Community Concussion Management Pathway

We want to ensure that anyone involved in rugby - players, coaches, refs and family - know what to look out for and what to do when they suspect a player has sustained a concussion. We are currently reviewing the Concussion Management Pathway for how it will be offered in 2025.

The Community Concussion Management Pathway (CCMP) provides a clear pathway for all players, coaches, physios, and parents to follow when a player receives a suspected concussion. We recognise that concussions are not always a visible injury and it is important we are cautious following a suspected concussion.

The CCMP is currently being offered in three unions - Otago, North Harbour and Hawkes Bay. We have now centralised reporting of suspected concussions through the Concussion Webform. The CSx app, which has been used for baseline testing, concussion reporting and medical assessments will be phased out as of 2025.

The CCMP provides information to the relevant stakeholders at the appropriate time points to improve concussion management at the community level. 

  1. logging of concussion incidents
  2. automated email notifications when a concussion is logged (to player, emergency contact, school/club and PU) and contains advice around management and graduated return to play
  3. notification of medical clearance from doctor when player is cleared to return to contact (to player, emergency contact, school/club and PU).

New Zealand Rugby’s Community Concussion Initiative is a model centred around player welfare. The model aims to target positive behaviour changes in concussion attitudes and reporting behaviours across all individuals in the rugby community – including players, coaches, support staff, and parents.The NZR Community Concussion Initiative is centred around player welfare using six target areas:

  • Education
  • Concussion Management Pathway
  • Blue Card
  • Injury Management
  • Concussion Policy
  • Concussion Protocols


If you have a suspected concussion you need to visit a General Practitioner (GP) for diagnosis and management so you can rest, recover and return to play or learning as safely and quickly as possible. Similarly, if you had a concussion, you must be cleared by a GP before you return to play. 

Please note:

  • Concussion-related GP visits are fully subsidised.


North Harbour: Independent Dr. John Mayhew 021 767 322
Hibiscus Coast: Silverdale Medical Centre Dr. Andrew Webster 09 427 9997
    Dr. Warren Groarke  
  Hibiscus Coast Medical Centre Dr. Andrew Chambers 09 421 9170
Napier:  Central Medical Dr. Jon Eames 06 843 2320
Taradale: Taradale Medical Centre Dr. Chris Kirton 06 844 6831
Hastings: Totara Health Dr. Maggie Riley 06 873 9024
Central Hawkes Bay: Tukituki Medical Centre Dr Pauline Teong 06 858 7767
Masterton:  Kuripuni Medical Centre Katie Inker (Nurse Practitioner) 06 377 4093
Greytown: Greytown Medical Centre Nicole Kolvenbag (Nurse Practitioner) 06 304 9012
Queenstown: Queenstown Medical Centre Gaylene Hastie (Nurse Practitioner) 03 441 0500
  The Village Health Centre Dr. Fiona Rorrison 03 441 4333
    Dr. Laura Brown  
Wanaka: Wanaka Medical Centre Dr. Andrew McLeod 03 443 0710
Dunedin: Student Health Dr. Bret Dougherty 03 479 8212
    Dr Tommy Perkov  
Otago:  Independent Dr. Jordana Tafatu 03 477 0996
    Dr Trent Taylor 03 477 0996

 * let reception know you're part of the NZR Concussion Pilot.


What should I do if a concussion GP is not listed in my area?

If a concussion GP is not available in your area, contact your personal GP but keep your receipts so we can reimburse your GP visit.

What should I do between my concussion and visiting a GP?

It's important to know what to look for and what to do if you think a concussion has happened. Concussion symptoms can happen right away, or up to two days after the event.

What are Concussion red flags?

If a player appears to have any of the following symptoms, they must see a doctor right away:

  • Neck pain
  • Increasing confusion
  • Repeated vomiting
  • Seizures or convulsions
  • Double vision
  • Weakness or tingling/burning in arms or legs
  • Decreasing levels of consciousness
  • Bad or worsening headache
  • Unusual behaviour changes

If there are no Red Flags but you think they might be concussed, make sure they:

  • See a doctor
  • Are with someone responsible and don't go home alone
  • Do not drink alcohol or take drugs
  • Do not drive
  • Rest (no exercise, thinking tasks and screens)

To give players the best chance for a full recovery, it's important to follow best practice. All concussed players should follow the Graduated Return to Learn/Work.


If you have any questions or would like to sign up, please email