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Over the summer inquests were opened into the deaths of several of Paterson's former patients. The independent inquiry led by the Right Reverend Graham James, former Bishop of Norwich, was published in February and made 15 recommendations.

Others had surgery they did not need - some finding out years later they did not have cancer. Paterson's unregulated "cleavage-sparing" mastectomies, in which breast tissue was left behind, meant the disease returned in many of his patients. Send your story ideas to: newsonline.

UHB said seekig had since reviewed all surviving patients, offering them treatment plans where applicable. The letters are being sent by Spire Healthcare, after an independent inquiry into Paterson's malpractice recommended a recall of his patients. A spokesperson said Spire was doing so now, because of time taken to collect records and delays caused by the coronavirus pandemic.

Deborah Douglas, of Solihull Breast Friends, who underwent "needless" surgery while in Paterson's caresaid she welcomed a "robust recall". Latest news from the West Midlands Spire Healthcare is writing to at least 5, patients who were seen by the surgeon and has set up a freephone line for those receiving a letter. Paterson is serving a year jail term for 17 counts of wounding with intent by carrying out unnecessary surgery on men and women.

She added: "Letters have never before been sent to those people. Campaigners say they welcome the move.