The Chief Inspector of hospitals in England has recommended that the NHS trust that runs the Westmorland General Hospital in Kendal be placed into special measures.
It follows a series of inspections that found that the quality of care at two of its hospitals needed improvement, although the Westmorland General itself was providing a good service overall.
The county's two other main hospitals are already in special measures.
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The gruelling contest has been announced early, to give competitors plenty of time to prepare.
It was created by Annirose Ansbro, and marks the build up to Scotland's premier arts festival in May.
It's been produced by Carlisle MENCAP, and is being funded by the cabinet office.