His ability to play any of the three back row positions earned him a place in the England World Cup Squad in 1999 as a bench replacement. He won his first cap against Tonga at the World Cup, then came on as a replacement against both Scotland and Italy during England's Six Nations Championship matches in 2000. He won two more caps as a replacement in that summer’s Tests against South Africa in Pretoria and Bloemfontein. He enjoyed a successful tour to North America in the summer of 2001, filling Lawrence Dallaglio’s number 8 position and scoring against both Canada and the United States.
He continued in the back row for England’s 2001 Investec Challenge matches, when he turned in two outstanding performances against Australia and South Africa. He also replaced Richard Hill in both of England’s 2003 tour matches against New Zealand and Australia.
His 2002 / 2003 season started well, and Worsley won the Man of The Match award against Saracens in September. However, a hamstring injury, forced him out of the England Autumn Internationals and six weeks of the Zurich Premiership.
In 2004 he played against Italy, Ireland and France in the Six Nations Championship, as well as coming off the bench against Wales to score a match winning try. Worsley played powerfully against both South Africa and Australia in November 2004. He started in the back row, now an automatic choice after former England captain Lawrence Dallaglio retired from England duty two months earlier.
He missed out on England's entire 2005 Autumn test series due to a knee injury but regained full fitness in time for the 2006 Six nations championship.
Worsley participated in the 2007 Rugby World Cup. He made a "try-saving tap-tackle" which prevented Vincent Clerc of France from scoring a probable match-winning try late in the semi-final (13th October). Worsley toured New Zealand in June 2008 coming on as a substitute in both test matches
He has also started actively participating in Rugby classes for the Alex Boys academy, helping disadvantaged children learn Rugby of which he is a keen advocate.
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