Tweed Valley Hospital, Business Case
Client: Health Infrastructure NSW

30 minutes travel time for services, 16 hectares required, 50 sites considered

Artists impression of Tweed Valley Hospital

The Tweed Valley Hospital, due for completion in 2023, is a AUD$673m greenfield hospital development located in the Tweed-Byron region. The project addresses the growing demand for healthcare in the region by delivering additional inpatient capacity, an expanded emergency department, and enhanced surgical and ambulatory services.

TSA Advisory developed the gateway 1 and gateway 2 business cases for the project, which required us to resolve a number of complex project challenges including:

  • Site selection and compulsory acquisition.
  • Detailed master-planning to ensure the site is appropriately future-proofed.
  • Service prioritisation and consideration of staging options to deliver the hospital.
  • Service transition strategies from the existing hospital and the interim management of the existing site.

A range of innovative and efficient building solutions have been explored in the planning stages of the project, including the opportunity to provide workspace, education and ambulatory care spaces in different classes of building.

The new hospital will provide expanded emergency department services, operating theatres and surgical services, intensive care and rehabilitation services, increased capacity in medical and surgical beds, and a boost to ambulatory care services. It will also provide communities with specialised and local health services, such as radiation oncology and cardiac catheterisation, as well as expanded renal services to address the increasing incidence of chronic kidney disease in the Tweed Valley.

The new facility will accommodate over 350 beds, include culturally appropriate spaces to meet the needs of Aboriginal and Torres Strait Islander people, and accommodate the needs of the residents and visiting community.

For more information about the project visit the Tweed Valley Hospital Development website.


  • 30 minutes travel time for services

  • 16hectares

  • 50 different sites considered