Property and Infrastructure Specialists
Delivering a $265M hospital redevelopment to significantly improve patient and community care.
NSW Health Infrastructure
Hornsby, NSW
Stage 2 ($265M), Multi-storey car park ($19.8M)

The NSW Government’s Hornsby Ku-ring-gai Hospital (HKH), in northern Sydney, began to transform in 2013. The redevelopment integrates and co-locates health services on campus. It delivers an improved experience for patients, carers, staff and visitors. The new models will provide health care that is:

  • Affordable
  • Timely
  • Appropriate

Stage 1 of the redevelopment was complete in 2015. Stage 2 required a strategic business case before starting. Health Infrastructure (HI) engaged APP to prepare and manage the Stage 2 business case and schematic design for the $200M project.

Planning and delivery expertise

With approval for Stage 2 business secured in 2017, APP was engaged to plan and deliver redevelopment services. The project includes a new Medical Imaging department and a $19.8M multi-storey carpark on the HKH campus.

In 2019, the NSW Government announced an extra $65M for additional services. APP provided planning services and managed the business case for the increased project scope.

A complex live environment

Managing construction within any live environment presents challenges. In this case, to demolish and construct hospital buildings in the existing footprint, whilst maintaining the operational integrity of nearby critical clinical services buildings, was essential. Preserving patient comfort and business continuity is paramount to project success.

Skilled and experienced professionals

We established strong working relationships with the hospital stakeholder groups. Our teams met with user groups to understand their clinical and business needs, and these requirements were the basis of detailed designs.

It is vital to build a rapport with stakeholders to ensure a smooth transition to construction and minimal disruption to the hospital’s live environment. Our project team holds weekly meetings with the Hospital redevelopment team to review and communicate the construction program. These meetings minimise the impact on daily operations and manage any potential disruption. Consultations with the local community also reduces disturbance to residents.

Project scope

The Hornsby Ku-ring-gai Hospital Stage 2 redevelopment refurbishes and expands the Emergency Department. It also delivers a new multi-storey Clinical Services Building (CSB). Extra facilities include:

  • Combined Intensive Care and High Dependency Unit
  • Combined Respiratory/Cardiac and Coronary Care beds co-located with a Cardiac Investigations Unit
  • Medical imaging
  • Outpatient services
  • Paediatrics
  • Medical Assessment Unit
  • Transit Unit
  • Inpatient Units (including general medicine, stroke and dementia/delirium beds)
  • Collocated education space with the University of Sydney
  • Retail space

The extra $65M announced in 2019 will deliver:

  • Fit-out of two Rehabilitation Inpatient Units
  • Refurbishment and increased capacity of the Psychiatric Emergency Care Centre
  • Expanded outpatient services. These include oral health services, new chemotherapy and new renal dialysis unit
  • Integration of community health services
  • A helipad

Project benefits

The redevelopment benefits staff, patients and the nearby community of the Hospital. At a high level, the project delivers:

  • Increased capacity for essential clinical services
  • Improved culture and morale, to attract and keep staff
  • Delivery of better health outcomes through contemporary models of care
  • Increased efficiency and reduced operational costs
  • Reduced infection rates


To date, APP has delivered:

  • Stage 2 early works packages
  • Multi-storey carpark opened to staff and visitors in December 2018
  • A new Medical Imaging department.

The new Imaging department, opened to the public in November 2019, is twice as big as its predecessor. The new design houses state of the art medical equipment including an Orthopantogram (OPG) for dental scans, a SPECT CT and MRI. The extra equipment enables the Medical Imaging team to shift to a new model of care focusing on an improved patient experience.

Enquire now

Working for over 500 clients across more than 800 projects annually - these are some of the examples of what we do.

Our latest news and thought leader views.