Sweeping changes continue to be made to the management team at a Norfolk hospital, with the appointment of a new interim director of nursing.

In the past six months, the James Paget University Hospital has appointed an interim chairman, an interim chief executive and now an interim director of nursing, as it strives to address concerns raised by the Care Quality Commission (CQC).

A permanent chairman, to take over from interim chairman Peter Franzen, is also expected to be announced within the next few days.

Tina Cookson, currently an associate nurse director at NHS Midlands and East, will take up her new post as interim director of nursing on April 30 and is expected to stay for at least six months.

She has more than 30 years' nursing experience and has been in executive director roles since 2003, including nursing and allied health professional leadership, community services, primary care, primary care trust commissioning and deputy chief executive and acute chief operating officer.

She said: 'I am very pleased to be asked to support James Paget University Hospitals Foundation Trust in improving the quality of patient services. I recently spent a day at the hospital and was very impressed by the senior clinical staff I met. Together, our top priority will be to improve services.'

Interim chief executive David Hill, who was previously chief executive of the James Paget before leaving in 2006 to work for the Bermuda Hospital Board, is expected to be in post for between nine to 12 months.

He said: 'It gives me great pleasure to welcome Tina to the JPH in this interim capacity. Her experience and leadership skills will be great assets to the hospital as the hard work to improve the quality of patient care continues to progress.'

The hospital said director of nursing Carole Crocker is pursuing other opportunities within the NHS.

Last week the hospital was issued with a third formal warning notice by the CQC following the publication of its latest inspection report.

Mr Hill acknowledged that the hospital had been too slow to tackle problems raised in the several reports it has had since its initial failed inspection in April 2011.