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Investment / Historical decision record
The Blacktown and Mt Druitt Hospital redevelopment connects a public promise to a reported building, an independent finding and the people holding relevant roles. This account covers historical evidence from 2015–2020, not the hospital’s current performance.
The audit’s project table records a $400m funding commitment and $400m budget estimated total cost for Stage 2. A commitment establishes the planned funding; it is not proof of final payments.
The entry concerns Blacktown and Mt Druitt Stage 2. The table does not identify the individual approval signatory.
Exhibit 4, printed page 15 / PDF page 19; amounts in A$ thousands
Open original sourceThe 2019–20 annual report lists a July 2019 construction milestone in the combined Stage 1 and 2 redevelopment. It describes an acute services building including an emergency department.
The milestone footnote allows components of larger projects that are not officially complete. It does not establish when every service opened to patients or whether all planned capacity was staffed.
Printed pages 103 and 281 / PDF pages 119 and 297
Open original sourceA capital-works table reports $655.2m for Stages 1 and 2 together. The narrative describes more than $700m. Neither is a verified final Stage 2 payment account.
Subtracting the $400m Stage 2 commitment from a combined-stage figure would produce a misleading “overrun”. The collected records do not reconcile those scopes.
The table value is $655,186,804. It is not evidence that this amount was all spent in 2019–20, nor that the difference from the narrative represents savings.
Capital works heading on printed page 102 and project row on 103 / PDF pages 118–119
Open original sourceThe audit reports that site conditions and complexity contributed to approximately five months of early-works delay. Main construction finished about nine months later than the business case planned.
The five months are part of the explanation for the nine months. They are not two delays to add together.
This passage establishes a delay finding. It does not quantify a Blacktown cost overrun, identify a person who caused the delay or establish misconduct.
Printed page 28 / PDF page 32, site-condition risks
Open original sourceNSW Health Secretary Elizabeth Koff’s response accepts recommendations 1, 2 and 4. It rejects recommendation 3 on the stated ground that it duplicates existing assurance arrangements.
These recommendations concern capital governance across the system. The collected source set does not establish their later implementation.
The response is published with the 12 August 2020 audit. Acceptance is a recorded response, not a completed corrective action or a current status check.
Printed pages 32–34 / PDF pages 35–37
Open original sourceNSW Minister for Health
2014–15 report
Health portfolio during the commitment period. This does not identify the individual who signed the project approval.
Health portfolio during the commitment period. This does not identify the individual who signed the project approval.
Printed page 7 / PDF page 13
Open original sourceNSW Minister for Health and Medical Research
2019–20 report
Health portfolio during delivery reporting. This does not assign every earlier decision to the later minister.
Health portfolio during delivery reporting. This does not assign every earlier decision to the later minister.
Printed page 2 / PDF page 18
Open original sourceWestern Sydney Local Health District Chief Executive
2019–20 report; appointed in 2019
Relevant service-management role. Exact project decision authority is not reconstructed here.
Relevant service-management role. Exact project decision authority is not reconstructed here.
Printed page 280 / PDF page 296
Open original sourceHealth Infrastructure Chief Executive
2019–20 report
Capital-delivery leadership. The role alone does not show who approved the 2015 commitment or caused a delay.
Capital-delivery leadership. The role alone does not show who approved the 2015 commitment or caused a delay.
Printed page 246 / PDF page 262
Open original sourceNSW Health Secretary and audit respondent
Response published 12 August 2020
Named signatory of the response to the capital-works audit. Acceptance of a recommendation does not prove its implementation.
Named signatory of the response to the capital-works audit. Acceptance of a recommendation does not prove its implementation.
Printed page 33 / PDF page 36
Open original sourceThe commitment, construction milestone and audit finding can be examined in their original sources. They make the delivery record more visible than an announcement alone.
The collected evidence does not establish a matched final cost, staffed capacity, promised patient benefits and comparable service results for this project. It cannot support a conclusion that the redevelopment caused an improvement or deterioration in care.
The national 2024–25 emergency-access result is a separate observation. It is not a performance score for this historical project.