The Townsville Hospital Clinical Services contract was a highly technical project delivered across multiple different locations within an operational hospital environment. It consisted of two key elements the Clinical Sterilisation and Supply Department (CSSD) and the Clinical Education Space (CES). The CSSD portion of works aimed to expand the service to meet current and predicted future growth for these services which has been identified as a result of various planning processes and documents. The CES portion of works created facilities to co-locate the Executive Management Team with the hospital, rather than off site, enhancing the “effectiveness of and to the team.” The Townsville Hospital Clinical Services project took place in the context of multiple other contractors completing works on the hospital campus and across multiple locations in different buildings. With the hospital required to remain operational throughout the construction period, the project was broken down into 5 stages which significantly increased the time and labour required to complete the project. Paynters managed the process for defining the site and safely separating it from adjacent areas, completing the works, finalising/ cleaning and commissioning, and handover routines was completed 5 times in order to maintain health services to the public.