Tameside Hospital is to stay in special measures for a further six months after inspectors rated the hospital as 'inadequate'.
Inspectors found critical care, surgery and staffing levels were still areas of concern.
The trust says it has made improvements and taken on an extra 150 nurses.
John Goodenough, who is a Chief Nurse at the hospital, told ITV News:
"I would say that the hospital has absolutely transformed. I think the culture, the open visible leadership from the top is phenomenal. I think the pace of change is incredible, and I think our patients and staff are telling us that now."
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A fine start, but showers developing this afternoon