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Find out what's happening with the project.

February 2024

Project Whakatupuranga - Nelson Hospital redevelopment is now in the early stages of design with a focus on defining the campus master plan. This involves completing a test-to-fit exercise to confirm the exact location (within the Hospital campus), size and scale of the redevelopment and the design of the services infrastructure. This work is being reconciled with the local plan rules.


The masterplan will be confirmed by the middle of the year, by when the early design concepts will also be ready.

About Project Whakatupuranga

There are a number of reasons for redevelopment including the unacceptable seismic risk to the acute clinical services buildings which would be unable to withstand a significant earthquake, jeopardising the ability to provide patients with post-disaster health services.

As part of our planning, we also wish to ensure that the hospital has the capacity required to address the changing population and health needs of the region and the facility is configured to meet contemporary models of care.

The focus of this redevelopment is to introduce more efficient and effective models of health care. We will increase capacity to meet the future demand of Nelson’s growing and ageing population.

Design for the Nelson hospital redevelopment will incorporate technology and processes to improve efficiency, enhance patient and staff experience, and benefit generations of people across the Te Tau Ihu / Top of the South.

Planning underway for the Nelson Hospital redevelopment - Project Whakatupuranga

Nelson Hospital is the largest of two secondary hospitals in the Nelson Marlborough region, providing healthcare services to a growing and aging population.

Approval to redevelop the hospital and future-proof it for decades to come now means the Nelson Hospital redevelopment can begin initial design and enabling works for an Acute Services Building. This is the first stage in a multi-phase programme, to be carried out over 10 years.

A phased approach

Due to the large scale and scope of the redevelopment, a phased approach will be taken with clinical and building needs prioritised to inform the phasing and order of the redevelopment

  • Phase 1: Design to complete the campus masterplan and develop a detailed business case which will define the remaining stages. Once the bulk and location for the campus is confirmed enabling works will progress to prepare the site and infrastructure where possible.
  • Phase 2: Final design stages and construction of new facilities. Seismic strengthening and refurbishment of some of the existing facilities will also be prioritised.
  • Phases 3 to 6: Refurbishment and re-purposing of existing buildings.

Estimated timeline

  1. Step ✔: Late 2025

    Detailed Business Case 

  2. Step ✔: Construction begins

  3. Step ✔: 2031

    New facilities operational

  4. Step ✔: 2032 to 2033

    Completion of refurbishment of other buildings


These documents outline Cabinet decisions on the Programme Business Case for the Nelson Hospital redevelopment – Project Whakatupuranga.

Cabinet approved Option One of the Programme Business Case at an estimated cost of $1.098 billion, commencement of the design and enabling works for Phase One, and the Detailed Business Case (DBC) for Phase Two.

The Detailed Business Case for Phase Two is expected at the end of 2025.

Some material has been withheld under section 9(2)(i) Official Information Act (1982), to enable commercial activities to be carried out without prejudice or disadvantage.

Download: Cabinet Material: Nelson Hospital Redevelopment - PDF, 2 MB

Publication Date: 09 August 2023