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UK Medico-Legal And Insurance Treatment Market 2021

  • ID: 5437949
  • Report
  • September 2021
  • Region: United Kingdom
  • 74 Pages
  • IRN Research

FEATURED COMPANIES

  • A Chance for Life Ltd
  • CBTC UK HoldCo Ltd
  • Halliday Quinn Ltd
  • Neuromindworks Ltd
  • PhysioNet Plus
  • Select Healthcare Group

The publisher estimates that the medical expense element of personal injury and clinical negligence claims is valued at over £1 billion in 2020/21, of which CRU recoveries for NHS treatments represent around £200 million. Potentially, almost 30,000 private sector organisations could provide treatment services for personal injury claimants and over 1,000 NHS organisations could do likewise.


In terms of treatment revenue, RTA generate 38% of total revenue, followed by employer liability and public liability and finally clinical negligence cases, which represent 13% of treatment revenue (but only 2% of settled claims).


Without another serious wave of COVID, the treatment market is likely to grow over the coming years, although growth at the minor treatment end of the market will be harder to generate because of the new whiplash reforms.


The COVID-19 lockdowns caused a significant decline in personal injury case requiring treatment.  Between  2019/20 and 2020/21, the number of cases registered with the Compensation Recovery Unit (CRU) declined by 32%, with settlements down 18%. Settlements declined less because these will include cases completed in 2020/21 but which were started (i.e. registered) in previous years. Data from the Claims Portal indicates that volumes were significantly down again in the first half of 2021 compared with the same period of 2020. The number of claims recorded in the 12 months ending July 2021, is almost 24% lower than for the 12 months ending July 2020.


This report looks at the companies which provide primarily physical and mental healthcare services to medico-legal and insurance services providers, mainly in personal injury cases. It will also in parts look at providers that provide social care for these individuals if associated medical care (like rehabilitation and long-term continuing healthcare) is also provided. The medical treatments that are the central focus of this report involve the provision of medical treatments to individuals who have suffered minor or serious injuries or illnesses, from events such as road traffic accidents, medical negligence, accidents at work etc.  Central to the medical treatment is rehabilitation and swift treatment: that is the provision of treatments that go beyond, or that happen sooner than, the usual medical and social ones, with the aim of optimising the business and medical outcome. This report considers the market structure, market development and drivers, key players, market size and trends and the future.


Note: Product cover images may vary from those shown

FEATURED COMPANIES

  • A Chance for Life Ltd
  • CBTC UK HoldCo Ltd
  • Halliday Quinn Ltd
  • Neuromindworks Ltd
  • PhysioNet Plus
  • Select Healthcare Group

1. EXECUTIVE SUMMARY    
Treatment, often the end of the medico-legal process    
It’s a diverse market    
COVID-19 changes the market dynamics    
Whiplash reform programme    
Motor Insurance the largest generator of claims    
A market worth over £1 billion    


2. INTRODUCTION    
Three main types of treatment services    
The role of treatment in the personal injury process    
The treatment process    
The Rehabilitation Code    
Key Abbreviations used throughout this report    


3. MARKET STRUCTURE    
A wide diversity of treatment providers    
Key individual practitioners    
Key organisations    
Over 1,000 NHS bodies may potentially offer services to an injured claimant    
Almost 30,000 non-NHS bodies potentially could treat an injured claimant    
For most treatment providers, personal injury clients may not be their core focus    


4. MARKET DEVELOPMENTS AND DRIVERS    
Money and health, the two main drivers of treatment services    
Treatment costs are paid out of Special Damages    
Private health insurer costs may also need to be considered    
COVID-19    
Lockdowns cut RTAs    
And fewer workplace injuries needing treatment services.    
Clinical negligence, low in number but high in treatment value    
COVID-19 cuts the number of personal injury claims going through the Courts    
Whiplash reform programme    


5. THE KEY PLAYERS    
3d Rehabilitation (Premex Group)    
Active Care Group Ltd    
A Chance for Life Ltd    
Allied Neuro Therapy Ltd (ANT)    
Alliance Medical Ltd    
Ascenti Group Ltd    
Bodycare Clinics Ltd/Doctors Chambers (UK) Ltd    
CBTC UK HoldCo Ltd    
Central England rehabilitation unit (CERU)    
City Healthcare Partnership (CHCP)    
Connect Health Ltd    
Cygnet Health UK Ltd    
Disabilities Trust    
Halliday Quinn Ltd    
Handl Group    
Health & Case Management Ltd (HCML)    
Headwise Ltd    
InHealth Group    
Innovate Healthcare Management Group    
MAPS Medical Reporting (Medical and Professional Services Ltd)    
National Neurological Services (National Care Group)    
Neuromindworks Ltd    
Neurological Physiotherapy    
On Medical Ltd (Winn Holdings)    
Physio.co.uk    
Physio-link/Kuro Health    
PhysioNet Plus    
P J Care Ltd    
Resolve Health/Proclaim Group    
RE: Cognition Health Ltd    
Rushcliffe Care Ltd    
Select Healthcare Group    
Sano Physiotherapy Ltd    
Shaw Healthcare    
The Huntercombe Group    
The Buckinghamshire Group    
Unity Health Group    
Vita Health Group    
Voyage Care    


6. MARKET SIZE AND TRENDS    
COVID-19 cuts new case numbers in 2020    
Case numbers continue to be subdued in 2021    
Motor Insurance the largest generator of claims    
CRU recovers around £200 million from over 700,000 settled claims    
Average medical costs are low because most claims are fast track/small track    
Medical expense damages    
Medical expenses around £1.3 billion    


7. THE FUTURE    
A difficult future to predict    
Whiplash Reforms    
Concerns over hybrid claims    
Possible changes to working practices    
Increasing pressure on long-term care providers    


8. ASSOCIATIONS    


LIST OF FIGURES


Figure 1    The personal injury process    
Figure 2    Indicators of the number of key staff capable of working in the personal injury sector    
Figure 3    The number of ACS services providers capable of operating in the personal injury sector, 2021    
Figure 4    The number of LTC service providers capable of operating in the personal injury sector, 2021    
Figure 5    The number of rehab service providers capable of operating in the personal injury sector, 2021    
Figure 6    The number of CHC service providers capable of operating in the personal injury sector, 2021    
Figure 7    The number of DSS service providers capable of operating in the personal injury sector, 2021    
Figure 8    NHS bodies that may potentially offer services to an injured claimant, 2021    
Figure 9    Non-NHS bodies that may potentially offer services to an injured claimant, 2021    
Figure 10    Split of costs for RTAs and workplace injuries    
Figure 11    NHS Treatment and Ambulance Journey Charges (from 1st April each year), 2021-2021    
Figure 12    Use of all motor vehicles: Great Britain, 1 March 2020-23rd August 2021*    
Figure 13    The number of individuals injured in RTAs in Great Britain (000), 2010-2020    
Figure 14    The type of injuries involved in RTAs over a three-year period (% of individuals injured)    
Figure 15     Non-fatal injuries to employees and the self-employed in Great Britain, 2011/12-2019/20    
Figure 16     The number and rate of major/specified workplace injuries 2003/4-2019/20    
Figure 17    The nature of workplace injuries, 2019/20    
Figure 18    New Industrial Injury claims received by the IIS by type of claim, 2010-2020*    
Figure 19    No. of clinical negligence claims by NHS Resolution and claims paid, 2008/9-2020/21    
Figure 20    Personal injury claims issued and proceeding started, England and Wales, 2010-2020    
Figure 21    New cases and settlements* recorded with the CRU, 2010/11-2020/21    
Figure 22    Cases recorded on the claims portal (12 month rolling totals), 2018-2021    
Figure 23    Breakdown of cases registered with the CRU, 2010/11-2020/21    
Figure 24    The number of cases registered on the Claims Portal by type, 2018-2021    
Figure 25    Breakdown of cases settled with the CRU, 2010/11-2020/21    
Figure 26    CRU recoveries of NHS costs (NHS injury costs recovery), 2012/13-2020/21    
Figure 27    Estimated breakdown of cases, Year ending March 2021    
Figure 28    Estimated medical expenses in PI claims, year ending March 2021    


 


Note: Product cover images may vary from those shown
  • 3d Rehabilitation (Premex Group)    
  • Active Care Group Ltd    
  • A Chance for Life Ltd    
  • Allied Neuro Therapy Ltd (ANT)    
  • Alliance Medical Ltd    
  • Ascenti Group Ltd    
  • Bodycare Clinics Ltd/Doctors Chambers (UK) Ltd    
  • CBTC UK HoldCo Ltd    
  • Central England rehabilitation unit (CERU)    
  • City Healthcare Partnership (CHCP)    
  • Connect Health Ltd    
  • Cygnet Health UK Ltd    
  • Disabilities Trust    
  • Halliday Quinn Ltd    
  • Handl Group    
  • Health & Case Management Ltd (HCML)    
  • Headwise Ltd    
  • InHealth Group    
  • Innovate Healthcare Management Group    
  • MAPS Medical Reporting (Medical and Professional Services Ltd)    
  • National Neurological Services (National Care Group)    
  • Neuromindworks Ltd    
  • Neurological Physiotherapy    
  • On Medical Ltd (Winn Holdings)    
  • Physio.co.uk    
  • Physio-link/Kuro Health    
  • PhysioNet Plus    
  • P J Care Ltd    
  • Resolve Health/Proclaim Group    
  • RE: Cognition Health Ltd    
  • Rushcliffe Care Ltd    
  • Select Healthcare Group    
  • Sano Physiotherapy Ltd    
  • Shaw Healthcare    
  • The Huntercombe Group    
  • The Buckinghamshire Group    
  • Unity Health Group    
  • Vita Health Group    
  • Voyage Care    
Note: Product cover images may vary from those shown