Tony Pulis writes that the health scare experienced by Vincent Kompany should prompt reflection across the game about the personal cost of football management.
In his column, Pulis says the incident highlights how the relentless pressure, long hours and constant scrutiny that come with being a manager can affect both physical and mental health. He urges managers to treat their own well‑being as a professional priority rather than something to be sidelined until it becomes a crisis.
Pulis notes that the day‑to‑day demands of the job — from intense matchday responsibilities to travel and media obligations — leave little margin for recovery. He warns that neglecting routine medical checks and failing to address stress and fatigue can lead to avoidable problems and diminish a manager's capacity to lead effectively.
The former manager also calls on clubs and governing bodies to recognise their part in protecting staff welfare. Pulis suggests stronger support systems, a culture that allows managers to seek help without stigma, and practical steps such as delegating responsibilities and scheduling regular health assessments.
While acknowledging the competitive nature of modern football, Pulis says preserving the health of coaches and managers is not only the right thing to do for individuals but also in the long‑term interests of clubs and the sport. He concludes that Kompany's scare should serve as a wake‑up call: success at the top is unsustainable if those who lead the teams are not fit enough to continue.