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EXCLUSIVE: Premier League will ramp up pressure on football's rulemakers to green light temporary concussion substitutions – with West Ham and Aston Villa the only top-flight clubs not to vote in favour of them

The Premier League is to ramp up the pressure on rulemakers to introduce temporary concussion substitutes - with 18 out of 20 clubs in favour of their arrival.

Sportsmail understands that a letter will be sent to IFAB ahead of a meeting on Saturday after every team but West Ham and Aston Villa voted in favour of a trial.

In January - to much outcry - IFAB refused permission for a trial to take place in the top flight in a move our columnist Chris Sutton said 'beggared belief'.

The FA and PFA had backed a request which also included Ligue 1 and MLS.