diff --git a/README.md b/README.md
index 1c60e34..93da651 100644
--- a/README.md
+++ b/README.md
@@ -97,6 +97,7 @@ php artisan import:data
 | Dentists (England) | [Unknown (CampaignLab)](https://github.com/CampaignLab/New-Constituency-Almanac/blob/main/data/dentists%20england%20mapped.csv) | [dentists-england.csv](https://github.com/CampaignLab/constituency-explorer/blob/refs/heads/main/database/fixtures/dentists-england.csv) | [`import:dentists`](https://github.com/CampaignLab/constituency-explorer/blob/main/app/Console/Commands/ImportDentistsCommand.php) |
 | Hospitals (England) | [Unknown (CampaignLab)](https://github.com/CampaignLab/New-Constituency-Almanac/blob/main/data/english%20hospitals%20by%20constituency.csv) | [hospitals-england.csv](https://github.com/CampaignLab/constituency-explorer/blob/refs/heads/main/database/fixtures/hospitals-england.csv) | [`import:english-hospitals`](https://github.com/CampaignLab/constituency-explorer/blob/main/app/Console/Commands/ImportEnglishHospitalsCommand.php) |
 | Hospitals (Scotland) | [Unknown (CampaignLab)](https://github.com/CampaignLab/New-Constituency-Almanac/blob/main/data/hospitals%20in%20scotland%20by%20constituency.csv) | [hospitals-scotland.csv](https://github.com/CampaignLab/constituency-explorer/blob/refs/heads/main/database/fixtures/hospitals-scotland.csv) | [`import:scottish-hospitals`](https://github.com/CampaignLab/constituency-explorer/blob/main/app/Console/Commands/ImportScottishHospitalsCommand.php) |
+| Hospitals (additional) | [Unknown (CampaignLab)](https://github.com/CampaignLab/constituency-explorer/issues/58) | [hospitals-scotland.csv](https://github.com/CampaignLab/constituency-explorer/blob/refs/heads/main/database/fixtures/additional_hospitals_20250618.csv) | [`import:additional-hospitals`](https://github.com/CampaignLab/constituency-explorer/blob/main/app/Console/Commands/ImportAdditionalHospitalsCommand.php) |
 | Schools (England) | [Gov.uk](https://get-information-schools.service.gov.uk/Downloads) | [schools-england.csv](https://github.com/CampaignLab/constituency-explorer/blob/refs/heads/main/database/fixtures/schools-england.csv) | [`import:english-schools`](https://github.com/CampaignLab/constituency-explorer/blob/main/app/Console/Commands/ImportEnglishSchoolsCommand.php) |
 | Schools (Scotland) | [Gov.uk](https://www.data.gov.uk/dataset/9a6f9d86-9698-4a5d-a2c8-89f3b212c52c/scottish-school-roll-and-locations) | [schools-scotland.xlsx](https://github.com/CampaignLab/constituency-explorer/blob/refs/heads/main/database/fixtures/schools-scotland.xlsx) | [`import:scottish-schools`](https://github.com/CampaignLab/constituency-explorer/blob/main/app/Console/Commands/ImportScottishSchoolsCommand.php) |
 | Community centres | - | [community-centres.csv](https://github.com/CampaignLab/constituency-explorer/blob/refs/heads/main/database/fixtures/community-centres.csv) | [`import:community-centres`](https://github.com/CampaignLab/constituency-explorer/blob/main/app/Console/Commands/ImportCommunityCentres.php) |
diff --git a/app/Console/Commands/ImportAdditionalHospitalsCommand.php b/app/Console/Commands/ImportAdditionalHospitalsCommand.php
new file mode 100644
index 0000000..1afe9f0
--- /dev/null
+++ b/app/Console/Commands/ImportAdditionalHospitalsCommand.php
@@ -0,0 +1,48 @@
+<?php
+
+namespace App\Console\Commands;
+
+use App\Models\Constituency;
+use App\Models\Hospital;
+
+class ImportAdditionalHospitalsCommand extends BaseImportCommand
+{
+    protected $signature = 'import:additional-hospitals {filename?}';
+    protected $description = 'Import additional hospitals.';
+    protected $filename = 'fixtures/additional_hospitals_20250618.csv';
+    private $constituencies;
+
+    public function initialise()
+    {
+        $this->constituencies = Constituency::all()->keyBy('gss_code');
+    }
+
+    public function importRow($row)
+    {
+        $gss_code = $row['Mapped: codes.parliamentary_constituency'];
+        if (empty($gss_code)) {
+            return null;
+        }
+
+        $constituency = $this->constituencies[$gss_code] ?? null;
+
+        if (! $constituency) {
+            $this->warn("Constituency not found: {$gss_code}");
+            return null;
+        }
+
+        $existing = Hospital::where('name', $row['name'])->where('constituency_id', $constituency->id)->first();
+        if ($existing) {
+            $this->warn("Hospital already exists: {$row['name']} ({$constituency->name})");
+            return null;
+        }
+
+        return Hospital::create([
+            'constituency_id' => $constituency->id,
+            'name' => $row['name'],
+            'address' => [trim($row['postcode'])],
+            'latitude' => $row['Mapped: latitude'],
+            'longitude' => $row['Mapped: longitude'],
+        ]);
+    }
+}
diff --git a/app/Console/Commands/ImportDataCommand.php b/app/Console/Commands/ImportDataCommand.php
index 331d6c8..eb347d7 100644
--- a/app/Console/Commands/ImportDataCommand.php
+++ b/app/Console/Commands/ImportDataCommand.php
@@ -60,6 +60,7 @@ public function handle()
         $this->call(ImportDentistsCommand::class);
         $this->call(ImportEnglishHospitalsCommand::class);
         $this->call(ImportScottishHospitalsCommand::class);
+        $this->call(ImportAdditionalHospitalsCommand::class);
         $this->call(ImportEnglishSchoolsCommand::class);
         $this->call(ImportScottishSchoolsCommand::class);
         $this->call(ImportCommunityCentres::class);
diff --git a/app/Console/Commands/ImportEnglishHospitalsCommand.php b/app/Console/Commands/ImportEnglishHospitalsCommand.php
index b921273..d1c69be 100644
--- a/app/Console/Commands/ImportEnglishHospitalsCommand.php
+++ b/app/Console/Commands/ImportEnglishHospitalsCommand.php
@@ -31,6 +31,12 @@ public function importRow($row)
             return null;
         }
 
+        $existing = Hospital::where('name', $row['Name'])->where('constituency_id', $constituency->id)->first();
+        if ($existing) {
+            $this->warn("Hospital already exists: {$row['Name']} ({$constituency->name})");
+            return null;
+        }
+
         return Hospital::create([
             'constituency_id' => $constituency->id,
             'name' => $row['Name'],
diff --git a/app/Console/Commands/ImportScottishHospitalsCommand.php b/app/Console/Commands/ImportScottishHospitalsCommand.php
index cd71182..d65bf8b 100644
--- a/app/Console/Commands/ImportScottishHospitalsCommand.php
+++ b/app/Console/Commands/ImportScottishHospitalsCommand.php
@@ -32,6 +32,12 @@ public function importRow($row)
             return null;
         }
 
+        $existing = Hospital::where('name', $row['Location Name'])->where('constituency_id', $constituency->id)->first();
+        if ($existing) {
+            $this->warn("Hospital already exists: {$row['Location Name']} ({$constituency->name})");
+            return null;
+        }
+
         return Hospital::create([
             'constituency_id' => $constituency->id,
             'name' => $row['Location Name'],