Rouse Hill Hospital update August 2026
A summary of the latest construction activities onsite at the Rouse Hill Hospital site.
The new Rouse Hill Hospital will provide expanded healthcare services closer to home for the growing community in Sydney’s northwest. Construction on the new Rouse Hill Hospital continues to progress, with major site preparation works now complete and foundation works about to start.
This month, we share construction updates, highlight how recent Aboriginal community feedback is shaping the design and invite Expressions of Interest for additional members to join our Consumer Reference Group to help inform the design and operational planning of the hospital.
Piling works set to start at Rouse Hill Hospital site
Early works is progressing well to prepare the site of the new Rouse Hill Hospital.
Excavation works are now complete on what will be the footprint of the new hospital. A large tank has also been installed onsite which will be used to collect storm water runoff when the hospital opens.
In the coming weeks, the builders will finish the installation of stormwater services and start installing concrete foundation piles which is a major construction milestone and marks the beginning of building the hospital’s structural foundations, by drilling deep concrete columns into the ground for the new hospital.
Rouse Hill Hospital - Construction progress flyover June 2026
Feedback from our Aboriginal consumers
An important part of the detailed design process for the project is meeting with a range of groups including the local Aboriginal community to finalise the design.
A Connecting with Country workshop was recently held, bringing together local Dharug representatives, Aboriginal health staff, architects and the project team to ensure the Rouse Hill Hospital responds to the needs of Aboriginal patients, families and communities. A key focus of the discussion was the Aboriginal Family Room and Aboriginal Garden in the new Rouse Hill Hospital. Participants expressed support for these dedicated spaces that will provide flexibility and a more welcoming alternative to traditional clinical environments for Aboriginal patients and families.
The Aboriginal Garden was positively received as a place for gathering and reflection, with direct access from the Aboriginal Family Room. Feedback highlighted the importance of accommodating different family needs and experiences, including spaces that can support both celebration and grief, flexible furniture arrangements, children's play areas and access to amenities such as tea and coffee.
Native plants, a range of seating, and spaces that support cultural practices including smoking ceremonies were key priorities. The feedback will be incorporated into the detailed design development of Rouse Hill Hospital.

Apply now to join the Rouse Hill Consumer Reference Group
We are seeking additional consumer representatives as the hospital construction progresses. A consumer representative is someone who helps us by sharing their views as a patient, carer, or community member. Their input makes sure that Rouse Hill Hospital will meet the needs of our community.
The group, which was established in 2024, has helped to shape key areas of the hospital including inpatient rooms, outpatient services layout, front of house flows, spaces and design, the Emergency Department and waiting areas, and maternity services.
In the next phases of design, we’ll focus on wayfinding, landscaping, furniture, fixtures and patient journey mapping to help with operational planning across the full range of services.
Meetings are held monthly or as required on Thursdays from 4.30–6.00pm at Rouse Hill or online. Consumer representatives are reimbursed for their time in accordance with NSW Health consumer participation guidelines.
Interested community members are encouraged to complete and submit a short online Expression of Interest form here. Applications close at 11.59pm on 13 August 2026.
Rouse Hill Hospital project team celebrate NAIDOC week
The Rouse Hill Hospital project team came together in early July to celebrate NAIDOC Week. As part of the celebration, Lendlease Senior Site Manager delivered a toolbox talk before team members contributed their handprints to a special 'We Work Hand in Hand' collaborative artwork.
It was great to see representatives from Health Infrastructure, Lendlease and subcontractor teams across the Rouse Hill Hospital site unite in support of NAIDOC Week.
