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Resolving Scottish paediatric end-of-life conflicts.

Sarah Sivers1, Margaret Downie1

  • 1The Law School, Robert Gordon University, Aberdeen.

The Medico-Legal Journal
|December 13, 2022
PubMed
Summary

Mediation offers benefits for resolving clinician-parent disputes in paediatric end-of-life cases but requires a legal framework. Current mediation methods are not ideal without this governance structure for optimal dispute resolution.

Keywords:
Dispute resolutionlegal frameworkmediationpaediatric end-of-life decision-making

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Area of Science:

  • Medical Law
  • Bioethics
  • Family Law

Background:

  • Disputes between clinicians and parents are common in paediatric end-of-life decision-making.
  • Existing legal frameworks in England and Wales provide specific tests for these cases.
  • Scotland currently lacks established legal precedent for such disputes.

Purpose of the Study:

  • To evaluate mediation as a dispute resolution method in paediatric end-of-life cases.
  • To analyse the legal landscape in England, Wales, and Scotland concerning these disputes.
  • To assess the suitability of mediation, considering its advantages, disadvantages, and optimal style.

Main Methods:

  • Legal analysis of existing case law and statutes in England and Wales.
  • Comparative review of legal precedent, noting the absence in Scotland.
  • Evaluation of mediation principles, styles, advantages, and disadvantages in the context of paediatric end-of-life disputes.

Main Results:

  • Mediation presents potential advantages over traditional litigation for resolving these sensitive disputes.
  • However, current mediation practices are deemed not fully adequate for paediatric end-of-life cases.
  • A significant lack of legal precedent exists in Scotland for these specific disputes.

Conclusions:

  • Mediation offers a more beneficial approach than litigation for clinician-parent disputes in paediatric end-of-life scenarios.
  • The effectiveness of mediation is contingent upon the establishment of a clear legal and governance framework.
  • Further development is required to optimize mediation as the ideal dispute resolution method in this complex area.