The watchdog that is meant to protect patients against faulty medical devices, like PIP implants, acted "appropriately" but needs to learn "serious lessons": that's the conclusion of a review of the scandal by Lord Howe, a Government Health Minister.
The watchdog - the Medicines and Healthcare products Regulatory Agency (MHRA) - did follow scientific and clinical advice he says, but there is room for improvement.
In particular, the MHRA should collect more information from doctors treating patients and should "routinely" review this information for higher risk devices.
The report says:
Lord Howe points out that the basic problem with PIP implants arose because of fraud committed by the French manufacturers.
No regulatory system can prevent that kind of criminal activity. But he wants regulators across Europe to work better together to share information.
A wider report into the regulation of the whole area of medical devices is being carried out by the NHS's top doctor Sir Bruce Keogh - he will decide whether the NHS and the watchdogs need a register of patients who have received implants to spot faults earlier - and to help tell patients about potential problems.
The government watchdog, the MHRA responded to criticism in a Department of Health investigation of the PIP implant scandal: