A landmark overhaul is set to transform insurance protection for female athletes, with expanded coverage for pregnancy, contraception, menopause and other women-specific health conditions. The reforms are being introduced as part of the implementation of recommendations from the recent Carney Review, which has focused on addressing long-standing structural gaps in women’s football and wider sport.
The initiative has been led by the Women’s Football Taskforce, which commissioned Loughborough University—a globally recognised leader in sport education, ranked among the world’s best for the discipline for ten consecutive years—to work in partnership with leading insurers and brokers. Their objective is to design a more inclusive insurance framework tailored specifically to the physiological and health realities faced by female athletes.
At the heart of the reform is an effort to close persistent exclusions in traditional sports insurance policies. These have historically overlooked or inadequately covered conditions such as pregnancy-related complications, contraceptive side effects, menopause-related health impacts, and performance-affecting syndromes more prevalent in female athletes.
One such condition is Relative Energy Deficiency in Sport (Relative Energy Deficiency in Sport (RED-S)), a complex physiological disorder caused by an imbalance between energy intake and expenditure. It can disrupt hormonal function, impair metabolism, and weaken bone health, often leading to stress fractures and menstrual irregularities. The inclusion of RED-S in insurance considerations marks a significant step towards recognising athlete-specific medical risks.
The reforms have been broadly welcomed across the sporting community. Former England international and sports analyst Karen Carney, whose review helped shape the policy direction, described the implementation as a “hugely satisfying milestone” for women’s football development, highlighting its importance in translating recommendations into practical change.
The UK Sports Minister and head of the taskforce, Stephanie Peacock, emphasised that the changes will deliver tangible benefits to athletes while making insurance products more inclusive and equitable. She also praised the collaborative efforts of insurers and academic experts in driving reform.
Alongside insurance changes, the broader government-backed “decade of change” strategy aims to boost participation in women’s and girls’ sport. Over 1,000 community projects across the United Kingdom are already benefiting from upgraded infrastructure, including all-weather pitches, improved floodlighting, and enhanced training facilities.
In parallel, additional Carney Review recommendations have been implemented, including minimum wage standards in the Women’s Super League (Women’s Super League) and strengthened professional representation for players. The insurance sector is also undergoing reform, with the British Insurance Brokers’ Association working alongside industry partners to reassess restrictive policy clauses. In a notable development, at least one insurer has already extended personal accident cover to include pregnancy loss resulting from sports-related incidents.
Summary of Key Insurance Reforms
| Area | New Provision | Expected Impact |
|---|---|---|
| Pregnancy | Expanded insurance coverage | Improved financial security for athletes |
| Contraception | Inclusion of complications and treatment | Better management of medical risks |
| Menopause | Dedicated protection measures | Support for longevity in sport careers |
| RED-S | Newly recognised condition | Reduced health risks and improved awareness |
| Accidental pregnancy loss | Included in select policies | Enhanced safeguarding provisions |
Overall, these reforms represent a significant shift towards a more inclusive and medically informed insurance landscape. Beyond financial protection, they signal a broader cultural change aimed at ensuring that women athletes can compete in safer, fairer, and more supportive sporting environments.
