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More patients with the chronic condition lymphoedema could be "offered the opportunity" to be treated at a hospital outside their district or privately, due to a lack of services in every region.
Children who need operations in Wellington and the lower North Island will continue to rely on out-of-town surgeons flying in for another two years.
One of the last acts of Wellington's district health board was approving an upgrade to scanning as the regional hospital struggles with very long waiting lists.
Prefabricated wooden buildings are being considered as a temporary replacement for the quake prone Hutt Hospital.
Wellington Hospital is being forced to spend millions of dollars extra sending patients to private providers for MRI and CT scans as its old scanning machines fail to cope.