Bedford Hospital NHS Trust, which runs Bedford Hospital, missed its A&E waiting target of seeing patients in less than four hours last month.
Hospitals are meant to treat, assess or discharge 95% of patients in that time. Bedford Hospital Trust saw 83.3% according to figures released for March. This is down on the figure for 12 months ago, which was 84.1%.
At Bedford Hospital NHS Trust a total of 1,254 patients were not seen within the four-hour window in March.
The trust was ranked 77 of 131 trusts of hospital trusts in England.
As a whole, the NHS has failed to meet this target since July 2015. A hospital trust's performance figures include the main accident and emergency department and any minor injuries or care centres it runs.
NHS England has asked patients only to attend A&E department with "genuine life-threatening emergencies".
This story has been generated using NHS data, BBC analysis and some automation.