A new report presented to the County Durham and Darlington NHS Foundation Trust (CDDFT) board on Wednesday (March 25) outlined significant improvements to the service, alongside the latest findings from its ongoing “look-back” review into patient care.
Board members were told the service has undergone a “complete modernisation” since a damning Royal College of Surgeons review in 2025 identified “decade-long systemic failures, missed warnings and serious concerns about patient safety”.
But the update comes amid continued scrutiny over the past running of the service under former clinical lead surgeon, Amir Bhatti, who remains employed by the trust on full pay but is barred from all clinical duties while investigations are ongoing.
The trust said that new leadership has been brought in, additional specialist surgeons appointed, and care is now delivered through a fully multidisciplinary, guideline-led model aligned with national best practice.
However, trust leaders acknowledged that while quality has improved, the service remains under strain.
Waiting times are still longer than they should be, with 361 patients waiting for a first appointment at the end of February this year.
Darlington Memorial Hospital (Image: NORTHERN ECHO)
Speaking at the meeting, interim chair Alison Marshall said it was vital patients continued to have confidence in the service despite its troubled past.
She said: “It’s too late for some of the women who came to harm, which we caused in the past. It’s important to note that it’s still a safe service.
“There may be some women out there unwilling to use the service, and it would be a tragedy if women didn’t use the service if they really need it.
“We are now a safe service, but I also understand that hasn’t always been the case.”
The University of North Durham Hospital (Image: NORTHERN ECHO)
Alongside efforts to improve current services, the trust continues to investigate past care through a major look-back exercise.
So far, 578 cases have been identified, with 357 reviewed. Of those, 45 involved moderate harm and nine involved more serious harm, including one death.
The review focuses on cases from 2023 to early 2025, but discussions are ongoing about widening its scope, with input from legal advisers, patient groups, regulators and other NHS trusts.
Around 1,500 cases are now under review in total, with more than 1,000 still outstanding, and additional independent clinical reviewers are being recruited to speed up the process.
Mr Amir Bhatti (Image: SUPPLIED)
The developments come as Durham Police continues to investigate the care provided to women treated by the service.
Amir Bhatti, who was clinical lead during the period when failures occurred, is no longer in that role and is prohibited from seeing or treating patients.
The highly-paid consultant was responsible for breast cancer surgery at the trust, and was also director of an outsourced private clinic, which an investigation revealed was paid a share of nearly £6 million over six years to treat women.
Mr Bhatti ran NHS “two-week-wait” clinics at Darlington Memorial Hospital, University Hospital North Durham, and Spire Hospital in Washington, through companies including Durham Surgical Services.
Spire Hospital in Washington (Image: Stuart Boulton/NORTHERN ECHO)
Mr Bhatti also operated on patients at the private practice, Washington Spire Hospital.
However, Spire has confirmed that the doctor isn’t currently practising clinically at Spire Washington, and they are not currently conducting a recall into his patients.
On his General Medical Council (GMC) profile, Dr Bhatti is still registered with a licence to practice.
Nearly 1,500 breast surgery cases, carried out between January 2023 and February 2025, are being examined as part of a major “look-back” exercise by the trust.
However, more than a thousand reviews into breast cancer treatment provided by the trust remain unresolved.
The trust confirmed Mr Bhatti remains employed on full salary while formal processes are ongoing.
One former patient, Yvonne, 85, from Belmont, Durham, said she was “shocked” the surgeon is still employed.
Yvonne, from Belmont, Durham, was a former patient of Mr Bhatti (Image: NORTHERN ECHO)
She described being left waiting for hours for appointments and said she was only seen “for two minutes in total”.
“No one should go through the experiences I did,” she said. “I’m completely shocked that he’s still working at the trust.”
Despite the progress made, the trust acknowledged at Wednesday’s meeting the seriousness of past failings and the impact on patients.
In its report, it said improvements “in no way diminish” its responsibility for “unacceptable” failures and the harm caused to women, adding that it continues to offer its “heartfelt apologies” to those affected.
Chief executive Steve Russell previously said the trust is continuing to contact patients and offer support, including clinical reviews and psychological care, but admitted: “It is taking us longer than we would like to get through the reviews and give answers to the women.”
The trust says its focus now is on completing the look-back exercise, which has seen more independent reviewers brought in to try to get through the backlog of looking into past cases.
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