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UK Medico-Legal and Insurance Services 2019 Market Trends Report

  • ID: 4772961
  • Report
  • May 2019
  • Region: United Kingdom
  • 87 Pages
  • IRN Research
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  • 10Bridge Medical
  • Doctors Chambers (UK) Ltd
  • Jupiter Medicals Limited
  • Mobile Doctors Limited
  • Premier Medical
  • Tri Star Medicals Limited
  • MORE

The UK Medico-Legal and Insurance Services Market Trends Report is the third edition of an annual Legal Market Report from the author. It provides an overview of the UK market for firms that provide medical expertise (ME) and rehabilitation and allied medical services (RAMS) to the legal and insurance sectors.

Current Trends
The medico-legal and insurance services market (MLIS) is estimated to generate around £760 million in gross revenue for ME and RAMS firms that operate in the market. While the market has continued to grow in recent years, the rate of annual increase is slowing. Competition for market share is intensifying as is the competition for medical expertise and medical skills. In this environment, some of the smaller players have been forced out of the market, forced to merge or been taken over by larger rivals. At the same time, some of the established mid and low-end market players have sought to move up market into the higher margined catastrophic injury sector.

Future Trends
While the author still expects that the mid and upper segments of the market will grow over the coming years, the prospects for the low-end of the market (i.e. soft tissue, whiplash type injuries from road traffic accidents) looks poor. New legislative changes from April 2020, are likely to make a severe dent on this sector of the market, which will call into question the long-term viability of RTA-focused operators and some of the smaller MedCo medical reporting organisations.

Note: Product cover images may vary from those shown
2 of 3


  • 10Bridge Medical
  • Doctors Chambers (UK) Ltd
  • Jupiter Medicals Limited
  • Mobile Doctors Limited
  • Premier Medical
  • Tri Star Medicals Limited
  • MORE

1. Executive Summary

  • A fragmented market still
  • A market valued at over £750 million
  • A market whose services are highly valued
  • But one where pressures are building
  • The nature of the work changes
  • Recent new legislation fundamentally reforms the low end of the market
  • And soon to be operational future legislation will change it more
  • With the result that the future will be uncertain for some MLIS providers

2. Introduction

  • Definition
  • Medical Evidence (ME)
  • Rehabilitation and allied medical services (RAMS)
  • Abbreviations

3. Market Structure

  • Three client groups
  • A wide diversity of MLIS companies
  • The Rehabilitation Code

4. Market Developments and Drivers

  • RAMs pay dividends for all involved parties
  • Growing competition for skill
  • And rising competition more generally
  • More RTAs requiring serious injury MLIS services
  • And fewer workplace injuries needed MLIS services
  • But still a significant number of high value clinical negligence cases
  • Civil personal injury claims the key driver of activity
  • New legislation fundamentally reforms the low end of the market
  • With more changes possible soon
  • Expert witnesses primarily act as report writers
  • Greater pressure on expert witnesses
  • With the pressure increasing after changes to the Civil Procedure Rules
  • And GDPR rules

5. The Key Players

  • 48 MROs
  • Bush & Co probably the largest case management provider
  • Active Assistance
  • AIG Europe Ltd/AIG Medical Management Services
  • AMG Consultancy Services Ltd
  • Ascenti Group
  • Bodycare Clinics Ltd/Doctors Chambers (UK) Ltd
  • Broadspire Rehabilitation
  • Bush & Company Rehabilitation
  • CL MediCall Aid Ltd
  • Exam Works UK (Premex)
  • FL360 companies
  • Health & Case Management Ltd (HCML)
  • Independent Living Solutions Limited
  • IPRS Group/IPRS Health
  • Injury-QED Ltd (I-QED)
  • MAPS Medical Reporting, formally Medical and Professional Services Ltd
  • On Medical Ltd
  • Premier Medical
  • Proclaim Care Ltd
  • SK Medical Practice
  • Slater & Gordon Solutions
  • Unite Professionals Ltd
  • Vita Health Group/RehabWorks Ltd
  • Descriptions of 50 other providers

6. Market Size and Trends

  • The potential market stabilises
  • Market growth slows in 2018
  • Initial MedCo reports generate almost £85 million in revenue in 2018
  • The catastrophic injury market – a niche sector but a growing one

7. The Future

  • Government reforms: A Curate’s Egg
  • Online court could also encourage more litigants in person
  • Fixed recoverable cost proposals could also cut the number of higher value cases
  • Increased efficiency will become a key competitive goal
  • Will E-working remove court appearances for Expert Witnesses?
  • Could AI undermine the need for expert witnesses?
  • Will rehabilitation services go virtual?
  • Continued new opportunities in the occupational health sector

8. Associations

List of Figures
Figure 1 The size analysis of firms engaged on Other Human Health Activities, 2018
Figure 2 The number of individuals reported injured in RTAs in Great Britain (000), 2010-2018
Figure 3 Injuries sustained in road accidents in the previous 3 years: England, 2015/17
Figure 4 Details of treatment required or sustained in road accidents in previous 3 years: England, 2015/17
Figure 5 The number of adults injured in an RTA over a three-year period
Figure 6 Non-fatal injuries to employees and the self-employed in Great Britain, 2011/12-2017/18
Figure 7 The number and rate of major/specified workplace injuries 2003/4-2017/19
Figure 8 The main causes of workplace injuries, 2017/18
Figure 9 New Industrial Injury claims received by the Industrial Injuries Scheme by type of claim, 2010-2018
Figure 10 Number of settled clinical negligence (CN) claims by NHS Resolution, 2008/9-2017/18
Figure 11 Personal injury claims issued and proceeding started, England and Wales, 2010-2017
Figure 12 How NHS Resolution claims* were settled 2017/18
Figure 13 Trends in medical expert witness work and fees, 2011, 2017
Figure 14 List of Medco MROs as at May 2019
Figure 15 Financial results of AIG Medical Management
Figure 16 Financial results of AMG Care Services Group
Figure 17 Financial results of Ascenti Health Ltd
Figure 18 Financial results of Bodycare Clinics Ltd and Doctors Chambers (UK) Ltd
Figure 19 Turnover of Broadspire in the UK
Figure 20 Financial results of Bush & Company Rehabilitation
Figure 21 Financial results of ExamWorks MLIS companies
Figure 22 Financial results of FL360 companies
Figure 23 Financial results of HCML Ltd
Figure 24 Financial results of IPRS Health
Figure 25 Financial results of Injury-QED Ltd
Figure 26 Financial results of MAPS Medical Reporting Ltd
Figure 27 Financial results of On Medical Ltd
Figure 28 Financial results of Premier Medical Holdings Ltd
Figure 29 Financial results of Mobile Doctors Ltd
Figure 30 Financial results of RehabWorks Ltd
Figure 31 Settlements recorded with the CRU, 2010/11-2018/19
Figure 32 Breakdown of cases registered with the CRU, 2010/11-2018/19
Figure 33 Breakdown of settlements with the CRU, 2010-2017
Figure 34 Estimated turnover of MLIS companies (mid-point estimate), 2013-2018
Figure 35 Use of the Medco System in 2015-19
Figure 36 Impact of raising the SCT limit on personal liability RTA claims
Figure 37 Impact of requiring medical reports on all personal liability RTA claims
Figure 38 The net impact of the Government changes

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4 of 3
  • 10Bridge Medical
  • Affinity Medical Services Ltd
  • Alpha Medical Consultancy Limited
  • AML Reporting Ltd
  • Blackrock Medical Reporting Ltd
  • Bodycare Clinics Ltd
  • Chartwell Medical
  • Citimedical Limited
  • CL Medicall Aid Ltd
  • Connexus Medical Appointments Ltd
  • Doctors Chambers (UK) Ltd
  • Elite Medical Appointments
  • Excell Medical Reporting
  • Hayes & Co Services Ltd
  • Index Medical
  • Indigo Medical Ltd
  • Injury QED Limited
  • Jupiter Medicals Limited
  • Lawyers Medical Agency
  • Medical Reports Ltd (MRL)
  • Medicals (uk) ltd
  • Medici Health Limited
  • Medreport Services Limited
  • ML Doctors Ltd
  • Mobile Doctors Limited
  • NRI Medical Limited
  • On Medical Ltd
  • Optimal Med Limited
  • Pegasus Medical
  • Premex Services Limited
  • Premier Medical
  • Quest Medico Legal Ltd
  • Quick Reporting
  • Rapid Medical Services (UK) Ltd
  • Red Med Reporting Limited
  • SK Medical Practice
  • Speed Medical Examination Services
  • Summerhill Medical Reporting ltd
  • Target Medical Solutions Ltd
  • TB Medical Reporting Limited
  • TLB Medicals
  • Tri Star Medicals Limited
  • UK Independent Medical
  • Ultima Medical
  • Vantage Medicals UK Ltd
  • Vertex Medical Solutions
  • Xpede Medical Ltd
  • You Medicals Limited
Note: Product cover images may vary from those shown