Medico-legal support

In the performance of all your professional duties, you should abide by the principles of good medical practice set out in Good medical practice.

What is it and why does it matter?

Medicine is a sensitive and complicated field to work in. You will be working under pressure and often having to make difficult decisions about the best course of action for patients in your care. So even if you are following the principles of Good medical practice (our core guidance on what patients and the profession believe makes a good doctor), it is likely that someone will complain about you at some point in your career.

NHS indemnity schemes only provide support for clinical negligence claims. They won't provide you with legal advice and support in disciplinary matters, or if you are referred to us to investigate your fitness to practise medicine.

Medico-legal support is the broader expert advice on all legal matters to do with medicine. You may find it helpful to have this kind of support in place if a complaint is made about you. This is because even if a complaint is unfounded, it may need to be investigated further which can be very stressful.

Who provides medico-legal support?

There are a number of organisations that can help you with medico-legal problems. Some are medical defence organisations, others are insurers.

All provide indemnity for damages and costs resulting from judicial decisions or settlements out of court and in medico-legal cases undertaken on their behalf, notably accusations of professional negligence. In addition, some also offer advice on legal, ethical and other problems arising from your practice, including the GMC investigating allegations that you have failed to follow the principles of Good medical practice. Each organisation offers a different combination of benefits so you will need to decide which, if any, is right for you.

We have included at the bottom of this factsheet, a list of all the providers that we are aware of, but others may also be available. You can get further information about the combination of benefits each offers, directly from these organisations.

Medico-legal support providers


CJ Coleman

Portsoken House

155 Minories

London EC3N 1BT

Tel: 0207 488 2211



Premium Medical Protection

68 Pure Offices

Plato Close

Tachbrook Park

Leamington Spa CV34 6WE

Tel 0845 308 2350 


Lockton Companies LLP

The St Botolph Building

138 Houndsditch

London EC3A 7AG

Tel: 0207 933 2206


Specialist Professional Indemnity Services Ltd

SPS administers a number of specialty-specific indemnity schemes, listed below

Tel 0845 519 4393


Association of Ophthalmologists Specialist Indemnity Scheme


Medical and Dental Defence Union of Scotland

Mackintosh House

120 Blythswood St

Glasgow G2 4EA

Tel: 0845 270 2034


ISIS Indemnity Scheme for Orthopaedic Surgeons



Plastic, Reconstructive & Aesthetic Surgeons Indemnity Scheme


Medical Defence Union Limited

One Canada Square

London E14 5GS

Tel: 0800 716 376


Orthopaedic & Trauma Specialists Indemnity Scheme


Sports and Exercise Medicine Professional Indemnity Scheme


Medical Protection Society

33 Cavendish Square

London W1G 0PS

Tel: 0845 605 4000


Surgical Indemnity Scheme - General Surgeons




Medical Insurance Consultants Ltd

Park House

45 The Park

Yeovil, Somerset, BA20 1DF

Tel: 01935 424 085



Towergate MIA

Kings Court

London Road


Hertfordshire SG1 2GA

Tel: 01438 739 839


Doctors and Dentists Protection Union

9 Belgrave Avenue


Manchester, M41 8SR

Tel: 0161 870 2193