Hawke's Bay Hospital is asking people to avoid the Emergency Department due to current high demand.
On Thursday, 165 people presented to the Emergency Department, not far off the record of 169.
During the past week the lowest number to present at ED in a 24-hour period (midnight-midnight) was 121.
Chief Allied Health Professions Officer Dr Andy Phillips said the department has been very busy over the holiday period and is asking people to leave it for emergencies only.
"Numerous car crashes and demand on hospital services have meant we have had to call in extra staff to cope.