Royal Prince Alfred Hospital Redevelopment

Under Delivery
Royal Prince Alfred Hospital Redevelopment

The Royal Prince Alfred Hospital Redevelopment is the redevelopment of the hopsital including a new 15 storey hospital building; three storey extension to the east of the existing clinical services building; two storey vertical expansion of RPA Building 89; refurbishment works; demolition; temporary helipad; and a new open garden courtyard.

Works will comprise:

  • Demolition of:
    • Building 94 and the RPA Chapel, and
    • the existing helicopter landing site (HLS) and ambulance drop-off canopy.
  • Partial façade removal and internal partition demolition. 
  • Construction of a 15-storey building to the east of building B89, known as the ‘East Wing’, including:
    • clinical space for Inpatient Units, Medical Imaging, Delivery, Neonatal and Women’s Health Services
    • a rooftop HLS, and
    • green roofs at Levels six, nine, 11, and 13.
  • Construction of a two-storey vertical extension over B89, known as the ‘Northern Expansion’, including:
    • clinical space for an expanded Intensive Care Unit
    • rooftop solar panels
    • re-cladding of the existing northern façade of B89 to match, and
    • a triple-height void with green roof and terrace above.
  • Construction of a new landscaped Northern Arrival from B89 fronting Johns Hopkins Drive, providing expanded PU/DO facilities.  
  • Construction of a three-storey extension to the east of B89, known as the ‘Eastern Extension’, including:
    • clinical space for expanded operating theatres, and
    • rooftop plant and a green roof.

The project will be delivered in three Stages over five years as follows:

  • Construction Phase One (October 2023 to October 2026)
    • demolition, tree removal and service diversions
    • construction of the new East Wing
    • vertical extension to B89. o construction of the temporary HLS, and
    • internal building works including new lift installations and construction of a linkway at Level 7.
  • Construction Phase Two (November 2023 to February 2026)
    • external extension civil and piling, structural and façade, and
    • loading dock road lowering and associated service relocations.
  • Construction Phase Three (November 2026 to July 2028)
    • eastern extension connections into the existing and internal fit-out
    • relocation of existing departments
    • internal refurbishments (including recovery/perioperative unit, ED, ambulance entry, radiology rooms and cardiac catheter labs (warm shell), and
    • site wide landscaping. 

Key Dates

Mar 2019 Project Announcement
2021 Enabling works to begin
Oct 2023 Construction Commencement - Phase One
Nov 2023 Expected Construction Commencement - Phase Two
Feb 2026 Expected Construction Completion - Phase Two
2026 New hospital building to be operational
Oct 2026 Expected Construction Completion - Phase One
Nov 2026 Expected Construction Commencement - Phase Three
Dec 2028 Expected Construction Completion

Funding contributions

NSW Government


Procuring Agency: Health Infrastructure NSW
Procurement note:

CPB Contractors have been selected for the ECI phase of the Royal Prince Alfred Hospital Redevelopment.


Mar 2019 Going into the 2019 State Election, the NSW Government announced that it will invest $750 million for the project.
Oct 2020 NSW Government announced that the delivery of the project has been brought forward by one year, as part of the State's COVID-19 Recovery Plan.
Jun 2021 The 2021-22 NSW Budget allocated $66 million to the project in FY2021-22.
Aug 2022 Health Infrastructure NSW lodged a Request for the SEARs to the NSW Department of Planning and Environment.
Aug 2022 The NSW Department of Planning and Environment issued the Secretary Environmental Assessment Requirements (SEARs) for the project.
Sep 2022 The NSW Government released the concept designs for the project.
Nov 2022 Barpa Constructions Services was awarded the Enabling Works contract for the project.
Jan 2023 Health Infrastructure NSW awarded CPB Contractors the contract to finalise plans for the Royal Prince Alfred Hospital Redevelopment.
Feb 2023 The project's Environmental Impact Statement was placed on public exhibition, closing 1st March.
Feb 2023 The NSW Government released designs for the RPA Hospital Redevelopment.
Sep 2023 The Minister for Planning and Public Spaces approved the project's State Significant Development application.
Oct 2023 The NSW Government announced major works commenced on the project. The Government also announced the project's total estimated cost increased from $750 million to $940 million.
Estimated Total Cost
Procurement approach
Traditional Procurement | Unconfirmed |
New South Wales |
Infrastructure agency resources