PATIENTS with faulty breast implants claim private clinics have made them sign gagging orders and waive their legal rights before they will carry out removal operations.

As many as 4000 women in Scotland may have been given breast implants manufactured by the now-closed French company Poly Implant Prothese (PIP), which are filled with non-medical-grade silicone and could be toxic if ruptured. All are thought to have received them from private firms.

Campaign group PIP Implants Scotland said private clinics had been imposing the restrictions on patients but Health Secretary Nicola Sturgeon said women with faulty breast implants can turn to the NHS if the private firm which provided them attaches "unacceptable conditions" to their removal.

PIP Implants Scotland's lawyer Patrick McGuire, of Thompsons Solicitors, said this was "a major step forward" for patients. He said clinics may try to refuse treatment, or impose unacceptable conditions, to pass the bill on to the NHS and that this would be "morally unacceptable". He added: "As a matter of consumer law, the women have all of the rights and remedies open to any other consumer goods."

The group met Ms Sturgeon at Holyrood to make their case for a public inquiry yesterday. Campaign spokeswoman Trisha Devine said: "We haven't quite got there yet. We still have more questions but today has been helpful."