With new facilities provided to serve and care for the wider community, the Liverpool Hospital became one of the main state hospitals during this time. However, by 1958, the existing buildings had become increasingly inadequate for the needs of the hospital and, being unable to easily adapt the built fabric to modern medical practices, the hospital was forced to move to a neighbouring location. This closure of the hospital, after almost 150 years, and its transfer to new facilities on an adjoining site, ended a long-standing and continuous history of servicing the health needs of the Liverpool community at this site. The 1960s saw the beginning of a new use for the site, as a tertiary education facility. Following the closure of the hospital complex as a medical facility, the site and its existing buildings were acquired in June 1960 and converted for use as a Technical College. By July 1961, the conversion was complete and the College was opened. The College initiated a building conversion program that saw the demolition of some twentieth century additions to the site and the construction of a number of new buildings (Blocks J & K). Later, the College became the South Western Sydney Institute of TAFE. The survival of the former Liverpool Hospital is rare in terms of early hospitals in NSW. The earliest hospital in Sydney, established in 1788, was a portable tent hospital at George Street, The Rocks. In 1810, Governor Macquarie started construction on the Sydney (Rum) Hospital, completed in 1816. This was the first permanent hospital in the colony but only the northern wing (now Parliament House) and the southern wing (now The Mint) have survived. The central wing was demolished and rebuilt in the late nineteenth century as the present Sydney Hospital. The Parramatta Hospital was the oldest continually occupied site for public health in Australia (for 200 years) but this site has undergone various changes over its history. The original 1789 hospital was replaced by two convict-era hospitals (1792 & 1818) that were then replaced by the 1896-1901 building that was severely modified over the twentieth century. Demolished in 2004, the site has been redeveloped as the Parramatta Justice Precinct with the in situ conservation of the Parramatta Hospital Archaeological Site, including most significant archaeology of the convict and colonial hospital buildings (1792-1901). As one of the oldest existing hospital complexes in Australia, there are few sites with comparable built fabric and archaeology, which equate to that of the former Liverpool Hospital. The former Liverpool Hospital site is bounded by a brick wall that was built by convict bricklayers and stonemasons in the late 1820s.