North West Anglia NHS Foundation Trust (NWAFT) has been given a "requires improvement" overall rating following an inspection from the Care Quality Commission (CQC).
The trust runs Hinchingbrooke, Peterborough City and Stamford and Rutland Hospitals. And was inspected between 30 July and 13 September this year.
NWAFT's overall rating - combining ratings for its three hospitals - stays the same since the last inspection.
The CQC - the independent regulator of all health and social care services in England - published its 87-page report on NWAFT on Friday, 20 December.
It asks five questions of all the services it inspected: are they safe, effective, caring, responsive to people's needs, and well-led?
At Hinchingbrooke Hospital, the CQC looked at services for children and young people because this service had not been inspected since the provider took it over in April 2019.
It scored "good" for effectiveness and care but all other areas were rated as "require improvement."
Overall at NWAFT, the trust retained its "good" rating for its service care but "requires improvement" in the other four areas, with its responsiveness rating falling from good at the last inspection.
The CQC has issued six requirement notices to the trust. This means the trust must send a report saying what action it is taking to meet these requirements.
These relate to breaches of legal requirements in the trust overall, urgent and emergency care, critical care, maternity and end of life care at Peterborough City Hospital, and urgent and emergency care at Stamford and Rutland Hospital.
Inspectors also found areas for improvement including 37 breaches of legal requirements that the trust must put right.
However, there were also some areas of outstanding practice at Peterborough and Stamford and Rutland Hospitals.
In a statement, following the report’s publication, NWAFT Chief Executive Caroline Walker and Chief Nurse Jo Bennis said the outcome was disappointing but was a good source of information to progress its continuous improvement.
“Our staff continue to work incredibly hard under a huge amount of pressure to maintain a high standard of care for our patients and this is reflected in the areas rated as ‘Good’ and ‘Outstanding’ and is something that we should celebrate.
"We will also continue to stage our own internal quality assessments as part of our ongoing commitment to quality of care and wish to congratulate all of those areas who have achieved an ‘outstanding’ rating as a result of this internal initiative.
“We would like to reassure and assure our patients that we are committed to continuing to focus on the areas that need further support and have already taken action on the areas where concerns have been raised.”