UK Medico-Legal & Insurance Services Market Report 2025

This is the ninth annual edition of the report analysing 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)

Report Scope

• The publisher has upgraded its market size estimates for 2024 to £677m, an increase of 4.5% on the previous year. Total claims registered at the CRU increased in in the year to April 2024 and this helped to boost revenue through the year. Most of the leading MLIS groups have also boosted their turnovers in 2024, partly by onboarding acquisitions, but also by some organic growth.
• The market value is expected to grow at a slightly slower pace in 2025. Total claims numbers are falling again (clinical negligence is the exception) and this will feed into slightly weaker demand for MLIS services.
• While the sector is still populated by numerous small businesses, most of the leading players are consolidating their position through acquisitions and service expansion with market concentration increasing. Margins are tight across the sector but many of the leading players have reported improved margins above the sector average.
• Total claims registered at the Compensation Recovery Unit (CRU) declined again in the year 2024/25 to 447,973 from 477,220 a year earlier. Claims registered decreased in most specific categories except clinical negligence and public liability claims: for the third year running, clinical negligence claims registered grew, by 3.5% to 16,395 in 2024/25 following an increase of almost 10% in the previous year.
• In 2024/25, total settlements recorded by the CRU decreased to 508,160 from 548,843 a year earlier.
• The value of clinical negligence claims settled reached £23.49m in 2024/25 from £18.65m in 2023/24, an increase of 26%.

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