Checks on the safety of medical implants such as artificial hips fall far short of optimal and doctors should be required by law to report all incidents to the factories, the Dutch health inspectorate said on Tuesday.

At the moment this rarely happens, inspectors say in Tuesday’s Volkskrant. They also want tougher rules for clinical research before implants are sanctioned for use. The new regime should apply to all forms of implants and medical aids.

The calls follow recent scandals surrounding PIP breast implants which were leaky and metal hip replacements which led to tiny fragments of metal moving around the body.