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Press Release: Conflict contributes to 34,000 annual NHS patient deaths

13 January 2017

Human error caused by organisational conflict is contributing to 34,000 deaths annually in the NHS, according to research by Business Psychologist and leading Mediation Practitioner, Clive Lewis OBE DL.

 The research, ‘Mediation and Organisation Diagnosis’ carried out at the University of Westminster, explored whether the principles of medical diagnosis are also applicable to identifying organisational problems in the NHS. It covered the 2-year period up to 2016, analysing the outputs of 40 different mediation cases involving over 210 people – both clinicians and non-clinicians. Acute, Community, Mental Health Trusts and Clinical Commissioning Groups were included in the sample. The research discovered:

  • The cost of conflict in the NHS is over £0.5bn
  • Sickness and absence levels were 2.6% higher in groups where there was conflict
  • The average time taken from start of dispute to mediation was 19 months and 2 weeks
  • An apology was all that was required to stop the tension in many cases
  • Conflict led to the occurrence of Serious Untoward Incidents (SUIs) such as operations commencing on incorrect limbs
  • Patient cancellations increased by 176% in one hospital department riddled with conflict

Mr Lewis, who is currently touring the country presenting the research to Trust CEOs and NHS membership organisations NHS Providers and NHS Employers, says that the findings are ground breaking. “We have known for some time that we can suffer cognitive impairment when embroiled in conflict. We have never made the link between the potential harm that can patients can suffer as a result – if Surgeon and Anaesthetist become enemies and are in theatre together the consequences for the patient can be devastating”.

 Mr Lewis wants NHS England to recognise the importance of investment in conflict resolution and team working strategies. “There is a potential £0.5bn of savings to be made at a time when the NHS is strapped for cash”. The research also refers to the £1.4bn spent annually by NHS Litigation on negligence claims and how an apology could nip problems in the bud and reduce these costs by one-third. The research denotes mediation as a type of palliative care and concludes that organisation diagnosis is not yet a feature of NHS life.

More information and contact details:

  • Clive Lewis is a Business Psychologist and a student at the University of Westminster and spent two terms as a Non-Executive director at one of the UK’s largest hospitals
  • The research took place in England and all information is used on an anonymous basis
  • The research method used was convenience sampling with qualitative data
  • The average daily cost of locum staff brought in to cover staff absence associated with conflict was £895
  • The average cost of increased sickness and absence per organisation was £2m

 To speak with Mr Lewis about the research please call 0330 100 0809 or email . Follow these links to access the 10,000 word paper and Presentation.

Globis Mediation Group 2017 Training Dates Announced

Globis Mediation Group has published the full list of dates for public training courses in 2017. Building on the success of 2016, more dates have been included. Using business psychology to enhance learning, Globis continues to be a market leader in the areas of Mediation Skills and Difficult Conversations. The successful introduction of the new course ‘Communications Skills for Introverts’ has also led to a crop of dates being added for this programme.
To view the 2017 schedule, please click here. To discuss arrangements for an in-house course, please contact us:
Call: 0330 100 0809

Trade Union Bill receives Royal Assent and becomes Trade Union Act

4 May 2016:

The Trade Union Bill received Royal Assent today.

Key provisions are:-

  • requirement for at least 50% turnout in votes for industrial action
  • in certain public services, including in the health, education, transport, border security and fire sectors, an additional threshold of 40% of support to take industrial action from all eligible members must be met for action to be legal
  • setting a 6 month time limit (which can be increased to 9 months if the union and employer agree) for industrial action so that mandates are always recent,
  • requiring a clearer description of the trade dispute and the planned industrial action on the ballot paper, so that all union members are clear what they are voting for, creating a transparent process for trade union subscriptions that allows new members to make an active choice of paying into political funds ensuring that payroll deductions for trade union subscriptions are only administered where the cost is not funded by the public.

Mediator of the Month – Globis

Globis director Clive Lewis has written an article Wealth & Finance International magazine.

In the article ‘Mediator of the Month – Globis’, Clive talks about his new book How to Master Employment and Workplace Mediation, available now from Bloomsbury Professional.

Clive writes of mediation and the importance of his latest title: Thousands of people have benefitted from being users of mediation services, but unlike employment tribunals they are confidential in nature, meaning that we are unlikely to hear of many successes. A book like this helps draw attention to the positivity of mediation and its advantages for both individual organisations and communities. Like other fields such as art and science, developments in mediation occur as a result of new discoveries, developments which are even more likely as its use grows and diversifies

Read the article here

Find out more about Clive’s new book here

w&m cover

Book Launch: How to Master Workplace and Employment Mediation

Clive Lewis OBE DL launched his latest book at a launch party in central London last Wednesday, 16th September.  The book, entitled How to Master Workplace and Employment Mediation has been published by Bloomsbury.   The book launch event was a great success, and was attended by prominent lawyers, as well as figures from the world of workplace mediation and academia.

Clive book launch


Clive Lewis (R), along with Professor Stephen Benton, Director of the Business Psychology Centre at the University of Westminster.

More information

For more information about the book and the mediation services and training courses provided by Globis, please call 0330 100 0809 today.

Latest Mediation Book by Clive Lewis Available Now

clive new bookThe newest book by Clive Lewis OBE DL, How to Master Workplace and Employment Mediation is available now from Bloomsbury Professional.

About the book

This book incorporates a number of themes.

Firstly, Clive sets the book in context in terms of the British workplace. He looks at its history and discusses how the workplace has changed from the days of the industrial revolution to today’s multicultural, dynamic workplace, paying particular attention to how and why these changes have wrought a rise in workplace conflict.

Next, the business case for mediation for dealing with conflict in the workplace is examined, comparing it to the existing forms of conflict resolution. Clive provides evidence of how conflict costs businesses more than they realise and how mediation can benefit their bottom line.

Storytelling in mediation is a key theme. Storytelling is the premise upon which many a mediation session is based, as everyone involved has a story to tell. The mediation process flushes out many stories of hurt, disbelief, justification and clarification, stories that can be vital to understanding the core reasons behind a conflict and that may have otherwise gone unheard.

The second part of the book focuses on the practical application of mediation as a method of conflict resolution, the different ways to go about implements and best practice. Clive draws on his extensive experience as a mediator to provide a toolkit containing advice, templates and other documents that he uses daily within his mediation work. Case studies drawn from real life experiences illustrate each chapter and key points.

This book will be an importance resource for anyone interested in workplace and employment mediation, whether you are an independent mediator, organisation, commentator or government official. Clive’s aim in writing this book is to demystify the concept of mediation and highlight its advantages as a commercial, pragmatic tool.

Get your copy now

Download this flyer to order your copy now at a special price

More information

For more information about the book and the mediation services and training courses provided by Globis, please call 0330 100 0809 today.

The Freedom to Speak Up Review – Response by Globis Mediation Group

The Freedom to Speak Up Review, led by Sir Robert Francis QC, was released on Wednesday 11th February 2015. It was set up in response to continuing disquiet about the way NHS organisations deal with concerns raised by NHS staff and the treatment of some of those who have spoken up. Common to many of them has been a lack of awareness by an organisations leadership of the size of problems known to front line staff. In many instances, staff felt unable to speak up, or indeed, were not listened to when they did. The 2013 NHS staff survey showed that only 72% of respondents were confident to raise a concern. The aim of the review was to provide advice and recommendations to ensure that NHS staff in England feel safe to raise concerns.

You can read our response to the review here:

Tribunals Annual Report

The Senior President of Tribunals has issued his Annual Report with first rate summaries on what has happened in the EAT and ET’s over the last 12 months. There is also a view on what to expect in the future.

Pertinent sections are:


  • Report from the President of the Employment Appeal Tribunal (Mr Justice Langstaff) Page 70
  • Report from the President of Employment Tribunals for England and Wales (Judge Brian Doyle) Page 73
  • Report from the President of Employment Tribunals for Scotland (Judge Shona Simon) Page 89

Tribunal claims continue to fall in April – June 2014

Figures out today from the Ministry of Justice show that in the last quarter, April to June 2014, 74,400 Tribunal case recipients. This is 71% lower than in the same quarter in 2013, and the lowest since this statistics series began in 2008/09.  There were also 35% less cases disposed of in April to June 2014 than in the same period in 2013. Another particularly striking statistic is that single claims are down 1/3 on the quarter January to March 2014. The introduction of the Acas Early Conciliation process in May 2014 is likely contributing to this situation, in addition to the continuing impacts of the Employment Tribunal fees introduced last year.

On Monday, Labour announced plans to scrap the “unfair” employment tribunal system. Shadow business secretary Chuka Umunna says the fees are preventing people from getting justice they are entitled to. Umunna says the system is unfair, unsustainable and has resulted in unsustainable costs.

Business organisations do not agree, saying that whilst the system could be improved, abandoning it is a mistake.

Recent reforms which encourage early resolution of disputes are a step in the right direction, and fees to make a claim are a vital part of that.

Neil Carberry, CBI.


Press Release: Difficult Conversations book 2nd Edition due on 1st October 2014

front coverFor immediate release

London, England

3rd September 2014

Globis Mediation Group, one of the UK’s leading providers of workplace mediation and preventative HR services, is delighted to announce that the second edition of ‘Difficult Conversations: 10 Steps to Becoming a Tackler, not a Dodger’ will be published on 1st October 2014. Following the successful sell out of the first print run, author Clive Lewis OBE DL has updated the book following feedback from countless readers. The second edition includes a brand new chapter on Influence and Persuasion, as well as a series of case study scenarios to help the reader prepare for becoming a Tackler, not a Dodger. The case studies include:

  • A scenario about an underperforming supplier
  • A situation involving an employee with a personal hygiene issue
  • A scenario involving an underperforming employee
  • A story involving a doctor and a patient

Following its launch, which included a feature in The Sunday Times, the first edition became a must- have for business executives in the UK and around the world. Clive Lewis said “CEOs, executives, middle managers and administrators face difficult conversations on a daily basis. I want the second edition of the book to continue to be the self-help guide that workers keep with them as part of their essential tool kit”.

Earlier this year, following the publication of ground breaking research, an initiative was launched to train 10,000 people per year to better handle difficult conversations. The initiative is intended to help the UK raise its productivity levels by 2020 as outlined in the Leitch report.

The book, available from all good bookstores as well as online and as an ebook has helped organisations save hundreds of thousands, if not millions, of pounds as line managers have become better equipped to deal with thorny issues. This has enabled them to save, both in terms of time and money.

The training course which accompanies the book will continue to be available as a one or two day programme. Actors are brought in on day two to help bring case studies to life for course delegates.

For more information, please contact

Helen Robinson

0330 100 0809

 Or visit the website at

T:0800 3457703