UK Medico-Legal & Insurance Services Market Report 2023

The 7th annual edition of this report published in October 2023 ( 65 page PDF report)

Report Contents

EXECUTIVE SUMMARY . 5

Introduction. 5

A fragmented market but more consolidation. 5

Claims registered are falling along with medical reports on Medco. 6

MLIS market value increase in 2022. 6

INTRODUCTION AND MARKET OVERVIEW . 7

The role of ME and RAMS. 8

Medical Evidence (ME). 8

Rehabilitation and allied medical services (RAMS). 13

Payment for MLIS services in a legal case. 16

MARKET STRUCTURE . 16

Three client groups. 16

MLIS companies range from many small operators to large groups. 16

RECENT DEVELOPMENTS . 17

Fixed recoverable costs for lower value claims here in April 2024. 17

Proposals for changes to medical reporting process for RTA claims. 18

APIL says medical reporting changes will lead to delays. 19

RTAs increase again in 2022 but still below pre-COVID levels. 19
Workplace injuries increased in 2021/22 23

Court judgements on expert fees create some confusion. 23

Expert reports limited to 20 pages for civil claims up to £100,000. 23

Times Bond Solon Expert Witness Survey. 24

New case management competency framework published. 26

THE KEY PLAYERS . 27

MRO numbers registered with MedCo are declining. 27

Employment numbers increase slightly driven by large groups. 28

Selected profiles. 30

Handl Group (FL360 Group). 30

Exam Works UK (Premex). 33

Kuro Health. 34

Active Care Group. 36

Bodycare Clinics Ltd/Doctors Chambers Ltd. 37

Onebright UK HoldCo Ltd. 38

Health & Care Management Ltd (HCML). 40

RE: Cognition Health Ltd. 41

On Medical Ltd (Winn Holdings). 42

Independent Living Solutions Limited. 42

MAPS Medical Reporting (Medical and Professional Services Ltd). 43

CL MediCall Aid Ltd. 43

Proclaim Group (Proclaim Care Ltd). 44

Ontime Reports Ltd. 46

Black Pearl Medical Ltd. 46

Crawford & Co. 46

Somek & Associates Ltd. 46

N-Able Services Ltd. 47

Hugh Koch Associates LLP (HKA). 47

MARKET SIZE AND TRENDS . 50

Volume of cases registered with the CRU well below pre-Covid levels. 50

NHS Resolution claims closed increase marginally but claims registered decline 56

Official Injury Claim – two years since launch and still little use by individuals. 55

Medco. 58

The MLIS market’s value reflects the trends in case numbers. 60

THE FUTURE . 61

Consolidation and competitive pressures to increase. 61

ASSOCIATIONS . 62