In September 2007, Counties Manukau District Health Board, ARTNL and ARTA opened a new railway footbridge and staff walkway at the station.

The footbridge provides safer access to Middlemore Hospital from the staff carpark.

The station upgrade will include building a new third platform to service the third main line.

The typical weekday off-peak timetable is:[6][7] Bus routes 314 and 321 serve Middlemore Station.

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