National report - April 2016

Print friendly version (PDF, 465 kB)

In this report

This report includes the following tables:

This report is issued by the Administrator of the National Health Funding Pool under section 240 of the National Health Reform Act 2011.

This report is prepared on a cash basis. It shows monthly and year-to-date (YTD) National Health Reform (NHR) funding and payments at an aggregated national level for April 2016.

Local hospital networks and National Health Reform

A local hospital network (LHN) is an organisation that provides public hospital services in accordance with the Agreement. An LHN can contain one or more hospitals, and is usually defined as a business group, geographical area or community. Every Australian public hospital is part of a LHN.

Note: The term ‘local hospital network’ is a national term. Some states and territories use their own local terminology to describe these networks, such as local health districts, health organisations, and hospital and health services.


Under the Agreement, LHNs receive funding in 2015-16 for the following public hospital services:

  • All admitted and non-admitted services
  • All emergency department services provided by a recognised emergency department
  • Other outpatient, mental health, sub-acute services and other services that could reasonably be considered a public hospital service.

Note: LHNs also receive funding from other sources, including the Commonwealth, states and territories, and third parties for the provision of other specific functions and services outside the scope of the National Health Reform Agreement, for example dental services, primary care, home and community care, residential aged care and pharmaceuticals. For further information on total funding to a particular LHN, contact the Department of Health in the relevant state or territory to view the service agreement for that LHN.

Note: Amounts shown in the monthly reports do not include funding received by Victoria from New South Wales as contributions for Albury Wodonga Health.

Reference information

The financial information outlined in the following report is categorised as:

  • NHR funding – when the Commonwealth or state or territory government pays NHR funding into a state pool account or state managed fund.
  • NHR payments – when NHR funding that has been deposited into a state pool account or state managed fund is paid out of the state pool account by the Administrator, or is paid out of the state managed fund by the state or territory.

For the basis of state and territory NHR payments, see Basis for National Health Reform payments explanation in the relevant state or territory report for April 2016, see State or territory reports.

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2015-16.

NHR funding and payments

Table 1 – NHR funding and payments for each state and territory – April 2016

This table shows NHR funding and payments for each state and territory for April 2016.

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,031,354,215 1,031,354,215 9,862,712,449 9,862,712,450
VIC 653,263,304 652,993,404 7,728,603,220 7,728,603,220
QLD 806,086,371 806,011,614 8,252,437,318 8,251,996,729
WA 402,739,282 402,730,756 4,164,227,266 4,164,218,721
SA 186,667,427 272,337,576 2,929,174,123 2,763,246,726
TAS 79,061,137 79,061,137 832,229,986 832,229,986
ACT 78,339,623 78,339,623 831,918,254 831,918,254
NT 84,044,742 84,043,388 778,650,907 778,637,517
Total 3,321,556,102 3,406,871,714 35,379,953,524 35,213,563,603

Differences between NHR funding and NHR payments for a state or territory can occur for several reasons, such as having funds remaining in its state pool account at the end of the month, drawing down on available funds from previous months, or having an overdraft in its state pool account at the end of the month.

NHR funding and payments shown in this table include GST where applicable.

Commonwealth and state or territory NHR funding components are detailed in the following tables.

For more information, see National Health Reform funding and payments.

NHR funding by funding source

Table 2a – NHR funding by funding source for each state and territory – April 2016

This table shows NHR funding by the source of funds for each state and territory for April 2016.

Sources of NHR funding are separated into Commonwealth funding, Own state or territory funding (where a state or territory provides its own funding) and Funding from other state or territory (where other states or territories contribute cross-border funding towards the cost of their residents being treated in the provider state or territory).

State/territory NHR funding by source
Commonwealth NHR funding Own state/territory NHR funding NHR funding
from other state/territory
Total NHR funding
($) ($) ($) ($)
NSW 471,500,944 558,553,271 1,300,000 1,031,354,215
VIC 345,773,204 307,490,101 0 653,263,304
QLD 329,847,151 476,239,220 0 806,086,371
WA 163,777,008 238,962,274 0 402,739,282
SA 100,303,044 86,364,384 0 186,667,427
TAS 33,137,291 45,923,846 0 79,061,137
ACT 24,787,623 46,552,000 7,000,000 78,339,623
NT 21,948,555 62,096,187 0 84,044,742
Total 1,491,074,819 1,822,181,283 8,300,000 3,321,556,102

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – April 2016

Following on from table 2a, this table shows year-to-date (YTD) NHR funding by the source of funds for each state and territory as at April 2016.

State/territory NHR funding by source
Commonwealth NHR funding
YTD
Own state/territory NHR funding
YTD
NHR funding
from other state/territory
YTD
Total NHR funding
YTD
($) ($) ($) ($)
NSW 4,517,574,339 5,304,038,110 41,100,000 9,862,712,449
VIC 3,480,183,572 4,248,419,648 0 7,728,603,220
QLD 2,892,095,520 5,321,941,798 38,400,000 8,252,437,318
WA 1,504,081,235 2,660,146,031 0 4,164,227,266
SA 1,021,641,256 1,901,932,867 5,600,000 2,929,174,123
TAS 308,495,425 523,734,562 0 832,229,986
ACT 273,122,254 488,796,000 70,000,000 831,918,254
NT 158,609,184 620,041,724 0 778,650,907
Total 14,155,802,785 21,069,050,739 155,100,000 35,379,953,524

NHR funding shown in these tables includes GST where applicable.

For more information, see National Health Reform funding and payments.

NHR funding by funding type

Table 3a – NHR funding by funding type for each state and territory – April 2016

This table shows NHR funding for each state and territory by funding type and source for April 2016. NHR funding can be activity-based funding (ABF), block funding or other funding, such as public health funding, cross-border, interest or overdeposits.

Sources of NHR funding are separated into Commonwealth funding, Own state or territory funding (where a state or territory provides its own funding) and Funding from other state or territory (where other states or territories contribute cross-border funding towards the cost of their residents being treated in the provider state or territory).

State/territory NHR funding type Commonwealth NHR funding Own state/territory NHR funding NHR funding
from other state/territory
Total NHR funding
($) ($) ($) ($)
NSW ABF 409,514,906 425,343,042 0 834,857,948
Block 52,626,804 132,796,491 0 185,423,295
Other 9,359,234 413,738 1,300,000 11,072,972
Total 471,500,944 558,553,271 1,300,000 1,031,354,215
VIC ABF 296,769,968 265,896,611 0 562,666,579
Block 41,687,584 41,553,988 0 83,241,572
Other 7,315,651 39,502 0 7,355,153
Total 345,773,204 307,490,101 0 653,263,304
QLD ABF 291,797,113 410,810,132 0 702,607,245
Block 32,198,861 65,354,331 0 97,553,191
Other 5,851,177 74,757 0 5,925,934
Total 329,847,151 476,239,220 0 806,086,371
WA ABF 138,715,415 218,296,895 0 357,012,311
Block 22,015,827 20,656,853 0 42,672,680
Other 3,045,765 8,525 0 3,054,291
Total 163,777,008 238,962,274 0 402,739,282
SA ABF 84,105,248 75,000,000 0 159,105,248
Block 14,105,110 10,968,145 0 25,073,255
Other 2,092,686 396,238 0 2,488,924
Total 100,303,044 86,364,384 0 186,667,427
TAS ABF 27,759,589 26,643,590 0 54,403,178
Block 4,745,919 19,280,257 0 24,026,176
Other 631,783 0 0 631,783
Total 33,137,291 45,923,846 0 79,061,137
ACT ABF 22,154,234 43,228,000 0 65,382,234
Block 2,155,809 3,324,000 0 5,479,809
Other 477,581 0 7,000,000 7,477,581
Total 24,787,623 46,552,000 7,000,000 78,339,623
NT ABF 20,526,611 24,526,583 0 45,053,194
Block 1,139,341 37,568,250 0 38,707,591
Other 282,602 1,354 0 283,956
Total 21,948,555 62,096,187 0 84,044,742
Total ABF funding 1,291,343,085 1,489,744,852 0 2,781,087,937
Total Block funding 170,675,255 331,502,315 0 502,177,570
Total Other funding 29,056,479 934,115 8,300,000 38,290,594
Grand Total 1,491,074,819 1,822,181,283 8,300,000 3,321,556,102

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – April 2016

Following on from table 3a, this table shows year-to-date (YTD) NHR funding for each state and territory by funding type and source for April 2016. NHR funding can be activity-based funding (ABF), block funding or other, such as public health funding, cross-border, interest or overdeposits.

State/territory NHR funding type Commonwealth NHR funding
YTD
Own state/territory NHR funding
YTD
NHR funding
from other state/territory
YTD
Total NHR funding
YTD
($) ($) ($) ($)
NSW ABF 3,903,375,936 4,863,346,829 0 8,766,722,765
Block 519,745,665 437,970,389 0 957,716,053
Other 94,452,738 2,720,892 41,100,000 138,273,630
Total 4,517,574,339 5,304,038,110 41,100,000 9,862,712,449
VIC ABF 3,001,331,915 3,712,214,654 0 6,713,546,569
Block 405,055,240 535,409,353 0 940,464,593
Other 73,796,417 795,641 0 74,592,058
Total 3,480,183,572 4,248,419,648 0 7,728,603,220
QLD ABF 2,510,695,452 4,504,630,674 0 7,015,326,126
Block 321,988,605 751,770,534 0 1,073,759,140
Other 59,411,463 65,540,589 38,400,000 163,352,053
Total 2,892,095,520 5,321,941,798 38,400,000 8,252,437,318
WA ABF 1,250,716,532 2,226,568,953 0 3,477,285,484
Block 221,046,570 433,568,534 0 654,615,103
Other 32,318,134 8,544 0 32,326,678
Total 1,504,081,235 2,660,146,031 0 4,164,227,266
SA ABF 862,898,140 1,732,000,000 0 2,594,898,140
Block 137,705,495 166,970,868 0 304,676,364
Other 21,037,621 2,961,999 5,600,000 29,599,620
Total 1,021,641,256 1,901,932,867 5,600,000 2,929,174,123
TAS ABF 255,712,491 235,280,193 0 490,992,684
Block 46,421,499 288,454,369 0 334,875,868
Other 6,361,435 0 0 6,361,435
Total 308,495,425 523,734,562 0 832,229,986
ACT ABF 247,365,019 453,894,000 0 701,259,019
Block 20,913,558 34,902,000 0 55,815,558
Other 4,843,676 0 70,000,000 74,843,676
Total 273,122,254 488,796,000 70,000,000 831,918,254
NT ABF 144,192,567 245,265,833 0 389,458,400
Block 11,393,414 374,762,500 0 386,155,914
Other 3,023,203 13,390 0 3,036,593
Total 158,609,184 620,041,724 0 778,650,907
Total ABF funding 12,176,288,051 17,973,201,137 0 30,149,489,188
Total Block funding 1,684,270,046 3,023,808,547 0 4,708,078,593
Total Other funding 295,244,688 72,041,055 155,100,000 522,385,743
Grand Total 14,155,802,785 21,069,050,739 155,100,000 35,379,953,524

ABF funding represents Acute admitted, Non-admitted, Emergency department, Sub-acute, and Admitted mental health service categories, which are funded through the National Health Funding Pool and subsequently paid to local hospital networks.

Block funding represents Non-admitted mental health, Small rural hospitals, Teaching, training and research, and Other non-admitted categories, which are funded through state managed funds and subsequently paid to local hospital networks.

Other funding represents other funding sources which are transacted through the National Health Funding Pool, such as public health funding, cross-border, interest or overdeposits, and subsequently paid to state or territory health departments (with the exception of cross-border funding which can be paid to state or territory health departments or to local hospital networks).

NHR funding shown in these tables includes GST where applicable.

For more information, see National Health Reform funding and payments.

Estimated monthly, YTD and annual activity

States and territories provide service volume estimates at the start of each financial year, and if required, can continue to refine these estimates during the course of the year. These estimates form the basis of monthly reporting of service volumes until actual service numbers become available. These estimates are expressed as National Weighted Activity Units (NWAU).

States and territories provide estimated annual NWAU to the Administrator as a basis for determining the Commonwealth activity-based funding. Current month NWAU estimates accumulate through the year-to-date NWAU to be equal to the annual NWAU at the end of the financial year.

States and territories may also provide activity information relating to the delivery of other public hospital functions funded.

Table 4 – Estimated monthly, YTD and annual NWAU by each state and territory – April 2016

This table shows estimated hospital activity for each state and territory for activity-based funding services expressed as NWAU for the current month, year-to-date (YTD) and total estimated annual NWAU.

State/territory Estimated NWAU
delivered/funded in
current month
Estimated NWAU
delivered/funded YTD
Estimated annual
NWAU 2015-16
NSW 214,747 2,090,476 2,507,724
VIC 161,457 1,578,436 1,899,269
QLD 124,105 1,196,892 1,489,257
WA 60,187 634,143 767,840
SA 48,995 486,837 578,206
TAS 10,798 109,668 135,000
ACT 11,367 117,641 140,066
NT 10,273 99,004 120,717
Total 641,929 6,313,098 7,638,078

An NWAU is a measure of health service activity expressed as a common unit. It provides a way of comparing and valuing each public hospital service, whether they are admissions, emergency department presentations or outpatient episodes, weighted for clinical complexity. The average hospital service is worth one NWAU - the most intensive and expensive activities are worth multiple NWAU, the simplest and least expensive are worth fractions of an NWAU.

Monthly NHR payments relate to the cash needs of public hospitals and do not necessarily reflect the volume of services delivered in the month.

For more information on the NWAU calculation, see Calculation of NWAU.