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UK Medico Legal & Insurance Services Market Trends Report 2021

  • ID: 5359481
  • Report
  • July 2021
  • Region: United Kingdom
  • 95 Pages
  • IRN Research
Market Declines by 18% Under the Impact of COVID

FEATURED COMPANIES

  • A Chance for Life Ltd
  • Active Care Group
  • Broadspire Rehabilitation
  • CBTC UK HoldCo Ltd
  • CL MediCall Aid Ltd
  • Exam Works UK (Premex)

The COVID-19 lockdowns caused a significant decline in personal injury case numbers and a significant slowdown in personal injury case progression, leading to a decline in the medico-legal and insurance services market (MLIS). The publisher estimates that the market, including payments to individual, freelance and self-employed medical experts and case managers declined by 18% in 2020 compared with 2019. The market is anticipated to fall again in 2021. The premium end of the market i.e., high-value catastrophic injuries - declined but held up better than the rest of the market in 2020 and is expected to return to growth in 2021.


Now that COVID lockdowns and restrictions are coming to an end, the MLIS market is set to recover. The main downsides for the future are the new Whiplash reforms, which are likely to have a net negative impact on the lower end of the market. Moreover, even if volumes recover, companies operating in this market face a number of challenges, key of which are:


  • Continued pressure on margins as competition intensifies, with larger groups growing in market power.
  • Potential long-term changes to working practices because of COVID-19 (e.g., some permanent shift to home working, more remote medical assessments and online physiotherapy sessions)
  • Greater need for financial resources to invest in new IT systems to improve client and freelance/contractor engagement with MLIS firms.

This report looks at the Medico-Legal and Insurance Services (MLIS) market. MLIS are a range of medical and medical-related services offered to legal services companies, insurers and possibly to employers. For this reason, MLIS companies are often staffed and run by doctors, nurses and physiotherapists.

The range of services offered can be split into two broad categories:


  • Medical evidence (ME)
  • Rehabilitation and allied medical services (RAMS)

This report looks at the market structure, recent developments and market drivers, the key players, the market size and trends and the future.


Note: Product cover images may vary from those shown

FEATURED COMPANIES

  • A Chance for Life Ltd
  • Active Care Group
  • Broadspire Rehabilitation
  • CBTC UK HoldCo Ltd
  • CL MediCall Aid Ltd
  • Exam Works UK (Premex)

EXECUTIVE SUMMARY 


  • A diverse market but larger groups are being formed 
  • Whiplash reform programme 
  • Expert witnesses continue to face growing pressures 
  • A market hit hard by COVID-19 
  • Market declines by almost 20% 
  • The market set to recover but the lower end may struggle 

INTRODUCTION 


  • Definition 
  • Medical Evidence (ME) 
  • Rehabilitation and allied medical services (RAMS) 
  • Payment for MLIS services in a legal case 
  • Abbreviations 

MARKET STRUCTURE 


  • Three client groups 
  • A wide diversity of MLIS companies 

MARKET DEVELOPMENTS AND DRIVERS 


  • Money and health, the two main drivers of RAMs business 
  • The financial savings can be very large 
  • COVID-19 
  • ABI/ACSO principles 
  • Lockdowns cut RTAs 
  • And fewer workplace injuries needing MLIS services. 
  • Clinical negligence, low in number but high in value 
  • COVID-19 cuts the number of personal injury claims going through the Courts 
  • Personal injury court cases in Scotland and new Personal Injury Court 
  • Whiplash reform programme 
  • Being an expert witness is not getting any easier 

THE KEY PLAYERS 


  • 47 MROs 
  • The market is now led by larger groups 
  • Exam Works UK (Premex) 
  • Kuro Health (formally Premier Medical Holdings Ltd) 
  • Handl Group (FL360 Group) 
  • Active Care Group 
  • IPRS Group/IPRS Health 
  • Bodycare Clinics Ltd/Doctors Chambers (UK) Ltd 
  • Health & Case Management Ltd (HCML) 
  • RE: Cognition Health Ltd 
  • A Chance for Life Ltd 
  • On Medical Ltd (Winn Holdings) 
  • Independent Living Solutions Limited 
  • Innovate Healthcare Management Group 
  • MAPS Medical Reporting (Medical and Professional Services Ltd) 
  • Proclaim Group (Proclaim Care Ltd) 
  • CL MediCall Aid Ltd 
  • Bush & Company Rehabilitation 
  • Broadspire Rehabilitation 
  • Somek & Associates Ltd 
  • CBTC UK HoldCo Ltd 
  • Hugh Koch Associates LLP (HKA) 
  • N-Able Services Ltd 
  • Other companies 

MARKET SIZE AND TRENDS 


  • COVID-19 cuts case numbers in 2020 
  • Case volumes down further in the first half of 2021 
  • Case management leads the decline 
  • The MLIS market’s value reflects the trends in case numbers 
  • The Catastrophic Injury Segment holds up better 
  • The bottom end of the market hit the hardest 

THE FUTURE 


  • A difficult future to predict 
  • From COVID to Whiplash 
  • New MedCo reforms result in more litigants in person 
  • Concerns over hybrid claims 
  • Margins will be under pressure 
  • Possible changes to working practices 

ASSOCIATIONS 

LIST OF FIGURES
Figure 1 The size analysis of firms engaged in MLIS activities, 2020/21* 
Figure 2 The SIC analysis of firms as on the Companies House Database in June each year 
Figure 3 Total cost of reported road traffic accidents (£000) by severity and cost element, 2016-2020 
Figure 4 Costs to Britain of workplace injuries/work-related ill health (2018 prices), 2018/19 
Figure 5 The recoveries made by the CRU (£m), 2012/13 to 2019/20 
Figure 6 Use of all motor vehicles: Great Britain, 1 March 2020-June 2021* 
Figure 7 The number of individuals reported injured in RTAs in Great Britain (000), 2010-2020 
Figure 8 The number of adults injured in an RTA over a three-year period 
Figure 9 Non-fatal injuries to employees and the self-employed in Great Britain, 2011/12-2019/20 
Figure 10 The number and rate of major/specified workplace injuries 2003/4-2019/20 
Figure 11 The nature of workplace injuries, 2019/20 
Figure 12 New Industrial Injury claims received by the IIS by type of claim, 2010-2019* 
Figure 13 No. of clinical negligence claims by NHS Resolution and claims paid, 2008/9-2019/20 
Figure 14 Personal injury claims issued and proceeding started, England and Wales, 2010-2020 
Figure 15 Personal injury cases initiated/disposed of in the civil courts, by case type, 2008/09 to 2019/20 
Figure 16 Unrepresented claims - flow process 
Figure 17 List of operational Medco MROs as at June 2021 
Figure 18 The largest operators in the MLIS market by employee numbers, 2021 
Figure 19 Financial results of ExamWorks MLIS companies 
Figure 20 Financial results of Kuro Health companies 
Figure 21 Financial results of Handl (FL360) companies 
Figure 22 The employee numbers of the MLIS companies owned by Active Assistance 
Figure 23 Financial results of IPRS Health 
Figure 24 Financial results of Bodycare Clinics Ltd and Doctors Chambers (UK) Ltd 
Figure 25 Financial results of HCML Ltd 
Figure 26 Financial Results of RE: Cognition Health 
Figure 27 Financial results of On Medical Ltd 
Figure 28 Financial results of Medical and Professional Services Ltd 
Figure 29 Financial results of CL Medical Aid 
Figure 30 Financial results of Bush & Company Rehabilitation 
Figure 31 Turnover of Broadspire in the UK 
Figure 32 Financial results of CBTC UK Holdings 
Figure 33 Financial results of HKA LLP 
Figure 34 Examples of other companies active in the MLIS market 
Figure 35 Settlements recorded with the CRU, 2010/11-2020/21 
Figure 36 Breakdown of cases registered with the CRU, 2010/11-2020/21 
Figure 37 The number of claims recorded on the Claims Portal (12 month rolling total) 
Figure 38 Estimated MLIS market size, 2013-2021 
Figure 39 The importance of the Catastrophic injuries market, 2018-2021 
Figure 40 Use of the Medco System in 2015-20 
Figure 41 Use of the Medco System Q1 each year, 2019-21 
Figure 42 The impact of Civil Liabilities Act and SCT changes on RTA claims 
Figure 43 Likely number of litigants in person after reforms 


Note: Product cover images may vary from those shown

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  • A Chance for Life Ltd 
  • Active Care Group 
  • Bodycare Clinics Ltd/Doctors Chambers (UK) Ltd 
  • Broadspire Rehabilitation 
  • Bush & Company Rehabilitation 
  • CBTC UK HoldCo Ltd 
  • CL MediCall Aid Ltd 
  • Exam Works UK (Premex) 
  • Handl Group (FL360 Group) 
  • Health & Case Management Ltd (HCML) 
  • Hugh Koch Associates LLP (HKA) 
  • Independent Living Solutions Limited 
  • Innovate Healthcare Management Group 
  • IPRS Group/IPRS Health 
  • Kuro Health (formally Premier Medical Holdings Ltd) 
  • MAPS Medical Reporting (Medical and Professional Services Ltd) 
  • N-Able Services Ltd 
  • On Medical Ltd (Winn Holdings) 
  • Proclaim Group (Proclaim Care Ltd) 
  • RE: Cognition Health Ltd 
  • Somek & Associates Ltd 
Note: Product cover images may vary from those shown