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On 13 June 2017, the NSW Government announced $534 million for a new major referral hospital that would be constructed on a greenfield site in the Tweed-Byron region.


Health Infrastructure NSW (HINSW) lodged a State significant development (SSD) application for the concept phase and associated stage 1 works of the proposed new Tweed Valley Hospital.


The Environmental Impact Statement for the Tweed Hospital SSD was on public exhibition until 13 December 2018.


Health Infrastructure NSW has prepared a formal Response to Submissions report (RtS) to address issues raised by the community, council and government agencies during public exhibition.


View the RtS


Concept application and Stage 1 works

The development application for the proposed new hospital (as refined by the RtS) seeks approval for a Concept Proposal and concurrent Stage 1 works.


The Concept Proposal:

  • a maximum building envelope for a nine-storey hospital with basement, rooftop helipad and plant rooms
  • a maximum building envelope for a building accommodating supporting services
  • a maximum floor area of approximately 65,000sqm
  • the site layout, internal road layout, site access arrangements and car parking areas
  • a landscape master plan identifying open areas and concept public domain treatments
  • Tweed Coast Road / Cudgen Road intersection upgrade.


Stage 1 works:

  • identification of the construction compound
  • construction of temporary internal roads, laydowns and parking for use during construction
  • augmentation and connection of permanent services for the future hospital
  • tree removal within the footprint of the construction works
  • bulk earthworks and recycling of materials to establish the site levels
  • piling and associated works
  • stormwater infrastructure and an additional sediment basin
  • retaining walls
  • site access points
  • intersection improvement works
  • site remediation works.


Our role

The Department of Planning and Environment has two separate responsibilities in the proposed new Tweed Valley Hospital development.


The Department plays an important role in assessing State significant development applications, such as the new Tweed Valley Hospital proposal. As part of the assessment process, we placed the Environmental Impact Statement on public exhibition.


In parallel, the Department exhibited and considered an Explanation of Intended Effect (EIE) for a proposed State Environmental Planning Policy (SEPP).


The SEPP seeks to rezone part of the site to SP2 Infrastructure (Health Services Facility), to allow the Department to consider and assess the proposed hospital development.


The SEPP was gazetted in February 2019.

Page last updated: 07/05/2019