While the market has continued to grow in recent years, the rate of annual increase is slowing. Competition for market share is intensifying as is the competition for medical expertise and medical skills. In this environment, some of the smaller players have been forced out of the market, forced to merge or been taken over by larger rivals. At the same time, some of the established mid and low-end market players have sought to move up market into the higher margined catastrophic injury sector.While IRN Research still expects that the mid and upper segments of the market will grow over the coming years, the prospects for the low-end of the market (i.e. soft tissue, whiplash type injuries from road traffic accidents) looks poor. New legislative changes from April 2020, are likely to make a severe dent on this sector of the market, which will call into question the long-term viability of RTA-focused operators and some of the smaller MedCo medical reporting organisations.