Football Injury Index 2019

12 August 2019

Welcome to the fourth annual Football Injury Index from Marsh JLT Specialty, covering the 2018-19 season. Each year, the Index looks at how injuries have affected the 20 football clubs in the English Premier League (EPL) over the course of the most recent season. The information helps clubs to understand the financial impact of players’ injuries, and assess their injury risk exposure.


The 20 English Premier League clubs had a total of 764 football injuries during the 2018-19 season – the most in the last eight years. A likely consequence of the 2018 FIFA World Cup, player fatigue, and shortening summer recovery times, the busiest physio table belonged to Manchester United, with 63 injuries, while Wolves experienced the lowest number of injuries (11) last season.

The Sports Injury Index 2019 asserts that the cost of injuries to Premier League clubs reached a record £221 million in 2018-19, a 3% rise on the 2017-18 season.

Manchester City incurred the highest injury costs in 2018-19, spending £26.3 million on injured players, but the clubs most affected by injuries throughout the season were West Ham (2,003 total days out), Arsenal (1,771 days out) and Tottenham (1,652 days out); these three clubs also topped the list for average unavailability of players each match day.

The rise in injury costs has largely been driven by the top six clubs, which account for 54% of these costs. The top six have experienced an average 48% increase in salaries paid to injured players since 2016, with Tottenham Hotspur particularly affected, seeing costs rise by 110% in the last three years.

Cost and number of injuries

Football Injury Index 

Number of injuries & cost of injuries by team

Football Injury Index



  • Lennox BattenLENNOX BATTEN

    If you would like to talk about any of the points raised in our 2019 Football Injury Index, please contact Lennox Batten, Managing Director on +44 (0)20 3394 0479.

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