A Cumbrian NHS Trust has received the lowest possible grade, in a league table assessing openness and transparency.
North Cumbria University Hospitals NHS Trust was graded as having a "poor reporting culture" in a league table published by NHS Improvement.
Out of the 230 Trusts, it came 224th, above just six other Trusts.
The Trust runs the Cumberland Infirmary in Carlisle, and the West Cumberland Hospital in Whitehaven.
Cumbria Partnership NHS Foundation Trust did significantly better, being rated "good", the second highest ranking, and coming in 58th place.
This Trust provides community services, mental health services, specialist services and services for children & families across the whole of Cumbria.
It employs around 4,000 people, but does not run any of Cumbria's major hospitals.
Dr Sara Munro, Director of Quality & Nursing said, “This is another positive indication that we are moving in the right direction."
"Our ambition is to place high quality, compassionate care above all other aims and to do this we have been working hard to create the conditions that support this – open, learning and focussed on continual improvements."
The University Hospitals of Morecambe Bay NHS Foundation Trust got the second lowest grade - "significant concerns" - and came 185th out of 230 Trusts.
The 'Learning from Mistakes League' was published by NHS Improvement, with the aim of encouraging an open, transparent reporting culture in the NHS.