Launching a 30–50 bed hospital requires a coordinated sequence of planning, approvals, design work, and construction execution. While the scale is smaller than large multi-specialty institutions, these facilities still demand precision because they include critical care zones, diagnostics, MEP-heavy systems, and strict regulatory norms.
Understanding the typical timeline helps founders, promoters, and investors set realistic expectations and minimize delays. Below is a clear overview of how a well-managed hospital project progresses from concept to commissioning.
1. Pre-Planning & Feasibility (2–6 Weeks)
Every successful project begins with clarity. This stage evaluates:
Clinical scope & service mix
Local demand & competition
Preliminary project costing
Land suitability & accessibility
Regulatory environment
A feasibility study guides decision-making and prevents costly mid-project changes.
2. Site Selection & Due Diligence (2–8 Weeks)
A hospital’s viability depends heavily on its location. Key evaluations include:
Land title verification
Road access & catchment
Zoning and land-use compliance
Soil testing and environmental constraints
Utility availability (water, power, drainage)
Choosing the right site reduces future approval hurdles and construction risks.
3. Concept Architecture & Space Planning (3–6 Weeks)
Once the site is confirmed, architects develop:
Master layouts
Floor plans for OPD, IPD, emergency, diagnostics
Patient and staff movement flow
Engineering integration zones
The goal is to create patient-centric, operationally efficient spaces while meeting clinical needs.
4. Regulatory Approvals (3–6 Months, Parallel Process)
Hospitals require multiple clearances from local authorities and specialized agencies. Common approvals include:
Building plan sanction
Fire department NOC
Pollution control board approval
Height clearance (if applicable)
NABH guideline compliance
Early submission speeds up the overall timeline.
5. Detailed Design – Architectural, Structural & MEP (8–16 Weeks)
This is where the project shifts into technical accuracy. Teams work together to finalize:
Structural engineering
HVAC zoning
Medical gas pipeline routing
Electrical load calculations
Plumbing & drainage networks
Fire-fighting plans
BIM/3D modelling is often used for clash detection and smoother execution.
6. Tendering & Contractor Finalization (4–8 Weeks)
After design completion:
BOQs and tender documents are prepared
Contractors submit technical + financial bids
Final selection is based on quality, price, and experience
A good contractor significantly impacts project speed and cost control.
7. Construction Phase (8–14 Months)
This phase includes:
Foundation & civil structure
Blockwork and plastering
MEP installation
Interior finishing
External development
Regular project monitoring ensures milestones remain on track.
8. Medical Equipment Procurement (3–6 Months, Overlapping Phase)
Because equipment affects MEP design, early coordination is critical. Items ordered during construction include:
Diagnostic machines
OT equipment
ICU equipment
Modular OT systems
Electrical & UPS systems
Timely delivery avoids handover delays.
9. Final Testing, Commissioning & Handover (4–8 Weeks)
Once construction is complete:
MEP systems undergo testing
Fire NOC and occupancy approvals are obtained
Equipment installation is completed
Staff walkthroughs and mock drills are conducted
The hospital becomes ready for soft launch or full operation.
Summary
Most 30–50 bed hospitals take 9–18 months from design to handover. With clear planning, early approvals, and a skilled project team, the timeline can be optimized without compromising quality, safety, or compliance.
