At least two more Dutch hospitals are in financial trouble – the Amstelland hospital in Amstelveen and the Zuyderland in Sittard-Geleen in Limburg – Trouw reported on Friday.

Last week, the Slotervaart hospital in Amsterdam and the IJsselmeer hospital group in Lelystad went bust after failing to agree a cash injection with health insurers.

Trouw says the Amstelveen and Geleen hospitals are bottom of the list of 14 hospitals with poor finances identified by accountancy group BDO. It points out that the Amstelland is ranked lower than the IJsselmeer hospital group and has not yet published its 2017 figures.

The Zuyderland medical centre’s problems have been caused largely by a 10-year old €400m loan used to pay for new building work, the paper said.