The milestone clears the best way for development to begin subsequent 12 months on the 185-acre Wester Moffat web site in Airdrie.
Laing O’Rourke is main pre-construction on the Monklands Substitute Venture, including to its observe report of delivering 18 main hospitals since 2010.
The prevailing Monklands Hospital would get replaced on completion of the brand new hospital in 2031 and will later be reworked right into a well being and wellbeing village.
NHS Lanarkshire chair Martin Hill mentioned the approval represented “an important milestone in current reminiscence”, with the complete enterprise case giving assurance on design, service planning and medical pathways.
Chief govt Louise Lengthy mentioned the undertaking was a “trailblazing” alternative to embed digital healthcare techniques and sustainable design from day one, delivering Scotland’s first main acute hospital constructed to net-zero requirements for each development and operation.
Venture director Graeme Reid mentioned finishing the ultimate enterprise case was “the results of years of arduous work” by board groups and exterior advisers, transferring the Monklands Substitute Venture into its ultimate approval part.





