Health bosses and unions have reacted to the news that death rates at two hospitals in Cumbria are to be urgently investigated.
Both are currently run by the North Cumbria University Hospitals Trust.
They are being taken over by Northumbria NHS Trust after a series of high profile problems.
Hannah McNulty Reports:
More top news
A writer from Carlisle has won the UK's most prestigious poetry award, the T. S. Eliot Prize.
ITV Border has learnt police officers are being called on "an almost daily basis" to help transfer patients from west Cumbria to Carlisle.
A teenage driver who led police on a high-speed chase through a residential area of Carlisle has been sentenced.