Over the last 10 years, NHS Resolution has introduced several new approaches to help keep claims out of court. These alternative dispute resolution initiatives are typically less adversarial and more collaborative than conventional litigation and provide greater opportunities for claimants seeking non-monetary redress such as an explanation or apology. The proportion of claims resolved without litigation has also increased from 66% in 2016–17 to a record high of 83% in 2024–25.55 NHS Resolution told us keeping a case out of litigation saves on average £96,000 in claimant legal costs.56 The increased use of mediation and alternative dispute resolution has been praised and encouraged by legal stakeholders.57