a culture of denial allowed a breast surgeon to perform botched and unnecessary operations on hundreds of women, says an inquiry ian paterson is serving a 20 year jail term for 17 counts of wounding with intent. collea g u es colleagues avoided or worked around it. some could have known, others should have known. and a few must have known. we'll have the latest on the inquiry‘s recommendations. the other main stories: the foreign office says all britons currently in china should leave now if they can, as the death toll from corona virus reaches more than 400. a ban on petrol and diesel car sales is brought forward to 2035, at the start of what the prime minister calls a year of climate control.

we are pledged, here in the uk, to deliver net zero by 2050. and we're the first major economy to make that committment. i do believe it's the right thing to do. the old bailey is told that hashem abedi — the brother of the manchester arena bomber — was equally guilty of the murder of the 22 people who died in the attack. shakey start for england as they lose early wickets in the first one—day test against south africa. and in the sport on bbc news, serena williams' coach admits something isn't working as the 23—time grand slam champion has been unable to add to her major titles since the birth of her daughter. good afternoon and welcome to bbc news.

an independent inquiry has found that hundreds of patients treated by a rogue breast surgeon were let down over many years by numerous failures by individuals and organisations. ian paterson, who practised in the nhs and privately, was convicted of 20 counts of wounding patients in 2017 and jailed for 20 years. more than 200 patients gave evidence to the inquiry about unnecessary breast surgery and botched operations, which left them prone to cancer returning. the inquiry chairsaid it was the health care system had proved itself dysfunctional at almost every level when it came to keeping patients safe. john maguire reports. these were the patients who became victims of ian paterson. when he was jailed in 2017 for carrying out hundreds of cases of unnecessary breast surgery, the trialjudge said he had deliberately preyed on his patients' worst fears. working at both private and nhs hospitals in the west midlands, he treated thousands.

in many cases, he would encourage people to undergo surgery more than once, knowing that what he was doing was totally u nwa rra nted. today, his victims are seeing the results of a major independent enquiry into his malpractice. the enquiry report contains 87 pages of patient accounts. the suffering described, the callousness, the wickedness, the failures on the part of individuals and institutions as well as patterson himself. my report sets out what can only be described as wilful blindness in relation to his behaviour and aberrant clinical practice. colleagues avoided or worked around him. some could have known, others should have known. and a few must have known.

with a bit of luck everything will be implemented, things will be put in place, especially in the private sector, where the patient was not protected at all. so hopefully things will be put in place. ian paterson more or less coerced us into going privately by telling me that my operations were urgently needed. and in actual fact, as i found out many years later, i didn't have cancer at all. in some cases surgery have cancer at all. in some cases surgery dates back more than 20 yea rs, surgery dates back more than 20 years, scars that are yet to heal. i think some of the times people will look and think, oh, well, it's done now. but it isn't for us. the psychological implications is never—ending. yet still, after such an extensive enquiry, the key question of why remains unanswered. ian paterson

declined to give evidence at his trial. his victims theories range from greed to playing god orjust a sinister self belief. but the many hundreds if not thousands affected by his malpractice, today's report will be welcomed only if and when guarantees are in place that no one else will suffer as they did ever again. john maguire bbc news. kathryn stanczyszyn is at the inquiry. terrible what those women went through. what can be done to stop something like that happening again? well, today the right reverend grahamjames, the chair of well, today the right reverend graham james, the chair of this independent enquiry, was asked whether or not something like this could happen again and he said that whilst regulators say no, that is not the case, things have been tightened up since then, some doctors still have concerns that patient safety just isn't at the forefront of some people's mines. 211 patients were interviewed for

this independent enquiry and it has heard heartbreaking testimony, as you have just seen, heard heartbreaking testimony, as you havejust seen, from women heard heartbreaking testimony, as you have just seen, from women who we re you have just seen, from women who were told they had breast cancer but didn't mind then faced mastectomies and in some cases several operations. at this press conference in the last hour, the chair of the independent enquiry said ian paterson's patients were let down on multiple occasions, that actually the health system had been dysfunctional at every level. he said, "should have known, others could have known and a few must have none." eight years passed between the initial reported concerns about ian paterson's conduct and his suspension, and today it was revealed that it's likely that the number of who actually faced in —— unnecessary breast operations here in the west midlands was over 1000. this report has made 15 recommendations, including a repository of data so that other people can't see the performance of

their surgeons, and also that all his patients are recalled. it also says the government must address as a priority the gap in responsibility between the public and private health sectors. thank you. the foreign office says all britons currently in china should leave now if they can, as the death toll continues to climb. it has now reached at least 425 deaths after 64 more people died, the biggest number in a single day since the first fatalities emerged last month. robin brant is in shanghai. have you any idea how many britons there are in china? well, ministers think it is roughly about 30,000. relatively small when you consider the size of the country, a population of 1.4 billion people. i suspect the bulk of those people are like me, people that live and work here, not tourists visiting the country on holiday. so the advice changed in the last hour or so

because the foreign secretary, dominic raab, says their priority remains the safety of britons. if you are here and you are able to go, then you should go. it's not quite clear exactly why because we haven't seen clear exactly why because we haven't seen a clear exactly why because we haven't seen a sudden worsening of the situation over the last 2041 was. the foreign office says there are still flights available. that is true. but they have reduced numbers of nonessential staff and that may reduce their capability to help britain to get in trouble. so the advice now, and they have joined the us government in this, if you are here and you are able to go, you should go. for the people who live in china restrictions are getting tighter and tighter? are people being told simply not to leave their homes? yeah, that is the main tool of containment across the whole country, frankly. although remember the epicentre very much remains wuhan and the province around it. there you have tougher restrictions. that essentially is a city cut off. enforced quarantine and people self

quarantining as well. satellite cities around there have similar restrictions in terms of gaining access and provincial travel. but even as far afield as here in shanghai, i thousand even as far afield as here in shanghai, ithousand kilometres away, it is far more quiet than you would expect that this time of the year. there are far fewer people on the streets. the focus for the government remains trying to extend the lunar new year hospital —— word lunar new year celebration to try to prevent people from travelling, because that prevents a higher risk of another wave of contamination. robin brant, thank you. the government has announced plans to ban the sale of new petrol, diesel or hybrid cars in the uk in 15 years' time. that's five years earlier than previously planned. it's part of a drive to make britain a world leader in reducing greenhouse gas emissions. the prime minister said the uk should be aiming for virtually zero carbon emissions by 2050. 0ur energy and environment analyst, roger harrabin, has more. before long, this will look like history.

the government previously decided to stop the sale of new petrol and diesel cars by 2040, to combat climate change. now the date for electric and hydrogen cars to become the only ones on the forecourt will be 2035, after ministers accepted that 2040 just simply wasn't fast enough. and that includes hybrids. but the more ambitious target could be tough. i think it's challenging. if you look last year, it was something like 1.6% of all new car sales were battery electric, so we've got to go from 1.6% to 100%, either electrical or, indeed, zero emission, things like hydrogen fuel cells. environmentalists say conventional vans and cars cleared and should be phased out sooner. meanwhile, the aviation industry's getting in on the climate act, announcing a scheme to take of emissions from planes by 2050.

planting trees to soak up the emissions from planes as part of the proposed solution, but so is developing new fuels derived from waste. the plan is controversial. the industry can't rely on things like biofuel, for instance, which the government's own advisers have said can be highly polluting. it also can't look to carbon offsetting as a way to keep things business as usual. this morning the prime minister was joined at the science museum in london by children and sir david attenborough, to launch the uk hosting of a vital global climate summit planned for glasgow in november. and it is now up to us to put before the nations of the world what has to be done. we don't need to emphasise to them or to you that the longer we leave it not doing things but going on talking about the problem, the worse it's going to get. we are pledged, here in the uk, to deliver net zero by 2050.

and we are the first major economy to make that commitment. i agree it is the right thing to do. but mrjohnson‘s party was spoiled by the former head of the climate summit, who he sacked last week. she said he's failing to lead on climate change. he's also admitted to me that he doesn't really understand it, and it's good that... reporter: really, he said that to you? yes, he's said all sorts of things over the years but, you know, as i think i said in my letter... he said he doesn't understand climate change ? he doesn't really get it, i think, is what he said. but others around him do. so how did the pm respond? reporter: prime minister, claire 0'neill suggests you're not showing leadership on climate change. why would she say that? we've got the prime minister accused of failing to lead on climate change, we've got aviation trying to clean up, and we've got the end of the road for one of the most successful machines in history, the internal combustion engine. it seems like it's notjust society changing the climate, it's now climate changing society. roger harrabin, bbc news.

0ur science editor, david shukman, is here. is this band possible for 2035? it's not that far away? 15 years. it is a huge engineering and political challenge. think of the funding that is going to be needed to install the charging points in every single street. every shopping centre will need one. every car park, every motorway service station. it is starting but it is a huge escalation in what is required. you don'tjust put the charging points in. you gotta sure the cable supplying them is adequate. i'm afraid to say, every road may need to be dug up to improve the cables running underneath them. an enormous challenge. we have to wait to see the detailfrom challenge. we have to wait to see the detail from the government about how they propose to do this. it will involve a lot of funding for local councils, a huge effort. technically feasible but very difficult. we have this huge conference at the end of the year in glasgow which no longer has a leader? yes, as of last friday the civil servant who was running

it, claire 0'neill, was sacked from that post. the government has yet to announce her successor. the eyes of the world will be watching this. the summit at the end of glasgow will be the largest gathering of world leaders ever on british soil. it's an absolutely huge moment to try to turn the tide on climate change. and at the moment there is no one actually running it. there are civil serva nts actually running it. there are civil servants engaged on it but a lot of people will be getting more anxious as the clock ticks on, the longer the reason somebody actually running this process, and wondering whether the government has left itself enough time. thank you, david shukman. the old bailey has been told that the brother of the manchester arena bomber was equally guilty of killing the 22 people who died. hashem abedi denies murder, the attempted murder of those who survived, and conspiring with his brother salman to cause an explosion at the ariana grande concert in 2017. danjohnson is at the old bailey. yes, this case opens with the

prosecution underlining the impact that bum had. 22 people killed, more than 90 seriously injured and 111 people injured —— treated in hospital. hundreds of others have suffered psychological trauma in the time since the bomb exploded. police estimate almost 1000 people were affected by this in total. today the prosecution said that hashem abedi is just as prosecution said that hashem abedi isjust as guilty prosecution said that hashem abedi is just as guilty as his older brother, salman abedi. and that he acted intending that whoever deployed the device should kill, maim and injure as many people as possible. the jury was told he maim and injure as many people as possible. thejury was told he had helped his brother gather the necessary ingredients to build the bomb and that he helped his brother test out different ways of constructing it and building a detonator. he had also organised a bomb factory on the edge of manchester and purchased items like screws and nails, to pack the bomb to cause even more damage. his fingerprints were found on pieces of metal at the scene and also found in the shed at the family home. they

we re the shed at the family home. they were pieces of metal that came from vegetable oil containers hashem abedi had got from the takeaway shop he had worked at. he said he wanted to sell them for scrap but they had been used in producing the bomb. the prosecution accepted may have been salman abedi because my choice of exactly when and where to detonate the bomb. but he said there was evidence the brothers were radicalised in the run—up to it and they both share the goal of caring —— killing as many people possible. thank you. it's been a night of chaos, confusion and embarassment in iowa, as the process of choosing a democratic candidate to fight november's us presidential election got under way. results from the iowa caucuses have been delayed for hours after an app designed to collate them, failed. when officials tried to phone in the figures, the lines became jammed. chris buckler reports from des moines. for the democrats and each of the candidates, this was to be a big night. the iowa caucus is seen as a moment to secure momentum in the battle to become

the pa rty‘s presidential candidate. but there was no victor, because there were no results. let me begin by stating that i imagine have a strong feeling that at some point the results will be announced. cheering. and when those results are announced, i have a good feeling we're going to be doing very, very well here in iowa. cheering. so we don't know all the results... laughter. ..but we know by the time it is all said and done, iowa, you have shocked the nation. cheering. the voting system used in the iowa caucus is complicated. members of the democratic party gather in places like schools, libraries and theatres, and publicly declare their support for candidates. there are two rounds of voting, but failures in the technology used to report the results meant none were released.

iowa is known as a flyover state, it is right in the middle of america and its snow—covered streets are far away from the politically influential cities on its east and west coasts. but, for months, democrats hoping to become the party's nominee have been travelling here because this is the first of the state—by—state contests to select a candidate, and a good result here is a chance to be seen as an early frontrunner. but the failure to be able to announce any result led the trump campaign to declare that the democrats were stewing in a caucus mess of their own creation, with the sloppiest train wreck in history. i have a message for every american. 0ur union is stronger than donald trump. cheering. candidates like elizabeth warren have been taking to the stage, but none of them has been able to give a victory speech, and their campaigners and supporters are heading home without knowing the result of this crucial caucus.

this night has been a huge embarrassment for the democratic party. chris buckler, bbc news, in des moines in iowa. and gary 0'donoghue is in des moines. something of an inauspicious start for the democrats? it is a complete disaster, quite frankly, for then, particularly when the whole narrative is about how to organise a campaign to find a candidate that can beat donald trump in the autumn. this is exactly what they did not need, they needed a strong result, a winnowing of the field, if you like, getting down to serious candidates going into the new hampshire primary next week, and what they have is chaos, indecision and a completely new dynamic to the whole nominee race, which will not play out properly for the next few days. we are not exactly sure when they will get these results out, possibly later today, but the vacuum that the

lack of results has created has meant that all the campaigns have been able to claim victory in one sort of way or another. it is a total shambles and the democrats will be scrambling to try to make up ground and look credible again. thank you, gary. the time is 13:20pm. our top story this lunchtime: a culture of denial allowed a breast surgeon to perform botched and unnecessary operations on hundreds of women, says an inquiry. and how music helped these young yazidi women to come to terms withith the terrible suffering in their community in iraq. coming up in the sport on bbc news, in their first one—dayer as world champions, england are aiming to build a competitive total in their first one—day international against south africa in cape town. it took years of fighting to defeat

the islamic state group, and its dreams of a caliphate stretching across the middle east. what to do with the 70,000 is followers — including 10,000 children being held in the region — is a major headache for the international community. 0ur middle east correspondent, quentin sommerville, and cameraman, darren conway, have travelled to north eastern syria to meet some of the orphans of is fighters, brought from their homes in indonesia, and now detained without much hope of return. the detention camps of the islamic state group aren't just a stain on syria... ..they are a black mark on the conscience of the world. in this desert of good and evil, there are the guilty... ..and the innocent. few countries have bothered to sift and separate what is left behind. syria was never a safe place

to lock up dangerous men. amid these hard—core is supporters, children are packed in, in prison uniforms too big for them. 10,000 kids from 80 countries clinging on here, betrayed by their parents... ..and their governments don't seem to care, either. it's the orphans who've truly been abandoned by humanity. here, we met farouk, youssef and nasser. translation: rocket attacks happened, and i don't know, i ran away and didn't see anyone from my family. translation: the aircraft bombed and then everyone went missing. then i found farouk. what happened to your

brothers and sisters, and to your mum and dad? translation: they were killed. youssef, when you leave here, where do you want to go? what do you want to do? translation: where can i go? i would stay here. these children are blameless, yet there are no plans to return them to indonesia. a dilemma that stretches from here in syria to countries half a world away. qurentin sommerville and cameraman darren conway reporting from the camps of north—east syria. ikea has confirmed plans to shut one of its large uk stores for the first time in its 33—year history in the country. more than 350 jobs are expected to go at the coventry branch of the swedish furniture and home improvement giant. the store had opened in 2007 and cost £35 million to build. half of the uk's10—year—olds

own a smartphone — that's according to a report by the media regulator, 0fcom. the study also found that children under the age of 15 are more likely to use a smart speaker than listen to the radio. 0ur media editor amol rajan is here. an awful lot of children possessing these phones? yes, we are both pa rents these phones? yes, we are both parents and it is probably the fate of all parents to worry about kids and technology, and probably more than the previous generation. i think this time it's different. half of ten—year—olds in britain own a smartphone, they have grown up in a world where they have never known anything apart from the internet and online and offline worlds are merging. as 0fcom found, lots of kids are aware they are addicted and that their parents are right to tell them off, that is what i discovered when i spoke to some wonderful pupils at saint pulls catholic school in milton keynes. what apps to use? instagram, youtube,

whatsapp, i play games on it. instagram, snapchat, whatsapp, tiktok. what is so good about tiktok? it is just tiktok. what is so good about tiktok? it isjust so funny, you do not stop, you keep schooling to the videos. what do your parents worry about when they tell you to stop spending time on your smartphone? they relate to their generation, they say our generation was much better, we did not have smartphones. we know what being in the real world means. but because everybody around us has a smartphone, we need one as well. the key takeaways from that and the 0fcom data is that the range of apps kids are using has grown hugely, it might have beenjust instagram or snapchat if you get to go... you are smiling, as i say this! i see it all! there is a huge growth in online gaming, particularly among girls, nearly

half of girls aged between five and 15 play games on their mobiles, they are catching up with boys, and there isa are catching up with boys, and there is a growth in older kids in social consciousness, 0fcom regulators call it the greta thunberg cell effect. kids are doing it from an early age and during a broader range of things. england's cricketers are playing south africa in the first one day international of a three match series in cape town. it's the first time eoin morgan's men have returned to action since winning the world cup at lords lastjuly, as our sports correspondent katie gornall reports. six months ago, england were basking in the glory of becoming world champions. memories of that epic summer are champions. memories of that epic summer are fresh in the minds of many, but in the cape town sunshine it was time to move on. the man who put the finishing touches on the triumph at lord's was a neighbour to keep going. jason roy with a barrage of early boundaries. england my biggest talent was rested, restricted to the role of spectator, and it would become a difficult

watch. jason roy's early promise fizzled out and jonny bairstow never really got going. both england's's openers gone within six balls. two more wickets fell and england needed runs. what a time to make your debut. at 21, tom bunton gave a glimpse of what the future might hold for england before eventually departing for 18. south africa's bowlers have been making life difficult for england so far, the world champions are scrapping to survive. katie gornall, bbc news. they're a choir of young iraqi women who've used music to try to come to terms with the terrible suffering in their community in recent years. they're yazidis from the sinjar mountains of northern iraq who have had years of persecution at the hands of the islamic state group. now a group of them have formed a choir and havejust arrived in the uk to perform — as part of a project to preserve their culture and traditions. david sillito has been to meet them. women sing. if you passed them in the street, you really wouldn't give them a second glance — a group of cheerful and rather

glamorous young women doing a bit of sightseeing. but what you don't see are the horrors they've endured. translation: i was nine years old at the time when isis attacked sinjar. i don't know anything about where my father and mother are, nor about my brother or his five children. the choir was only formed a couple of months ago. the women are yazidis, they're from the sinjar mountains of northern iraq, a religious minority that suffered appalling persecution. many of their songs are their own stories of kidnap, torture and rape at the hands of isis. it is almost impossible to comprehend what some of these women have gone through, and this musical project, well, it's an attempt to save a culture, but it's also therapy. translation: when isis attacked

sinjar, they kidnapped me and my brother and my sister. translation: i am a yazidi survivor. i was 14 years old when isis attacked our home. translation: when isis attacked, they kidnapped me and my family. isis soldiers came and chose some girls and took them away. then they sold me to one of them who was from turkey. and this is the world they grew up in, the small yazidi community. their musical traditions go back thousands of years. nothing is written down, and there are just 16 official musicians left. one reason they are here is to deposit at oxford's bodleian library a record of this endangered musical culture, before it is too late.

the yazidi people have been through a terrible time. there are only 16 left of these people who are allowed to perform the music. this is about recording and preserving the music around the year, so we are recording the whole year's music and depositing it in the bodleian. but, more than anything, the choir is a way of trying to cope with experiences no—one should face. it is a really good thing. i enjoy and ifeel good when i play music with girls in this group, and i make new friends. for helping us in this country, really it is a good thing for us. thank you. david silitto, bbc news, greenwich. time for a look at the weather — here's