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A new report has found that the trust which runs hospitals in Carlisle and Whitehaven is amongst the worst in the country when it comes to mortality rates for the second year in a row.
The findings have been published by an independent health watchdog, which said patients should be concerned by what they have discovered.
Cumberland Infirmary and the West Cumberland Hospital were named in the Dr Foster guide as having "worryingly" high numbers of deaths.
North Cumbria University Hospitals NHS Trust said it was working to identify where improvements could be made.
It is also in the process of handing over their running to Northumbria Healthcare NHS Foundation Trust.
The Dr Foster guide measures four categories of mortality and north Cumbria was marked out for mention in two.
These were a high number of people dying in the hospitals and a high number of patients dying up to 30 days after discharge.
The report is available via this link: http://www.drfosterhealth.co.uk/