Ospedale Niguarda Ca’ Granda, Milan


Milan, Italy


Progeni SpA for ASST Grande Ospedale Metropolitano Niguarda


InAr + Manens-Tifs


Technical and economic feasibility study, detailed and final proposals


Energy efficiency

Preservation of characteristic features

Ospedale Niguarda Ca’ Granda, Milano
Ospedale Niguarda Ca’ Granda, Milano

Ospedale Niguarda Ca’ Granda in Milan is located in the northern part of the city and is an important healthcare reference point for Lombardy and the entire country thanks to the presence of several clinical excellences. It covers an area of about 322,000 square metres, representing a true “Citadel of Health” which welcomes about 9,000 people every day, including personnel, users and visitors. It currently has more than 1,300 beds and a staff of 4,500, including 700 doctors and 1,600 nurses.
The large and ambitious redevelopment project of the entire hospital complex dates back to 2004 with the aim of integrating the new interventions with the original architectural layout. The latter is an important example of healthcare architecture and the Soprintendenza Archeologia, Belle Arti e Paesaggio – the government department responsible for monuments, the environment and historical buildings – provided guidelines aimed at choosing solutions in line with the peculiar context.

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The buildings of historical and artistic value – the Ponti and Pizzamiglio Pavilions – were structurally and technologically connected to the two new hospital blocks (South Block and North Block) which, together with the DEA (emergency and reception department), represent the new focal points of the hospital activity. A square with a glazed roof connects the historical bodies and the three-storey above-ground body for diagnosis and therapy which characterises each block.
Around each body, the three volumes stand as true architectural backdrops, housing the spaces intended for inpatient care and concentrating the activities for non-ordinary hospitalisation – day hospital, intensive care etc. – in the so-called forepart, while the volumes on the east and west sides house the ordinary inpatient units.


Project area:
170.000 sqm
Bed capacity:
Project date:
Date of construction:
230.000.000 €


- Architectural and technological redevelopment of the original complex
- Respect for historical architectural layout and focus on historical memory
- Energy efficiency

The South block houses High Care: oncology, haematology, the entire cardiology department with cardiac surgery, transplantation and surgery are located here, with a total of 469 beds, 27 intensive care beds, 17 operating theatres as well as 5 cardiovascular interventional rooms, 2 MRI scans, 2 CT scans and 7 radiology laboratories. The North block houses the multi-specialist medical department with a sector for high intensity, the maternal and infant department, rehabilitation medicine, the immunohaematology and transfusion medicine service (one of the nine blood processing centres in Lombardy). It has a total of 450 beds (8 of which for neonatal intensive care), 5 delivery rooms with 2 dedicated operating theatres for obstetrics, and 3 operating theatres for paediatric surgery.

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The project, developed according to criteria which ensure a high degree of spatial and functional flexibility, paid great attention to the construction phase in order not to interfere with the medical assistance activities.
The new logistical and technological centre allowed for a combined production of electrical, thermal and cooling energy through a trigeneration plant. It has also concentrated all vehicle traffic in a peripheral point and optimised management and control activities.

Ospedale Niguarda Ca’ Granda, Milano