By John Portch

Hands up: who came to the Kia Oval last month for the Leaders Sport Performance Summit?

We definitely saw some of you there but, if you didn’t make it, don’t worry. We were sat in the front row with a notepad and, having deciphered our handwriting, compiled a list of six factors for turning setbacks into springboards. It was one of the main themes across both days.

The summit wasn’t all that was happening at the Leaders Performance Institute during November and we reflect on insights into the fields of leadership, coaching, data and human performance and pose five questions.

Perhaps the answers will provide one or two nuggets to help you with your next project.

Do you have all the skills you need to lead?

Perhaps you’ve heard of the of the Peter Principle. The concept, devised by psychologist Laurence J Peter, states that people tend to be promoted to their ‘level of respective incompetence’. Think of the supreme technician who, upon promotion, finds themselves overwhelmed as a manager tasked for the first time with leading people.

Carole Mundell, the Director of Science at the European Space Agency, told the audience at the Oval that while she viewed herself as a creative and independent scientist, that wasn’t going to cut the mustard in an organisation designed by engineers.

“I’m learning to think like an engineer,” she said. “All of ESA’s structures and processes and how we operate comes from the mind of an engineer… We have a whole quality assurance system where we set our objectives and we say ‘what will we do?’ ‘What did we say we’d do?’ ‘Did we do what we said?’”

Take time to consider the missing element that might make you a better leader.

What is to be done during losing streaks?

David Clancy, a Learning and Development Consultant at the Houston Texans and Director at The Nxt Level Group, wrote that the answer lies in purpose. ‘In elite environments, whether you’re a player, coach, or part of the front office, the pressures and expectations are immense,’ he wrote. ‘But the best leaders, those who guide their teams with purpose, know that long-term success is rooted in meaningful work.

‘This drives individuals to not only execute their tasks but also to find value in how those tasks contribute to the big picture. Leaders who strive to inspire meaningful work allow individuals to not just survive pressure, but thrive under it, empowering them to embrace challenges as part of their career journey.’

Clancy highlighted three principles to cultivate meaningfulness in your teams:

1. Reinforce the ‘why’: Constantly remind yourself and your team of the purpose behind the work.
2. Connect the dots: Leaders need to help people see the connection between their day-to-day to-dos and the overarching goals. When team members understand how their role directly influences the organisation’s purpose, they are more motivated, energised and engaged.
3. Celebrate progress, not just results: Recognise the small wins and the milestones achieved on the journey. This acknowledgment reminds individuals that meaningful work is about the process, not just the result.

Who are your friends in high performance?

You don’t need us to tell you how competitive things get at a world championships, Olympics or Paralympics, but there are things that transcend rivalry.

One such area is female athlete health, where the UK Sports Institute, US Olympic and Paralympic Committee, Australian Institute of Sport and High Performance Sport New Zealand have clubbed together to form the Global Alliance. This enables them to share resources and insight in this one particular field.

“We are all under-resourced, we’re overstretched in terms of the time that we’re wanting to spend in this space,” said Dr Rachel Harris, the Lead of the Female Performance & Health Initiative at the AIS. “We really wanted to try and allow the people that are working in our sporting organisations to be more proactive.”

Her peers are just as effusive. “I think it’s a natural step to build an international community; and we do have them, but they’ve been a bit ad hoc,” said Dr Helen Fulcher, the HPSNZ Athlete Performance Support Lead. The Global Alliance is, as she added, an opportunity to raise standards across female sport. “The focus is not just on individuals having great connections but what can we collectively do better for this group of athletes that we all care about.”

The Alliance has every expectation that its membership will grow in the near future.

How do you solve a problem like innovation?

Professor Fabio Serpiello, the Director of Sport Strategy at Central Queensland University, told attendees at Leaders Virtual Roundtable that the best way to approach innovation is to start by defining your problem.

To that end, he employs a range of models, including David J Snowden and Mary E Boon’s Cynefin Framework.

‘Cynefin’, which is pronounced ‘ku-nev-in’, is a Welsh word that signifies ‘the multiple factors in our environment and our experience that influence us in ways we can never understand,’ as Snowden and Boon wrote in their 2007 Harvard Business Review essay titled ‘A Leader’s Framework for Decision Making’.

The Cynefin framework, they continued, ‘helps leaders determine the prevailing operative context so they can make appropriate choices’.

Source: HBR

Snowden and Boone identified five operative contexts – simple, complicated, complex, chaotic and disordered. Serpiello touched upon each:

• Simple

Simple contexts are stable and one can observe a clear cause-and-effect relationship (although there is a risk of oversimplification).

• Complicated

Complicated contexts are the world of known unknowns; multiple right answers exist, but they require analysis.

• Complex

Here, there are unknown unknowns; and cause-and-effect relationships are only apparent in hindsight.

• Chaotic and disordered

These are domains of no clear cause-and-effect relationships and high turbulence.

Is your mental skills work simple, relevant and applicable?

Mental skills coach Aaron Walsh wanted to understand the perceived gap between value and impact in his field and embarked on a research project.

It furthered his understanding and, as he wrote in an exclusive column for the Leaders Performance Institute, Walsh alighted on three principles for making mental skills work meaningful:

1. Simple — Psychology is a complex subject; however, there is no need to make the content inaccessible by using language and terms you don’t need to. You don’t need to impress them by demonstrating your knowledge of the subject matter. Additionally, I have made the mistake of presenting too much information. The more information you have, the greater the chances of being confused. If you keep the language simple and try to cover only a little, you enhance the audience’s ability to grasp the key messages.
2. Relevance — Any content we deliver must apply to the athlete’s needs. The athlete cannot integrate irrelevant mental skills into their performance. Not everything you know will be relevant to what they need. One good question for us to ponder is, “What do they need to know that is relevant to the challenges they will face?”
3. Applicable — The content needs to be translated into practical solutions. No one wants to be told they are “doing it all wrong” and then not have a roadmap for growth to occur. They should be able to walk out of a session with some tools they can apply to their performance that meet the demands they will face.

An article brought to you by our Event Partners

By John Portch

How do you turn your setbacks into springboards?

A rich seam of answers ran through both days of this month’s Leaders Sport Performance Summit at the Kia Oval in London.

We listened to speakers from various sports organisations discuss their responses to setbacks. Teams including Chelsea, Racing 92, Harlequins and the Sydney Swans laid it all on the table. Several explained how they managed to turn things around.

Stephan Lewies, for example, captained a Quins team to victory over Saracens in October; their 17-10 win ending a miserable run of eight consecutive defeats to their Premiership rivals.

“Coming off a record like that,” said the South African lock, “you often look for answers in the wrong place.” Lewies explained that season after season Quins would change their usual approach when facing Saracens. This season they stuck to their guns and it paid off.

“When the pressure came on in this game, [we turned to] something we’d done for the whole season, for years previously, versus something new in the pressured moment.”

Kudos to Quins, but neither they nor anyone in sport has dealt with the difficulty of landing a probe on Mercury or the conundrum of trying to thaw a microscopic strand of ice on the lens of a space telescope 1.5 million km from Earth.

For Carole Mundell, the Director of Science at the European Space Agency [ESA], such stories represent another day at the office. Crisis after celestial crisis is routinely averted on Mundell’s watch by some of the brightest minds in astrophysics.

Of ESA’s triumphant run-in with the intrusive ice, she said: “Data gives you information. Information gives you knowledge. Knowledge only gives you insight and wisdom for action if you really understand what it’s telling you and how to interpret it with your own experience on top of that.”

Mundell feared impostor syndrome when stepping onto the Oval stage but her words instantly resonated with an audience of coaches and practitioners.

They also lead us nicely back to our original question: how do you turn setbacks into springboards? We bring you six interrelated smart tips from across both days of the summit.

1. Find the right skills to help you in a crisis

How does it feel to be under the cosh in your role? What tools do you lack in those moments? Carole Mundell has allowed herself to be shaped both by the crises she’s confronted and the organisation she leads. Instinctively, she’s a creative scientist, a physicist with the urge to investigate independently. Yet her work at ESA requires her to think like an engineer and commit to the team; these newly acquired skills have proven crucial in moments of crisis.

“I’m learning to think like an engineer. All of ESA’s structures and processes and how we operate comes from the mind of an engineer… We have a whole quality assurance system where we set our objectives and we say ‘what will we do?’ ‘What did we say we’d do?’ ‘Did we do what we said?’”

Carole Mundell

2. Seek key allies above you

Racing 92 were treading water in France’s Top 14 league when they appointed Stuart Lancaster as Director of Rugby. Lancaster, whose tenure began in 2023, was hired to transform their fortunes, but faced considerable obstacles. Language was one, culture another; he also knew he’d be working under his predecessor, Laurent Travers. Nevertheless, Lancaster felt that he was “pushing on an open door” thanks to the quality of his coaching work with England (2011-2015) and, in particular, Leinster (2016-2023).

The big question he asked himself was: should he tiptoe in or smash down the door? As Racing’s revival required more than a cosmetic makeover, he opted for the latter. With the help of his French coaching staff, Lancaster introduced a new working week, a new playbook, and called time on Racing’s long lunch culture. He could disregard those who labelled him an ignorant ‘Anglo-Saxon’ thanks to the relationships he forged with Travers and the Racing board.

“I spent a lot of time prior to the players arriving getting [the management] to understand my vision, my philosophy and what I wanted to achieve; not taking away the DNA of Racing and trying to replace it with Leinster, but trying to merge the lessons I’d learned with England, the lessons I’d learned from Leinster, and then bringing that structure and detail to a French environment.”

Stuart Lancaster

3. Who are your key influencers?

The Sydney Swans had to dust themselves off following their 2022 AFL Grand Final defeat. John Longmire, who this week stepped down as the Swans’ Senior Coach, led them back to the Grand Final again this year. Since leaving London, he has handed the reins to his assistant Dean Cox, who will renew the team’s fight for a first flag since 2012. The factors that propel a team one season will not necessarily apply the next, but Cox is sure to emulate Longmire in learning and applying the lessons from another painful defeat. In dealing with setbacks, Longmire always leaned heavily on the key influencers in his “ecosystem”.

“The ecosystem includes your team, the board, the CEO, your fans. Your playing group and staff are a living, breathing organism, the whole thing, and it needs to keep moving and shifting. I’ve got certain long-held beliefs close to my heart, but also within that [have] the flexibility to shift and understand that the best cultures are the ones that keep moving and keep adjusting to the ecosystem. Understand the good influencers in your group, the ones that can help you with that.”

John Longmire

4. Don’t be afraid to let the wrong people walk away

When Chelsea won the Champions League in 2021, the club would not have expected to slump to a 12^th-place finish in the Premier League just two years later. Nor would they have predicted the organisation narrowly avoiding oblivion and a subsequent change of ownership. Bryce Cavanagh was hired as Performance Director in the summer of 2023 and, while he has long been considered one of the best in the business, an arduous task awaited him.

He admitted his presence created a sense of risk and vulnerability in some quarters, but he was fair in setting out his stall. Some relished the challenge of staying to help build a fresh performance strategy (a work in progress, he admitted), but others sought roles elsewhere. Cavanagh was willing to let them go.

“First of all, we talked and defined where we were going, what we wanted, the behaviours that we needed, then the performance strategy. We had to really define where we wanted to go and what we wanted the bus to look like because then people ended up self-selecting.”

Bryce Cavanagh

5. Have the difficult conversations quickly

As captain of Harlequins, Stephan Lewies regularly faces difficult conversations. They are of added importance when the chips are down and tempers are frayed. Time and again, as Lewies explained, he has been able to plot a path out of disharmony by being proactive, acting fast and ultimately putting the team first. A leader should also strive to understand multiple points of view without leaping to conclusions.

“That’s the main goal in any tough conversation: you turn a negative into a positive that we can use going forward… When we [avoid] a tough conversation, the problem just becomes bigger and bigger… walking away from that conversation is the easy option, but stepping into that space is so important.”

Stephan Lewies

6. Prioritise your stress and emotional responses

Success and failure both present psychological and emotional challenges. In 2021, the UK Sports Institute introduced its ‘Performance Decompression’ tool to help athletes and support staff transition back to daily life following intense competition periods. The tool consists of four phases: first there’s the post-event ‘hot debrief’ followed by ‘time zero’, which, as the UKSI website explains, focuses on ‘restorative care in a soothing place’; then it’s ‘process the emotion’ and, finally, a ‘performance debrief’.

The tool can be used anywhere. British 1,500m runner Jake Wightman, for example, chose a sofa in a Twickenham café to unpick his underperformance at the Tokyo Olympics. A year later he was world champion and, while there was much more to it, psychologist Sarah Cecil believes the tool helped Wightman to plot his comeback. She and the UKSI’s Head of Performance Psychology, Danielle Adams Norenburg, are also happy to teach their tool to any individual or organisation who may find it useful.

“By the end of this process, Jake had made sense of the experience, he was able to tell his story about where he was, and he was also able to process all the emotions that surrounded his performance and the lead-up to his performance… I don’t need to tell people in the room that lots of factors contribute to performance… but in the same position, with 300m to go, Jake had what he needed to run fast enough to be world champion.”

Sarah Cecil

By Sarah Evans, Rachel Woodland & Lottie Wright

You might have thought that UK Sports Institute, US Olympic and Paralympic Committee, Australian Institute of Sport and High Performance Sport New Zealand were the fiercest of rivals and would be unlikely allies in sharing high performance practice and intelligence.

However, the quartet have formed an unlikely partnership for the good of female athletes across the globe and with the aim of pushing forwards advancements in female health research and practice.

The result is the Global Alliance and, on our most recent Women’s High Performance Sport Community call, we were joined by Dr Helen Fulcher from HPSNZ, Dr Amber Donaldson from USOPC, Dr Rachel Harris from the AIS, and Dr Richard Burden from UKSI, to discuss how it works.

All four institutes have made their own way in providing additional focus and resource for female athlete health, starting at different points in time across the last ten years.

All four have focused on education. The AIS, UKSI and USOPC have had further branches into research. HPSNZ have looked at processes and systems linked to technology; and the USOPC have had to consider partnerships that help navigate a geographically large country and complex health system.

However, all four acknowledge that despite their positions of privilege there are limits to time and resource in this area, and all four are aware of what improving health for females, who typically suffer more injuries and illnesses than males, could do for raising levels of competition. The opportunity the group of four are close to bringing to reality is for an alliance to support globally with raising minimum levels of understanding when it come to female athlete health.

The formation of the Global Alliance

The world of elite sport is quite small, so when travelling to conferences and talks on these spaces, the group realized that they are all doing the same things, with limited resources and time. So the premise of the Alliance is to combine resources and save time across the group. After all, as Burden asked, “what’s the point in spending lots of money people don’t have on education resources when it already exists publicly?” Whilst bumping into one another, the group organically had conversations on how they can work together to increase efficiencies without crossing boundaries of competition. “We are all under-resourced, we’re overstretched in terms of the time that we’re wanting to spend in this space,” said Harris. “We really wanted to try and allow the people that are working in our sporting organisations to be more proactive.”

Traditionally seen as rivals, these organisations are now collaborating for the benefit of female athletes across the globe. The primary goal is to collaborate on female health initiatives, leveraging each organisation’s expertise and resources. This collaboration aims to enhance the health and performance of female athletes by sharing knowledge and best practices across regions.

The Alliance’s main objectives include…

• Sharing best practices and resources: “You can’t do everything on your own,” said Burden, “or your organisation can’t be everything to everybody.” By pooling their collective knowledge, Alliance members can develop and implement the most effective health initiatives and signpost others towards the best practice or research already implemented by their colleagues in different regions. The dream is to be able to give people one place to come to, and then to be directed to other places. Ultimately, no individual person can be an expert in everything, and we should always remain open to the idea that someone might know more than we do.
• Benchmarking and baseline efforts: The goal, as Fulcher explained, is to “create a baseline that is higher”. Members of the Alliance will regularly assess and combine their efforts to ensure continuous improvement which, in theory, should result in healthier female athletes and higher levels of competition.
• Addressing misinformation: Simultaneously the alliance would ensure that accurate and reliable information about female health has the potential to reach all athletes, especially those in regions with limited access to such information. The group are passionate on making sure that the information available would be representative of the global athlete population, and therefore diverse, whilst being evidence-based. You want to be able to say “‘as of now, this is the best way to treat X’,” said Donaldson. Athletes from different nations will also help spread accurate information about health topics, such as menstrual cycles and nutrition, through their platforms. The Alliance recognizes the influence of social media and aims to create content that can be shared widely to reach a broader audience.
• Speeding up progress: As a collective the alliance can move practices along more quickly, be that through raising baseline levels faster, or by being able to increase sample sizes.  The group have an inherent belief that the collective is greater than the individual. They also want to make sure that as relatively well-resourced nations with greater access, they welcome in their colleagues in countries where access and resources may be more limited.
• Conducting collaborative research: One approach to speeding up progress would be to continue the research work that is currently happening in silos. There is potential in multicenter research projects, as Burden explained. He said: “If you can combine multicenter research, with those multicenters being in different countries around the globe, then you are naturally going to get a more diverse, rich database and, therefore, the insights that we’re going to be able to get from that are going to be just way more valuable for everybody”. It’s still a competitive environment. “We still absolutely want to beat all of the other people in the Alliance that we’re forming here on the medal table,” said Harris, “but we certainly see that the things that we’re doing in this space are not about state secrets.”
• Providing a blueprint: The aim is to develop a central repository of trustworthy information to which athletes, stakeholders, and organisations can refer. It’s not often that cross-country collaboration happens but, by bringing this Alliance together, a blueprint for collaboration, and how to ‘do’ it, can be created; from ideation to doing; sharing learnings as they emerge, especially when they are collaborating on an important topic area. They want to show how a collaboration can start and, ultimately, how to ensure longevity beyond the four current members.

The Alliance faces several challenges, including:

• Getting things through layers of bureaucracy. The solution is commitment to sticking with it, but then being inventive with methods of information dissemination.
• Ensuring that the resources and information generated are visible and accessible to athletes and other stakeholders globally. This involves understanding and appealing to the way in which athletes take on and digest information. It will also require strategic communication and collaboration with local leaders and organisations.
• The need to combat misinformation. The alliance will provide rigorous, trustworthy information that cuts through the noise of inaccurate or misleading content. It will be able to share aligned messaging globally.
• Resources are not limitless. Hence the need to come together to collaborate and combine resources for a scale of economies effect.

• Time is precious. In addition, the numbers of athletes going through some of the specific female health experiences can be quite small, so to learn and provide advancements could take much more time if each institute tried to do so on their own. The multicenter research projects should counter this.

• To be truly representative globally, the Alliance will have to grow to be culturally diverse and account for different languages and time zones. The group recognize that this will be a challenge and it might take grit and determination to make it happen.

The alliance is committed to overcoming all of these challenges by building robust, reliable resources and ensuring they are effectively communicated and accessible to all athletes.

A proactive and inclusive strategy

The Global Alliance is a comprehensive approach to enhancing female athlete health that prioritises:

• Collaboration: The Alliance is built on shared values, humility, and a commitment to improving female athlete health through collective effort. “We’re all in exactly the same position and we’re all really wanting to do the same thing,” said Harris.
• Education and resources: A key focus is on creating and sharing educational materials that are accessible and evidence-based. As Harris said: “We felt that by ensuring we could create some of these resources, they could put more of that time into looking after their athletes.”
• Future vision: The Alliance is aiming for a sustainable, impactful approach that can adapt and grow to meet the needs of female athletes globally and improve female health for athletes. It wants to raise the standards of competition along the way and, through its multicenter research, increase the number and diversity of research participants and insights. The Alliance may not be everyone’s answer, but could be a connector, with a central platform for sharing information gathered across the board.

Top tips

Just start! If you’re working in a small organisation where you can’t produce education modules or you can’t fund research, there’s no harm in just starting a conversation. Build your own networks, forge connections, and don’t be isolated.

Find people with the same values and intent. “And that’s not to say that there is no kind of diverse thinking within our group,” said Burden. “But the underpinning values within the Global Alliance and the work that we’re trying to do are all shared.”

It’s not about ‘us’ but a bigger purpose. Fulcher spoke of building communities within your area of expertise or within your own nation, but then taking that further. “That’s within your specialty, within your area or your nation,” she said. “I think it’s a natural step to build an international community; and we do have them, but they’ve been a bit ad hoc.” The Global Alliance is, as she added, an opportunity to raise standards across female sport. “The focus is not just on individuals having great connections but what can we collectively do better for this group of athletes that we all care about.”

Stay curious and be friendly. “One of the biggest things is to be humble,” said Donaldson. “Really coming to this platform being  humble and wanting to learn, wanting to contribute is key.”

Find out what works for you. You can learn from others but try to ascertain what works for you in your context too. Donaldson said: “I can tell you exactly what we do, but you’re not going to be able to replicate it like for like.”

Those in-person moments can be critical. “Those in-person conversations can help build relationships,” said Donaldson, who explained that the Alliance meets periodically. “You can also get more done when you have those conversations.”

Involve coaches in the education piece. Fulcher said: “Make sure coaches feel comfortable enough so that if a certain issue is brought up, they know where to direct traffic and tell people where to go for help.”

Predictably, when Sport Wales formed its Female Health & Performance team, some asked why there was no male equivalent.

The truth is that male physiology and psychology has long been viewed as the default across sport.

“For so many years we haven’t thought about females as being different,” says Esther Goldsmith, who works for Sport Wales, on the latest episode of the Leaders Performance Podcast.

“When you think about it, it doesn’t make sense because it’s obvious we’re different.”

This lack of understanding or consideration makes one ponder just how much potential is being left on the table by female athletes. The menstrual cycle, for example, was seen as a taboo and was historically not taken into consideration when female athletes trained, performed or recovered.

In seeking to redress that imbalance, Sport Wales is empowering female Welsh athletes from the grassroots through to podium potential with the support they need to succeed.

“We’re just trying to open up some of those conversations and improve the comfort and awareness of the athlete in order to help,” says Dr Natalie Brown, who works alongside Goldsmith.

Both spoke of Sport Wales’ efforts to normalise conversations about a whole range of female health issues (10:00) including pelvic floor health and stress incontinence (36:00), while busting common myths along the way (21:00).

Goldsmith and Brown also discuss the importance of encouraging behavioural change through meeting the athlete where they are in their beliefs and values (15:00); helping coaches with any potential discomfort as they learn and become aware of the needs of their athletes (31:00); as well as the question of sports bras in a market without universal standards (26:00).

They offer useful tips for any sports organisation regardless of their budget or level of resource but the important thing is to start having the conversation. Now.

Listen above and subscribe today on iTunes, Spotify, Stitcher and Overcast, or your chosen podcast platform.

More from Sport Wales:

How Sport Wales Is Enabling Female Athletes to Succeed on the World Stage

‘Female-Specific Considerations Should Be Part of Normal Practice’

Female Athlete Health: Five Top Tips When Discussing the Menstrual Cycle and Other Issues

By Rachel Woodland, Lottie Wright & Sarah Evans

The research gap – or gender gap in research – is one of the most enduring challenges in women’s sport.

Not only is there less research on female athletes, often that which does exist is of poor quality and is limited in its application to athletes.

To compound matters, much of the tech available does not have female athletes in mind, which calls for greater levels of safeguarding for those athletes.

The Centre of Excellence for Women in Sport is a space in which to address all of those challenges. It addresses the unique needs of female athletes, focusing on health and performance support for Olympic and Paralympic sports, as well as professional sport. The Centre also aims to bridge the gap between academic research and practical application in elite sports, ensuring that female athletes receive tailored support based on rigorous scientific research.

Opened in March 2024, the Centre is a collaboration between the UK Sports Institute [UKSI] and Manchester Metropolitan University.

In several key ways it is an ideal marriage. On one hand, the UKSI brings its sports knowledge and knowhow, and understanding of the complex environment of elite athletes and sports. On the other, Manchester Met brings their research expertise and both quality assurance and scientific rigour.

Leading the project are Dr Richard Burden, the UKSI’s Female Health & Performance Lead, and Kirsty Elliott-Sale, Professor of Endocrinology & Exercise Physiology at the Institute of Sport at Manchester Met.

Their hope is to generate richer information that is more valuable and applicable to the athlete, coach and the sport – all of which should lead to greater engagement from everyone.

Both joined the Women in High Performance Sport community call that took place in early October. It was the first of two in partnership between the UKSI and the Leaders Performance Institute. Joining the duo was rower Heidi Long, who won bronze in the women’s eights at the Paris Olympics this summer.

The Centre of Excellence for Women in Sport has three key purposes:

1. Thought leadership and collaboration

The Centre aims to be a hub for thought leadership in women’s sport, setting the agenda for elite female athletes in the UK. Experts from various fields are involved, ensuring that research is co-designed with athletes and coaches. It is then the duty of the Centre to ensure that its findings are relevant and applicable.

Part of this is building a network within elite sport so that the data can be picked up and used again. Then planning the research so that there can be intentional overlaps between sports and a pipeline of future users.

2. Standards and quality assurance

High-quality research is a must. The Centre is committed to producing credible and impactful data that can be translated into practical applications. This involves rigorous methodological standards and continuous feedback loops with athletes and coaches.

Knowing the sport specifics to focus on that help uncover necessary insights, but with the right overlaps to other projects so that the science and sample sizes increase to build the science.

3. Adapting research at the pace of high performance

With research traditionally taking time, the Centre is a live example of research adapting to the needs and wants and context of the sport without losing the scientific robustness that we so need and that’s constantly evolving. For example, exploring less invasive ways of measuring ovarian hormone profiles using saliva and urine based methods.. Whilst taking any measurements can feel time consuming for the athletes, it’s a balancing act of beneficial learning versus over imposing on the athletes..

Realtime feedback has been a key advancement of engaging the sports with the research, and to be able to make changes based on findings before the full project is completed in the run up to an Olympic or Paralympic Games.

All of which raises standards as the data collected is credible, with the potential to be translatable, which in turn increases its utility and potential impact.

Project Minerva is a prime example of this process in practice.

Introducing Project Minerva

Project Minerva – named after the Roman goddess of wisdom, justice and strategic war – is an ongoing research project started by the GB Rowing team in collaboration with the UKSI, Manchester Met and several external stakeholders.

It has set out to investigate the relationship between the women’s squad training programme characteristics (e.g. training volume, intensity distribution and frequency), internal training load (heart rate, RPE, and blood lactate monitoring) and hormone function, on the menstrual cycle and overall health.

For GB Rowing, project  Minerva has been an iterative process, and ,  working with the UKSI Female Athlete Programme, Man Met, and in collaboration with the athletes, has increased the research capability and scientific rigour, so it now provides a valuable resource within the UK sports system, as Dr Burden and Prof. Elliott-Sale explained alongside Long, who shared her experience of Minerva as an athlete during the Paris Olympic cycle.

Project Minerva has led to…

… increased athlete and coach engagement through education and a focus on purpose / the why. The more performance-based something is, the more likely an athlete will be to engage. Heidi Long and her teammates were keen to know what they could glean from the research.

… better communication and understanding between athletes and coaches. This allows for more personalised training and performance strategies (that can be tweaked due to embedded real-time research and data). They could see the results of applied research – and the data that was personalised for each athlete – which was further motivation for a cohort of goal and results-driven athletes.

… the debunking of common myths, particularly those around the menstrual cycle. There is no supporting evidence to suggest that an athlete’s phases impact her ability to train. Minerva – in an unplanned moment of feedback – demonstrated to athletes they could perform – and win – in different phases of their cycle.

… increased use of useful tech. Minerva can call upon technology developed by the UKSI and its partners, such as Intel. Data collection is less arduous and much more accessible as a consequence.

Three questions to ask yourselves when embarking on such projects:

1. Your female-specific research: is it being conducted from a health perspective, a performance perspective, or both?
2. Do your performance team have the bandwidth, the funding, the right people with the knowledge and experience, and capacity develop and deliver to make changes based on the results?
3. Is it useful or merely interesting? Understand the question you want to ask; where it’s come from and why it needs answering.

The Centre of Excellence for Women in Sport’s ultimate vision is to pioneer innovative and impactful research that accelerates the development of women’s sport. This includes:

• Ensuring that research findings are directly applicable to athletes’ training and competition.
• Leaving a lasting legacy through credible data sets, resources, and educational initiatives that benefit future generations of female athletes.
• To allow every female athlete to train and compete to her potential.
• By generating and showing cases resources that can be used, raising awareness that starts now and continues through all future generations.
• Providing trustworthy, reliable, rigorous education tools. Filling the void around female athlete health that is too often filled with nonsense.
• Continue to be a place for athletes, coaches, and all staff to have deeper conversations, as understanding is deepened and academic application expanded.
• Be a hub for colleagues and allies across the world, not just a UK-based centre, but something that becomes truly global. There’s a lot to be learned from one another.

Final question: is any research better than no research?

Not all research is good research. Research can bring beneficial interest in an area, but poor-quality research can lead to misinformation (particularly on social media) as well as misdirected efforts and resources, which is a significant concern in the context of limited budgets and time.

Research has to meet standards in terms of methods, equipment and protocols (all of which can be expensive or time-consuming). Moderate research may have its uses but it’s nuances must be clearly signposted.

Prof. Elliott-Sale explained that research can never be one-size-fits-all. It is important to work with individual athletes, establish their response (if there is one) to stimulus and whether or not theirs is a consistent response. Either way, you can leverage a positive response and mitigate an adverse response.

By Esther Goldsmith & Dr Natalie Brown

Talking to female athletes can feel challenging and uncomfortable; and sometimes concerns of safeguarding practices can exist.

This results from historic perceptions of the menstrual cycle and female-specific factors such as pelvic health being personal, secretive and related to feelings of embarrassment, shame and uncleanliness.

However, female health and topics such as the menstrual cycle are normal biological functions related to hormonal control, the same as heart rate, breathing, and appetite.

From speaking to practitioners and coaches, as members of the Sport Wales Female Health & Performance Team, we know there are additional influences on comfort levels when having conversations with female athletes about the menstrual cycle. For example, knowledge of the topic, appropriateness, gender of practitioner, experiences (professional and personal) and perceived relevance (both to athletes and performance).

Previously reported barriers to conversation include:

• [Male] coaches feel that it’s inappropriate or an invasion of privacy
• Cultural taboos resulting in shame and embarrassment
• Confusing messages in the media
• Not having resources or education to know what to say and when
• [Female] coaches’ previous experience of menstrual cycles not affecting performance/training
• Perception that discussion of menstrual cycles and hormonal contraceptives are outside of the coaching role
• Lack of a female practitioner
• Lack of structure in place for education or support
• Lack of time in a season for proper education
• In addition, practitioners and coaches are sometimes paralysed because they don’t know the right questions to ask, the right language to use or how to start the conversation with the female athletes that they work with

Here are our top tips…

1. Acknowledge that everyone feels different

It is important to acknowledge and have awareness that some athletes may feel comfortable to talk openly about their menstrual cycles whereas some may feel like it’s the worst thing in the world to start with. This could be influenced by their culture, age, family, and social surroundings.

2. Think about language

One thing that is important to be aware of is the language that you use. We’ve all grown up using euphemisms for lots of different things, whether that is for parts of the body or biological functions that we are embarrassed to talk about. There are lots of period euphemisms or ‘code words’ but using these can reinforce the perception of awkwardness, embarrassment and the negative stigma that is historically related to menstruation. We encourage using the terms menstrual cycle, menstruation, periods, and period products.

3. Consider the who, what, where, when and how

Before initiating conversations with female athletes about their menstrual cycle or other aspects of female health, have a think about the ‘who’, ‘what’, ‘where’ and ‘when’ and ‘how’…

Who – Who is best to have the conversation? Do you want support from another coach/team member to improve comfort of the first conversation e.g. is there someone the athlete is familiar with. Dependent on the age of the athlete, this may be a parent or guardian.

What – It’s OK to let the participant know that you’re not an expert. Explain the reasons why you want to talk about menstrual cycles – that they are key factors in health and wellbeing and may also affect training and performance. Avoid statements such as ‘don’t need to know any more detail’. Remember to be clear, to use evidence and to listen to what they are saying back to you.

Where – Be aware that there may be cultural barriers that prevent people feeling comfortable talking about these topics and let them know that they are in a safe space outside of these barriers. Try to avoid it being an afterthought to a conversation that you’re already having that might be interrupted or have a time limit to it.

When – Is there an opportune moment to bring it up rather than a formal conversation? Think about when you approach an athlete to talk, when is the best time? When they’re tired and hungry after training?! Probably not, but don’t just ignore it! Remember that it is important for long-term health and performance of the athlete.

And finally, here are some ideas for ‘how’ to start the conversation:

• ‘Do you think your training is affected by your menstrual cycle/hormonal contraceptives?’
• ‘Do you track your menstrual cycle?’
• ‘Do you experience any symptoms such as menstrual pain, lower back pain, fatigue related to your menstrual cycle that affects you in training or competition?’
• ‘Have you got any management strategies in place for bleeding on competition day or to manage any related symptoms that are associated with the menstrual cycle?’

4. Think about actions

Following on from a conversation with a female athlete about their menstrual cycle, how could you action outcomes of the conversation and improve support? You don’t have to have all the solutions, but following up on actions promptly is important. This will help with positive experiences of talking openly about female specific factors. An example of this could be an athlete with heavy periods is extremely worried about leaking through the white shorts, so you put motions in place to change the colour of the kit.

5. Consider all the stakeholders

Whilst conversations with female athletes are the first step engaging all stakeholders in that athletes’ support network is important. This includes parents/guardians/carers, other coaches, support staff, teammates and medical practitioners.

Sometimes athletes respond better to an older athlete talking about their experiences with their menstrual cycle. Encouraging senior athletes to talk to junior athletes may be helpful in your sporting environment.

These approaches and principles can be applied to other female specific areas such as sports bras, pelvic floor health/incontinence and menopause. For further advice on conversations with female athletes, complete our Menstrual cycle openness and conversations e-module.

Further reading:

How Sport Wales Is Enabling Female Athletes to Succeed on the World Stage

By John Portch

How concerned are you about burnout, both for yourself and for those whom you lead?

It’s an ever-pertinent question, whether you hear whispers within your corridors or not, and it is always worth checking in with your people.

During October, with this in mind, we returned to a memorable presentation delivered by Holly Ransom, author of The Leading Edge, who spoke at our February Melbourne Sport Performance Summit about ‘energy audits’ that we can all perform.

Speaking of Sport Performance Summits, our next London edition is just around the corner – specifically the 13 and 14 November at London’s Kia Oval.

Speakers include Stuart Lancaster, the Head Coach of the Paris-based Racing 92; John Longmire, the Senior Coach of the AFL’s Sydney Swans; and Anna Warren, the Head of Science & Medicine at the ECB.

It promises to be another cracker but, if you are yet to reserve your place, get in touch with the Leaders Performance Institute today – or at least after you’ve perused October’s Debrief.

This time we posed a series of questions, starting with energy audits, progressing to wellbeing and mental skills, before alighting on learning, performance analysis, and, in a left-field turn, the weather.

What is an ‘energy audit’?

They probably sound grander than they actually are, which is not to diminish their importance.

When Holly Ransom spoke at Melbourne’s Glasshouse in February, she suggested three questions we should all ask ourselves:

1. What are your natural high energy moments?
2. What are your natural low energy moments?
3. How are you currently employing those moments?

Ransom believes people should tackle their most important tasks when their energy is at its highest so that they “get the return on energy they deserve”.

She also explained that leaders set the tone for the organisation. She said: “The most powerful thing that you could actually do for that group of people that you lead is think about how we influence that energy in that moment so we don’t get the contagion of that negative energy running through more of the day or more of the week.”

Do you feel guilty for focusing on your wellbeing?

You probably have felt guilty at some point and you’re not alone.

Emily Downes, the General Manager of Wellbeing & Leadership at High Performance Sport New Zealand, admitted as much onstage at the Glasshouse.

“We all probably struggle with that at one point in time or another,” she said. “Who else do you need to have on your support crew that helps give you that permission?”

Part of the solution is systems and processes that enable people to step away from their desks.

“The challenge around this is: are you asking for it?” said Downes. “Are you communicating to your manager what support looks like for you or what you might need to be at your best?”

She addressed the leaders in the room directly. “Have you set up systems within your environment to enable people to [step away from their desk]?”

In any case, if you get up and go for a walk or a run, what’s the worst that can happen?

How effective is your mental skills work?

The growing focus on wellbeing is matched by an increased emphasis on mental performance, but in an exclusive column Aaron Walsh, a performance coach with the Chiefs and Scotland Rugby, considered whether that emphasis is being translated into effective work.

It became a focus of his recent research, with Walsh speaking to 35 head coaches and heads of performance. The project revealed four major shortcomings:

1. Lack of support from key stakeholders.
2. The work often became siloed.
3. The provider did not understand the demands of the environment.
4. The information presented was often too complex and not relevant to the needs of the athletes.

Most teams don’t know where to begin and there is a clear lack of application.

He discussed the five approaches open to all teams and encouraged all leaders to ask themselves three questions:

1. Does your team currently have a mental performance strategy?
2. What approach best suits your team and meets the mental demands it faces?
3. Are you setting up your providers to be successful and have an impact?

Are you setting your female athletes up to succeed?

The Sport Wales Female Health & Performance Team are working to address some of the major health and performance considerations that affect female athletes from the grassroots to podium potential.

Prominent among their concerns are myths around the menstrual cycle.

“There are still female athletes who see it as a positive if their periods stop when they’re training,” Dr Natalie Brown, a Research Associate at the Welsh Institute of Performance Science, tells the Leaders Performance Institute on Teams.

“This is because it’s easier and more convenient; they’ve not got to deal with the symptoms or the bleeding.”

Yet the impact on their short and long term health, let alone performance, could be significant. “It’s an indicator that they do not have enough energy for those basic bodily functions.”

However, as Brown said, “even in just focusing on the menstrual cycle you’re ignoring the bigger picture around women’s experiences of sport and how the system that we’ve designed doesn’t enable women to thrive in sport because they’re trying to thrive in a male system.”

More available here.

What are your greatest challenges with performance analysis?

Reliability and efficiency are likely to feature prominently, as they did in this recent virtual roundtable for Leaders Performance Institute members, but have you considered your job descriptions? Do they adequately set out what your organisation requires, both in terms of filling gaps in skillsets and finding seamless integration.

Dr John Francis of the University of Worcester and Dr Denise Martin from Atlantic Technological University in Ireland have conducted research into this space. During the roundtable discussion, they set out recommendations for both organisations and applicants across four areas:

1. Employer familiarity information

Organisation: outline values and goals, provide infrastructure, staffing and philosophy.

Applicant: understand the organisation’s goals and how to contribute.

2. Description of job-related tasks & personal specification

Organisation: list job-specific tasks and required skills; list specific academic or coaching knowledge and software competencies; emphasise evidence-informed processes and the need to understand feedback and learning strategies.

Applicant: gain clarity on role tasks and responsibilities; highlight relevant experiences in application and determine their fit. Identify areas for personal and professional growth.

3. Salary & renumeration

Organisation: clearly present salary bands and rewards.

Applicant: assess job value and potential rewards.

4. Opportunity for advancement

Organisation: detail career progression and CPD activities.

Applicant: make informed decisions about career path within the organisation; consider your long-term aspirations.

Ensuring value capture in applied performance analysis

Martin and her colleagues have conducted research into value capture in performance analysis and alighted on three key questions:

What? Organisational capability to generate, curate and translate data to c0-create knowledge and insight.

How? Skills and contextual intelligence allow practitioners to embed effectively in the performance ecosystem.

Why? These lead to what Martin calls the ‘lightbulb moments’ – where value is added to decision-making processes and contributes to performance.

Additional reporting by Luke Whitworth.

Is yours a good learning organisation?

Lucy Pearson, the Director of FA Education, believes that learning is too important to take seriously.

“As a society, we make a distinction between work and play,” she told an audience at the Kia Oval during the last Leaders Sport Performance Summit. “Work is grown up, it’s serious, it’s important; and play is seen in the adult world as childish, frivolous, a bit inessential, a luxury. But play is the creative process through which we learn.”

This comes with a caveat. “People can be playful at work, yes, but we need to be thoughtful about what we’re looking to achieve in those learning opportunities. Design is deliberate – not accidental – if you want to drive high performance.”

As such, FA Education is on a “journey to design, develop and deliver learning, across a number of different modes, to a range of people who’ve all got different tasks, concerns and priorities.”

Pearson is mindful, however, that people can’t be compelled to learn. “Learning is up to the learner,” she said. “All we can do is create the circumstance in which the learning has the best opportunity to happen.” She likened it to classes at school that we either liked or didn’t like. “The teachers all may have put the same amount of effort in, but it was the all-round environment that you found yourself in, the person leading it, the text that somebody chose – it all needed to be thought-through on your behalf.”

Final thought: how important is the weather in pre-season?

The popularity of warm weather camps, particularly in the depths of winter, is universal, but what about during pre-season?

Tom Cleverley, the Head Coach of Championship Watford, was intent on taking his team to St George’s Park in Staffordshire in July rather than copying his rivals in going abroad.

“You can guarantee that the weather isn’t going to impact training loads,” he told the Leaders Performance Institute. “Sometimes you can go to Spain, Portugal and it’s too hot to get the intensities that you want.”

Cleverley was echoed by Tony Strudwick, the Director of Medical at West Bromwich Albion and by Neil Thompson, the Assistant Manager Sheffield Wednesday. Much like Watford, Albion and Wednesday both visited SGP in July to get that desired balance of suitable weather and a refreshing change of surroundings.

If you live and work in a temperate zone or even somewhere altogether more sunny, is it something you’ve considered?

An article brought to you in collaboration with

By Luke Whitworth

While it is important for analysts to have a minimum technical skillset, it is not the be-all and end-all – emotional intelligence and interpersonal skills are just as important.

This is just one of the misapprehensions that continue to dog the world of performance analysis; a range that spans from data collection and reliability to value capture and integration.

All were addressed in the third and final session of a virtual roundtable series hosted by the British Association of Sport & Exercise Sciences [BASES] and the Leaders Performance Institute.

Dr John Francis of the University of Worcester and Dr Denise Martin from Atlantic Technological University in Ireland were on hand to lead a discussion titled ‘Advances in performance analysis: what the research is telling us’ that sought to provide insightful tips for attendees.

Integrating practitioner and academic expertise

In a straw poll, more than half of attendees declared that use academic resources to support processes and projects. It’s a promising start, but Francis was in no doubt that the applied world and academia can and should work closer together.

He and his colleagues surveyed 175 analysts on the time they spent collecting good, accurate and meaningful data and how they tested that data before providing key insights to the end user. The cohort delivered several insights:

• Experienced practitioners excel in aligning KPIs, team goals, data systems and accuracy due to their expertise.
• That said, both experienced practitioners and those early in their careers need refined operational definitions and firm reliability checks to ensure KPIs reflect true performance and provide actionable insights.
• System familiarisation and reliability checks take time – streamlined processes and adequate time are both crucial.
• The same system familiarisation and reliability checks differ from user to user. Standardised training and reliability testing methods could improve consistency and accuracy.
• Regular data checks could make data clearer and crisper – too many teams test only at the start or end of the season.

The PRECISE Framework

Francis and his colleagues have devised a framework aimed at delivering recommendations related to validity, familiarisation and reliability. Their research is currently subject to peer review but does shed light on the question of integrated approaches.

The PRECISE Framework addresses those issues listed above:

• Promote collaboration – in practice sessions; periodic manual checks.
• Rely on expertise – deliver regular feedback; rely on automated processes.
• Employ video clips – guarantee exposure time and ensure an efficient resolution process.
• Customise adaptability – encourage collaborative learning and continuous cross checks.
• Illuminate definitions – enable incremental learning; reliability standards should be individualised.
• Synthesise philosophy – provide structured learning; pursue the systematic identification of issues.
• Ensure effective software processes – set comprehensive guidelines; enhance with video.

Who writes your team’s job descriptions?

As discussed, the search for unicorns is counterproductive, but then that is often a by-product of poorly-conceived job descriptions. Is enough time being spent on positioning them in the right way?

Attendees swiftly pointed out a series of challenges:

• The HR challenge: too often there is a lack of understanding from those without the expertise. Other times, the issues is the creation of the job description and the hiring process.
• The pursuit of ‘unicorns’: it bears repeating. Emphasise soft skills – hardly any descriptions mention soft or interpersonal skills.
• Verbal and visual communication: those softer skills in action – good communication skills are integral to building good working relationships as part of a broad team.
• Who needs to be involved? It depends on the context, but you may need the performance director, technical leads, research & development and HR when hiring an analyst.

The research of Francis and his colleagues also observed that too few job advertisements provide a feel for the environment in which someone will be entering.

On this front, they have recommendations for both organisations and applicants across four areas:

1. Employer familiarity information

Organisation: outline values and goals, provide infrastructure, staffing and philosophy.

Applicant: understand the organisation’s goals and how to contribute.

2. Description of job-related tasks & personal specification

Organisation: list job-specific tasks and required skills; list specific academic or coaching knowledge and software competencies; emphasise evidence-informed processes and the need to understand feedback and learning strategies.

Applicant: gain clarity on role tasks and responsibilities; highlight relevant experiences in application and determine their fit. Identify areas for personal and professional growth.

3. Salary & renumeration

Organisation: clearly present salary bands and rewards.

Applicant: assess job value and potential rewards.

4. Opportunity for advancement

Organisation: detail career progression and CPD activities.

Applicant: make informed decisions about career path within the organisation; consider your long-term aspirations.

Ensuring value capture in applied performance analysis

Martin and her colleagues have conducted research into value capture in performance analysis and alighted on three key questions:

What? Organisational capability to generate, curate and translate data to co-create knowledge and insight.

How? Skills and contextual intelligence allow practitioners to embed effectively in the performance ecosystem.

Why? These lead to what Martin calls the ‘lightbulb moments’ – where value is added to decision-making processes and contributes to performance.

The ‘Lighthouse Model’ for practice

Martin explored her ‘Lighthouse Model’, which seeks to showcase the ‘how’ (the base of the lighthouse) and the ‘what’ (the tower). As you reach the top, the ‘light’ emphasises the learning opportunities derived from understanding and better-informed judgements.

“Developing a Framework for Professional Practice in Applied Performance Analysis”

😎Very proud to see the capstone project from my PhD published this morning.

👉We define the role of an Applied PA, the components of practice and the expertise which underpins this pic.twitter.com/32vMGSYxN7

— Denise Martin (@deniseanalysis) July 26, 2021

To do the ‘what’, you need to establish the ‘how’, which includes:

• Contextual awareness
• Building relationships
• Performance analysis and sport expertise
• Technical expertise
• Professional behaviours

Martin emphasised contextual awareness i.e. what is needed from your environment to then have an impact on athletes, coaches and executives – those you are trying to create the ‘lightbulb’ moments for.

The following are cornerstones for the ‘what’:

• Establish relationship and define roles
• Needs analysis and service planning
• System design
• Data collection and reliability checking
• Data management
• Analysis
• Report to coaching team
• Facilitation of feedback

Gaps and opportunities: how do you get the lightbulb to shine?

• Identify learning opportunities: there is a lack of knowledge and guidance on how to best design learning opportunities and environments in sport.
• Develop a ‘service mindset’: there is too little service review and evaluation, which limits value capture.
• Find ways to showcase ROI: seek ways to better develop the profession in the eyes of both practitioners and those leading performance departments.

By Esther Goldsmith and Dr Natalie Brown

We know that females are different to males, and that we need to take that into account when working with female athletes – but what does this really mean in practice?

As we mentioned previously, there is a lot of myths and confusion about what you should or shouldn’t be doing as a practitioner or coach in sport when working with females. Unfortunately, similar to all sports science practices, there is no ‘one-size-fits-all’ approach. Every athlete that you work with is going to be different, and female athletes are no exception. In fact, when it comes to menstrual cycles, we know that this increases variation as every individual will have a different experience of their menstrual cycle, and this might even change from cycle to cycle.

At Sport Wales we work internally and externally to ensure that every female athlete in Wales can access support when it comes to female athlete health. However, this looks different depending on the context.. We have a dedicated team of practitioners who work together to provide a multidisciplinary approach to support female health and performance. As a team, we have four aims:

1. Enhance knowledge and awareness
2. Establish open and supportive environments
3. Embed positive behaviours
4. Equip with solutions and management strategies

Whilst menstrual cycles have previously been a big focus of research and delivery at Sport Wales, we also appreciate that this isn’t the only area that female athletes need support in! Pelvic health, pregnancy, breast support, female puberty, menopause and RED-S [relative energy deficiency in sport] are areas that we have expertise around and are working with sports to consider. We also make sure that female-specific factors are considered across all practitioner disciplines, and collaborate with other teams in Sport Wales, such as the coaching team, for consistency and a whole organisation approach.

Female-specific factors do not have to be standalone or demand a lot of time and resource. Instead, we promote integrating and embedding into ongoing work to support the individual athlete. Some good examples of this might be:

• A nutritionist considering menstrual cycle symptoms alongside their nutrition advice (a female athlete may experience premenstrual nausea that means she finds it hard to fuel)
• An S&C coach factoring in menstrual cycle phase to physical testing notes for an individual who experiences considerable fatigue during her period to account for any changes in testing results

Another approach focusses on providing education to athletes and sharing the importance of considering and talking about the menstrual cycle. The menstrual cycle has been, and still often is, a taboo or topic that isn’t often discussed, the first step to working with female athletes is to help them feel comfortable talking about periods!

This is even more of a challenge when talking about pelvic floor health and stress incontinence. We encourage female athletes to track their own menstrual cycle so that female athletes understand what their cycle means for themselves; what symptoms they experience, how that relates to training and competition and how to manage or reduce symptoms. In addition, we help support female athletes to understand the importance of having a regular menstrual cycle and when to seek help if periods become irregular or symptoms are severe. Tracking can also be a useful starting point to initiate conversations about female health.

We also work with coaches and support staff to educate them about the menstrual cycle; we have created four online e-modules that any sport and practitioner across Wales can access. Whilst education for athletes, coaches and practitioners helps improve their knowledge which we know can help everyone feel more confident to have conversations, we also provide education and support on ‘how’ and ‘what to do next’ to encourage conversations and support to be translated into practice.

From a behaviour change perspective, education and training are two possible interventions. However, enablement and environmental restructuring are additional interventions and approaches we take to support female health and performance.  For example, helping sports contemplate the environment they provide and whether it is set up for a menstruating athlete (e.g. are there period products available during camps?).

Over the last five years, there has been a lot of progress internally amongst the practitioner team at Sport Wales to better support female athletes in Wales. We have worked hard on:

• Increasing normalised conversations related to female health internally and externally
• Engaging sports around female-specific monitoring (and facilitating this)
• Challenging practitioners to consider sport science and medicine support through a female athlete and health lens
• Building trust with athletes to talk about female-specific topics
• Creating an open culture where people are receptive to learning and asking questions

Embedding female health support into practice does not have to be complicated or require additional time and resource – it should not be an ‘extra thing’. It is important to support the individual athlete, and female-specific considerations should be incorporated into this as normal practice. A huge amount of support can be provided through open conversations and environments between the athlete, coaches and practitioners.

In our next article we will explore conversations with female athletes in more detail.