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UK Medico-Legal & Insurance Services Market Report 2025

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The 9th annual edition of this report published in August 2025 (51 page PDF report)

Report Contents

EXECUTIVE SUMMARY. 5

Introduction. 5

A market populated by many SMEs and margins for many remain tight. 5

Total claims registered decrease but grow in clinical negligence. 6

Market value growth in 2024 with slightly lower growth expected in 2025. 6

Introduction and market overview.. 7

Definition. 7

The role of ME and RAMS. 8

Medical evidence (ME). 8

Rehabilitation and allied medical services (RAMS). 12

MARKET STRUCTURE. 13

Three client groups. 13

Many SMEs and individuals providing services but consolidation increasing. 14

recent developments. 14

Government’s response to medical reporting for RTAs consultation. 14

Fixed fee increases for medical reports, the first increases since 2014. 15

Judgement on medical agency fees breakdown dispute. 16

National Audit Office launches investigation into clinical negligence costs. 17

Total RTA injuries decrease for third year running. 17

Some increase in workplace injuries in 2023/24. 18

THE KEY PLAYERS. 21

Introduction. 21

MRO numbers registered with MedCo are declining.21

Selected profiles. 22

Handl Group. 22

Exam Works UK (Premex). 25

Kuro Health. 26

Active Care Group .27

Bodycare Clinics Ltd/Doctors Chambers (UK) Ltd. 29

Onebright UK HoldCo Ltd. 29

HCML Ltd. 30

RE: Cognition Health Ltd. 31

On Medical Ltd (Winn Group). 32

MAPS Medical Reporting (Medical and Professional Services Ltd). 33

CL MediCall Aid Ltd. 34

Proclaim Group. 34

Ontime Reports Ltd .35

Crawford & Co. 36

Somek & Associates Ltd. 36

N-Able Services Ltd. 36

Hugh Koch Associates LLP (HKA). 37

MARKET SIZE AND TRENDS. 39

Volume of cases registered with the CRU well below pre-Covid levels. 39

NHS Resolution claims registered increase marginally but claims closed decline. 41

OIC – individuals still take small share of claims but share increasing.43

MedCo – registered users decreasing. 46

MLIS improved market growth in 2024. 47

THE FUTURE. 48

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UK Medico-Legal & Insurance Services Market Report 2025