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Medical Malpractice Insurance in the UK - Market Research Report (2015-2030)

Gaetana Mak Gaetana Mak London, United Kingdom Last Updated: May 2025 SIC SP0.176

Revenue

£1.8bn

2025-26

£1.8bn

Past 5-Year Growth

Profit

£XXX.Xm

Employees

2,296

Businesses

18

Wages

£XXX.Xm

Medical Malpractice Insurance in the UK industry analysis

The private healthcare market heavily drives the medical malpractice insurance industry. Under the Medical Act 1883, all healthcare professionals practising in the UK must hold clinical negligence cover. Insurers' revenue has increased at a compound annual rate of 2.3% over the five years through 2025-26. Given the nature of medical practice insurance, it's no surprise insurers contend with intense competition from state indemnity cover, and stringent regulatory hurdles.

Trends and Insights

  • Inflation affects premiums and profit. Rising claim costs, driven by inflation, are boosting policy premiums as insurers scramble to protect their returns; however, they’re still eating into profitability.
  • OBGYN malpractice claims reach record highs. Soaring payouts are being fuelled by birth-related injuries such as cerebral palsy or brain damage, which are linked to potentially avoidable complications during childbirth.
  • London's wealth draws medical malpractice insurers. With a health-conscious population that often seeks private treatments, insurers find a ready market for their services, with local private practitioners keen to mitigate risks associated with medical errors.
  • Medical malpractice insurers chiefly compete on value-added services. Medical malpractice insurers chiefly compete on value-added services, since medical coverage is mandated by law and cannot be avoided.

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  • Market estimates from 2015-2030
  • Critical performance data and rankings
  • Detailed analysis of competitive forces and the external environment
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Industry Statistics and Trends

Market size and recent performance (2015-2030)

Industry revenue has grown at a CAGR of 2.7 % over the past five years, to reach an estimated £1.8bn in 2025.

Trends and Insights

Private healthcare surge boosts policy volumes as the NHS struggles and telehealth services grows

  • Soaring NHS waiting times and persistent dissatisfaction with NHS drives patients into the private sector. As of September 2024, NHS waiting lists hit a record 7.8 million, up from 4.6 million in 2019, NHS England reports, while a YouGov survey found 71% of respondents cited difficulty accessing treatment as a key driver in going private. The medical specialities with the longest waitlists are trauma and orthopaedics (1508 cases per 100,000); ear, nose and throat (1120 cases per 100,000) and gynaecology (1036 cases per 100,000). At the same time, the UK private healthcare market reached £12.4 billion in 2024, a 10% year-on-year increase, LaingBuisson notes. Simultaneously, employer-funded private medical insurance (PMI) reached a 30-year high in 2024, covering 4.7 million individuals, according to the Association of British Insurers. A rise in private patients trend expands the insured pool – more private surgeries, diagnostics and consultations expands both premium volumes and liability exposure. More activity means a higher frequency of potential malpractice claims, even if individual error rates stay constant.
  • Additional trends and insights available with purchase
Medical Malpractice Insurance in the UK
Revenue (2015-2030)
IBISWorld Logo Source: IBISWorld

Industry outlook (2025-2030)

Trends and Insights

Private healthcare growth fuels rising malpractice risks and insurer adaptation in UK

  • Chronic staff shortages, record waiting times and inconsistent service are eroding public confidence in the NHS. Despite reform efforts, the backlog means elevated waiting lists will likely persist for years. For instance, announced in January 2025, a host of hospital building projects in England are being delayed, with some having to wait up to 14 years before work starts, the government says. As a result, private healthcare is expected to absorb a growing share of healthcare work- particularly in diagnostics, elective procedures and outpatient services. Demographic changes are compounding pressure. In 2022, 19% of the UK population was aged 65 or over - a figure expected to reach 25% by 2050- driving sustained demand for specialised, frequent care that the private sector is better placed to deliver.

Biggest companies in the Medical Malpractice Insurance in the UK

Company
Market Share (%)
2026
Revenue (£m)
2026
RSA Insurance Group Ltd
127.0
AXA UK plc
110.5
Zurich Insurance plc
92.5

To view the market share and analysis for all 5 top companies in this industry, view purchase options.

Products & Services Segmentation

Medical Malpractice Insurance in the UK
Products & Services
IBISWorld Logo Source: IBISWorld

Industry revenue is measured across several distinct product and services lines, including Obstetrics & Gynaecology , Surgery and Diagnostics. Obstetrics & Gynaecology is the largest segment of the Medical Malpractice Insurance in the UK.

Trends and Insights

High payouts push Obstetrics & Gynaecology malpractice policies and claims to the top of the leaderboard

  • Private medical malpractice insurance providers in the UK have seen rising demand for obstetrics and gynaecology cover, fuelled by growing litigation risk and a surge in private patient volumes.
  • More insights available in the full report

Table of Contents

About this industry

Industry definition

Medical malpractice refers to professional negligence by a healthcare provider, such as a doctor, nurse, or hospital, that leads to substandard treatment, causing harm, injury, or death to a patient. In the UK, medical malpractice insurance protects healthcare professionals and institutions against legal claims and compensation costs arising from such incidents. It is essential for managing risk and maintaining trust in the delivery of medical services.

What's included in this industry?

Products and services covered in the Medical Malpractice Insurance industry in the United Kingdom include Directly underwriting medical malpractice insurance and Reinsuring policies from other insurance companies.

Companies

Companies covered in the Medical Malpractice Insurance industry in the United Kingdom include RSA Insurance Group Ltd, AXA UK plc and Zurich Insurance plc.

Purchase this report to view all 5 major companies in this industry.

Related Terms

Related terms covered in the Medical Malpractice Insurance industry in the United Kingdom include vicarious liability, solvency ii framework, obstetrics, underwriting, long-tail liabilities and claim severity.

Industry Code

SIC 2007

SIC 65.11 - Medical Malpractice Insurance in the UK

Performance

Get an indication of the industry's health through historical, current and forward-looking trends in the performance indicators that make or break businesses.

Analyst insights

Inflation affects premiums and profit. Rising claim costs, driven by inflation, are boosting policy premiums as insurers scramble to protect their returns; however, they’re s...

In this chapter (4)

  • Current Performance
  • Outlook
  • Volatility
  • Life Cycle

Key metrics

  • Annual Revenue, Recent Growth, Forecast, Revenue Volatility
  • Number of Employees, Recent Growth, Forecast, Employees per Business, Revenue per Employee
  • Number of Businesses, Recent Growth, Forecast, Employees per Business, Revenue per Business
  • Total Profit, Profit Margin, Profit per Business

Charts

  • Revenue, including historical (2015-2024) and forecast (2025-2030)
  • Employees, including historical (2015-2024) and forecast (2025-2030)
  • Businesses, including historical (2015-2024) and forecast (2025-2030)
  • Profit, including historical (2015-2025)
  • Industry Volatility vs. Revenue Growth
  • Industry Life Cycle

Detailed analysis

  • Trends in supply, demand and current events that are driving current industry performance
  • Expected trends, economic factors and ongoing events that drive the industry's outlook
  • Key success factors for businesses to overcome volatility
  • How contribution to GDP, industry saturation, innovation, consolidation, and technology and systems influence the industry's life cycle phase.

Products and Markets

Learn about an industry's products and services, markets and trends in international trade.

Analyst insight

OBGYN malpractice claims reach record highs. Soaring payouts are being fuelled by birth-related injuries such as cerebral palsy or brain damage, which are linked to potential...

In this chapter

  • Products & Services
  • Major Markets

Key metrics

  • Largest market segment and value in 2025
  • Product innovation level

Charts

  • Products & services segmentation in 2025
  • Major market segmentation in 2025

Detailed analysis

  • Trends impacting the recent performance of the industry's various segments
  • Innovations in the industry's product or service offering, specialization or delivery method
  • Key factors that successful businesses consider in their offerings
  • Buying segments and key trends influencing demand for industry products and services

Geographic Breakdown

Discover where business activity is most concentrated in an industry and the factors driving these trends to find opportunities and conduct regional benchmarking.

Analyst insights

London's wealth draws medical malpractice insurers. With a health-conscious population that often seeks private treatments, insurers find a ready market for their services, w...

In this chapter (1)

  • Business Locations

Charts

  • Share of revenue, establishment, wages and employment in each region
  • Share of population compared to establishments in each region in 2025

Tables

  • Number and share of establishments in each region in 2025
  • Number and share of revenue each region accounts for in 2025
  • Number and share of wages each region accounts for in 2025
  • Number and share of employees in each region in 2025

Detailed analysis

  • Geographic spread of the industry across Europe, and trends associated with changes in the business landscape
  • Key success factors for businesses to use location to their advantage

Competitive Forces

Get data and insights on what's driving competition in an industry and the challenges industry operators and new entrants may face, with analysis built around Porter's Five Forces framework.

Analyst insights

Medical malpractice insurers chiefly compete on value-added services. Medical malpractice insurers chiefly compete on value-added services, since medical coverage is mandated...

In this chapter (4)

  • Concentration
  • Barriers to Entry
  • Substitutes
  • Buyer & Supplier Analysis

Key metrics

  • Industry concentration level
  • Industry competition level and trend
  • Barriers to entry level and trend
  • Substitutes level and trend
  • Buyer power level and trend
  • Supplier power level and trend

Charts

  • Market share concentration among the top 4 suppliers from 2020-2025
  • Supply chain including upstream supplying industries and downstream buying industries, flow chart

Detailed analysis

  • Factors impacting the industry’s level of concentration, such as business distribution, new entrants, or merger and acquisition activity.
  • Key success factors for businesses to manage the competitive environment of the industry.
  • Challenges that potential industry entrants face such as legal, start-up costs, differentiation, labor/capital intensity and capital expenses.
  • Key success factors for potential entrants to overcome barriers to entry.
  • Competitive threats from potential substitutes for the industry’s own products and services.
  • Key success factors for how successful businesses can compete with substitutes.
  • Advantages that buyers have to keep favorable purchasing conditions.
  • Advantages that suppliers have to maintain favorable selling conditions.
  • Key success factors for how businesses can navigate buyer and supplier power.

Companies

Learn about the performance of the top companies in the industry.

Analyst insights

AXA’s diversification and a strong brand keep it on top. They instil confidence in clients and up its ability to meet payouts, keeping the company’s policies in demand.

In this chapter

  • Market Share Concentration
  • Companies
  • Company Spotlights

Charts

  • Industry market share by company in 2021 through 2025
  • Major companies in the industry, including market share, revenue, profit and profit margin in 2025
  • Overview of RSA Insurance Group Ltd's performance by revenue, market share and profit margin from 2019 through 2025
  • Overview of AXA UK plc's performance by revenue, market share and profit margin from 2019 through 2025
  • Overview of Zurich Insurance plc's performance by revenue, market share and profit margin from 2019 through 2025
  • Overview of revenue, market share and profit margin trend for 2 additional companies

Detailed analysis

  • Description and key data for RSA Insurance Group Ltd, and factors influencing its performance in the industry
  • Description and key data for AXA UK plc, and factors influencing its performance in the industry
  • Description and key data for Zurich Insurance plc, and factors influencing its performance in the industry
  • Description, key data and performance trends for 2 additional companies

External Environment

Understand the demographic, economic and regulatory factors that shape how businesses in an industry perform.   

Analyst insights

Solvency II dictates medical malpractice insurers’ finances. It regulates the financial risk companies carry, ensuring they maintain sufficient capital to cover potential mal...

In this chapter

  • External Drivers
  • Regulation & Policy
  • Assistance

Key metrics

  • Regulation & policy level and trend
  • Assistance level and trend

Charts

  • Regulation & Policy historical data and forecast (2015-2030) 
  • Assistance historical data and forecast (2015-2030) 

Detailed analysis

  • Demographic and macroeconomic factors influencing the industry, including Regulation & Policy and Assistance
  • Major types of regulations, regulatory bodies, industry standards or specific regulations impacting requirements for industry operators
  • Key governmental and non-governmental groups or policies that may provide some relief for industry operators.

Financial Benchmarks

View average costs for industry operators and compare financial data against an industry's financial benchmarks over time. 

Analyst insights

Claims heavily burden medical malpractice insurers. They face significant payouts when healthcare professionals are deemed negligent, leading to substantial costs.

In this chapter

  • Cost Structure
  • Financial Ratios
  • Key Ratios

Key metrics

  • Profit margin, and how it compares to the sector-wide margin
  • Average wages, and how it compares to the sector-wide average wage
  • Largest cost component as a percentage of revenue
  • Industry average ratios for days' receivables, industry coverage and debt-to-net-worth ratio

Charts

  • Average industry operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2025
  • Average sector operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2025
  • Investment vs. share of economy

Data tables

  • Liquidity Ratios (2019-2023)
  • Coverage Ratios (2019-2023)
  • Leverage Ratios  (2019-2023)
  • Operating Ratios (2019-2023)
  • Assets (2019-2023)
  • Liabilities (2019-2023)
  • Cash Flow & Debt Service Ratios (2015-2030)
  • Revenue per Employee (2015-2030)
  • Revenue per Enterprise (2015-2030)
  • Employees per Establishment (2015-2030)
  • Employees per Enterprise (2015-2030)
  • Average Wage (2015-2030)
  • Wages/Revenue (2015-2030)
  • Establishments per Enterprise (2015-2030)
  • IVA/Revenue (2015-2030)
  • Imports/Demand (2015-2030)
  • Exports/Revenue (2015-2030)

Detailed analysis

  • Trends in the cost component for industry operators and their impact on industry costs and profitability 

Key Statistics

Industry Data

Data Tables

Including values and annual change:

  • Revenue (2015-2030)
  • IVA (2015-2030)
  • Establishments (2015-2030)
  • Enterprises (2015-2030)
  • Employment (2015-2030)
  • Exports (2015-2030)
  • Imports (2015-2030)
  • Wages (2015-2030)

Top Questions Answered

Unlock comprehensive answers and precise data upon purchase. View purchase options.

What is the market size of the Medical Malpractice Insurance industry in the United Kingdom in 2025?

The market size of the Medical Malpractice Insurance industry in the United Kingdom is £1.8bn in 2025.

How many businesses are there in the Medical Malpractice Insurance industry in the United Kingdom in 2025?

There are 18 businesses in the Medical Malpractice Insurance industry in the United Kingdom, which has grown at a CAGR of 1.2 % between 2020 and 2025.

How may import tariffs affect the Medical Malpractice Insurance industry in the United Kingdom?

The Medical Malpractice Insurance industry in the United Kingdom is unlikely to be materially impacted by import tariffs with imports accounting for a low share of industry revenue.

How may export tariffs affect the Medical Malpractice Insurance industry in the United Kingdom?

The Medical Malpractice Insurance industry in the United Kingdom is unlikely to be materially impacted by export tariffs with exports accounting for a low share of industry revenue.

Has the Medical Malpractice Insurance industry in the United Kingdom grown or declined over the past 5 years?

The market size of the Medical Malpractice Insurance industry in the United Kingdom has been growing at a CAGR of 2.7 % between 2020 and 2025.

What are the biggest companies in the Medical Malpractice Insurance industry in the United Kingdom?

The biggest companies operating in the Medical Malpractice Insurance industry in the United Kingdom are RSA Insurance Group Ltd, AXA UK plc and Zurich Insurance plc

What does the Medical Malpractice Insurance industry in the United Kingdom include?

Directly underwriting medical malpractice insurance and Reinsuring policies from other insurance companies are part of the Medical Malpractice Insurance industry in the United Kingdom.

Which companies have the highest market share in the Medical Malpractice Insurance industry in the United Kingdom?

The company holding the most market share in the Medical Malpractice Insurance industry in the United Kingdom is RSA Insurance Group Ltd.

How competitive is the Medical Malpractice Insurance industry in the United Kingdom?

The level of competition is high and increasing in the Medical Malpractice Insurance industry in the United Kingdom.

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Competitors

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Methodology

How are IBISWorld reports created?

IBISWorld has been a leading provider of trusted industry research for over 50 years to the most successful companies worldwide. With offices in Australia, the United States, the United Kingdom, Germany and China, we are proud to have local teams of analysts that conduct research, data analysis and forecasting to produce data-driven industry reports.

Our analysts start with official, verified and publicly available sources of data to build the most accurate picture of each industry. Analysts then leverage their expertise and knowledge of the local markets to synthesize trends into digestible content for IBISWorld readers. Finally, each report is reviewed by one of IBISWorld’s editors, who provide quality assurance to ensure accuracy and readability.

IBISWorld relies on human-verified data and human-written analysis to compile each standard industry report. We do not use generative AI tools to write insights, although members can choose to leverage AI-based tools within the platform to generate additional analysis formats.

What data sources do IBISWorld analysts use?

Each industry report incorporates data and research from government databases, industry-specific sources, industry contacts, and our own proprietary database of statistics and analysis to provide balanced, independent and accurate insights.

Key data sources in the UK include:

  • Office for National Statistics
  • Office for Budget Responsibility
  • Bank of England

Analysts also use industry specific sources to complement catch-all sources, although their perspective may focus on a particular organization or representative body, rather than a clear overview of all industry operations. However, when balanced against other perspectives, industry-specific sources provide insights into industry trends.

These sources include:

  • Industry and trade associations
  • Industry federations or regulators
  • Major industry players annual or quarterly filings

Finally, IBISWorld’s global data scientists maintain a proprietary database of macroeconomic and demand drivers, which our analysts use to help inform industry data and trends. They also maintain a database of statistics and analysis on thousands of industries, which has been built over our more than 50-year history and offers comprehensive insights into long-term trends.

How does IBISWorld forecast its data?

IBISWorld’s analysts and data scientists use the sources above to create forecasts for our proprietary datasets and industry statistics. Depending on the dataset, they may use regression analysis, multivariate analysis, time-series analysis or exponential smoothing techniques to project future data for the industry or driver. Additionally, analysts will leverage their local knowledge of industry operating and regulatory conditions to impart their best judgment on the forecast model.

IBISWorld prides itself on being a trusted, independent source of data, with over 50 years of experience building and maintaining rich datasets and forecasting tools. We are proud to be the keystone source of industry information for thousands of companies across the world.

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