Health bosses have demanded "immediate improvements" at a Midland hospital trust after finding repeated failures.
Derby Hospitals NHS Foundation Trust, which runs the city's Royal Derby Hospital, has plunged into £1.9million of debt, while failing to make sure 95 per cent of accident and emergency patients were seen within four hours of arrival.
Monitor, which regulates foundation trusts, has also expressed concern that the trust is not doing enough to tackle the number of cases of C.diff - and has said it believes the failures could indicate "wider problems" in how the trust is run.
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