National report - April 2017

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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 2017.

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 2016-17 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 2017, see State or territory reports.

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2016-17.

NHR funding and payments

Table 1 – NHR funding and payments for each state and territory – April 2017

This table shows NHR funding and payments for each state and territory for April 2017.

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,033,328,558 1,033,191,695 10,554,136,550 10,514,999,686
VIC 737,498,432 737,498,432 8,425,784,232 8,425,784,232
QLD 911,683,388 911,656,913 8,527,047,705 8,526,733,013
WA 193,250,382 193,403,068 4,047,712,058 4,047,406,676
SA 126,145,091 284,447,498 3,061,242,919 2,808,335,738
TAS 82,009,329 82,009,329 869,578,877 869,578,877
ACT 84,926,800 84,926,800 877,418,249 877,418,249
NT 92,196,724 92,195,711 908,532,594 908,523,113
Total 3,261,038,705 3,419,329,447 37,271,453,183 36,978,779,584

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 2017

This table shows NHR funding by the source of funds for each state and territory for April 2017.

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 477,563,200 537,501,358 18,264,000 1,033,328,558
VIC 382,785,155 354,713,277 0 737,498,432
QLD 305,248,594 601,734,795 4,700,000 911,683,388
WA 165,730,904 27,519,478 0 193,250,382
SA 105,893,594 10,425,497 9,826,000 126,145,091
TAS 30,771,414 51,237,915 0 82,009,329
ACT 28,396,800 48,730,000 7,800,000 84,926,800
NT 20,511,211 71,685,512 0 92,196,724
Total 1,516,900,874 1,703,547,831 40,590,000 3,261,038,705

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – April 2017

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 2017.

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 4,776,227,585 5,718,244,965 59,664,000 10,554,136,550
VIC 3,836,599,427 4,589,184,805 0 8,425,784,232
QLD 3,181,586,376 5,298,461,328 47,000,000 8,527,047,705
WA 1,731,863,040 2,315,849,018 0 4,047,712,058
SA 1,054,340,808 1,997,076,110 9,826,000 3,061,242,919
TAS 308,497,108 561,081,768 0 869,578,877
ACT 287,753,249 511,665,000 78,000,000 877,418,249
NT 191,678,113 716,854,481 0 908,532,594
Total 15,368,545,707 21,708,417,475 194,490,000 37,271,453,183

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 2017

This table shows NHR funding for each state and territory by funding type and source for April 2017. 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 408,779,967 487,553,768 0 896,333,735
Block 58,943,761 49,810,728 0 108,754,488
Other 9,839,473 136,863 18,264,000 28,240,336
Total 477,563,200 537,501,358 18,264,000 1,033,328,558
VIC ABF 323,602,688 318,008,812 0 641,611,500
Block 51,407,944 36,560,748 0 87,968,692
Other 7,774,523 143,717 0 7,918,241
Total 382,785,155 354,713,277 0 737,498,432
QLD ABF 263,595,801 519,128,989 0 782,724,789
Block 35,500,072 74,879,330 0 110,379,402
Other 6,152,721 7,726,476 4,700,000 18,579,197
Total 305,248,594 601,734,795 4,700,000 911,683,388
WA ABF 140,208,017 12,876,289 0 153,084,306
Block 22,228,800 14,643,189 0 36,871,989
Other 3,294,088 0 0 3,294,088
Total 165,730,904 27,519,478 0 193,250,382
SA ABF 88,938,812 0 0 88,938,812
Block 14,791,285 4,200,000 0 18,991,285
Other 2,163,498 6,225,497 9,826,000 18,214,994
Total 105,893,594 10,425,497 9,826,000 126,145,091
TAS ABF 25,233,753 29,534,891 0 54,768,644
Block 4,877,550 21,703,024 0 26,580,574
Other 660,111 0 0 660,111
Total 30,771,414 51,237,915 0 82,009,329
ACT ABF 25,677,228 45,914,000 0 71,591,228
Block 2,217,240 2,816,000 0 5,033,240
Other 502,332 0 7,800,000 8,302,332
Total 28,396,800 48,730,000 7,800,000 84,926,800
NT ABF 18,853,589 24,526,583 0 43,380,173
Block 1,352,706 47,157,917 0 48,510,622
Other 304,917 1,012 0 305,929
Total 20,511,211 71,685,512 0 92,196,724
Total ABF funding 1,294,889,855 1,437,543,331 0 2,732,433,186
Total Block funding 191,319,358 251,770,935 0 443,090,292
Total Other funding 30,691,662 14,233,565 40,590,000 85,515,227
Grand Total 1,516,900,874 1,703,547,831 40,590,000 3,261,038,705

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – April 2017

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 2017. 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 4,123,297,807 4,994,252,900 0 9,117,550,708
Block 553,887,776 722,466,769 0 1,276,354,545
Other 99,042,002 1,525,295 59,664,000 160,231,297
Total 4,776,227,585 5,718,244,965 59,664,000 10,554,136,550
VIC ABF 3,333,425,869 3,976,918,859 0 7,310,344,728
Block 425,478,942 611,313,829 0 1,036,792,770
Other 77,694,617 952,117 0 78,646,734
Total 3,836,599,427 4,589,184,805 0 8,425,784,232
QLD ABF 2,775,056,595 4,447,455,302 0 7,222,511,897
Block 344,519,198 773,691,334 0 1,118,210,532
Other 62,010,583 77,314,692 47,000,000 186,325,276
Total 3,181,586,376 5,298,461,328 47,000,000 8,527,047,705
WA ABF 1,470,522,558 1,898,083,785 0 3,368,606,343
Block 227,648,802 417,765,222 0 645,414,024
Other 33,691,681 11 0 33,691,691
Total 1,731,863,040 2,315,849,018 0 4,047,712,058
SA ABF 886,962,412 1,850,500,000 0 2,737,462,412
Block 145,522,907 138,154,344 0 283,677,250
Other 21,855,490 8,421,767 9,826,000 40,103,257
Total 1,054,340,808 1,997,076,110 9,826,000 3,061,242,919
TAS ABF 252,337,530 300,983,947 0 553,321,477
Block 49,553,840 260,097,821 0 309,651,661
Other 6,605,739 0 0 6,605,739
Total 308,497,108 561,081,768 0 869,578,877
ACT ABF 260,512,213 482,097,000 0 742,609,213
Block 22,172,403 29,568,000 0 51,740,403
Other 5,068,633 0 78,000,000 83,068,633
Total 287,753,249 511,665,000 78,000,000 877,418,249
NT ABF 175,028,292 245,265,833 0 420,294,126
Block 13,527,056 471,579,167 0 485,106,222
Other 3,122,765 9,481 0 3,132,246
Total 191,678,113 716,854,481 0 908,532,594
Total ABF funding 13,277,143,276 18,195,557,627 0 31,472,700,903
Total Block funding 1,782,310,922 3,424,636,486 0 5,206,947,408
Total Other funding 309,091,509 88,223,362 194,490,000 591,804,872
Grand Total 15,368,545,707 21,708,417,475 194,490,000 37,271,453,183

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 2017

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 2016-17
NSW 215,350 2,153,496 2,584,814
VIC 162,112 1,621,123 1,945,347
QLD 128,936 1,289,345 1,547,075
WA 61,225 668,954 807,655
SA 50,035 484,976 582,476
TAS 10,747 109,516 133,303
ACT 10,623 122,416 143,666
NT 11,335 114,317 141,644
Total 650,362 6,564,142 7,885,980

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.