UK Medico-Legal & Insurance Services Market Report 2024

The 8th annual edition of this report published in November 2024 (56 page PDF report)

Report Contents

EXECUTIVE SUMMARY. 5

Introduction. 5

A fragmented market but more consolidation. 5

Growth in claims registered in most PI areas but Medco searches declining. 5

MLIS market value increase in 2023 and stronger growth expected in 2024. 6

INTRODUCTION & MARKET OVERVIEW. 6

The role of ME and RAMS. 7

Medical Evidence (ME). 7

Rehabilitation and allied medical services (RAMS). 13

MARKET STRUCTURE. 15

Three client groups. 15

A supplier mix of some large businesses plus many SMEs and individuals. 16

RECENT DEVELOPMENTS . 16

Fixed recoverable costs for lower value claims – delayed or dropped?. 16

Proposed changes to medical reporting process – still no MoJ decision. 16

Total RTAs decrease in 2023 after an increase in 2022. 17

Court judgements on expert fees continue to create confusion. 20

Court of Appeal rules in claimant’s favour on costs recoverability .20

Supreme Court decision in mixed injury test cases – a boost for claimants. 21

Bond Solon Expert Witness Survey 2024. 22

THE KEY PLAYERS. 23

M&A activity. 23

MRO numbers registered with MedCo are declining .23

Employment numbers increase. 24

Selected profiles. 26

FL360 Group. 26

Exam Works UK (Premex). 28

Kuro Health. 29

Active Care Group.31

Bodycare Clinics Ltd/Doctors Chambers Ltd. 32

Onebright UK HoldCo Ltd. 33

Health & Care Management Ltd (HCML). 34

RE: Cognition Health Ltd. 35

On Medical Ltd (Winn Group). 36

MAPS Medical Reporting (Medical and Professional Services Ltd). 37

CL MediCall Aid Ltd. 38

Proclaim Group (Proclaim Care Ltd). 38

Ontime Reports Ltd 39

Black Pearl Medical Ltd 40

Crawford & Co. 40

Somek & Associates Ltd. 40

N-Able Services Ltd. 40

Hugh Koch Associates LLP (HKA). 41

MARKET SIZE AND TRENDS. 43

Volume of cases registered with the CRU well below pre-Covid levels, NHS Resolution cases increase marginally. 43

OIC – individuals still take small share of claims but share increasing47

Medco – registered users decreasing. 50

MLIS market benefitting from increase in total claims. 51

THE FUTURE. 52

Consolidation and competitive pressures to increase. 52

ASSOCIATIONS. 53