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The NSW Government announced plans in June 2017 to develop a new major referral hospital on a greenfield site in the Tweed-Byron area. In 2018, the NSW Minister for Health announced the preferred site was located at 771 Cudgen Rd, Cudgen.
Health Infrastructure NSW lodged a concept application for the development of a new hospital, and associated Stage 1 site preparation works. The exhibition and assessment process for both the concept proposal and Stage 1 works are occurring concurrently.
More information on the full project is available on the NSW Health site for the new Tweed Valley Hospital project.

The new Tweed Valley Hospital project is classified as State significant development (SSD) under the State Environmental Planning Policy (State and Regional Development) 2011, because it involves a development with a capital investment value (CIV) of more than $30 million.


A staged SSD is a development with multiple stages, each classified as SSD and requiring separate assessment processes

The concept stage sets a guide for acceptable size, height, and use of the development as well as future redevelopment of the site.


If the concept design is approved, applications for the future stage(s) with detailed design and operational parameters would be lodged, exhibited, and assessed having regard to any requirements specified by the concept design. The community will have an opportunity to comment on future applications when they are exhibited.

The development application for the proposed new hospital 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 masterplan identifying open areas and concept public domain treatments.

Stage 1 works:

  • identification of the construction compound;
  • 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 associated retaining walls;
  • rehabilitation and revegetation of part of the wetland area; and
  • construction of temporary internal roads for use during construction.

The Department of Planning and Environment plays an important role in assessing major projects in NSW. 

In parallel, the Department also exhibited the Explanation of Intended Effect (EIE) for a proposed State Environmental Planning Policy (SEPP) that would amend the permissible land uses on the site. The existing land use zone for the site is a combination of RU1 Primary Production and R1 General Residential under the Tweed Local Environmental Plan (LEP) 2014.

The SEPP proposes to rezone part of the land to SP2 Infrastructure (Health Services Facility) meaning that a hospital and its ancillary uses would be classified as a permissible use on the site. Other planning controls to facilitate the hospital development are also proposed.

The exhibition period for the Environmental Impact Statement closed on 13 December 2018. 

The Department will consider all submissions received during public exhibition about the SEPP and the concept application for the hospital.

Following consideration of the submissions regarding the rezoning, the Minister for Planning will decide whether to adopt the proposed controls.

If the planning controls are adopted, the Department would then proceed to finalise assessment of the proposed concept and Stage 1 hospital development application.
The Department will consider the application against existing strategic plans and policies, feedback and comments from the relevant local council(s), specialised and technical input and advice received from Federal and State Government agencies, and all submissions received during public exhibition.

  • Find out more about the proposed changes to planning controls and the State Environmental Planning Policy. 
  • Find out more about the full background regarding the site selection and the proposed hospital development at the NSW Heath Infrastructure project site
  • Call us on 1300 305 695
  • If English isn’t your first language, call 131 450, ask for an interpreter in your language and request to be connected to our Information Centre.

Page last updated: 14/12/2018