UK Clinical Negligence Market Report 2025
The 8th annual edition of this report published in September 2025 (44 page PDF report).
Report Contents
Total legal revenue estimated at £1.7 million. 5
Case numbers registered increase again. 5
NHS spending grows with a double-digit increase in claimant legal fees. 5
Claims going to trial or proceedings fall for the fourth year running. 6
More market growth expected. 6
Two types of damage payments. 7
Lump sum payment and the PIDR. 8
Four main market participants. 9
Clinical negligence indemnity/insurance cover. 10
MARKET DEVELOPMENTS AND DRIVERS . 11
New personal injury discount rates across the UK. 11
National Audit Office launches investigation into clinical negligence costs. 12
NHS Resolution announces new provider contracts for mediation. 13
New Neutral Evaluation Scheme also announced by NHSR. 13
Emergency medicine and orthopaedic surgery lead claim numbers .14
Year-on-year decrease in cases reaching court. 20
Damages Claims service issued over 116,000 claims since launch in 2021.21
Mediation numbers pass the 2,000 mark since service launched in 2016. 22
Main claimant legal advisers. 22
Main defendant legal advisers. 23
Selected Law Firm Profiles. 24
Penningtons Manches Cooper. 29
Volume of cases registered increase but claims settled drop at the CRU.. 31
NHS Resolution claims reported and closed both increase in 2024/25. 33
Damages paid and legal costs increase for third year running. 34
Medical Protection Society (MPS). 35
Medical and Dental Defence Union of Scotland (MDDUS). 36
Medical Defence Union (MDU). 36
Medical Defence Shield (MDS). 37
Pharmacists Defence Association. 37
Other medical malpractice insurance and indemnity providers. 38
Clinical negligence legal revenue growth of over 8% in 2024/25. 38
Increases in both claims registered and settled expected.39
