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Resolving Scottish paediatric end-of-life conflicts.

Sivers, Sarah; Downie, Margaret



This article considers mediation as a means of resolving decision-making disputes between clinicians and parents in paediatric end-of-life cases. It examines the legal tests applied in England and Wales, and notes the lack of precedent in Scotland. The advantages, disadvantages and the most appropriate style of mediation are analysed. The conclusion reached is that, whilst mediation offers benefits over litigation, mediation in its current form is not necessarily the ideal dispute resolution method in such cases. For it to be so, a legal and governance framework will be required.


SIVERS, S. and DOWNIE, M. 2023. Resolving Scottish paediatric end-of-life conflicts. Medico-legal journal [online], 91(1), pages 46-49. Available from:

Journal Article Type Article
Acceptance Date Oct 6, 2022
Online Publication Date Dec 12, 2022
Publication Date Mar 31, 2023
Deposit Date Oct 13, 2022
Publicly Available Date Oct 13, 2022
Journal Medico-legal journal
Print ISSN 0025-8172
Electronic ISSN 2042-1834
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 91
Issue 1
Pages 46-49
Keywords Paediatric end-of-life decision-making; End-of-life care for children; Mediation; Dispute resolution; Legal framework
Public URL
Related Public URLs (Report) (Poster presented at NHS Grampian R&D Sept 2023) (Poster presented at RCPHC 2023)


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