Ian Paterson: Surgeon wounded hundreds amid 'culture of denial'

"It is the story of a healthcare system which proved itself dysfunctional at nearly every level when it came to keeping patients safe, and where those who were the victims of Paterson's malpractice were let down time and time again", it said. The examination of Paterson's actions concluded that patients were let down for many years both by Britain's National Health Service and by private medical insurance and workers.

He worked at the Heart of England Foundation Trust and the Spire Parkway and Spire Little Aston private hospitals in the West Midlands.

In 2017, a jury found rogue surgeon Ian Paterson guilty of 17 counts of wounding with intent to cause grievous bodily harm and three counts of unlawful wounding.

Initially sentenced to 15 years in prison, Court of Appeal judges later increased his sentence to 20 years.

In September 2017, more than 750 patients treated by Paterson received compensation payouts from a £37 million fund.

He also suggested writing to patients outlining their condition and treatment in simple language.

"We want recommendations that change the system that Paterson gets away with because basically people have died", she said.

His unregulated "cleavage-sparing" mastectomies, in which breast tissue was left behind, meant the disease returned in many of his patients.

"They were talking about consent, talking about protecting the patient, they were talking about, if a consultant does something wrong, then you should be immediately suspended if it affects patient safety".

"We are absolutely committed to ensuring lessons are learned and acted upon from the findings of this shocking inquiry, in the interest of enhancing patient protection and safety both in the NHS and the independent sector".

Hundreds of Paterson's patients were recalled in 2012 due to concerns about unnecessary or incomplete surgery.

Mrs Douglas continued: "What you're going to see in this inquiry report are over 200 statements".

Presenting the 232-page report, the Rt Rev James praised the victims who campaigned for an inquiry and for their courage in giving often "harrowing" accounts.

"Obviously, we welcome the report, and the 15 recommendations".

He added: "Many of them were lied to, deceived or exploited". Graham James, chairman of the investigation, said opportunities to stop the doctor's behavior had been repeatedly missed by a system characterized by "premature blindness". "Some could have known, while others should have known, and a few must have known".