image description

Critical Care

Bush & Company is a market leading provider of Case Manager and Expert Witnesses to solicitors and insurance companies in support of serious at catastrophic injury victims.

Bush & Company’s brand leadership and established reputation for quality, coupled with other competitive advantages including their scale and ability to deliver a breadth of services to larger law firms, makes them a complementary addition to the Group.

Established 30 years ago the company, operating in the catastrophic injuries sector, has a strong track record of growth driven by a consistent increase in case numbers, strong margins and good cash flow. Through its wealth of knowledge Bush & Company has earned a credible reputation as experts within their field.

Despite being a relatively small market, in comparison to the others in which we operate, 2017 has, nevertheless, seen some interesting developments. There have been a number of mergers and acquisitions amongst the smaller providers whilst some of the larger Fast Track companies have developed propositions in the catastrophic sector.

The war for talent is an ongoing and important dynamic so continuing our focus on quality and supporting our consultant base remains a key priority and during the year we have increased the number of Case Managers working with Bush.

Although the regulatory changes in PI do not directly affect Bush we have seen growing cost pressures and price sensitivity as firms grapple with the impact of overall lower claims revenue in other sectors of the market. In addition we anticipate government initiatives that focus on the use of technology to create efficiencies for the courts, including, reduced court time and associated expenses. This will have the benefit of affording our experts more time for other areas of their core work. Bush is further responding to these trends by taking steps to ensure its own report templates and processes are as streamlined as possible.

An additional, positive development has been a growing number of strategic partnerships. As an example Bush has been working with the Child Brain Injury Trust (CBIT) and the Spinal Injuries Association (SIA) on new commercial alliances which will contribute to ongoing growth.

Experts in rehabilitation

As the market leading and fastest growing provider of specialist services in the catastrophic injury market Bush & Company provide a complete range of services including:

  • expert witness quantum reports and nursing liability reports
  • immediate needs assessment
  • case management services for short or long term needs
  • vocational rehabilitation services, and
  • behaviour assessment and management services for children and young people.


CQC accredited

Bush & Company’s initial focus was on the provision of quantum care and special needs reports for both claimant and defendant solicitors in personal injury and clinical negligence claims. This led to a demand for further services to support a claimant's recovery journeys and the provision of advice and support throughout the full length of the process. In 2011 Bush & Company achieved accreditation as a registered domiciliary care provider with the Care Quality Commission.

The company is based in Northamptonshire and works with over 150 self-employed experts and case managers. All team members are registered with an appropriate professional regulatory body as well as other relevant professional organisations.

  For more information, please visit our website