[4] In October 2018 the majority of acute specialty services were transferred to the newly built, semi-private Northern Beaches Hospital.

[6] In September 2020 the NSW Government confirmed its plans to demolish the main hospital building because it contained asbestos, despite significant local opposition.

In 2019 the hospital's former Emergency Department was re-purposed into a 24-hour Urgent Care Centre, intended to assess and treat minor illnesses and injuries on an outpatient basis.

It was staffed by experienced medical practitioners with backgrounds in emergency medicine and/or general practice, who work alongside registered nurses and physiotherapists.

Since its opening in October 2018, the urgent care centre sees an average of about 50 to 80 patients daily, with about 6% of them requiring onwards transfer to other facilities.