DHSC and NHS England implementation update provided to the Thirlwall Inquiry (April 2025). This is the government's own account of progress, submitted to the inquiry. Reviewed extent of implementation: Implemented – Ongoing. Spire Healthcare accepted this recommendation in full and contacted all known living patients of Ian Paterson. This followed exhaustive efforts to identify all living patients, some of whom were treated many decades ago. Spire Healthcare has now completed a comprehensive review of all these patients; however, its helpline remains open to support any patient who feels they may have been missed or who would like a further review of the treatment they received. It is now reviewing the care provided by Paterson to patients who are now deceased and has completed more than three quarters of its reviews of these patients. Spire Healthcare has sought to conduct this recall in a sensitive and compassionate way. It has provided support to those patients going through the review process, and where appropriate, has offered counselling. In addition, it has engaged with patient support groups throughout the process. To ensure that this exercise has not omitted any patients of Paterson, Spire continues to interrogate the complex legacy IT systems that pre-dated Spire's formation and takeover of BUPA hospitals. Spire will continue to contact any patients they identify as a result of this.