Western Cape's R1. 8 billion healthcare investment: 45 projects to transform patient care



The Western Cape’s healthcare system is getting a major shot in the arm, with 45 new construction projects under way.

Provincial health MEC Mireille Wenger said 30 of the projects were set to be completed in the 2025/26 financial year.

“Behind every brick and every beam is a bigger purpose: to deliver safe, dignified and world-class healthcare to the people of our province,” said Wenger.

“Having 45 health infrastructure projects underway, the most ever in a single year, shows our commitment to building for the future.”

Over the next three years, the health and wellness department will pump R1.8bn into health infrastructure to expand access, improve safety, and ensure that residents receive care in modern, well-equipped facilities.

The projects spanned all levels of care, from local clinics to major hospitals and included both new builds and upgrades.

New or replacement clinics were built in Saldanha, Knysna, Philippi, Ravensmead and Mossel Bay.

Existing facilities in De Doorns, Wellington, Ceres, Bothasig and Strand were upgraded.

At Groote Schuur Hospital, a R255m Emergency Centre was constructed, with lift and sewer upgrades also completed.

Alexandra and Lentegeur Hospitals underwent R150m in ward renovations and Montagu Hospital received a R42m upgrade.

Repairs and maintenance were carried out at the theatres of New Somerset, Tygerberg, and Caledon hospitals, while new psychiatric units were developed at Khayelitsha, New Somerset, and Eerste River hospitals.

At Tygerberg Hospital, enabling works prepared the site for long-term redevelopment, including upgrades to sewer and electrical systems and the construction of new linen and consumables warehouses.

Wenger said the investment reflected the province’s long-term vision for healthcare.

“From small community clinics to iconic hospitals like Groote Schuur and Tygerberg, every district is benefitting from investment that will increase capacity, improve conditions for staff, and ensure better care for patients,” she said.

“Our vision of a healthier Western Cape is becoming a reality, construction site by construction site. These projects are more than buildings.

“They are symbols of hope, progress and care for generations to come.”

With over 500 healthcare facilities across the Western Cape, the department said regular maintenance, upgrades and new builds were essential.

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