The Royal United Hospital in Bath has been granted Foundation Trust status.
It means the Trust will have greater financial freedom and can decide how to improve services away from government control. The move was put back a year in 2013 after a highly critical report on the hospital from the Care Quality Commission.
NHS walk-in services in Bath have been moved to the Royal United Hospital.
From today the drop-in facility at Riverside in the city centre is closed.
Patients needing an urgent appointment will instead have to travel to the hospital on the city's outskirts.
An inquest has heard dramatic details of how an oxygen cylinder exploded on the bed of a 79-year-old woman being treated at the Royal United Hospital in Bath.
Kathleen Haines' son told the hearing his mother repeatedly said that after the blast, all she wanted was to die.
Brenda Blethyn, star of ITVs Vera, is supporting the launch of Bath's Royal United Hospital fundraising campaign 'Be A Brick'. The aim is to raise 20.5 million pounds to build a new state of the art treatment centre at the RUH by 2017.
Be a brick is part of a much bigger campaign The Forever Friends Appeal which is the biggest ever undertaken by the RUH.
The Royal United Hospital is launching a new appeal to raise money for a new £20 million cancer centre.
The hospital treats around 200 new cancer patients each year. The new 'Be a Brick' Scheme is being backed by television actress Brenda Blethyn.