Construction begins on new Sydney hospital

Construction has commenced on a new hospital in Rouse Hill in north-west Sydney more than a decade after plans for a facility were first announced. In that time, the project has grown from a $300 million healthcare centre to a $910 million hospital development, including emergency, birthing and rehabilitation services, now jointly funded by the state and federal governments.

According to the NSW government, the new public hospital "will provide world-class, comprehensive, integrated health care to the growing region … now and into the future."

Deputy Premier and Minister for Western Sydney Prue Car commented, "Every family in our community deserves access to world-class health care close to where they live, and that is why we are delivering Rouse Hill Hospital with the services they have been asking for."

Located near the Rouse Hill town centre and metro station, the new HDR-designed hospital will deliver an emergency department; birthing services including birthing rooms and a maternity inpatient unit; inpatient beds and day surgery services; short-stay medical assessment services; pathology, pharmacy and medical imaging services; outpatient and ambulatory care services including paediatrics and renal dialysis; virtual care and hospital in the home services; and prehabilitation, rehabilitation and lifestyle medicine.

The design also includes a "care arcade", which will house retail and cafe spaces alongside other services for visitors; a multi-storey car park; and landscaped outdoor spaces through and around the building, including rooftop terraces for staff and patients.

According to the NSW government, the project team engaged in workshops with local Dharug people, in order to embed Connecting with Country principles. The colours of the building are reflective of this engagement, referencing Rouse Hill's natural landscape of rocks, water and gentle hills.

A state significant development application for main construction works was placed on exhibition in late 2025, and, according to the NSW government, submissions are currently being assessed. The next stage of work is expected to begin this year, following formal planning approval.