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No it isn't Peter, because mediation takes place every day in the form of a letter of claim/notification followed by a letter of response.

Part of the solution is the duty of candour being applied equally across England Wales as it ought to be. Early admissions, and people who know what they are doing will help.

Everyone wil have an example - my current favourite is NHSR saying "There is evidence claimant had x condition on admission." I say "My expert and I cannot see this evidence - please direct us to it." The answer "We do not have any medical records and we have replied on the opinion of an x expert."

How will mediation work with this? How will "avoidable injury" work with this?

Maybe sort out NHSR and then the NHS Trusts and we might get somewhere. Instead the answer will be to do away with claimants or their solicitors.

And before I finish my rant - bear in mind that letters of claim arise in maybe 2 or 3 out of 10 cases, and of those only half succeed. What will the NHS do if all 10 of those cases are sent to them - that'll be fun won't it...