Why Healthcare Regulators Are Turning to Mediation: The Launch of the Chiropractors Complaints Mediation Service 

By Sue Clark

Consultant

The healthcare regulatory landscape is changing. 

Across healthcare professions, regulators are increasingly exploring how concerns can be resolved earlier, more proportionately and with better outcomes for everyone involved. While formal fitness to practise and disciplinary processes remain essential where public protection is at risk, there is growing recognition that many concerns do not require a lengthy investigation to achieve a meaningful resolution.  

This shift has created new opportunities for independent mediation and alternative dispute resolution services that can help patients, professionals and regulators find constructive solutions before positions become entrenched. 

It is within this context that Nockolds Resolution is proud to launch the Chiropractors Complaints Mediation Service (CCMS) in partnership with the General Chiropractic Council (GCC). The pilot service launched on 1 September 2026 and will explore how independent mediation can support the early resolution of suitable concerns, while maintaining public confidence and protecting professional standards.  

A Growing Trend Across Healthcare Regulation 

Healthcare regulators face an increasingly complex challenge. 

They must protect the public and uphold professional standards, while also ensuring processes remain fair, proportionate and responsive to the needs of service users and practitioners. 

Many concerns brought to regulators are not necessarily about misconduct or professional competence. Instead, they often arise from misunderstandings, communication breakdowns, unmet expectations or a desire for explanation, acknowledgement and dialogue. 

Traditional regulatory processes are not always designed to provide these outcomes. 

As a result, regulators are increasingly exploring whether mediation can offer a complementary route that allows appropriate concerns to be resolved more quickly and constructively, whilst ensuring serious matters continue to be investigated through established statutory processes. This approach sits firmly within a wider regulatory trend towards early intervention, proportionality, learning and improved public experiences.  

Why Regulators Choose Nockolds Resolution 

At Nockolds Resolution, we are uniquely placed to support this evolution. 

Unlike many mediation providers, our expertise lies not simply in dispute resolution, but in operating within highly regulated sectors where public protection, professional accountability and stakeholder confidence are critical considerations. 

For more than a decade, we have worked at the intersection of regulation, consumer protection and independent dispute resolution. We understand the pressures regulators face, the expectations of complainants and the professional realities of registrants. 

Our services have been specifically designed to complement, not replace, regulatory processes. 

This experience has enabled us to develop specialist models that balance independence, fairness and confidentiality with the wider regulatory objectives of maintaining standards and protecting the public. 

The launch of CCMS builds on our successful delivery of sector-specific services including the Optical Consumer Complaints Service and the Veterinary Client Mediation Service, both of which have demonstrated the value of independent, resolution-focused approaches in regulated professions.  

More Than Resolution: Delivering Insight and Learning 

One of the reasons regulators increasingly value mediation is that it provides more than individual case outcomes. 

Every concern offers an opportunity to better understand the experiences of patients, service users and professionals. 

Through our mediation services, we capture insights into recurring themes, communication challenges and emerging trends. These insights can help regulators identify areas for professional development, support continuous improvement and inform future policy discussions. The CCMS pilot will similarly provide insight reporting to identify themes, trends and opportunities for learning across the profession.  

This combination of early resolution and organisational learning is becoming an increasingly important aspect of modern professional regulation. 

Supporting Better Outcomes for Everyone 

Effective complaints handling is not simply about determining whether someone is right or wrong. 

For many people, the outcomes they seek are surprisingly practical: an explanation, an apology, an opportunity to be heard, improved communication or reassurance that lessons have been learned. 

Mediation creates a structured and non-judgemental environment where these conversations can take place. It focuses on resolution rather than blame and enables participants to explore mutually agreed outcomes that can help restore confidence and trust.  

For healthcare professionals, mediation can provide an opportunity for reflection and learning. For patients, it can offer a more personal and constructive experience than formal processes alone. For regulators, it provides an additional tool that supports proportionality whilst maintaining public confidence. 

A Specialist Partner for the Future of Healthcare Regulation 

The launch of the Chiropractors Complaints Mediation Service represents another significant milestone in Nockolds Resolution’s continued work with professional regulators and regulated sectors. 

As healthcare regulation continues to evolve, regulators are increasingly seeking partners who understand the delicate balance between public protection, professional standards and positive participant experiences. 

This is where Nockolds Resolution brings real value. 

Our expertise is not simply mediation. It is mediation within regulation. It is understanding how complaints, concerns and professional accountability intersect. It is helping regulators deliver fair, independent and proportionate outcomes while preserving trust in the professions they oversee. 

The CCMS pilot reflects a broader direction of travel across healthcare regulation, one that recognises that early resolution, learning and constructive engagement can play an important role alongside traditional regulatory processes. We are proud to be working with the General Chiropractic Council to explore that future and to continue supporting regulators across the UK as they seek innovative approaches to complaint resolution and public protection.