Our structure
Integration is at the heart of what we do at Health Infrastructure. It takes a diverse range of skills and a complex process of collaboration to deliver the Government’s vision for health in NSW.
Health Infrastructure delivers its pipeline of capital projects through 3 regional business units:
- Western region
- Northern region
- Rural and regional.
Supporting capital projects are two functional business units:
- Strategy and operations
- Capital and commercial advisory.
As of 9 December 2024, Health Infrastructure’s Chief Executive has a dual role of Deputy Secretary, Infrastructure and Asset Management, and Chief Executive, Health Infrastructure, bringing together NSW Health’s infrastructure planning and delivery and asset management functions under single leadership. This dual role reports to the Secretary NSW Health.
Office of the Chief Executive | ||
| ![]() Acting Chief Executive • Audit | |
Regions | ||
Western![]() Acting Executive Director, Western
| Northern![]() Acting Executive Director, Northern
| Rural and regional![]() Acting Executive Director, Rural and Regional
|
Functional | ||
Strategy and | Capital and commercial |
Our executive team
Meet our executive team, dedicated to providing strategic leadership and driving the achievement of our organisation’s shared goals.

Amanda has over 30 years of experience in the construction industry, bringing strong leadership and business expertise from roles in both the public and private sectors.
For over 10 years, Amanda has managed a diverse range of complex infrastructure projects at Health Infrastructure, guiding them from planning to design, construction, and commissioning. Her work includes overseeing a multi-billion-dollar rural and regional portfolio, with projects such as the $835 million John Hunter Health and Innovation Precinct in Newcastle, the $260 million Eurobodalla Regional Hospital in Moruya, and the $30 million Wentworth redevelopment, a vital rural hospital serving the local community.
Amanda holds qualifications in architecture, construction management, and public administration. Before joining Health Infrastructure, she led multidisciplinary teams and projects at organizations like Campus Living Villages, Centennial and Moore Park Trust, and APP Corporation. Her combined experience in the public and private sectors provides her with a unique perspective on delivering both commercial and government outcomes.

Nicolas is a skilled leader with over 20 years of experience in planning and delivering complex infrastructure projects. Since joining Health Infrastructure in 2017, he has managed a wide range of healthcare developments across regional NSW. As Senior Project Director, Nicolas has overseen some of the state’s largest health projects, including the $1 billion Nepean Hospital, the $1.3 billion new Bankstown Hospital, and the $830 million Liverpool Health and Academic Precinct.
Nicolas is passionate about building strong team cultures, mentoring future leaders, and maintaining high standards of governance and ethics. Before joining Health Infrastructure, he played key roles in major projects like Transport for NSW’s Rail Operations Centre and the sustainable urban development of Masdar City in Abu Dhabi.
Nicolas holds an Honours degree in Construction Management from the University of Technology Sydney. His commitment to excellence and delivering results makes him a valued leader within Health Infrastructure and the communities it serves.

Leisa Rathborne is a dynamic executive leader with over 30 years’ experience in NSW Health leading high-performing teams across health services and infrastructure development.
As the Executive Director of Health Infrastructure’s Northern Region, Leisa leads a team of highly skilled professionals to deliver a multi-billion-dollar portfolio stretching from Sydney’s North Shore and parts of Greater Sydney north to the Central Coast. Current projects include the $940 million Royal Prince Alfred Hospital Redevelopment, $479 million Ryde Hospital Redevelopment, $619 million The Children’s Hospital at Westmead Redevelopment Stage 2, $658 million Sydney Children’s Hospital Redevelopment Stage 1 and the new Rouse Hill Hospital.
Prior to joining Health Infrastructure in 2019, Leisa held a number of positions in NSW Health including several General Manager positions across Sydney at St George, Royal Hospital for Women, Campbelltown and Camden hospitals. She was also Director of Corporate and Finance at Bankstown Hospital and Physiotherapy Service Manager at Fairfield Hospital.
A strong believer in continuous learning, Leisa started her career as a physiotherapist and quickly rose to leadership positions. Leisa holds a Bachelor of Applied Science and a Master of Health Management and is a graduate of the Australian Institute of Company Directors and Australian Public Service Commission Women in Leadership Program.

Nicholas Rayner is a respected leader in health infrastructure with over 20 years’ experience in health management, policy development and major capital project delivery across the public health system.
Since joining Health Infrastructure in 2018, Nicholas has been instrumental in delivering over $2.3 billion in health capital projects across metropolitan, regional and rural NSW. As Senior Project Director, he has led the planning, design and delivery of significant programs including the John Hunter Health and Innovation Precinct, Cessnock Hospital Redevelopment, Moree Hospital Redevelopment and Glen Innes Hospital Upgrade.
Nicholas brings a strategic approach to health infrastructure delivery, with a strong focus on stakeholder engagement, service delivery outcomes and high-quality project governance. He has held senior roles across NSW Health and the private sector, with experience spanning policy, operations and client-side project management.
Nicholas is an Associate Fellow of the Australasian College of Health Service Management, serves on its NSW Branch Council, and is a regular guest lecturer at the University of Newcastle.

Stefan is a health service executive with extensive expertise in health service management, strategic asset management, project leadership, and change management. He has a proven track record of delivering data-driven, sustainable solutions that enhance operational performance and patient care.
Stefan has held several senior leadership positions at Health Infrastructure, including his substantive role as Director, Economic and Health Facility Advisory, and previously as Director of the Statewide Asset Management Program. He led the development of a comprehensive asset portfolio planning process that enhanced risk management, informed investment decisions, and supported system-wide goals.
Career highlights include leading the development of the Westmead Innovation District Master Plan, securing Westmead’s inclusion in the Sydney Metro West project, and advancing sustainable asset management. His leadership in driving transformative care models was recognised with the NSW Premier’s Award for improving service levels in hospitals.
Stefan holds an MBA in Health Management, is a Certified Asset Management Assessor, and has additional qualifications in Health Information Management, Project Management, Clinical Redesign and Climate Risk. He is a passionate leader committed to fostering collaboration, innovation, and excellence in healthcare.

Troy brings extensive executive leadership experience in the development of projects across NSW government and private sectors, and a strong track record in leading complex procurement deals and leveraging commercial partnerships for great project outcomes.
Between 2010 and 2019, Troy led a number of Health Infrastructure capital projects, public-private-partnerships and portfolios. In 2019 he joined the Western Parkland City Authority as Executive Director leading the Planning and Development functions for the Aerotropolis, including the proposed new Bradfield City Centre.
Troy’s extensive experience in public and private sector investment models as well as a substantial background in infrastructure planning and development, makes Troy a valued member of our Executive Leadership Team to deliver NSW Health’s vision for partnerships and greater health outcomes.