Health regulator Monitor has warned Derby's hospital trust to make "urgent improvements" or face further action.
Monitor's regional director Adam Cayley said it was "disappointing" that Derby Hospitals NHS Foundation Trust had so far failed to comply with an action plan drawn up after previous inspections - and said the regulator would consider making changes itself if inspectors do not see improvements soon.
We agreed a clear plan of action with the trust, so it is disappointing to see that it has been unable to deliver on the commitments it made in April.
Patients expect that they will be seen quickly and receive good quality care from their local hospital.
For this to happen, a trust needs to be well run. Derby must ensure immediate and effective action is now taken.
Monitor will have to consider what changes will need to be made if the trust does not demonstrate rapid improvements.