Rouse Hill Hospital update February 2026
This month, we announce the start of construction on the new Rouse Hill Hospital. We also meet the builder, give a construction update and share a recap from a recent consultation session with local youth.
Construction starts on new Rouse Hill Hospital
Construction has officially begun on the new $910 million Rouse Hill Hospital, marking a significant milestone in delivering a new world-class facility for Sydney’s growing northwest communities.
The NSW and Commonwealth Governments are delivering the new public hospital which will provide world class, comprehensive, integrated health care to the growing region of north west Sydney now and into the future.
Located on the corner of Commercial and Windsor roads, close to the Rouse Hill Metro Station and Rouse Hill Town Centre, the new hospital is located at the heart of the community.
When complete, it will include an Emergency Department, comprehensive birthing services including birthing rooms and a maternity inpatient unit, inpatient beds and day surgery services, pathology, pharmacy and medical imaging services, outpatient and ambulatory care services including paediatrics and renal dialysis, prehabilitation and rehabilitation.
Planning and design for the new hospital continues to be guided by ongoing community feedback, helping to shape and inform the project.
The State Significant Development Application for main works construction was recently placed on exhibition and submissions are currently being assessed. This next stage of work is expected to begin later this year, following planning approval.
Meet the builder: Lendlease
Lendlease has been appointed as the Early Contractor Involvement (ECI) contractor for the Rouse Hill Hospital project following a competitive tender process.
As part of this role, Lendlease will deliver the early works to prepare the site for the main construction phase. This initial stage includes tree removal, establishing temporary internal access roads, and undertaking bulk excavation to shape the site for the new hospital.
Lendlease Construction Manager, Luke Scarrabelotti, said the first steps involve establishing the site, which includes installing temporary site sheds for workers and setting up internal fencing.
Once the site is established, bulk excavation will commence to level the ground so foundations for the new hospital can be set.
“Excavation is about reshaping the site. Once these works are done, you’ll start to appreciate the scale and size of the new building,” Scarrabelotti said.
In total, approximately 33,700 cubic metres of earth will be excavated — the equivalent of around 13 Olympic‑size swimming pools.
A mix of large and small excavators will be used throughout the works, including machines weighing up to 50 tonnes. At peak, up to six excavators will be operating on site, supported by rollers used to compact the ground and trucks transporting material in and out of the site.
To minimise dust during excavation, measures such as water carts and dust suppression methods will be in place.
Feedback from young people
The Western Sydney Local Health District’s Youth Council recently consulted with the project team to provide feedback on the design of the ambulatory care specialist clinics, emergency department waiting areas and interview rooms, ensuring the voices of young adults are included in planning for health services.
The new hospital is also expected to include dedicated youth outpatients services, delivered in a welcoming space designed specifically for young people.
The group also contributed ideas on the design of interview rooms. They recommended comfortable seating without armrests, avoiding tables between consumers and staff to reduce barriers, incorporating moveable furniture, and equipping rooms with audio‑visual technology to allow flexibility in how conversations occur.
In addition, the Youth Council provided feedback on the design of emergency department waiting areas. They suggested a variety of seating options, including cushioned chairs, couches that allow young people to lie down, and charging stations incorporated into seating. They also identified the need for a quiet zone, access to peer workers, and improved privacy within the triage area.
The feedback provided by these young people will be considered as part of our detailed design process, and the project team looks forward to continuing consultation with the WSLHD Youth Council throughout 2026.