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 tomasz schafernaker.

sophie, hello, and good afternoon to you. a brief spell of more settled on slightly colder weather compared to what we have been used to in the last few days, it has been a mild winter so far. high pressure is building off the atlantic, so the strong winds from the last day or two are using. the rain is coming from the north atlantic, the norwegian sea, that is why we are feeling that chill in the air. temperatures are not spectacularly low, nine or 10 degrees, temperatures are not spectacularly low, nine orio degrees, higherthan normal, but the wind chill is making it feel more like four or 5 degrees. through the course of this evening, the winds will fulfil at, the skies will clear and when that happened we quite often get mist and fog. on top of that, a touch of frost, even in bigger towns and cities temperatures will be closer to freezing, so outside of town there will be frost

on the grass first thing, thanks to the high pressure which has parked across the uk and much of western europe, very settled weather conditions to come through the middle part of the week. here it is, cloud and hazy sunshine. an exception in the north—west of the country, perhaps one or two showers, thatis country, perhaps one or two showers, that is pretty much it. we will have had a chilly start to the day, meaning temperatures may be around six or 7 degrees but around maybe nine or 10 degrees in the south of the uk. wednesday night into thursday, there will be a tendency for high pressure to shift away and ta ke for high pressure to shift away and take more settled weather with age, things are changing considerably in the atlantic. thursday is still settled, light winds, mist and fog. weather fog lingers it could settled, light winds, mist and fog. weatherfog lingers it could be cold, temperatures may be four or 5 degrees, but when the sun comes out we are talking around seven celsius. wednesday and thursday are fine.

friday, most of the day should be fine, but after friday things will change quite genetically across the atlantic. a powerful jet change quite genetically across the atlantic. a powerfuljet stream will be ramping up a notch all the way from newfoundland, racing across the atla ntic from newfoundland, racing across the atlantic —— things will change quite dramatically across the atlantic. the jet stream is a sign we will see storms developing but it is too early to see who gets the strongest winds and the heaviest rain, but from that weekend onwards it will be blowing a holy. thank you. that's all from the bbc news at one, so it's goodbye from me, the enquiry report contains that it can't at its heart 87 pages of patient accounts. the suffering described, the callousness, the wickedness, the failures on the part of individuals and institutions as well as paterson himself, these are vividly described in what patients told us. the scale of what happened, the length of time this malpractice went on, the terrible legacy for so many families — it is difficult to exaggerate the damage done, including to trust in medical organisations and clinicians. in the nhs at the heart of england foundation trust, as it then was, paterson had a424

good afternoon. i'm ben croucher with an update from the bbc sport centre. it's been a battle for england with the bat in their first one—day international since becoming world champions last year. they're playing south africa in cape town and after being put into bat, jason roy and jonny bairstow put on 51 for the first wicket before falling quickly through expansive shots down the ground. joe root and eoin morgan both went in the same over too. you can follow it via live text commentary on the bbc sport website and app. manu tuilagi will miss england's six nations match against scotland at murrayfield on saturday. he hobbled off with a groin strain in england's defeat to france on sunday, but coach eddiejones expects him to be fit to face ireland in the third round of matches. he'd only played one match in six weeks before the six nations because of another groin issue. scotland defence coach steve tandy says head coach gregor townsend and fly—half finn russell are now talking, but no timeframe has been agreed for his return to the squad.

russell was dropped for their defeat to ireland at the weekend after a drinking session before the tournament and he's been left out of the squad to face england this saturday in the six nations. tandy says their focus is the togetherness of the players who are involved. through this period we have been after cohesion, and doing as many training sessions as we can. the boys have really responded. it is more about what is happening now. gregor is having dialogue. do you expect centre play any part in the six nations? i have no idea. that is as much as i know. as a defence coach, i have enough to deal with. getting a defence up and running. i'll leave that to the boss. they‘ re running away with the premier league at the minute, so maybejurgen klopp and his liverpool team have earned some time off. they will be absent for their fa cup fourth round replay against shrewsbury tonight due to the winter break. instead, it will be a second string side tasked with getting past

the league one outfit at anfield. shrewsbury came from 2—0 down to earn the replay and under—23s boss neil critchley, who will be in charge tonight, says klopp decision to skip the game is the right one. he gives us unbelievable support so i can speak to him whenever i like, when i'm down here. i know there has been a lot spoken before the game. there is a lot of clarity and we all follow him because he has earned serena williams‘ coach has admitted that she has to change her game to return to the top of tennis. it follows her third round exit at the australian open and comes off the back of defeat in her last four grand slam finals. since the birth of her daughter, the american has yet to add to her tally of 23 major titles, and patrick mouratoglou told john watson it's disappointing.

we have to understand why she is not able to win one. there is a big difference between reaching a final and winning one. we have to accept the fact that it is not working since she is back and again maybe come back with a different angle and a different strategy, and different goals. great britain's double paralympic champion georgie hermitage has announced her retirement from athletics at the age of 30, due to on—going injuries. she has also won four world titles but she said taking gold in the ioo—metres at the rio games in 2016 was the highlight of her career. hermitage added it was a heart—breaking decision but she was no longer able to train or compete at the highest level. that's all the sport for now. you can find more on all those stories on the bbc sport website. that's bbc.co.uk/sport. jane will have more after 2pm. back to our story now

about the inquiry into breast surgeon ian paterson who is currently serving a 20—year prison sentence for carrying out botched and unnecessary procedures. the inquiry found patients were let down by a dysfunctional system, which failed them at almost every turn. police are investigating the deaths of 23 of his patients. here's what the chair said as the inquiry announced its findings. the enquiry report contains, at its heart, 87 pages of patient accounts. the suffering described, the callousness, the wickedness, the failures on the part of individuals and institutions as well as paterson himself — these are vividly described in what patients told us. the scale of what happened, the length of time this malpractice went on, the terrible legacy for so many families — it is difficult to exaggerate the damage done, including to trust in medical organisations and clinicians.

in the nhs at the heart of england foundation trust, as it then was, paterson had a,424 breast patients in the same period. so this would be tragic enough if it was simply about a rogue surgeon, but it's much more than that — it's the story of a health care system which proved itself dysfunctional at almost every level when it came to keeping patients safe, and where those who were the victims of paterson's malpractice were let down time and time again. they were let down notjust by a consultant who regularly performed unnecessary or inappropriate operations, but by an nhs trust and an independent health provider who failed to supervise him properly and did not respond adequately to concerns about his practice. opportunities to stop him were missed time after time. and once action was finally taken, patients were let down again by wholly inadequate recall

procedures in both the nhs and the private sector. patients were unsupported when they learned that they had been the victims of serious malpractice. some complained to regulators and were mostly treated with disdain. they were let down further when it became clear that paterson's malpractice was criminal and his discretionary medical indemnity for his private practice was withdrawn. so could something like this happen again? what could be done to prevent that? we were told repeatedly by regulators and other witnesses that procedures had improved in recent years and the system was more vigilant, with appraisal and revalidation taken much more seriously, and this is true. but in paterson's years of practice there were many regulations and guidelines in place which were disregarded or ignored, and not simply by him.

it was striking that while managers and regulators were confident another paterson would be identified, the clinicians we consulted were not convinced. they thought it was a culture of avoidance and denial that was the problem, and wherever such a bad culture is found patients may not be safe. well, my report sets out what can only be described as wilful blindness in relation to paterson's behaviour aberrant clinical practice. colleagues avoided or worked around him. some could have known, others should have known, and a few must have known. at the very least, a great deal more curiosity was needed and a broader sense of responsibility for patient safety in the wider health care system by clinicians and managers alike. there was too much keeping heads down. some may have been inhibited from complaining because they'd seen colleagues raise concerns

about paterson and getting nowhere. some of his morejunior colleagues commented that the unusual character of his surgical practice compared with other breast surgeons was well known. to a surprising degree, he was hiding in plain sight. our health editor, hugh pym, has been speaking to a former patient of ian paterson, and her lawyer. i have just been at a briefing held by the chair of the enquiry, the former bishop of norwich, when he set out the summary of his findings. he said in the report that this was the story of a rogue surgeon, but it was much more than that, the failure ofa was much more than that, the failure of a health care system at all levels letting down patients. i'm

joined now by two people who have been briefed today. first of all, a lawyer for the patients. say been briefed today. first of all, a lawyerfor the patients. say what your position is having heard this report. i'm encouraged by the report but what is important is that the recommendations are fully implemented. i want to make sure that anybody he is using the health sector is protected. a recommendation has been made that there is an equal playing field between nhs patients and private patients, it is really important it is implemented. five people have been reported to their bodies and one person to the police. the management that allowed this to happen are going to be held accountable because only when they are held accountable will this problem stop. otherwise, could occur again. doesn't go far enough to report, do you think? i'm happy that

the recommendations have been made. clearly, we couldn't be told about the people involved. there were some issues in terms of proceeds of crime that have not been addressed. some issues still need to be addressed, but it is a good starting point subject to the recommendations being implemented. leslie, you were a former patient of ian paterson. how did you feel this morning having been briefed on the report by the bishop? obviously, i'm very pleased about it. the 15 points that have been brought up, as long as they are implemented, it is a step in the right direction. you went through a previous review, then the trial, hearing the evidence given there. now you have been briefed on this report. how does it feel where we have got to now? do you feel everything that could possibly have been learnt from ian paterson and

your experience can be learnt?|j hope your experience can be learnt?” hope so. this is the whole point of this report. with the best of luck, everything will be implemented and 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. do you think the nhs has learnt lessons? you were referred to the nhs, won't you?” was. but mr paterson more or less coerced us into going privately by telling me that my operations were urgently needed. in actual fact, as i found it many years later, i didn't have cancer at all. the headlines on bbc news: a culture of "denial" allowed a breast surgeon to perform botched and unnecessary operations on hundreds of women, says an inquiry into ian paterson who is serving a 20—yearjail term. the foreign office says all britons

currently in china should leave now if they can, as the death toll from coronavirus reaches more than 400. a ban on new petrol and diesel car sales is brought forward to 2035 at the start of what the prime minister calls a year of climate action. at least 20 ex—jehovah's witnesses are suing the organisation over historical sexual abuse by senior figures in the religion. the victoria derbyshire programme has spoken to two women who say they were abused, one from the age of eight. a former elder who served in the organisation for 55 years has said for the first time that he too was sexually abused as a boy. we are going straight to the house of commons. the malpractice that

affected so many patients in the most appalling way. as the report states, between 1997 and 2011, patterson saw 6617 patients of whom 4077 underwent a surgical procedure in the independent sector and between 1998 and 2011, patterson saw 4424 patients at the heart of england foundation trust, of whom 1207 underwent mastectomy. the report contains a shocking and sobering analysis of the circumstances surrounding ian paterson's malpractice. it sets out the failure in the nhs, the independent sector and the regulatory and indemnity systems. as a result of these failures, patient suffered unnecessary harm. their testimony in this report makes harrowing, appalling reading. as

such, it is with deep regret that we acknowledge the failure of the entire health care system to protect patients from ian paterson's malpractice and to remedy the harms. nothing i can say today can lessen the horrendous suffering that patients and their families experienced and continue to go through. i can only start to imagine the sense of violation and betrayal of patients who have put their trust in ian paterson when they were at their most vulnerable. the enquiry reports today on world cancer day makes this all the more poignant, andi makes this all the more poignant, and i apologise on behalf of the government and the nhs for what happens, not least that ian paterson was able to practice unchecked for so was able to practice unchecked for so long. i would also like to pay tribute to the bravery of all those

former patients who came forward to tell their stories to the enquiry and whose anonymized accounts have been recorded in this report. i know this will make the difficult —— will make for difficult reading as it highlights the human cost of our failure to put a stop to ian paterson's malpractice. there was a catalogue of failings that resulted in thousands of patients, causing devastation to countless lives. some of these patients were let down several times, not least by the providers and the regulatory system that should protect them, and the failure of the medical indemnity system to provide any kind of redress at the first time of asking. from the outset, the bishop wanted patients and their families to be central to the enquiry‘s work and to be heard. it was right, therefore, that patients and their families saw the report first, early this

morning, shortly before it was presented to parliament. two aspects of the reports are particularly striking to me, but the various regulatory bodies failed in their tasks and the absence of curiosity by those in positions of authority and the health care providers in the face of concerns voiced by other health care professionals. the report presents a tangled set of processes . report presents a tangled set of processes. accountability was not exercised when it should have been. some of the problems arose by not following through on established procedures as opposed to insufficient procedures being in place. so we must take full responsibility for what happened in the past if we are to provide reassurance to patients about their protection in the future. i am therefore very grateful that the suite of recommendations based on the patient journey suite of recommendations based on the patientjourney present a route map for governments. the

recommendations are extremely sensible and we will study them in detail. i can promise the house a full response in a few months. that response will need to consider the a nswe rs response will need to consider the a nswers to response will need to consider the answers to very important questions that cut right across the health ca re that cut right across the health care sector because, unequivocally, regardless of where patients are treated and where regardless... all kick patients must be sure that they are going to be safe and they are supported by conditions to make informed conditions to make decisions about the most appropriate —— appropriate care. this is not the first time something like this has been highlighted in a report. we have done much to make the nhs a safer system in recent years. revalidation, a reformed cqc, the

establishment of the medical practitioners assurance framework to oversee medical practitioners. in the case of ian paterson, the system did not work for patients. recent events did not work for patients. recent eve nts s how did not work for patients. recent events show there are still serious problems to address. patient safety isa problems to address. patient safety is a continual process of vigilance and improvements. the enquiry does notjump toa and improvements. the enquiry does notjump to a demand for the nhs and the independent sector to invent multiple new processes, but to get the basics right. implement existing processes . the basics right. implement existing processes. and for all professional people to behave better and to take responsibility. nhs published a new patient safety strategy last summer, led by the national patient safety director. it focused on better culture, systems and regulation. very sensible, yet familiar words. all things today? enquiry says were

not delivered. what we need now is action across the nhs and its regulatory bodies and the same determination to change and the independent sector. to conclude, we are absolutely committed to ensuring lessons a re are absolutely committed to ensuring lessons are learnt and acted upon from the findings of the shocking enquiry in the interest of enhancing patient protection and safety, both in the nhs and the independent sector. for today, i in the nhs and the independent sector. fortoday, iapologise in the nhs and the independent sector. for today, i apologise again on behalf of the government and the nhs and send my heartfelt sympathy to the patients and their families for the suffering they have endured. i thank the honourable lady for advance sight of her statement. i welcome her apology on behalf of the government and the national health service. the issues raised in this report are, as she says, shocking, serious, harrowing and our thoughts

are serious, harrowing and our thoughts a re naturally serious, harrowing and our thoughts are naturally with all the victims of ian paterson. as the minister rightly acknowledged, today is world cancer day and we all know that a cancer diagnosis is frightening. when we hand yourselves over, or hand a loved one over to the care of a medical professional, we are literally trusting them with our lives. for that trust to be callously betrayed for financial gain, i believe is unforgivable and indeed, as it has been found, criminal. cani indeed, as it has been found, criminal. can i associate myself with the remarks of the honourable lady in paying tribute to all the victims for their bravery in speaking out? thanks to all who have represented them through the various legal firms, and thanks to represented them through the various legalfirms, and thanks to bishop graham for putting together this report today. the findings from the enquiry were published at noon today, so the house will want time

today, so the house will want time to fully reflect upon the recommendations. but i think we all agree that while we cannot undo the awful harm that patterssen's criminal action has caused so many, lessons must be learnt and changes made so something so heinous doesn't happen again. this report must not remain ona happen again. this report must not remain on a shelf to be forgotten because the report is clear, this wasn't just the action because the report is clear, this wasn'tjust the action of one rogue saloon surgeon, but systemic organisational failures were at fault as well. fundamentally, it is time we address the question of safety in private health care providers and the way in which clinicians are able to operate in private providers with little oversight. patterson worked under the so—called practice and privileges model, effectively as a self—employed contractor where he would get a fee on top of your nhs salary for each granted nhs operation carried out in the private

sector. moreover, private hospitals would often come and still often incentivise consultants by giving them shares in those private hospitals. i believe this model creates financial incentives to distort clinical decision—making and can lead to overtreatment as we have seenin can lead to overtreatment as we have seen in the patterson case, and indeed, as the honourable lady alluded to, earlier this month we saw again something similar happening at spire health care work they have been forced to recall hundreds of patients amid concerns that... the health minister has just apologised on behalf of the nhs and the government over what happened to the government over what happened to the many patients of ian paterson, the many patients of ian paterson, the breast surgeon who is now behind bars. now it's time for a look at the weather with tomasz. hello. we've had a very cold noticeable

wind so far today, particularly around the north sea coast. some showers too. hail showers recently, as well. the next couple of days are going to be much calmer. the winds going to fall light, the skies will clear and we are in for a touch of frost, as well. it's because this area of high pressure is building in from the south—west and we are saying goodbye to the low pressure, which is moving away towards the east. so this is what we've got through the afternoon. temperatures still not particularly low, around eight or nine degrees, that's above the average for the time of year, despite this being a slightly colder spell of weather than we have had of late. you can see hardly any wind arrows at all across the uk during the course of the night. skies clearing too and even in major towns and cities temperatures will be close to freezing, so that implies that outside of town, in the countryside, it will be below zero. now here's wednesday and the high—pressure slap bang across western europe, centred around the english channel. that means hardly any wind at all for many of us, with clear skies in places.

maybe a bit of hazy sunshine. the exception here in the north—west of scotland, just a bit of a wind off the atlantic, nothing too strong. also may be a few showers there for the western isles and the highlands. temperatures will be around seven or eight degrees, but where the fog lingers, and there could be a bit of lingering fog, it will probably be a little bit colder than that. the high pressure is still with us on wednesday night into thursday, but you will see a tendency for the high pressure to slip away a little bit further into the continent. that means that the weather is starting to change out there in the atlantic. i'll talk about that in just a second, but still thursday, a calm day, a little bit of hazy sunshine here and there, probably a frosty start to the day in a few places. temperatures perhaps a little bit lower, we will have will have had a couple of cold nights, so five celsius on thursday. friday, the last of the settled days, the last of the sunny days, with lighter winds. beyond that, things are going to change quite dramatically across the atlantic into the weekend

and into next week. a powerfuljet stream will be racing across the atlantic sending very wet and very windy weather our way.

hello, you're watching afternoon live. i'm simon mccoy. today at 2pm: a healthcare system dysfunctional at every level — the damning report into breast surgeon ian paterson — who performed botched and unnecessary operations on hundreds of women. ona daily on a daily basis it affects us. i try not to let it rule my life but to move forward this was important to move forward this was important to me. it is important for the people who died to be heard. the foreign office says all britons currently in china should leave now if they can — as the death toll from coronavirus reaches more than 400. a ban on petrol, diesel, and hybrid car sales is brought forward to 2035 — at the start of what the prime minister calls a year of climate control. coming up on afternoon live: all the sport. with jane dougal. england haven't been doing too well in cape town