” it is evidence. EPPP Framework โ†’

Academy Profile

Select your current EPPP licence category. This adjusts the compliance framing to reflect your specific obligations and scrutiny level.
Enter male and female player numbers separately per phase. If your academy is male-only, leave female columns empty.
Foundation PhaseU9โ€“U11
Male
Female
Youth Development PhaseU12โ€“U16
Male
Female
Professional Development PhaseU17โ€“U21
Male
Female
How would you describe your academy's current formal neurodiversity provision for players?
About the prevalence figures used

Our assessment of youth neurodivergence utilises the "1 in 7" UK standard, consistent with data provided by the Association for Child and Adolescent Mental Health (ACAMH) and the British Dyslexia Association (BDA).

The Elite Athlete Prevalence Gap
While general population figures provide a baseline, high-performance environments consistently show a higher concentration of neurodivergent traits. A 2019 narrative review published in the British Journal of Sports Medicine (Han et al.) found ADHD prevalence in elite and sub-elite athlete populations at approximately 7โ€“8% โ€” roughly double the general adult population prevalence of 2.5โ€“3.4%. This suggests academies are likely underestimating their neurodivergent populations before even accounting for players without a formal diagnosis.

The Female Diagnostic Gap
For female players, this model applies a 15% upward adjustment to account for significant diagnostic disparities. Research confirms that girls are diagnosed, on average, 4โ€“5 years later than their male peers โ€” or missed entirely due to differing symptom presentations. These findings are supported by NICE NG207 guidelines and BMJ (2022) data.

Assessment Realities & Legal Duty
In 2026, NHS waiting lists for ADHD and autism assessments in many parts of England remain a significant barrier, often running between 2โ€“5 years. Many neurodivergent players are already in your system โ€” either undiagnosed or stalled on a waiting list. Under the Equality Act 2010, the legal obligation to provide reasonable adjustments does not start at formal diagnosis. The duty is proactive and begins the moment a player's needs are known, or ought to have been known, by academy staff.

Staff estimates use FA and EPPP staffing ratio requirements specific to your academy category. Sources: ACAMH, BDA, NHS Digital, NICE NG207, EPPP Framework, Han et al. (2019), British Journal of Sports Medicine.

Impact Assessment

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Enter your academy's player numbers by phase to generate your neurodivergence impact assessment โ€” including EPPP compliance exposure, phase-by-phase breakdown, performance implications, and your immediate action framework.

Why neurodivergence matters differently in elite sport

A 2019 narrative review in the British Journal of Sports Medicine (Han et al.) found ADHD prevalence in elite and sub-elite athlete populations at approximately 7โ€“8% โ€” roughly double the general adult population rate of 2.5โ€“3.4%. Further 2023 research by Kilduff et al., supported by the PFA, specifically identified elevated rates of ADHD, dyslexia, and autism traits within elite football cohorts.

The implication is direct: an academy that cannot identify and support ND players is making selection and development decisions on incomplete information. The player who's "nearly there" โ€” nearly hitting targets, nearly engaging, nearly integrating โ€” may not be underperforming. They may be overcoming a hidden barrier just to reach "nearly." With the right support, "nearly" becomes "there."

The welfare obligation and the performance argument point in the same direction. Sources: Han et al. (2019), British Journal of Sports Medicine; Kilduff et al. (2023); ACAMH; BDA.

The "naughty boy pipeline" โ€” and why it costs you players

Across boys' academies, a specific pattern recurs. A player's ADHD-driven behaviour gets labelled as a discipline problem. The response is sanctions. The player doesn't respond to sanctions the way a neurotypical player would โ€” because punishment requires connecting a current behaviour to a future consequence, which is an executive function task, which is precisely what ADHD impairs. The behaviour continues. The sanctions escalate. The relationship breaks down. Eventually the player is released or disengages โ€” labelled as having the wrong attitude.

Visible behaviour. Invisible cause. Wrong response. Lost player. This happens in every academy in the country. The question worth asking: how many players have left your programme labelled as discipline problems who were actually undiagnosed or unmanaged ADHD?

The inattentive presentation โ€” the player who drifts, who's always slightly behind, who zones out during video analysis but sits quietly so nobody flags it โ€” never gets noticed at all. Your system catches disruption. It misses quiet struggle entirely. Both types are in your academy. Both are being failed by the same structural blind spot.

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