rpa redevelopment


The NSW Government has committed $750 million to the redevelopment of Royal Prince Alfred (RPA) Hospital to deliver a new hospital building and refurbishment of existing spaces. 

This is the most significant investment in RPA’s 140-year history to support the world-leading services provided at RPA for the 740,000 people who live in Sydney Local Health District and the more than 1 million people who come into the District each day to work, study and visit.

When complete, the RPA Redevelopment will deliver:
  • Expanded and enhanced Emergency Department and Intensive Care Units
  • State-of-the-art operating theatres
  • Expanded and improved adult inpatient accommodation
  • Increased interventional and imaging services
  • Expanded neonatology services
  • Facilities and capabilities for integrated research, education and training
  • Additional adult inpatient beds
  • Improved public domain and services including roads, wayfinding, landscaping and information and communications technology infrastructure.
The vision for the RPA Redevelopment is:
  • That RPA sustainably delivers world-class, world-leading, personalised patient and family-centred care for the communities it serves.
  • That RPA is an anchor for leading translational research in Australia, equal to be best in the world.
  • That RPA works with partners through innovation, advanced technologies, research, integration and trials new, value-based models of care to integrate and transform healthcare and improve health outcomes.
  • That RPA’s Connection with Country will be further enhanced.
As planning progresses, further opportunities to enhance the integration of training, education and research will be explored to further cement RPA’s position as a leading principal referral hospital.

Digitally enabled and virtual models of care such as rpavirtual will continue to be enhanced and expanded, to build on the success of RPA Virtual Hospital – the first virtual hospital of its kind in NSW (opened February 2020).  

Stage 1 of the RPA Redevelopment will:
  • Increase capacity and capability to respond to increasing needs in service demand and community expectations
  • Increase access to contemporary medicine/care
  • Improve patient and carer experience through provision of more appropriate and accessible configured inpatient facilities
  • Re-purpose existing facilities i.e. maximise the value of existing assets
  • Treat patients in the appropriate clinical setting
  • Improve staff satisfaction, retention and attraction through increased opportunities enabled by the Project
  • Improve facilities and services that support the realisation of the CHERP Strategy
  • Reduce fragmentation of services to improve patient flows and increase efficiency.
The Redevelopment provides an opportunity to improve physical infrastructure, develop facilities that meet the future demands of the community, improve patient and staff amenity, implement new models of care and ensure sustainability and resilience into the future.

The RPA Redevelopment is currently in the planning phase and consultation is underway with staff, clinicians, consumers and the community to help inform planning and design. The project is expected to include early works, enabling and decanting works to facilitate the refurbishment and a new build that is respectfully integrated with existing hospital facilities.

  • Royal Prince Alfred (RPA) Hospital is one of Australia's premier tertiary referral hospitals and is recognised as a pioneer in patient care – and a world leader in healthcare excellence, research and innovation. RPA is part of a network of hospitals managed by Sydney Local Health District.
  • RPA has a long history of providing care to some of the most vulnerable people in our community and has a long history of working in partnership with the Aboriginal Medical Service Redfern and the Metropolitan Local Aboriginal Land Council and its local CALD Communities.
  • RPA is the principal teaching hospital of the University of Sydney and has the highest clinical complexity of any principal referral hospital in New South Wales.  RPA provides tertiary and quaternary referral and acute services to the 740,000 people who live within the boundaries of Sydney Local Health District, more than 1 million people who come into the District each day to work, study and visit, as well as to other metropolitan residents, rural, interstate and overseas patients. 
Since its foundation in 1882, RPA has been a respected provider of healthcare, maintaining the philosophy that our doors are always open to those who need our help.

RPA became a household name when the top rating television series the RPA Show took the stories of our patients into the lounge rooms of thousands of families around Australia and overseas.

RPA provides an extensive range of diagnostic and treatment services to more people in NSW than any other public hospital. More than 1000 patients are treated at RPA every day.

In March 2019, the NSW Government committed $750 million to the redevelopment of RPA Hospital to deliver a new hospital building and refurbishment of existing spaces as well as to further expand its strong clinical and research capability.

The RPA Redevelopment will deliver new and upgraded facilities that will enhance existing services, support the creation of new services and expand future capacity. This includes an enhanced and expanded Emergency Department and Intensive Care Unit, as well as improved medical imaging services, operating theatres and maternity, birthing and neonatal services and additional adult inpatient beds.

The redevelopment is a once in a generation opportunity to deliver future-focussed, critical healthcare facilities that will improve the experience of patients, staff and the community.