Action plans have been drawn up to improve five health trusts in the East of England which performed badly in an audit of services.
Cambs Health Internal Audit Service carried out the checks for the East of England Strategic Health Authority.
Plans have been drawn up for East and North Herts Primary Care Trust (PCT) and West Herts PCT and Luton Teaching PCT and Mid Essex PCT.
An action plan was also drawn up for West Herts Hospitals NHS Trust.
All five were rated as weak for quality of services and use of resources in 2006/2007.
The action plans will look at how to address the concerns, for example in the case of Luton Teaching PCT, its plan will look at how it can improve its monitoring of performance.
A Strategic Health Authority spokesman said: "Our aim is that each PCT should move up at least one category in relation to service quality in next year's ratings.
"This will need each PCT to identify the service issues that gave rise to the current rating and produce an action plan to address these issues."