One of England's largest hospital trusts should be placed in "special measures", inspectors said after they rated the organisation "inadequate."
East Kent Hospitals University NHS Foundation Trust serves more than 750,000 people across five hospitals.
The inspection by the Care Quality Commission (CQC) identified a series of problems at the organisation, including that risks to patients were not always identified, or when they were, not consistently acted upon.
A culture of bullying has also been flagged as a concern, and staff shortages in A&E, children's care and at night.
There were "care failings across the majority of services we inspected," the CQC's chief inspector of hospitals Professor Sir Mike Richards said.