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Innovative Mediation Project in Healthcare

Innovative Mediation Project in Healthcare

Learn how one woman with a passion to make a big difference raised grant funding and set up an innovative and inspiring mediation project that offers mediation and decision-support to health professionals and families helping them resolve conflicts about the medical care of a child.

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Transcript

Full Transcript

Aled Davies: Hi everyone. My name is Aled Davies, founder of mediatoracademy.com, home of the passionate mediator. This is the place, where mediators, aspiring, new and accomplished, come and learn from experienced mediators, practitioners and thought leaders from around the world.

In this interview, I’m going to going to learn how one woman, with a passion to make a big difference, raised grant funding and set up an innovative and inspiring mediation project, that offers mediation and decision support to health professionals and families, helping them resolve conflicts about the medical care of a child. She’s an accredited mediator, vice chair of the Great Ormond Street Hospital Clinical Ethics Committee, and has a masters degree in medical ethics and law from Kings College, London.

It’s lovely to welcome Sarah Barclay onto Mediator Academy.

Sarah, describe to me a typical conflict or ethical dilemma that would lead you to get involved and supporting medical professionals and family members.

Sarah Barclay: Very often, the sort of situation that I’ve been asked to get involved in involves a child with a very long-term illness, perhaps that they are not going to recover from. They may eventually die at quite a young age. That has placed huge burdens, as you can imagine, on the family who’s looking after them. It’s probably going to be a family who has spent much of this child’s life in and out of hospital. Talking to many different doctors and medical teams and re-telling their story time and time again and often they are worn down by that process. But, they’ve also become their own experts.

They’ve read everything, they know everybody who is involved in their child’s particular disease, sometimes, even the doctors will say this, sometimes they even sort of know more than the doctors themselves, because they’ve had such a lot of time to research this. So when they come into a situation where, say for the umpteenth time they’ve been asked to tell their story again, and perhaps it’s a medical team who doesn’t know their child that well. There is often a situation that develops where that parent feels that they are not being listened to, that somehow their expertise is not being taken seriously. That all that they know about their child, somehow isn’t being listened to. Rightly or wrongly.

The doctors may be doing everything they can, they are doing their best, but a situation arrives where somehow, along the way, communication breaks down, and often those are the situations where I’ve been asked to come and intervene in, and it will involve quite a lot of talking to the different members of the medical team and saying “What’s the picture here? What’s the message that you want to convey to this family? What are they saying? Is there anything that you could be doing differently?” There will be a lot of talking, individually, to everybody who’s involved and then when we bring them all together, that’s an opportunity for the health professionals to be able, perhaps, to put over a clearer message than they have in the past. For that parent or those parents, to be able to really say what it is that’s upsetting them, what’s on their mind, and hopefully to find a way of restoring good communication, which is incredibly important. Because as communication breaks down, when you are talking about the medical care of a child, actually you tend to find that the person who gets lost in the middle of all this, is the child themselves. Because the conflicts builds, and everybody spends so much time trying to deal with that. But actually, the person who matters most for everybody, the child, is, kind of, getting lost in the middle.

Aled: Yes, I mean, I’m glad we’ve done this again actually… I wrote a couple of things down, I wrote “emotions” down, I wrote “stakeholders” down, you know I’m thinking, you talked also about “They’ve told the story over and over again. They’ve become their own experts”. It strikes me, it’s got all the ingredients of a really tough, challenging conversation and probably the primary stakeholder either isn’t able to participate or, for whatever reason, boy this sounds like a tough mediation.

Sarah: And when you think about it, hospitals, and particularly when children are involved, are sort of a perfect setting for conflict. If you think about how conflict is so disempowering for people. If you think about being a parent in that situation, and walking into a hospital, which is sort of alien territory to many people. They seem to be speaking a different language, we don’t understand it. We have to hand over the thing that is most precious to us, our child, to people we’ve never met before. We’ve got to trust them to do what they think is best.

When you stand back and think about the ingredients for conflict, it’s kind of a perfect mix. People need help finding their way though it. It’s like any of us, if we go to somewhere and we don’t speak the language, got to learn how to communicate, The mediation process in this field is very often about making communication better.

Aled: Okay, so I mean, I’m imagining for you to do this kind of work, there is kind of a story, you’ve been on a bit of a journey and I want to burrow into that a little bit. But just before we do that, I just want to check my understanding about the kind of mediation process. So it sounds like you spend a lot of time independently with each of the different parties before they come together, is that right?

Sarah: Yes.

Aled: Okay.

Sarah: I do, and I think that’s quite important time, and of course, especially if you have more than one medical professional, and they’re often quite a number involved. I want to talk to all of them if possible, to try and unpick where they are all at and what might have led to the breakdown in communication, along the way.

Aled: How do they feel about coming together and sitting around the table? Do they have concerns, are they reluctant to do so? Or are they willing? How do they feel about that?

Sarah: They are not always . . . I think sometimes because mediation isn’t particularly well known as a process, they wonder what it’s going to be about. What’s going to happen when they go into the room. So being able to make them feel that they are going to be heard, just as much as the parent or the parents, on the other side of the table. Actually it is about restoring communication between both of them. Everybody wants a positive outcome. Everybody wants to, as a medical team, they want to get back to doing what they are there to do, which is to provide the best possible care for that child. When communication has broken down, it takes so much time, and causes such a lot of stress for everybody involved, that somehow, that’s getting in the way of doing the medicine.

Aled: I’m also curious about, you mentioned that often, the person that gets lost in all of this is often the child themselves. I mean, how do you address that? What do you as a mediator to raise that to everyone’s awareness?

Sarah: Well in a way, I sometimes start by saying “The person you all care about the most is the child” same for the medical team, same for the parents. That’s the person who is most important, and the thing that everybody wants is to get back to the stage where that child can be at the centre of things again. So actually there is something that binds them, there is a common interest before they’ve even come into the room. They know that. So to actually be able to start from that point, can be quite positive.

Aled: That’s lovely, isn’t it? It’s starting off by acknowledging everything that’s unites everyone around the table, you know, the one interest that unites everyone. That’s a real reality check, I think.

Sarah: And you realise how often, how conflict drives people apart, it can bring . . . You know, it feels like a battleground. And when you think that that feeling of being in a battleground is being in a hospital, you can begin to get the sense of how damaging it can be to everybody who’s involved in it.

Aled: In terms of outcomes then, from the mediation, is the primary outcome to rebuild trust and re-establish good quality channels of communications between the health professionals and the family? Or are there different outcomes?

Sarah: Quite often it is about that, but it can be about more specific things. For example, if there are two parents and they’ve separated, and the child has to have an operation and perhaps one parent is refusing to consent to that operation. Now medical teams, ideally, want the consent of both parents before they go in and operate. There may be situations where there has to be some mediation to see why the one parent who is refusing or feeling reluctant, why that is, and to try and unpick that. That is a situation that might well go on to court if you didn’t mediate, or if mediation failed, and of course that brings its own costs and stress.

Aled: Okay. I really do get the sense that the work that you do is just so important and amazing. I’m really blown away by it. I’m really humbled by the work that you’re doing. And you know, I did an interview the other day with a guy called David Liddle. He does work-place mediation, he’s got a big sort of you know, U.K. operation and he said “It’s never been a better time to be a mediator” and this guy was so inspiring, so passionate. That’s what I – I want people who listen to these interviews to be inspired to go, “You know what? Actually let me go out there and make a difference.” You’ve done that, you’re clearly doing it.

I want you to take us back to the day that you decided to start Medical Mediation Foundation, which is the organisation you’ve set up, and the subsequent journey you’ve been on and are still on with this project.

Sarah: I’m not sure there was an actual day or a moment. But for me it all comes from having been a journalist. Having been in a really privileged position of being on the inside track of some really difficult stories, where relationships between parents and health professionals have really broken down. I guess, for me, the most . . . The pivotal one, was way back in the mid 1990s and it was a story that had become a big media story at the time, it was all over the front pages. The little girl at the centre of it was called “Child B”, she was a girl called Jaymee Bowen, who was ten years old and who had leukaemia which had relapsed.

Her father wanted the the Health Authority to pay for more treatment, and all of her doctors were saying they didn’t think it was in her best interest. There was really nothing more that they could do. Her father refused to accept this, took the Health Authority to court, and it became a huge story. And we . . . I was working for Panorama at the time, and we wanted to tell that story. Very difficult because she was protected by an anonymity order, everybody was chasing it. Somehow they agreed, in the end, to let us at Panorama to follow what happened to Jamie over the months ahead.

It was a film we never knew whether it was going to be shown or not, but we spent days, hours with the family, and with some of the health professionals involved, trying to unpick why things had gone wrong. It was the story that made me think, “Goodness, what is the impact of these conflicts on the people at the centre of them”. The doctors were incredibly bruised by the experience they’ve had with that family. It was a very very difficult situation.

Here was a father who was doing what he thought was best for his child, too, in fighting all the way for treatment. It was a very complicated story, it was quite a complicated family. But it gave me the feeling that, actually, if these conflicts spiral, they become hugely damaging. I meet people today who’ve been involved in that case and they still talk about it, and some of them still say “Goodness, when I think back to that case, I can feel the hairs on the back of my neck stand up”. So these conflicts have really long term impacts.

Aled: Yes, you know, traumatic.

Okay. So you’re involved in that experience. In a sense, Panorama, you weren’t in the role of the mediator but it sounds like you were doing a lot of listening.

Sarah: Yes, a lot of listening, a lot of talking, a lot of unpicking of stories, because what you want to try and do, what I always try to do, was to get the truth as far as it was possible to tell it. In the end, the reason I decided to stop doing that, and to leave the BBC and to start doing something else, was to think there must be a less public way of trying to help resolve some of these disputes, than on television. Is there something else I can do? Is there something else that will be useful to do? That was really what made me train as a mediator. Then I was extremely fortunate . . .

Aled: How did you find out, you said there must be a better way, a less public way, a more compassionate way, how did you then discover mediation?

Sarah: Do you know, it’s one of those things that when you suddenly . . . quite often when I’ve decided to do something and I’ve thought suddenly, “Oh, yes, that’s the thing” and can’t I remember whether I’d been reading about mediation but thinking “But what have I been doing for the last ten years? I’ve been listening to people’s stories, I’ve been listening to all sides of a story and trying to put it all together”. So actually the leap to mediating, when you’re listening and you’re using your best efforts to try and find a resolution, seemed like the natural next step, to me.

Aled: Okay. So you had discovered mediation, thought “This is what I want to do”. What happened next?

Sarah: I did my mediation training at Regent’s College, with a very good mediator, he’s called Paul Randolph. Then, the issue for so many mediators who’ve just finished their training, is “Where do I go off and get some experience?” And I need to get some experience pretty quickly. So I went and did a whole lot more training with our local community mediation service in Camden, which is transformative mediation. Which I think is incredibly powerful, I think you interviewed Joe Folger recently, talking about that.

Community mediation gives you a lot of experience very quickly with all kinds of people in some very emotive disputes. Having done that, I was invited to give a speech at a conference, for palliative care professionals, about my idea for mediation in the medical field, and I did that. Sitting in the audience was a man called Professor Allan Craft, who was heading up a fund at the Department of Health to offer money for people who where doing projects in children’s palliative care. When I was sitting in the audience listening to him talking about this I thought “I wonder, I wonder if it’s worth talking to him and putting in a proposal” and he said “Yeah. Go for it.” So I did, and that was where the first bit of money came from.

That money enabled myself and another colleague to set up a model for mediation service in this field and we did that by talking to a lot of parents and health professionals who’ve had personal experience from conflicts. From quite minor ones to very major ones, that had ended up in court, some of them had involved violence, they had been very damaging. Through talking to them we began unpick some of what caused those conflicts and we began to ask the question “Is there a pattern to them? And if there is a pattern, what does that pattern look like? Are there warning signs that you could identify that will be helpful to other health professionals?” Wo, we developed something which we call “The Conflict Pathway” as a kind of toolkit.

But the most important thing was that it helped people recognise where they were in a conflict, and realise that the quicker they did something about it the more chance they might have of resolving it.

Aled: Okay, so you developed almost like a methodology for your approach, is that right?

Sarah: Yes, I mean mediation is, I think mediation is, essentially, the same sort of technique sort of, more or less, people have different ways of using it. But our question was in this field and if so, what would be the best way of doing it? Are there other things and other bits of understanding and other research we can bring to it that would be helpful for the health professionals involved? That’s what we are now, I suppose, piloting, really, for these two years at the Evelina Children’s Hospital, we’re piloting the usage of mediation, we’re piloting the usefulness of the Conflict Pathway to see if it’s really helpful to health professionals. Then we are going to evaluate all of that at the end and see what it tells us about using this kind of mediation over a sustained period of time.

Aled: Yeah, you’ve got a number of other people supporting your organisation, involved in the organisation. How do you go and get others involved, others to connect with your vision, to give their time to support this cause?

Sarah: I’ve been very lucky in having some very, very experienced colleagues. Far more experienced in the medical field than I’ve been, to help. The teaching that I’m doing now at the Evelina is with a woman who has has thirty years of experience as a social worker at Great Ormond Street Hospital working with bereaved families, teaching healthcare communication. She’s been doing it for a very long time, she’s written about it. Another one of the people that I mediate and teach with is a former paediatric cancer specialist who has recently trained as a mediator. So the people that I’ve been working with have got years of experience working in this field. They’ve seen just about everything that you can possibly see in that world, and they understand it. To me, it was very important to have people working with me who really understood the territory.

I think mediators will say, and I absolutely understand why they say it, that if you’re a good mediator, you can mediate anything. I sometimes wonder though, that in this really sensitive, difficult field, whether you don’t need to have people who have, you know, walked the hospital corridors and know what it’s like to be a parent or a health professional in the middle of some of those really complicated situations.

Aled: Yes, that was another question going on in my mind actually. You know, to what extent has your experience and involvement in that particular case that you mentioned, been helpful, been important, what knowledge has it given you? Has it helped you be more effective as a mediator? I hear the argument that if you’re a good mediator you can mediate anything, I don’t think that’s the case. I mean there’s some mediations that I wouldn’t want to touch because I think I wouldn’t be very effective, simply because it would be just way outside my . . . I wouldn’t have any reference experiences. I could put my sort of “Columbo” fumbling, bumbling, hat on, which sometimes works, but you know, I think in other contexts it just wouldn’t be helpful. So it sounds to me that having some experience stands you in good stead in this particular field. That right?

Sarah: I think it’s quite important for establishing trust. Trust is at the heart of whether you are going to be able to mediate, I think. The parties that you’re mediating with need to know that you’re on all of their sides, and they need to trust you to do that. And I think when you’re going in to a hospital, you’re going into an intensive care unit, with tiny babies. They are very emotive, difficult places to be, and I remember the first time I ever walked into a neo-natal intensive care unit. If you’ve never been in one of those, you can’t quite believe that babies so tiny could survive. And it’s a shock. The first time you see it, it’s a shock. I’ve spent a lot of time in those units in different hospitals over the years, and you begin, you’re not shocked by it anymore. But you begin . . . The more you talk to the health professionals and the parents sitting there, where every minute passed, every minute that those babies stay alive, sometimes, is a real milestone. To be able to hear what that feels like and what that looks like, has given me – I don’t know how you’d describe it. Sort of a, well, an understanding, up to a point. Because I’m not a doctor and I’ve never had a child in that position. But it gives you an insight, and it gives you an understanding of some of what they are going through. I think that’s very important.

If you sit down with a doctor or with a parent who’s been going through that, that actually, you can say, “I can sort of imagine what it would be like to be sitting in your shoes.” Not completely of course, because you can never do that, but you have some idea, and I think that helps, in establishing trust.

Aled: Okay, so if we go back to that case study, you had that thought. “There must be a better way, more compassionate way, less public way to help these health professionals and families resolve these conflicts.” Then you spoke at that conference and the rest is history. Now you had a… I don’t know, this is a rhetorical question actually. I’m assuming you had an idea or vision then. Has your vision changed? What’s your vision today? What’s your vision for what you are doing? Where do you want to be in a few years time in your organisation?

Sarah: I’d like to be . . . I suppose my vision for the next four or five years would be to create a network of mediators, around the country, who have the sort of experience that we’ve been talking about, who have that knowledge and who, if you come to the Medical Mediation Foundation. If you need or want a mediator to help you in this particular area, that this is the place that you might consider coming to, because you know that all the mediators who mediate with us and for us have got a certain level of knowledge and expertise and understanding of that field.

I think it’s, quite often, difficult for people when they are looking for a mediator, they don’t necessarily know where to go, and in this particular field there hasn’t been a network or an organisation before, a sort of focal point where people could come to. That’s where I’d like to go with this. Not only would it provide mediators who people can trust in that field, but also provide the sort of training that we’ve been doing and are doing at the Evelina in helping health professionals identify the trigger points for those conflicts, how they develop. What the warning signs are. From the work that we’ve done over the last six months or so, what a lot of the people who have done the training are saying, is actually “It’s helped us recognise where we are, when something’s beginning to escalate. We know we have to do something about it.” A lot of it is about communication, a lot of it is about how you have conversation. The more that people find it useful, the more that I’d like to be able to share that with others who will be facing very similar situations, in hospitals all over the country, but may not necessarily know where to turn to, when they need help.

Aled: It’s interesting, you know, the mediation, the one side of your organisation offers mediation when communication has broken down and they want a specific intervention. But it sounds like a lot of your work is very proactive in trying to avoid the situation from reaching that point in the first place. Again, it sounds so similar to the work that Dave Liddle is doing, in organisations. He’s working with managers, mainly in blue-chip organisations or government agencies, departments, rather than intervening, just helping managers be mediators. Not qualified mediators, but just be more effective at communicating, resolving differences. He’s got this lovely concept “From Hindsight to Insight”. What can we learn from the past and put into practice for the future. Nice little idea.

Sarah: Yes, I think that’s right. We use those mediation skills in lots of different ways. For me, so much of it hinges around how you communicate. If you can teach people to ask . . . if you can teach health professionals to ask the question in a different way, help them say, ask an open question like, “Tell me more about that” rather than give them information, a lot of information and not allow the person in front of them to really open up and tell them what they really worried about. I think there is a lot that you can teach, it doesn’t need to take a very long time, but it can make a huge difference.

Of course the thing that health professionals do and never have enough of, is time, and a lot of those skills actually mean that you spend less time, not more time, because you open up a conversation. Have a better conversation with the parent or the child in front of you than you might have done had you not known those particular skills and I think in this day and age in the Health Service that can only be a good thing.

Aled: Yes, slow is the new fast.

Sarah: Kind of. Slow, but asking your question in a way which opens it up and gives the person in front of you an opportunity to speak.

Aled: Yeah, I say “slow is the new fast”. I guess what I meant by this is that, quite often the idea behind . . . we put a lot of emphasis on listening and being curious and I think that can be frustrating to some people because they, “I want to be moving quicker, faster.” but what they don’t realise is taking one’s time being thoughtful mindful early on can save time, and difficulties and misunderstandings and avoid all of that stuff later on.

Sarah: Yes, and I think you often find the thing that, I think, we all do it, we ask not one question but many. One after the other. And the person who’s listening will tend to answer the last one. But if you just say “Well tell me more about that” you don’t know what’s going to come at you, but you’re opening the door. And probably the person will tell you what’s uppermost in their mind, if you give them that opportunity.

Aled: Yeah, well tell me a bit more about . . . You know you’ve talked a lot about, what I would describe as the highs of doing what you’re doing, you know, things have kind of slotted into place. Have there been challenges along this journey and if so, what have they been?

Sarah: I think the challenge was really getting people to believe in it, and I’ve been very fortunate in being able to get, well now, two lots of funding, which has been fantastic, because it’s really given me the opportunity that I’ve wanted. But it’s never easy getting that funding and for anybody who’s filled in funding applications know what long time it takes and how tough it can be. So there were times when I thought “Actually, is this worth it? Are we ever going to get anywhere here?”. The extraordinary thing is, which is why I’m convinced, whatever happens I will have given it my best shot, is that I never, ever considered giving up, actually. Not really.

Aled: So in those moments, where you go, you know, “Is this ever going to go anywhere?” Or when you’re filling out those forms and when you have those doubts in your mind. How do you squash those, or put them to one side and say “I’m going to give this my best shot, this is a worthwhile . . . “. How do you do that?

Sarah: I had the support and encouragement of a few really important people along the way, and actually one of those people who was pivotal to setting up the Medical Mediation Foundation was one of the doctors who treated Child B all of those years ago. He and I stayed in touch, have stayed in touch ever since. And we started talking about the way forward. How you could resolve these conflicts and offer some support in doing so.

So he has been very important to me, not only from his expertise but also in sharing his vision of what that might look like from a health professional view. Being in the middle of some of those conflicts and the Child B one was a particularly tough one, knew what it felt like to be on the inside, and really thought that mediation was a way forward that could be helpful to parents and to health professionals. So when I was going through my black days and looking at this acre of application forms to be filled in, he was a very helpful mentor, so thank you Dr. Simon Meller.

Aled: Thank you Dr. Simon Meller. I’m asking that because I think we all have dark days, we all have days where we doubt what we’re doing. Particularly when we are waiting for the phone to ring if we are an independent mediator. We’ve left one career to start another one, and most of us know that mediation isn’t . . . You know, there isn’t an abundance of cases out there. You have to create your own success story. Which is something that you’re doing. I do think having someone who can be a mentor, who can check that you’re on the right path but also keep that fire in your belly, keep you going on that path, pursuing that vision, with tenacity and passion, can carry you through those dark days.

There is a lovely expression, I think, sometimes you know, you talk about filling out the forms . . . there are things that we have to do, to move things forward ,that are not particularly exciting, or sexy, whatever. They’re just monotonous, and those little disciplines, we’ve just got to go through the disciplines. The expression, “Discipline weighs ounces, regrets weigh tons”.

Sarah: Yes, I think that’s right. For me, all of the journalist training was helpful in writing those application forms as well. You have to tell a powerful and convincing story when you apply for funding, for anything. All of that training would kind of click in, you know, writing to deadlines and all of that stuff was incredibly helpful. I kept reminding myself that, actually, yes, you could do this thing. When you’re sitting there at 1:00 a.m. in the morning filling in the last bit. Any of us who’ve applied for funding, everyone’s got to do that, and it’s not always successful, and when it’s not, that feels pretty devastating.

Aled: Yes, and the key part of this pilot now, that you’re doing, is evaluating the outcomes from that?

Sarah: Yes.

Aled: Okay.

Sarah: I think, personally I think it’s quite important that as mediators we do try and evaluate what we are doing. Not just in terms of did it work or didn’t it work, but what was it about it that worked. So we are evaluating the two strands of the project, the teaching bit, and we evaluate immediately afterwards, But then we also look six months later and go back to the people who had done the training and say “Was it helpful? Do you find you’ve used it? If so, what was helpful about it?”

With the mediation we’ll look at the kinds of cases and we’ll look at what people have said beforehand about the situation that they where in, and afterwards about how they feel about where they are now and whether the conflict was resolved. We’ll look at all of that data at the end, so at the beginning of next year. Then see what the picture is. Hopefully that will tell us something about the sorts of cases and situations where mediation can be particularly helpful, perhaps some of the situations where it hasn’t been.

Aled: Yeah. I just had thought, being a journalist, you’re listening to lots of different stories. You’re trying to distill that, or create another story based on all, everyone else’s stories. Is this story more of an reflection? Maybe an impartial reflection? Would that be a . . .?

Sarah: Yes, but of course the thing we have to struggle against as mediators, is not making assumptions about things. Actually, I’ve had to do lots and lots of work on myself to say “No, no, no, just because someone might have said that, it doesn’t mean this.” You know what it’s like as a mediator, you’ve got to empty all of those assumptions and judgments right out of your head. The training, particularly in the transformative mediation was very, very challenging, and very powerful, in that respect. Because all of those “rushing to judgment” you might do, or decide that “Yes we know what the story is here” that you might do. Got to put all that to one side and just listen to what it is the people in front of you are saying.

Aled: Boy. My hat goes off to you, Sarah, and the work that you’re doing with the Medical Mediation Foundation. If people want to find out more about, I mean, you’ve got a wonderful resource actually and the website, what’s the website address again?

Sarah: So it’s, www.medicalmediation.org.uk

Aled: Okay. They can find out a bit more about the work that you’re doing and is that the best way for people to contact you?

Sarah: Yes, that’s probably the best way, you can fill in . . . there is a little e-mail form on the website, and I’ll always respond very quickly. So if you want to get in touch please do and drop me an e-mail, and Ill give you a call or we can have an e-mail chat.

Aled: And at the very least, pick up the phone, or type a little e-mail to Sarah to say thank you. But I’m going to be first to say thank you. Sarah, thank you very much for giving your time and pursuing what you are doing with that passion. I wish you all the success in the future.

Sarah: Thanks very much for inviting me, Aled.

Aled: Okay. Thank you, Sarah.

About the mediator

Sarah Barclay Profile Pic

I set up the Medical Mediation Foundation in 2010, with initial grant-funding from the Department of Health £30 million fund for children’s palliative care projects. This helped us establish a model for a mediation and decision-support service for health professionals and families working with children and enabled us to pilot it in a number of different hospitals. As part of this project we also ran a series of workshops in hospitals and at a ... View Mediator