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20 Women Had Breasts Removed Unnecessarily During NHS Cancer Treatment

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20 Women Had Breasts Removed Unnecessarily During NHS Cancer Treatment

20 Women Had Breasts Removed Unnecessarily During NHS Cancer Treatment

Twenty women underwent unnecessary mastectomies while receiving breast cancer care at an NHS trust in north-east England, while hundreds of other patients have been found to have suffered varying degrees of harm, according to an ongoing review.

The cases are linked to the County Durham and Darlington NHS Foundation Trust (CDDFT), which has been investigating serious concerns surrounding its breast services and the treatment of patients over several years.

The trust is currently reviewing breast cancer cases handled between January 2023 and February 2025, alongside cases involving 640 former patients who contacted a dedicated support helpline after concerns about their care emerged.

Figures released as part of the review show that hundreds of cases have already been assessed, with hundreds of patients found to have suffered some level of harm. The review has also identified cases in which breast cancer diagnoses were missed or delayed, allowing the disease to progress in some instances.

The trust has confirmed that 20 women underwent mastectomies that were not necessary, while a wider group of patients experienced excessive surgery or treatment that did not conform to accepted best practice.

Board information showed 32 cases involving excessive surgery, including mastectomies, with the trust subsequently confirming that 20 of those cases involved unnecessary mastectomies.

A further 38 cases involved treatment that was not aligned with best practice. These included unnecessary surgery for benign conditions, failure to offer immediate breast reconstruction in appropriate cases and the use of outdated practices that resulted in harm.

The review has also identified about 20 cases involving delayed diagnosis, a problem that can have serious consequences because breast cancer may progress while treatment is delayed.

The findings have raised questions about clinical decision-making, patient consent, multidisciplinary review and the systems that should have identified inappropriate treatment before patients underwent major procedures.

A Royal College of Surgeons review previously identified outdated practices within the breast surgery service and found evidence of excessive or unnecessary surgery in some cases.

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It also found that some patients were not offered all available treatment options, including neoadjuvant therapy and breast reconstruction.

Concerns were further raised about the trust’s multidisciplinary team arrangements, which are intended to allow surgeons, radiologists, pathologists and other specialists to jointly assess cancer cases before treatment decisions are made.

The review identified weaknesses in those arrangements, including insufficient peer review and challenge to support collective decision-making.

The trust’s chief executive, Steve Russell, has apologised to patients and their families, acknowledging that the organisation failed people who placed their trust in its breast services.

Russell said the trust recognised the profound impact of the failures and accepted that there were opportunities when it should have listened more carefully and acted sooner.

One of the women affected is Denise Howarth, 51, from Consett in County Durham, who was diagnosed with stage-one breast cancer in February 2023.

Howarth initially underwent a lumpectomy and removal of lymph nodes before being told at a follow-up review that she still needed a mastectomy.

She subsequently underwent the breast-removal operation and later received chemotherapy and radiotherapy.

In September 2025, however, the trust contacted her and told her that the mastectomy had not been necessary.

Howarth said the revelation left her shocked and devastated because she had trusted medical professionals to make the correct treatment decisions.

She has described the loss of her breast and the subsequent discovery that the surgery was unnecessary as life-changing, saying the experience severely affected her confidence.

Another affected woman, identified as Jo, also described the emotional impact of learning that her mastectomy could have been avoided.

She said further screening and biopsies could have established that areas of concern were benign and that the small cancer detected in her breast could have been treated without removing the entire breast.

The cases have prompted calls for a broader independent investigation.

Rachel O’Connor of Hudgell Solicitors, which represents some affected patients, has called for a public inquiry, arguing that the scale and duration of the problems warrant further examination.

The trust is also cooperating with Durham Police, which is investigating allegations arising from former patients’ experiences and examining whether any criminal offences may have occurred.

The National Crime Agency has also been involved in the investigation into allegations surrounding the breast service.

The clinical leadership of the service has come under scrutiny as part of the wider investigation.

The trust has confirmed that consultant Amir Bhatti, who served as its clinical lead for breast services from 2013 to 2024, currently has restrictions on his clinical practice while an internal investigation continues.

The trust has also faced questions about previous arrangements under which significant sums were paid to privately operated breast cancer diagnostic and surgical services associated with Bhatti.

A previous governance review raised concerns that outsourcing arrangements could create financial incentives that posed risks to clinical standards.

The trust has since made significant changes to its breast service.

These include the appointment of two new specialist oncoplastic breast surgeons, the introduction of experienced external specialist leadership, stronger clinical oversight and a requirement for patients to be discussed by a full multidisciplinary team.

The trust says care is now based on current national guidance and that its breast assessment clinics and imaging services have been improved.

A dedicated breast pain clinic has also been introduced, while additional specialist radiology expertise and upgraded breast-imaging facilities have been provided.

According to the trust, the changes are producing measurable improvements.

The proportion of women requiring a mastectomy has fallen to around the national average, while immediate breast reconstruction rates have tripled.

The trust also says the need for a second operation to completely remove a cancer has been cut by half.

More than 80 per cent of patients now undergo surgery as day cases, while fewer patients require diagnostic surgery.

More than one-third of cancer operations now use advanced oncoplastic breast surgery techniques, which can combine cancer treatment with techniques aimed at preserving or improving the appearance of the breast.

Despite the changes, the trust acknowledges that rebuilding confidence among patients will take time.

The review of previous care is continuing, and the organisation says patients whose records raise concerns will be contacted directly and offered appropriate information, clinical care and support.

The next major development is expected on September 24, when the trust’s board will meet publicly to decide the future scope and timeframe of the review.

The board will consider whether the investigation should be expanded to cover thousands of additional patient cases dating back to 2015.

No final decision had been made on the proposed expansion before the meeting.

The trust has also kept its dedicated patient support line and email service open for former patients who have concerns about their breast care.

The unfolding investigation has raised wider questions about NHS patient safety, breast cancer treatment, clinical governance, informed consent and medical accountability.

For the women who have been told that major surgery could have been avoided, however, the consequences are permanent.

The central questions now facing investigators and health authorities are how inappropriate treatment decisions were made, why existing safeguards did not prevent them, whether warning signs were missed and how many additional patients may have been affected.

With the review still underway and the possibility of expanding it to cases dating back to 2015, the full scale of the NHS breast care failures may not yet be known.

20 Women Had Breasts Removed Unnecessarily During NHS Cancer Treatment

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‘We Are Ignorant, We Don’t Read’ — NAFDAC DG Raises Food Safety Concerns

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‘We Are Ignorant, We Don’t Read’ — NAFDAC DG Raises Food Safety Concerns
NAFDAC DG, Prof. Mojisola Adeyeye

‘We Are Ignorant, We Don’t Read’ — NAFDAC DG Raises Food Safety Concerns

The Director-General of the National Agency for Food and Drug Administration and Control (NAFDAC), Prof. Mojisola Adeyeye, has said poor understanding of food safety guidelines and regulatory responsibilities remains a major challenge in Nigeria.

Adeyeye made the remarks while explaining the roles of government agencies in regulating food products and agricultural practices across the country.

“We are ignorant in this country. We are very ignorant. We don’t read. We don’t understand,” the NAFDAC DG said.

She explained that several government agencies are responsible for different stages of the food chain, from production on the farm to consumption, stressing that NAFDAC’s mandate primarily covers processed and semi-processed foods.

According to Adeyeye, the Federal Ministry of Agriculture has the primary responsibility for fresh agricultural produce sold in markets.

“NAFDAC mandate is for processed or semi-processed foods. So the oranges you buy in the market, we don’t control the oranges you buy in the market,” she said.

However, she said NAFDAC has regulatory responsibilities when pesticides are used in agricultural production because the agency approves, regulates and controls such products.

Adeyeye said NAFDAC works with the Ministry of Agriculture to train farmers on the proper use of pesticides, including the quantity to apply and the appropriate period between treatment and harvesting.

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She said some farmers may misuse agricultural chemicals because they do not fully understand instructions on pesticide labels.

“We have about 56 per cent illiteracy. If it’s a literate country, they will read: ‘Put one teaspoon in one gallon.’ Sometimes our people don’t understand. And they think the more you put, the better,” she said.

The NAFDAC chief said the agency’s Veterinary Medicine and Allied Products Directorate also trains farmers and other stakeholders on the appropriate use of pesticides.

She, however, noted that NAFDAC cannot independently reach the entire farming population because of the number of farmers across the country.

“We cannot go to one million farmers in Nigeria. NAFDAC cannot do that. It is the Ministry of Agriculture that should be doing that,” Adeyeye said.

She added that while NAFDAC has an obligation to support farmer education because of its role in regulating pesticides, the Ministry of Agriculture should take the lead in educating farmers on fresh produce and agricultural practices.

Adeyeye also said many Nigerians do not understand the specific responsibilities of government agencies involved in food regulation, resulting in misplaced expectations about what NAFDAC can regulate.

The comments come amid continuing concerns over food safety, pesticide misuse, counterfeit products and consumer protection in Nigeria.

Adeyeye disclosed that NAFDAC receives more than 200 complaints from Nigerians through its complaint channels each month. The agency also reported receiving 225 complaints involving suspected counterfeit products in August.

She said complaints from consumers provide important leads for NAFDAC’s investigations and enforcement activities.

The agency has continued to urge Nigerians to pay attention to product information, follow safety instructions and report suspected counterfeit, substandard or unsafe products through its established channels.

‘We Are Ignorant, We Don’t Read’ — NAFDAC DG Raises Food Safety Concerns

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LASUTH Doctors Suspend Strike in Third Week After Agreement With Lagos Govt

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LASUTH Doctors Suspend Strike in Third Week After Agreement With Lagos Govt

LASUTH Doctors Suspend Strike in Third Week After Agreement With Lagos Govt

Resident doctors at the Lagos State University Teaching Hospital (LASUTH) have suspended their indefinite strike in its third week after reaching an agreement with the Lagos State Government on some of their outstanding welfare and remuneration demands.

The doctors, under the Association of Resident Doctors, LASUTH (LASUTH-ARD), commenced the industrial action on September 11, 2026, following unresolved concerns over specialist allowance, salary shortfalls, advancement arrears and professional allowances.

The suspension followed negotiations between representatives of the doctors and the Lagos State Government, with the development paving the way for the doctors to return to their duties at the tertiary healthcare institution.

LASUTH-ARD agreed to suspend the strike for 10 weeks to allow the government time to implement the issues covered by the agreement.

The 10-week period does not mean the doctors are remaining on strike for another 10 weeks. Rather, they have returned to work and suspended the industrial action during the period while monitoring the government’s implementation of the agreement.

At the end of the 10 weeks, the doctors are expected to reconvene and review the level of implementation before deciding on their next course of action.

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The dispute had centred largely on the non-payment of specialist allowance to Grade Level 14 resident doctors, particularly Senior Registrars I (SR1).

The doctors had also demanded payment of outstanding salary and advancement arrears, as well as 25 months’ arrears under the revised Professional Allowance Table (PAT).

Another major demand was a detailed and transparent breakdown of the salary components being used by the Lagos State Government to pay resident doctors.

Before declaring the indefinite strike, LASUTH-ARD had issued a seven-day ultimatum to the state government over the outstanding issues.

The doctors acknowledged some interventions by the government, including payment of the 2026 Medical Residency Training Fund (MRTF) and implementation of the revised professional allowance table.

However, the association maintained that critical welfare and remuneration issues remained unresolved, prompting the industrial action.

The Nigerian Association of Resident Doctors (NARD) had backed the LASUTH doctors during the dispute and called for a resolution of the outstanding issues.

The strike had disrupted some healthcare services at LASUTH, with patients affected by the withdrawal of services by resident doctors.

With the suspension now agreed, the doctors are expected to resume normal duties while the implementation of the agreement is monitored.

The development provides temporary relief from the industrial dispute, but the underlying issues will remain subject to the government’s compliance with the commitments reached during negotiations.

The 10-week suspension therefore gives both sides a period to implement and assess the agreement. If the doctors determine at the end of the period that the outstanding issues have not been adequately addressed, the association will decide on its next course of action.

For now, however, the LASUTH resident doctors have returned to work, bringing the current phase of their industrial action to a suspension after entering its third week.

LASUTH Doctors Suspend Strike in Third Week After Agreement With Lagos Govt

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MTN, Gates Foundation Launch $25m AI Maternal Health Initiative for 500,000 Nigerian Women

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MTN, Gates Foundation Launch $25m AI Maternal Health Initiative for 500,000 Nigerian Women

MTN, Gates Foundation Launch $25m AI Maternal Health Initiative for 500,000 Nigerian Women

MTN Group Foundation and the Gates Foundation have launched a four-year AI-enabled maternal healthcare initiative in Nigeria with a target of helping 500,000 women access higher-quality maternal health services by 2030.

Known as the Nigeria Maternal Health Multiplier, the initiative will combine artificial intelligence, mobile technology, affordable smartphones, data access and improved connectivity to support pregnant women, frontline health workers and primary healthcare facilities, particularly in underserved communities.

The partnership, announced in New York on the sidelines of the 81st United Nations General Assembly (UNGA 81), comes with an initial investment of approximately $25 million between 2026 and 2030 through direct and in-kind contributions from MTN and the Gates Foundation.

The organisations said the initial funding is intended to serve as an anchor investment that can attract additional resources and potentially support the expansion of the model into other African markets.

Under the programme, 5,000 frontline health workers will be equipped with digital tools designed to help them identify pregnancy and childbirth complications earlier, while 500 health facilities will be supported to provide more consistent and higher-quality maternal healthcare.

The programme will focus on three major areas: AI-enabled, phone-based decision-support tools for mothers and health workers; affordable smartphones and mobile data for pregnant women; and improved connectivity at primary healthcare facilities.

The digital tools are expected to provide women with trusted health information throughout pregnancy, childbirth and the postnatal period, while giving frontline workers access to real-time guidance that can assist in identifying warning signs and responding to complications.

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The initiative is designed to work within Nigeria’s existing healthcare system rather than operate as a separate medical service. It will build on the Federal Government’s Maternal and Neonatal Mortality Reduction Innovation Initiative (MAMII), which is being implemented by the Federal Ministry of Health and Social Welfare under the country’s Sector-Wide Approach to health reform.

Nigeria was selected as the first implementation market because of the scale of its maternal health challenges.

According to MTN and the Gates Foundation, Nigeria accounts for nearly 30 per cent of maternal deaths globally, despite progress made in reducing maternal mortality over the past decade. The organisations also said only about 59 per cent of Nigerian women complete four or more antenatal care visits, potentially leaving some pregnancy complications undetected until they become severe.

Globally, maternal deaths have fallen by about 40 per cent since 2000, but progress has slowed in recent years. The organisations said the risk of maternal death remains dramatically higher in sub-Saharan Africa than in Western Europe.

The MTN-Gates initiative is therefore being positioned as a technology intervention aimed at closing some of the gaps that prevent women and health workers from receiving or acting on timely health information.

MTN Group President and Chief Executive Officer Ralph Mupita said technology could make maternal healthcare more personalised, predictive and accessible.

Mupita said the partnership would seek to put trusted and locally relevant health information directly into the hands of mothers and healthcare professionals, with the ambition of developing a model that could eventually be scaled across Africa.

Gates Foundation Chief Executive Officer Mark Suzman said artificial intelligence has significant potential to improve healthcare, but its benefits should reach people who are most likely to be excluded by the cost of emerging technologies.

The foundation said its contribution would include expertise in maternal, newborn and child health, digital health innovation, responsible AI and evidence-based scale-up, while MTN would contribute its telecommunications infrastructure, digital inclusion capabilities, device distribution networks and local market experience.

Nigeria’s Minister of Communications, Innovation and Digital Economy, Bosun Tijani, welcomed the initiative, saying one of the country’s challenges has been ensuring that useful innovations are supported by the systems needed to drive adoption.

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Tijani said partnerships such as the MTN-Gates programme could help translate Nigeria’s digital transformation into practical services for people who need them most.

The Coordinating Minister of Health and Social Welfare, Muhammad Ali Pate, also welcomed the partnership, saying strengthening primary healthcare and empowering frontline health workers are central to the government’s health-sector reforms.

Pate said initiatives that work with existing health systems could help reach women who remain underserved.

The new programme comes as the Federal Government intensifies efforts to reduce maternal and neonatal mortality through MAMII and other interventions.

MAMII, launched in November 2024, targets 172 local government areas across 33 states. According to the Federal Ministry of Health and Social Welfare, the targeted areas represent about 20 per cent of Nigeria’s LGAs but account for approximately 55 per cent of maternal deaths.

The government has set a target of reducing maternal mortality by 30 per cent and neonatal mortality by 20 per cent in the targeted areas by 2028, while providing free, timely and comprehensive maternal healthcare to about 2.9 million pregnant women.

The Federal Government said more than 250 health facilities were implementing MAMII as of September 2026 in states including Bauchi, Borno, Kaduna, Kano, Katsina and Ogun.

More than 32,000 women and 1,700 newborns had reportedly benefited from emergency obstetric and neonatal care under the initiative, while the National Emergency Medical Treatment and Ambulance Service had transported nearly 79,000 beneficiaries to appropriate healthcare facilities.

The government also reported a 20 per cent increase in fourth-visit antenatal attendance in MAMII-supported areas during one quarter.

The government has simultaneously introduced incentives intended to encourage women to use maternal and newborn healthcare services.

At a September 14 event in Abuja, the Coordinating Minister of Health and Social Welfare said more than 60,000 women had received free Caesarean sections and other emergency obstetric services through the National Health Insurance Authority, while more than 120,000 frontline health workers had been retrained.

The government also reported that thousands of healthcare facilities had been revitalised and more than 6,000 women affected by obstetric fistula had received corrective treatment and empowerment support.

Minister of State for Health and Social Welfare Iziaq Salako said the 2023/2024 Nigeria Demographic and Health Survey indicates that a Nigerian woman faces approximately a one-in-19 lifetime risk of dying from pregnancy-related causes.

He also said Nigeria accounts for close to 29 per cent of global maternal deaths, highlighting the continuing scale of the country’s maternal health burden.

The MTN-Gates initiative adds a digital component to these broader government interventions by addressing access to information and connectivity alongside conventional healthcare services.

For example, a health worker in a connected primary healthcare facility could use the programme’s digital tools to receive guidance when assessing a pregnant woman, while a woman with access to the supported phone and data services could obtain health information and follow-up support without relying exclusively on physical visits to a healthcare facility.

The initiative, however, is not intended to replace doctors, nurses, midwives or other healthcare professionals. Its stated purpose is to provide additional digital decision-support, connectivity and health information within the existing healthcare system.

The partnership also reflects growing interest in using AI in African healthcare, particularly in areas where shortages of healthcare personnel, limited connectivity and geographical barriers can affect access to services.

The organisations said the programme’s combination of connectivity, devices, data and AI-enabled tools is intended to make digital maternal healthcare more accessible to women who might otherwise be excluded by cost or location.

The initiative’s immediate targets are 500,000 women, 5,000 frontline health workers and 500 health facilities by 2030.

MTN and the Gates Foundation said the approximately $25 million initial investment is expected to catalyse additional funding, with the longer-term ambition of developing a scalable approach that could be adapted for other African countries.

The programme therefore places artificial intelligence and digital connectivity alongside antenatal care, emergency obstetric services, health-worker training, facility upgrades and government incentives in Nigeria’s broader effort to reduce preventable maternal and newborn deaths.

MTN, Gates Foundation Launch $25m AI Maternal Health Initiative for 500,000 Nigerian Women

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