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Starship was opened on 18 November 1991. It was New Zealand's first hospital built exclusively for children and young people and their health needs. Starship's prime focus is on delivering family-centred care in a child friendly environment. The name Starship was chosen because of the design of the building which was created to appeal to children and young people. Starship is built around a central atrium.

In 2003 Starship expanded when the Paediatric and Congenital Cardiac Service (PCCS) relocated from Greenlane Hospital. At this time building work was undertaken resulting in one new ward, a new Emergency Department, a new Intensive Care Unit, two additional Operating Theatres and a new Radiology Department that included a Cardiac Investigations Room (CIR). Since then a CT scanner and MRI have also been built within the Radiology Department.

In 2004 the Greenlane Clinical Centre was established and Starship began providing some services at this location. These now include the Paediatric Endocrine Service, Family Options, Community Child Health and Disability Services, some Outpatient clinics and Audiology.

An elective surgical centre has recently been built at the Greenlane Clinical Centre. Significant redevelopment of the Operating Theatres at Starship was completed in 2015.

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