National report - February 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 February 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 February 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 – February 2017

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 960,212,230 960,212,230 8,449,064,482 8,410,064,482
VIC 713,785,165 713,785,165 6,986,598,918 6,986,598,918
QLD 762,052,749 762,020,067 6,766,345,252 6,766,082,310
WA 382,808,866 382,757,971 3,396,746,661 3,396,339,488
SA 322,694,605 256,311,062 2,569,544,008 2,247,604,742
TAS 78,921,765 78,921,765 675,403,310 675,403,310
ACT 84,932,465 84,932,465 707,564,648 707,564,648
NT 89,953,821 89,952,811 724,139,154 724,131,690
Total 3,395,361,665 3,328,893,535 30,275,406,431 29,913,789,588

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 – February 2017

This table shows NHR funding by the source of funds for each state and territory for February 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 473,694,129 484,918,101 1,600,000 960,212,230
VIC 372,934,329 340,850,836 0 713,785,165
QLD 304,144,402 457,908,346 0 762,052,749
WA 166,420,400 216,388,466 0 382,808,866
SA 105,655,609 217,038,996 0 322,694,605
TAS 30,858,475 48,063,290 0 78,921,765
ACT 28,402,465 48,730,000 7,800,000 84,932,465
NT 18,268,311 71,685,510 0 89,953,821
Total 1,500,378,119 1,885,583,547 9,400,000 3,395,361,665

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – February 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 February 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 3,825,051,165 4,611,213,317 12,800,000 8,449,064,482
VIC 3,080,873,616 3,905,725,302 0 6,986,598,918
QLD 2,572,253,802 4,194,091,450 0 6,766,345,252
WA 1,399,805,587 1,996,941,074 0 3,396,746,661
SA 842,819,169 1,726,724,839 0 2,569,544,008
TAS 246,867,798 428,535,512 0 675,403,310
ACT 230,959,648 414,205,000 62,400,000 707,564,648
NT 150,655,690 573,483,464 0 724,139,154
Total 12,349,286,475 17,850,919,957 75,200,000 30,275,406,431

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 – February 2017

This table shows NHR funding for each state and territory by funding type and source for February 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 408,779,967 431,500,917 0 840,280,885
Block 54,993,779 53,263,717 0 108,257,496
Other 9,920,382 153,467 1,600,000 11,673,849
Total 473,694,129 484,918,101 1,600,000 960,212,230
VIC ABF 323,602,689 295,408,683 0 619,011,372
Block 41,563,444 45,409,726 0 86,973,170
Other 7,768,196 32,427 0 7,800,623
Total 372,934,329 340,850,836 0 713,785,165
QLD ABF 263,595,801 387,993,296 0 651,589,097
Block 34,335,458 69,882,369 0 104,217,827
Other 6,213,143 32,682 0 6,245,825
Total 304,144,402 457,908,346 0 762,052,749
WA ABF 140,208,017 157,745,277 0 297,953,294
Block 22,824,445 58,643,189 0 81,467,634
Other 3,387,938 0 0 3,387,938
Total 166,420,400 216,388,466 0 382,808,866
SA ABF 88,938,812 212,000,000 0 300,938,812
Block 14,525,736 4,700,000 0 19,225,736
Other 2,191,062 338,996 0 2,530,058
Total 105,655,609 217,038,996 0 322,694,605
TAS ABF 25,233,753 27,159,522 0 52,393,275
Block 4,964,032 20,903,768 0 25,867,800
Other 660,690 0 0 660,690
Total 30,858,475 48,063,290 0 78,921,765
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 1,010 0 315,126
Total 18,268,311 71,685,510 0 89,953,821
Total ABF funding 1,292,637,755 1,582,248,279 0 2,874,886,035
Total Block funding 176,776,841 302,776,685 0 479,553,525
Total Other funding 30,963,523 558,582 9,400,000 40,922,105
Grand Total 1,500,378,119 1,885,583,547 9,400,000 3,395,361,665

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – February 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 February 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 3,305,737,873 4,012,757,700 0 7,318,495,573
Block 439,950,236 597,197,638 0 1,037,147,874
Other 79,363,056 1,257,979 12,800,000 93,421,035
Total 3,825,051,165 4,611,213,317 12,800,000 8,449,064,482
VIC ABF 2,686,220,492 3,375,188,907 0 6,061,409,399
Block 332,507,553 529,839,473 0 862,347,026
Other 62,145,570 696,922 0 62,842,493
Total 3,080,873,616 3,905,725,302 0 6,986,598,918
QLD ABF 2,247,864,993 3,564,898,873 0 5,812,763,866
Block 274,683,668 628,929,635 0 903,613,303
Other 49,705,141 262,942 0 49,968,083
Total 2,572,253,802 4,194,091,450 0 6,766,345,252
WA ABF 1,190,106,524 1,608,462,219 0 2,798,568,743
Block 182,595,558 388,478,844 0 571,074,402
Other 27,103,505 11 0 27,103,516
Total 1,399,805,587 1,996,941,074 0 3,396,746,661
SA ABF 709,084,789 1,595,500,000 0 2,304,584,789
Block 116,205,886 129,454,344 0 245,660,230
Other 17,528,494 1,770,495 0 19,298,989
Total 842,819,169 1,726,724,839 0 2,569,544,008
TAS ABF 201,870,024 241,635,850 0 443,505,874
Block 39,712,258 186,899,662 0 226,611,919
Other 5,285,517 0 0 5,285,517
Total 246,867,798 428,535,512 0 675,403,310
ACT ABF 209,157,757 390,269,000 0 599,426,757
Block 17,737,922 23,936,000 0 41,673,922
Other 4,063,969 0 62,400,000 66,463,969
Total 230,959,648 414,205,000 62,400,000 707,564,648
NT ABF 137,321,114 196,212,667 0 333,533,780
Block 10,821,644 377,263,333 0 388,084,978
Other 2,512,932 7,464 0 2,520,396
Total 150,655,690 573,483,464 0 724,139,154
Total ABF funding 10,687,363,565 14,984,925,215 0 25,672,288,780
Total Block funding 1,414,214,724 2,861,998,929 0 4,276,213,654
Total Other funding 247,708,185 3,995,812 75,200,000 326,903,998
Grand Total 12,349,286,475 17,850,919,957 75,200,000 30,275,406,431

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 – February 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 1,722,797 2,584,814
VIC 162,112 1,296,898 1,945,347
QLD 128,936 1,031,473 1,547,075
WA 64,107 537,132 807,655
SA 45,619 385,398 582,476
TAS 9,882 87,922 133,303
ACT 10,515 97,371 143,666
NT 11,310 90,938 137,544
Total 647,832 5,249,929 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.