The future layouts of the Albury and Wodonga campuses, revealed in The Border Mail's special feature on the 10-year anniversary of their amalgamation, would be dependent on funding.

A new emergency department and intensive care unit at Albury, which are certain thanks to $75 million from the NSW government, can be seen extending towards the cardiac cath lab.

A "future potential development" outlined in orange includes a multi-storey car park next to the UNSW Rural Clinical School, additional medical and surgical wards where the current staff car park fronts East Street, and a new mental health building near Hilltop.

Maternity services, planned to be moved from Wodonga, would fit into one of the new medical wards.

Albury Wodonga Health board member Tim Farrah, speaking about the health service's 10th anniversary, said AWH was going through a "generational change".

"With technology moving so fast, the next service plan into the 2040s is around looking at what will be the norm then," he said.

"All the endoscopes are normal now, whereas 20 years ago, it was cutting edge.

"We need to start planning to ensure we have a facility that will cope with those changes in medicine, so people aren't travelling to Melbourne."

Mr Farrah said accommodating for premature babies in the future was among the reasons a move of maternity from Wodonga to Albury was planned.

"The governance rules around being able to deliver some premature babies have changed and rightly so; you really need to have intensive care on the same site as maternity," he said.

"That's all under planning and we're seeking funding.

"Certainly we're at the point now where we're looking at what services we want provided here, and should it all be done on one side or do we continue with two sites.

"All of those things are being evaluated at the moment.

"It's a 10 or 15 year timeframe before you open the doors of either a new site, or a refurbished site."

The NSW government committed $30 million to an Albury ED upgrade in 2017 and added $45 million for an ICU in the lead-up to the state election.

The ED plans, which are being finalised, have been "designed on world-best practice" and include separate wait rooms for "children, acute patients and patients requiring isolation".

The current 24 beds and two resuscitation bays will increase to 54 beds and four resus bays.

In the recent NSW budget, $20 million was moved into the expenditure column for this financial year and tenders will be issued in due course by AWH.

Meanwhile AWH has received $17 million from the Victorian and Commonwealth governments to construct a palliative care and community health building, a specialist clinics building and a sub-acute mental health building with residential capacity at Wodonga.

"The future for Wodonga campus" masterplan shows that with more funding, 50 per cent of the current buildings would be refurbished, to cater for a transitional living, inpatient and stroke units, pathology and clinic offices.

When the funding for Wodonga was announced, chief executive Leigh McJames said the hospital's future was never in doubt, amid speculation it could be closed.

"The roles are changing to deliver a better service to our community," he said.

"But both campuses have a very bright future with more jobs and more services."

Whether a greenfield site hospital or ongoing expansion of the existing campuses would best cater for long-term needs of the region was discussed last month in a round table hosted by member for Albury Justin Clancy and Benambra MP Bill Tilley.

Mr Clancy's impressions from the talks were a "terrific goodwill" from those present.

"The importance of the re-signing of intergovernmental agreements as the cornerstone to Albury Wodonga Health was recognised, as was the development of a service delivery plan that is led by our clinicians to map out what is seen as the important aspects of health service in our region moving forward," he said.

"We agreed that the important priority is to implement the AWH masterplan which calls for funding to proceed with Albury Hospital ED and acute care rebuild."

The Victorian Health and Human Services Building Authority is developing the masterplan on behalf of both state governments.

Consultation closed on the engage Victoria website in October, with the timeframe outlining the masterplan was expected to have been complete by the end of last year.

Mr Tilley said more funding from Victoria, which manages the service but jointly funds operations, was needed.

"We need to make sure that this great health service continues to meet the needs of a catchment of about 200,000 people and delivers the best health outcomes possible," he said.

"Regrettably, we have seen some who have seen fit to turn it into a political football and make opportune comments to further their political agendas even if that means spreading fear and mistruths.

"We need to work together and at present that looks like making the most of the two campuses, not getting distracted with talk of greenfield sites and making sure this Victorian Labor government matches the capital investment committed by NSW."

Reflecting on the AWH anniversary, Mr Tilley said he had always been a "huge supporter" of the integration of Albury Hospital and Wodonga Regional Health Service, which occurred on July 1, 2009.

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"It was one of the platforms I championed during pre-selection way back in 2005," he said.

"That's not to say it wasn't and still isn't without its challenges.

"It's now an organisation of more than 2000 people across two campuses that have varying degrees of modern medical standards."

Mr Farrah said the 10 years had proven how cross-border anomalies, no matter how complex, could be overcome.

"For 10 years, we have had a much better health service than we ever had having two small health services operating separately on each side of the border," he said.

"That should give us a lot of hope that we can continue to push for these types of operating arrangements across the border."

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