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In the 2013 New Year Honours, Holmes was appointed as a Knight Companion of the New Zealand Order of Merit for services to broadcasting and the community. His investiture was conducted on 16 January 2013 at his residence, earlier than originally scheduled due to his failing health. Just a week later, Holmes was admitted to hospital. He was held under observation for two nights and was then released back into the care of his family. Many of those who had previously clashed with Holmes released statements making peace with the broadcaster, but a notable refusal to comment came from Dennis Conner (the American skipper who walked out of the first Holmes episode).

Holmes died on 1 February 2013 at his family home in the Hawkes Bay. His public funeral was held on 8 February.

In January 2012 Holmes received treatment in hospital after a "health scare". He had previously battled prostate cancer in 1999, but had been released shortly after. The scare was reportedly the return of the cancer. In June he underwent open heart surgery and was placed into an induced coma to heal. In November 2012 a television blog posted a story claiming Holmes only had weeks to live due to congestive heart failure. Holmes rejected the rumor. Holmes broadcast his final interview in November 2012, with Kim Dotcom as the subject. Several weeks later, Holmes resigned from his radio work and on 8 December, announced his retirement. Following their interview, Holmes and Dotcom became friends and in Holmes' final days, he was visited by him.

In early 2011, Holmes published Daughters of Erebus, a book on the 1979 Erebus Air New Zealand DC-10 airliner crash.

From 2009 to 2012 Holmes returned to TVNZ to present the political talk show Q+A on TV One.

At the end of 2008 Holmes left his weekday breakfast show on Newstalk ZB after hosting the show for almost 22 years. Holmes then presented the Saturday morning show on Newstalk ZB.

He appeared on Māori Television's Waitangi Day coverage on 6 February 2007. In March, TV One, Holmes's former network, announced that he would be among the "stars" on the third season of the New Zealand version of Dancing with the Stars.

In 2007, Holmes' stepdaughter, Millie Elder-Holmes, was arrested on charges of possession of methamphetamine. Holmes stood by Millie and ended up campaigning against the drug. Holmes' public addressing of the issue and opposition to Millie's boyfriend led to the two falling out for over a year. In January 2010, they reconciled. Charges were eventually dropped. In 2014, Millie's boyfriend, Connor Morris, was killed in a fight in Massey, West Auckland.

Holmes' other ventures included several notable hosting slots, including a short-lived weekly show on Prime Television in 2005, two stints as the anchor of This Is Your Life and from 2009 until his retirement in 2012, and the Sunday morning political talk show Q+A.

His new show, Paul Holmes, launched on Prime on 7 February 2005. The new show was up against two new competitors, John Campbell's Campbell Live on TV3 and Susan Wood's Close-Up on TV One, in a three-way competition that had previously never been seen on New Zealand television. In February 2005, the show rated 7.1 percent for its timeslot, compared with his former programme on TV One (renamed Close Up) at 31 percent share. In March 2005, following the launch of a rival show on TV3, Campbell Live, Nielsen Media Ratings listed Holmes' show at 4 percent. Poor ratings forced a timeslot change to 6 pm after only four months. By this time, the show had been retitled Holmes.

However, these small changes were not enough to save the show, the timeslot change proving fatal. On 8 August 2005, almost six months to the day after the show launched, it was axed by Prime Television, with Prime chief executive Chris Taylor citing poor ratings and inability to attract viewers from the traditional primetime news strongholds of TV One and TV3. The show returned in a weekly format in late 2005 and in 2006 was revamped into an hour long chat show similar to the popular UK show hosted by Michael Parkinson.

In 2005, Holmes was dropped from the New Zealand Listener’s 50 most powerful people list largely because of his TV show's poor ratings and influence.

After 15 years anchoring Holmes, he was reportedly disgusted to have been offered a six-month contract instead of an annual alternative and subsequently on 2 November 2004 he resigned from the show. Shortly after this he moved to rival TV company Prime Television, which had offered him a three-year contract.

In the 2003 Queen's Birthday Honours, Holmes was made a Companion of the New Zealand Order of Merit, for services to broadcasting and the community.

Holmes gained media attention for a number of controversial remarks about prominent individuals and issues, including a comment made in 2003 about wahi tapu (Māori sacred places).

Holmes underwent treatment for cancer in 1999 and heart surgery in 2012. He retired shortly after the latter treatment and in 2013 was knighted by the Governor-General of New Zealand. Just two weeks later, Holmes died at his Hawkes Bay home.

Holmes published an autobiography in 1999. A year later he released an album on CD, simply titled Paul Holmes.

In 1991, Holmes became a father when his partner, Hinemoa Elder, gave birth to a son, Reuben Holmes. Elder had a daughter from a past relationship, Millie, whom Holmes was very attached to and who openly described herself as a "daddy's girl". Holmes later stated one of the proudest moments in his lifetime was when Millie referred to him as "dad". Holmes married Elder the following year but the marriage only lasted 5 years. Towards the end of the marriage, Holmes began a short-lived affair with co-worker Fleur Revell that eventually saw him leave his wife and children. In 1998, Holmes started seeing real estate agent Deborah Hamilton. In 1999, the two moved in with each other, and in 2003, married.

In 1989, Holmes became part of the younger, new-look revamp of Television New Zealand's prime-time news. His 7pm network programme (simply titled Holmes, initially starting at 6:30 and later moving to 7:00 when the news was extended to one hour), analysing news items in greater depth, ran until 2004. Holmes' first TV segment featured guest Dennis Conner, the America's Cup skipper. After being provoked, Conner walked off the set, providing Holmes with headlines the next day.

In March 1987, Holmes took over from 1ZB host Merv Smith, who had been breakfast host for many years. This coincided with a change in format from community radio (middle of the road music, news, community notices, etc.) to Newstalk. The change was controversial, as many long-standing Smith listeners did not like Holmes or the news, interview and talkback format with no music. 1ZB fell to seventh position in the ratings and it took over a year before Holmes' show eventually rose to number one in the ratings for the programme's time slot.

Holmes' personal life was highly documented in the media in part due to his celebrity status measuring up to those he interviewed. He had brushed death numerous times in his life. The first occurred in 1973 when he suffered a major car accident in which he fractured his neck and developed a brain hemorrhage which cut vision to one of his eyes. He also survived several aircraft crashes, including a helicopter crash into the sea at Anaura Bay in June 1989, which killed fellow passenger cameraman Jo Von Dinklage. In 2004, he had two crash landings piloting his vintage Boeing Stearman biplane, on 14 January southeast of Turangi, and on 31 December at Bridge Pā Aerodrome near Hastings. Holmes also survived numerous health scares, including overcoming prostate cancer in 1999, and the heart condition hypertrophic cardiomyopathy.

Holmes began his career on radio in Christchurch in the 1970s. He then worked in Australia, the United Kingdom and the Netherlands before returning to New Zealand to take up a morning slot on Wellington station 2ZB.

In 1968, Holmes left his family home and began studying law at Victoria University of Wellington. He shared a room at the university accommodation Weir House with Williams. Shortly into his course, he swapped his degree to the arts and was awarded a BA. Holmes was inspired by the actor Dustin Hoffman and wished to emulate his success. He got his first professional acting job on a radio production of Antony and Cleopatra and acted alongside Sam Neill in the drama society club. Whilst studying, Holmes worked at a Hawke's Bay freezing-works.

Sir Paul Scott Holmes KNZM (29 April 1950 – 1 February 2013), was a New Zealand broadcaster who gained national recognition through his high-profile radio and television journalism. Holmes fronted the first prime time current affairs show of the time, Holmes, which ran on TV One from 1989 to 2004. Holmes hosted the Newstalk ZB breakfast show from 1985 to 2008, and the Saturday morning show from 2009 to 2012.

Born in 1950 as the first son of Chrissie and Henry Holmes, a mechanic, Holmes grew up in the Hawke's Bay and attended Karamu High School. He and his younger brother Ken were involved in rowing and debating, and Paul became a prefect. The family had another son, Christopher, who died shortly after birth.