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UK Medico-Legal Services Market Report 2026

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The 10th annual edition of this report published in August 2026 (50 page PDF report)

Report Contents

EXECUTIVE SUMMARY. 5

Introduction. 5

Most market leaders performing well but many SMEs under pressure. 5

Total claims registered and settled decrease. 5

Market value growth in 2025 driven by the larger players. 6

Introduction and market overview.. 6

Definition. 6

The role of ME and RAMS. 7

Medical Evidence (ME). 7

Rehabilitation and allied medical services (RAMS). 12

MARKET STRUCTURE. 14

Three client groups. 14

Consolidation increasing. 15

recent developments. 15

Judgement on medical reporting fees with cap on markup. 15

More attention on clinical negligence costs. 16

Civil Justice Council interim proposal on AI use by experts in court. 17

Guidance on AI use from Medico-Legal Knowledge Partnership. 17

Expert witness survey shows growth in AI use but still relatively low.. 18

Total RTA injuries decrease for fourth year running. 19

Decline in workplace injuries in 2024/25. 19

THE KEY PLAYERS. 20

Introduction. 20

Selected profiles. 22

Handl Group. 22

Exam Works UK (Premex). 24

Kuro Health. 26

Active Care Group. 27

Bodycare Clinics Ltd/Doctors Chambers (UK) Ltd. 28

Onebright UK HoldCo Ltd. 29

HCML Ltd. 30

RE: Cognition Health Ltd. 31

Frenkel Topping 32

A Chance for Life Ltd. 32

On Medical Ltd (Winn Group). 32

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

CL MediCall Aid Ltd. 33

Proclaim Group. 34

Ontime Reports Ltd 35

Hugh Koch Associates LLP (HKA). 35

MARKET SIZE AND TRENDS. 37

Volume of cases registered with the CRU continues to fall 37

NHS Resolution claims registered increase but claims closed decline. 40

OIC – individuals still take small share of claims but share increasing. 42

MedCo – registered MROs increase but users and medical experts decline . 44

MLS market growth in 2025 driven by larger players. 46

THE FUTURE. 47

Market consolidation as AI tools become more important. 47

Associations. 48

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UK Medico-Legal Services Market Report 2026