It will allow for 15 new beds and an additional operating theatre, bringing the total up to 196 and 10 respectfully.
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"The Hunter community is fortunate to have a mix of high quality private and public health providers."
The plan also included an elevated pedestrian link between the existing Kingston and Croudace Buildings.
The original plan, back in 2010 approved a six storey building on top of a three stroy parking lot, that total has now been increased to seven.