More than one in ten patients presenting to Westmead or Blacktown emergency departments are estimated to come from Rouse Hill and surrounding suburbs, according to NSW Government analysis of patient postcode data.
The analysis estimates more than 17,000 patients from the area present to Westmead or Blacktown hospitals each year – almost 50 people a day – adding around 13 per cent to demand across the two hospitals.
The NSW Government says the pressure reflects the long-standing absence of a hospital at Rouse Hill, which had previously been promised but not delivered.
Construction is now underway on the new $910 million Rouse Hill Hospital, which will include an emergency department, comprehensive birthing and maternity services, inpatient beds, day surgery and a range of diagnostic and outpatient services.
Early construction began in February 2026. The main works planning application was approved in April, and by August major site preparation had been completed, with foundation works beginning.
The project forms part of the NSW Government’s $11.9 billion health infrastructure program, which will deliver 32 new and upgraded hospitals and more than 2,500 additional beds and treatment spaces across NSW.
Western Sydney investments also include $38 million for 18 additional specialty beds at Westmead Hospital and $120 million for 60 additional beds across Blacktown and Mount Druitt hospitals.
Thirty additional beds at Blacktown Hospital are on track to be completed in 2026, while construction of 30 additional beds at Mount Druitt Hospital is expected to be completed in late 2027.
The new Rouse Hill Hospital is intended to provide more healthcare services closer to home for communities across Sydney’s rapidly growing north-west and reduce pressure on existing Western Sydney hospitals.
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