St George Hospital Redevelopment Stage 3 and Priority Works

MBM Project Lead

Client Name

Health Infrastructure

Sector

Timeline

2020 - Ongoing

Project Value

$411m + $22m Priority Works

MBM Project Team

  • David Madden
  • Stoyan Dimitrov 
  • Charmaine Resos 
  • Amelia Pan 
  • Neville Pan 
  • Miranda Mai

Services Provided

Full cost management service through planning and delivery stages. Including business case, budget estimates, cost planning, cost reporting, value management.

Project Background and Scope

The Project is the third major stage in the redevelopment of the St George Hospital and Community Health Services campus. It will provide for a new Integrated Ambulatory Care Precinct including outpatient services, ambulatory care unit, day surgery/high volume short stay (HVSSS) unit with refurbished operating theatres and new beds; increased sub-acute inpatient beds and a new day rehabilitation unit and associated medical imaging.

Decanting, demolition, site services upgrades, three level basement carparking and external works all form part of the proposed project scope.

The Priority Works package include construction of Covid Clinic, and expansion and refurbishment of clinical areas in the existing Acute Services Building.  Infrastructure upgrade and demolition of the existing Animal House and Skills Centre and Radiology 2 are also part of the project scope.

The refurbished areas are:

  • Clinical Skills Centre
  • MRI
  • Nuclear medicine
  • Fluoroscopy
  • Auditorium
  • ED Satellite Imaging

There are several early works packages which MBM is already providing cost advice on.

Project Challenges

Existing built infrastructure including buildings, services, roads and parking

  • St George Hospital has no obvious expansion opportunities outside its current boundaries.
  • There are sensitive residential & heritage zones adjacent to the site which will impact future development.
  • It is likely that the massing of multi-level structures along Gray Street will be required to be setback from the boundary at higher levels to reduce impact upon residential areas opposite. The existing Fire Station is heritage listed and small in scale. This may require the design of adjacent buildings to address the massing and architectural design of the fire station.
  • An aviation consultant has reviewed the impact that building the AST has on the existing helipad on top of the adjacent Gray St carpark. The aviation report concludes that above level four of the AST, there will be impacts on current operations. To address this, the operational management of the helipad will need to be investigated for the period from when the AST structure is above level 4, until completion and commissioning of the helipad on top of the AST.

The site boundaries, topography and surrounding roadways

  • The hospital site does not have a major highway frontage or access.
  • Vehicular access to the site has a number of congestion points.
  • The site topography requires entries to be provided at different heights around the site, making coordination of internal floor levels difficult.

The Stage 1 building design

  • The layout of the Emergency Department building, although designed around the 8.4 metre grid recommended by HI’s systemised development framework, has been modified in places to address a number of local constraints. To return columns to the grid on new higher levels, will require transfer structures, which will be expensive and will constrain services in the ceiling voids of important clinical spaces.
  • The Stage 1 building blocks vehicular access to the courtyard behind it. There is a large amount of plant adjacent to that courtyard which is now inaccessible to service vehicles. Any plant replacement will require equipment to be lifted in or out by a large tower crane, and the construction of a new core for the Acute Services Tower in that courtyard will further constrain that access.
  • Stage 1 provides only a concrete roof slab and metal deck roof over the ground floor Emergency Department, rather than a full shell floor. This requires the Stage 2 design to plan for removal of the temporary metal roof and construction of Level 1 while Emergency continues in operation, a difficult and potentially risky task.

Council zoning and height limits

  • Although there are no council limits to building height on the site, tall structures are likely to overshadow neighbouring residential properties.

MBM Solutions

While Stage 3 faces significant physical and operational constraints, these challenges can be mitigated through a coordinated, phased, and technically integrated design strategy that prioritizes:

  • Vertical efficiency
  • Heritage and residential sensitivity
  • Operational continuity
  • Engineering innovation

The key will be early stakeholder engagement, strategic construction staging, and smart use of digital design tools to plan for long-term serviceability, safety, and patient care.