The number of patients waiting longer for treatment in hospitals in Gloucestershire has gone up.
Data from a BBC investigation's revealed Gloucestershire NHS Trust is in the bottom third of more than 100 trusts in the UK.
In Gloucestershire only 86.1% of patients who visited A&E were seen within four hours - the target is 95%. And only 80.1% of cancer patients began treatment within 62 days of an urgent GP referral - the target is 85%.
The trust has previously been rated as 'requires improvement' by the Care Quality Commission.
In response NHS Gloucestershire say they routinely monitor performance and if it falls below national standards then plans are put in place.
To see how the NHS is doing in more detail go to BBC news to see the online tracker.