Neutral Mediation Services for Personal Injury and Clinical Negligence Disputes

CMC Accredited Provider
25+ specialist mediators
15+ years industry leaders
~80% settle on the day
Over 1,000 mediations completed
National service

A structured process for resolving disputes

Mediation gives parties a confidential setting in which to explore resolution with the assistance of an independent neutral. For personal injury and medical negligence claims, it can sit alongside litigation, negotiation, Part 36 offers and joint settlement meetings. It does not remove the parties’ control over the outcome. It provides a managed process for testing whether an agreement can be reached.

In practice, mediation is often used where negotiations have stalled, where costs are rising, where trial risk needs to be assessed or where a client wants the claim to reach a conclusion without the delay and uncertainty of court. It can also be used earlier, before proceedings, where the parties have enough information to assess the issues and engage constructively.

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How mediation fits within the litigation lifecycle

Mediation can take place at different stages of a claim. Some mediations are arranged pre-issue, often after key evidence has been exchanged. Others take place after pleadings, after expert evidence, before or after a CCMC, or close to trial. The right timing depends on the facts, evidence, value, parties and objectives.

The important point is that mediation does not need to wait until every issue has been prepared to trial standard. Where the parties understand the central dispute and have enough information to negotiate, mediation may help avoid further cost and delay.

Specialist mediation services

Trust ADR provides mediation support across a range of personal injury and medical negligence disputes, including: 

Personal injury mediation for claims involving liability, causation, quantum, serious injury or trial risk

Medical negligence mediation for complex or sensitive claims where financial and non-financial outcomes may both matter

Facilitative mediation where the parties want a structured negotiation process without evaluative input

Evaluative mediation where the parties agree that a neutral, informed view may help move the claim forward

The two main forms of mediation

Trust ADR provides both facilitative and evaluative mediation.

Facilitative mediation is the most familiar form. The mediator manages the process, helps communication between the parties and encourages focused negotiation. The mediator does not give legal advice or impose a view.

Evaluative mediation may be appropriate where the parties would benefit from a neutral, informed view on one or more issues. Any evaluative input is used carefully and only where the parties and the mediator agree to that approach.

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What happens in a mediation?

A typical mediation includes:

Initial enquiry

The legal teams identify the nature of the dispute, the parties involved, timing and any practical requirements.

Appointment of the mediator

The parties select the mediator and agree the format, which may be online or in person.

Pre-mediation preparation

The mediator will usually hold confidential pre-mediation discussions with the legal teams. The parties provide relevant documents (the mediation bundle) and position statements.

The mediation day

The mediator manages private sessions, and joint sessions where appropriate. Discussions remain confidential and without prejudice.

Agreement or next steps

If settlement is reached, the terms are documented through the legal representatives. If the case does not settle, the process may still narrow issues and assist later resolution.

How mediation differs from a joint settlement meeting

A joint settlement meeting is usually lawyer-led. Mediation introduces an independent neutral who manages communication, structures the day and can work privately with each side. This can be useful where positions are entrenched, relationships are difficult or the client’s interests extend beyond a financial settlement alone.

Mediation can also allow non-financial issues to be addressed in a more controlled way. In medical negligence claims, this may include explanations, apologies, lessons learned or claimant impact statements. In personal injury claims, it may help parties focus on the practical barriers to settlement.

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Commercial value of mediation

Mediation has a cost, but it can also reduce the cost of continued litigation. It may shorten the lifecycle of a claim, support client satisfaction, help convert work in progress into billed work, reduce trial preparation costs, and limit exposure to adverse costs arguments where ADR has not been properly considered.

The cost of mediation is usually agreed before the process is confirmed, including how the fee will be shared or paid. This helps legal teams assess proportionality, explain the process to clients and decide whether mediation is commercially appropriate at that stage of the claim. (If it is clear to all concerned that the defendant will be paying some damages, the defendant typically agrees to pay the costs of the mediation.)

For defendants, insurers and in-house claims teams, mediation can support better control of indemnity spend and claims duration. For claimants, it can provide a more direct route to conclusion and certainty.

When mediation may be appropriate

Mediation may be worth considering where:

FAQs

When should mediation be used in a claim?

Mediation can be considered at several stages, including pre-issue, after key evidence has been exchanged, after pleadings, before or after a CCMC, or as trial approaches. The right timing depends on whether the parties have enough information to understand the issues and negotiate constructively.

Is mediation binding?

The mediation process itself is not binding. If the parties reach a settlement, the agreement is documented by the legal representatives and becomes binding in the usual way.

How quickly can mediation be arranged?

Timing depends on mediator availability, party availability and the complexity of the claim. Trust ADR is structured to support active case environments where efficient booking matters and can usually arrange mediations at very short notice.

What happens if the case does not settle?

A mediation that does not settle on the day may still narrow issues, improve understanding of the claim and assist settlement later.

Who pays for mediation?

Payment depends on the agreement between the parties, any applicable scheme and the terms under which the mediation is arranged. Fees and cost-sharing are agreed before the mediation is confirmed.

Make An Enquiry

Share a few details about the claim, the parties and the stage of the case. We will come back with a suggested ADR route and the next practical step. 

Initial Conversation

Tell us about the claim, the parties and the stage you are at.

Mediator Selection

You select a suitable independent specialist mediator.

Preparation

Pre-mediation discussions help clarify issues and prepare the day properly.

Mediation Day

A structured process focused on helping parties reach resolution, often within a single day.