Derriford Hospital in Plymouth has seen huge hikes in patient and ambulance numbers this winter.
ITV West Country has exclusively learned that 1,000 more patients were admitted to the region's biggest hospital last month than in the same period last year - and an additional 15 ambulances a day are bringing patients to Derriford.
extra ambulances a day are bringing patients to Derriford compared to last year.
The hospital has been told it needs to do more to make improvements in its pharmacy department, and in diagnostics and imaging by the Care Quality Commission.
But Chief Executive Ann James told ITV West Country she is disappointed that additional pressures haven't been taken into account.
I am comforted that staff have spoken up to the CQC and we have created the right climate for people to start to raise issues. That's really important. I am disappointed. I would be disingenuous if I said I wasn't. I know how hard staff are working but I can applaud staff for that. When we look at the staff survey results and feedback I know we're getting more right than we are not quite hitting the mark.