This was a design and build contract carried out with John Sisk & Sons to develop a state of the art critical care facility in a new 6 storey building over 2 basement levels. The reinforced concrete framed building is constructed within the existing hospital campus and connected to existing 2 / 3 storey buildings. It is designed to contain car parking in the basement (Levels -1 & -2), medical floors at Levels 0 – 4, and a plant room at Level 5. The building will allow for future extensions in the basement and upper floor levels in line with the Development Control Plan for the campus. The facility contains a 12 bed Intensive Care Unit on Level 01, a 16 bed High Dependency Unit on Level 02, a 16 bed Critical Care Unit on Level 03 and a Cardiac Department and Catherisation Laboratory on Level 04. Level 0 is to form part of a new Accident and Emergency Unit with fit-out taking place at a later date. All floor levels are accessed from a main hospital street, which is serviced by 2 stair cores and 2 lift cores containing 6 lifts. The Grade 2 naturally ventilated basement levels were constructed of in-situ reinforced concrete raft / pad foundations and retaining walls with an external waterproofing membrane. In order to allow maximum flexibility for service runs in the ceiling void of this highly serviced building, downstand beams were not permitted in the floor construction. A new 270 space surface car park was provided to cater for the new building, displaced spaces as a result of the development and existing shortages on the campus. Ancillary works included an extension to the existing Stand by Generator / Sub-station Building, demolition of an existing stair core, temporary relocation of the dialysis department, the diversion and upgrade of the hospital campus ring road, construction of ambulance drop-off area, modification of existing car parks and diversion / upgrade of various existing underground services.