National report - December 2016

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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 December 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 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 December 2016, 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 – December 2016

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 958,889,360 945,171,853 6,220,620,358 6,181,620,358
VIC 730,245,947 730,245,947 5,359,390,379 5,359,390,379
QLD 775,101,176 775,075,634 5,013,917,049 5,013,712,526
WA 548,308,866 548,257,971 2,691,828,929 2,691,523,547
SA 362,559,997 290,740,467 1,851,803,469 1,721,675,776
TAS 80,166,130 80,166,130 514,591,190 514,591,190
ACT 84,932,465 84,932,465 537,699,719 537,699,719
NT 89,952,877 89,952,811 544,231,514 544,226,068
Total 3,630,156,818 3,544,543,276 22,734,082,607 22,564,439,564

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 – December 2016

This table shows NHR funding by the source of funds for each state and territory for December 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 472,909,988 484,379,372 1,600,000 958,889,360
VIC 371,117,044 359,128,903 0 730,245,947
QLD 304,144,402 470,956,774 0 775,101,176
WA 166,420,400 381,888,466 0 548,308,866
SA 105,655,609 256,904,388 0 362,559,997
TAS 30,858,475 49,307,655 0 80,166,130
ACT 28,402,465 48,730,000 7,800,000 84,932,465
NT 18,268,311 71,684,566 0 89,952,877
Total 1,497,776,693 2,122,980,125 9,400,000 3,630,156,818

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – December 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 December 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 2,878,219,257 3,332,801,101 9,600,000 6,220,620,358
VIC 2,335,121,125 3,024,269,255 0 5,359,390,379
QLD 1,963,964,998 3,049,952,052 0 5,013,917,049
WA 1,066,964,788 1,624,864,141 0 2,691,828,929
SA 631,507,951 1,220,295,518 0 1,851,803,469
TAS 185,150,848 329,440,342 0 514,591,190
ACT 174,154,719 316,745,000 46,800,000 537,699,719
NT 114,119,068 430,112,445 0 544,231,514
Total 9,349,202,754 13,328,479,853 56,400,000 22,734,082,607

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 – December 2016

This table shows NHR funding for each state and territory by funding type and source for December 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 407,995,826 441,227,245 0 849,223,071
Block 54,993,779 43,028,303 0 98,022,082
Other 9,920,382 123,825 1,600,000 11,644,207
Total 472,909,988 484,379,372 1,600,000 958,889,360
VIC ABF 321,785,404 314,663,475 0 636,448,879
Block 41,563,444 44,434,853 0 85,998,298
Other 7,768,196 30,574 0 7,798,771
Total 371,117,044 359,128,903 0 730,245,947
QLD ABF 263,595,801 401,048,863 0 664,644,664
Block 34,335,458 69,882,369 0 104,217,827
Other 6,213,143 25,543 0 6,238,685
Total 304,144,402 470,956,774 0 775,101,176
WA ABF 140,208,017 335,245,277 0 475,453,294
Block 22,824,445 46,643,189 0 69,467,634
Other 3,387,938 0 0 3,387,938
Total 166,420,400 381,888,466 0 548,308,866
SA ABF 88,938,812 240,000,000 0 328,938,812
Block 14,525,736 16,700,000 0 31,225,736
Other 2,191,062 204,388 0 2,395,450
Total 105,655,609 256,904,388 0 362,559,997
TAS ABF 25,233,753 29,801,590 0 55,035,343
Block 4,964,032 19,506,065 0 24,470,097
Other 660,690 0 0 660,690
Total 30,858,475 49,307,655 0 80,166,130
ACT ABF 25,677,228 45,914,000 0 71,591,228
Block 2,217,240 2,816,000 0 5,033,240
Other 507,996 0 7,800,000 8,307,996
Total 28,402,465 48,730,000 7,800,000 84,932,465
NT ABF 16,601,489 24,526,583 0 41,128,072
Block 1,352,706 47,157,917 0 48,510,622
Other 314,116 66 0 314,182
Total 18,268,311 71,684,566 0 89,952,877
Total ABF funding 1,290,036,329 1,832,427,033 0 3,122,463,363
Total Block funding 176,776,841 290,168,695 0 466,945,536
Total Other funding 30,963,523 384,396 9,400,000 40,747,919
Grand Total 1,497,776,693 2,122,980,125 9,400,000 3,630,156,818

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – December 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 December 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 2,488,734,289 2,893,811,551 0 5,382,545,840
Block 329,962,677 438,079,694 0 768,042,371
Other 59,522,292 909,855 9,600,000 70,032,147
Total 2,878,219,257 3,332,801,101 9,600,000 6,220,620,358
VIC ABF 2,039,131,282 2,607,874,936 0 4,647,006,218
Block 249,380,665 415,827,314 0 665,207,979
Other 46,609,178 567,005 0 47,176,182
Total 2,335,121,125 3,024,269,255 0 5,359,390,379
QLD ABF 1,720,673,391 2,595,517,974 0 4,316,191,365
Block 206,012,751 454,229,555 0 660,242,305
Other 37,278,856 204,523 0 37,483,379
Total 1,963,964,998 3,049,952,052 0 5,013,917,049
WA ABF 909,690,491 1,309,671,664 0 2,219,362,155
Block 136,946,668 315,192,467 0 452,139,135
Other 20,327,629 11 0 20,327,640
Total 1,066,964,788 1,624,864,141 0 2,691,828,929
SA ABF 531,207,166 1,109,500,000 0 1,640,707,166
Block 87,154,414 109,679,808 0 196,834,223
Other 13,146,371 1,115,709 0 14,262,080
Total 631,507,951 1,220,295,518 0 1,851,803,469
TAS ABF 151,402,518 182,567,113 0 333,969,631
Block 29,784,193 146,873,229 0 176,657,422
Other 3,964,138 0 0 3,964,138
Total 185,150,848 329,440,342 0 514,591,190
ACT ABF 157,803,300 298,441,000 0 456,244,300
Block 13,303,442 18,304,000 0 31,607,442
Other 3,047,977 0 46,800,000 49,847,977
Total 174,154,719 316,745,000 46,800,000 537,699,719
NT ABF 104,118,136 147,159,500 0 251,277,636
Block 8,116,233 282,947,500 0 291,063,733
Other 1,884,699 5,445 0 1,890,144
Total 114,119,068 430,112,445 0 544,231,514
Total ABF funding 8,102,760,572 11,144,543,738 0 19,247,304,310
Total Block funding 1,060,661,043 2,181,133,566 0 3,241,794,610
Total Other funding 185,781,139 2,802,548 56,400,000 244,983,687
Grand Total 9,349,202,754 13,328,479,853 56,400,000 22,734,082,607

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 – December 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 2016-17
NSW 215,350 1,292,098 2,584,814
VIC 162,112 972,674 1,945,347
QLD 128,936 773,615 1,547,075
WA 64,629 410,850 807,655
SA 49,975 293,590 582,476
TAS 11,086 67,912 133,303
ACT 10,748 73,097 143,666
NT 10,873 69,010 137,544
Total 653,709 3,952,845 7,881,880

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.