For health and care professionals

When a relationship breaks down with a patient or their family, you may feel a range of emotions including frustration, anxiety, stress and helplessness. It can seem as if the situation cannot be resolved. If the patient is a child, you may feel that you cannot provide the best care and treatment for them.

Sometimes you and your colleagues may feel that it is time for invasive treatment to be stopped. Our expert mediators have many years of experience working with professionals, patients and families to help resolve these complex disagreements while keeping the patient at the centre of decision-making.


Medical and Social Care Mediation

Thank you again for your help with a patient and his parents. This was another great example of the value of having an independent mediator to help bridge a developing gap between a family and a medical team.

– Consultant paediatrician

We help professionals and families to:

  • Restore trust and good communication
  • Focus on the person being cared for
  • Explore the underlying issues that may be contributing to the situation
  • Understand the key issues and what can realistically be achieved
  • Agree a way forward that everyone can accept


How we work

We work independently of any health or social care organisation. The mediation will go ahead once everyone is willing to take part. Before the mediation we will contact you to agree a convenient time to meet, discuss what mediation involves and talk to you about the disagreement. Mediation is a flexible process so the number and length of meetings will vary from case to case.

The case reached the point where the clinical team were almost at burn out. Both my consultant and I had one to one time with the mediator during the time of highest conflict as well as debriefing afterwards. This support was invaluable. Having a fresh pair of eyes allowed us to look systematically at the case and how to manage it.

– Clinical nurse specialist


Everything that is said during a mediation is confidential.

Your express consent is needed to share any information

Only the terms of any agreement will be written down and documented in the care notes.

Mediation is “without prejudice” - a legal term which means that nothing said during the mediation can be used if the disagreement later goes to court.

The only circumstances when confidentiality may not apply is where the mediator believes that there is a significant risk of harm to a person or if either side is breaking the law, or is ordered to disclose information by a court.


Download our guide

Click to download our guide for health and care professionals about mediation.