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NSW Department of Planning, Industry and Environment
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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’s concept application for the development of a new hospital, and associated Stage 1 site preparation works, was publicly exhibited and open for public comment in 2018. The Department is currently assessing the application.


More information on the full project is available on the Tweed Valley Hospital project (NSW Health) website.


The Department plays an important role in assessing major projects in NSW. For more information on our role in assessment of the hospital application, see the new Tweed Valley Hospital landing page.


In parallel, the Department also exhibited the Explanation of Intended Effect (EIE) for a proposed State Environmental Planning Policy (SEPP) to amend the maps governing the site in the Tweed Local Environmental (LEP) 2014.


Once approved by the Minister for Planning, the SEPP will 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.

The land proposed for development as a hospital is primarily zoned RU1 Primary Production under the Tweed LEP 2014, and hospitals are a prohibited use in the RU1 zone.


The proposed planning controls would rezone the land, and allow the State significant application for the new Tweed Valley Hospital to be assessed.


Any application for a health services facility on the site for development over $30M would be subject to assessment by the Department under State Environmental Planning Policy (State and Regional Development) 2011.


The amended planning controls must be implemented before the hospital application is determined.

The existing land use zone allowed on the site is a combination of RU1 Primary Production and R1 General Residential.


The amendments to the Tweed LEP 2014 will rezone the subject site to SP2 Infrastructure (Health Services Facility) to allow health service facilities, including hospitals “permissible with consent”. The amendments also seek to remove development controls relating to height, minimum subdivision lot size and floor space ratios.

“Health services facility” means a building or place used to provide medical or other services relating to the maintenance or improvement of the health, or the restoration to health, of persons or the prevention of disease in or treatment of injury to persons, and includes any of the following:

  • a medical centre,
  • community health service facilities,
  • health consulting rooms,
  • patient transport facilities, including helipads and ambulance facilities,
  • hospital* (Note the definition of hospital fits within the parent definition of Health Services Facility)

Hospital means a building or place used for the purpose of providing professional health care services (such as preventative or convalescent care, diagnosis, medical or surgical treatment, psychiatric care or care for people with disabilities, or counselling services provided by health care professionals) to people admitted as in-patients (whether or not out-patients are also cared for or treated there), and includes ancillary facilities for (or that consist of) any of the following:

  • day surgery, day procedures or health consulting rooms,
  • accommodation for nurses or other health care workers,
  • accommodation for persons receiving health care or for their visitors,
  • shops, kiosks, restaurants or cafes or take away food and drink premises,
  • patient transport facilities, including helipads, ambulance facilities and car parking,
  • educational purposes or any other health-related use,
  • research purposes (whether or not carried out by hospital staff or health care workers or for commercial purposes),
  • chapels,
  • hospices,
  • mortuaries.

The Department will proceed to finalise our assessment of the proposed concept proposal and Stage 1 development application for the new Tweed Valley Hospital.


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.


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You can also 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: 05/06/2019