Serial killer Ivan Milat has been moved from hospital to Long Bay jail, where he will live out his last days.

Ivan Milat has been released from hospital and will return to prison, but to Long Bay jail’s aged and frail unit not back to the Supermax high risk management centre in Goulburn.

The 74-year-old serial killer looked thinner but in reasonable condition as he sat handcuffed in a wheelchair pushed by armed prison guards from Prince of Wales Hospital.

Wearing spectacles, a prison green tracksuit and white velcro-fastened sandshoes, he held his head up and was looking alert as he was wheeled to a vehicle to transport him to Long Bay.

Milat was taken to the hospital’s secure locked wing two weeks ago for treatment for oesophageal cancer and has reportedly lost 20kg.

Serial killer Ivan Milat has been moved from hospital to Long Bay jail, where he will live out his last days. 7NEWS cameras are following the operation. https://t.co/ezstsnZ4wX #7NEWS pic.twitter.com/ktSppY5XJB — Sunrise (@sunriseon7) May 28, 2019

It is only the second time Milat has been outside of prison in a decade, the last time being in 2009 when he was taken to Goulburn Hospital after severing his little finger with a plastic knife in Supermax.

Milat has been in prison since his 1994 arrest for the murders of seven backpackers whose remains were found in the Belanglo State Forest, an hour’s drive north of Goulburn.

He was convicted in 1996 and given seven consecutive life sentences which means he will die in custody.

#BREAKING: Terminally ill serial killer Ivan Milat moved to Long Bay jail hospital.

STORY: https://t.co/GmKd2shKDv pic.twitter.com/xYTSmu18Vg — The Daily Telegraph (@dailytelegraph) May 28, 2019

NSW Police are preparing to speak to Milat about his crimes and unsolved homicides he is linked to as he battles terminal cancer.

Milat has never confessed to killing seven backpackers and has maintained he is innocent.

NSW Police minister David Elliot has already urged Milat to do “one last honourable thing on his deathbed” and openly answer questions relating to his crimes.

Mr Elliott also said Milat should assist police with any questions related to his crimes, and any other cases police suspect he may have been involved with.

Despite overwhelming evidence connecting him with the Belanglo murders, Milat has always claimed he is innocent and has previously refused to respond to questions about other murders.

Police have expressed the view that Milat’s killing spree did not start and end in the Belanglo State Forest.

They believe that he had preyed on hitchhikers he picked up on NSW highways and that among the State’s missing persons and unsolved murder files are the faces of people who have encountered Milat.

In 1971, Milat picked up two female teenagers hitchhiking in chillingly similar circumstances to the abduction of his future Belanglo victims.

The young women accepted a lift from Milat while hitchhiking south near Liverpool in western Sydney.

He produced knives and a rope and drove them to a secluded field in the Southern Highlands.

Milat bound the pair hand and foot and threatened to murder them if one of them didn’t have sex with him.

He told the victims he had done this before, several times.

In 1974, Milat was acquitted of the rape and walked from court.

The facts of the assault were precluded from evidence at his 1996 trial for the Belanglo murders, but the road worker had by then roamed free for decades until his 1994 arrest.

candace.sutton@news.com.au