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A report, commissioned by South East Coast Ambulance Service itself, has concluded that staff lived in a culture of fear and that sexual harassment and bullying was commonplace.
It is in debt and regarded as "inadequate" but new Chief Executive Daren Mochrie, who started in April, says he will turn things around.
SECAmb was placed in special measures by the health regulator, the Care Quality Commission, last year.
Today's report by Professor Duncan Lewis from Plymouth University follows a number of resignations at the Trust by senior managers.
SECAmb covers Kent, Surrey, Sussex and north east Hampshire.
Earlier, Fred spoke to Chief Executive Daren Mochrie himself.
Delayed ambulances and not answering 999 calls quick enough - just two of the reasons a scandal-hit ambulance trust has been put into special measures.
A damning report into the South East Coast Ambulance Service (Secamb) - which covers Sussex, Surrey and North-East Hampshire - also found other serious concerns, including:
- Response times not meeting national targets.
- Patients giving up on calls for help, especially on weekends.
- Not enough staff, impacting on performance and fatigue.
- A culture of harassment and bullying of staff.
So what now for the troubled trust?
Andy Dickenson speaks to Ben Williams, Geraint Davies, acting chief executive of Secamb, Alan Thorne of the Care Quality Commission, David Liley of Healthwatch, and Nigel Sweet from Unison.