National report - January 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 January 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 January 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 – January 2017

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,268,231,894 1,268,231,894 7,488,852,252 7,449,852,252
VIC 913,423,373 913,423,373 6,272,813,752 6,272,813,752
QLD 990,375,454 990,349,718 6,004,292,503 6,004,062,244
WA 322,108,866 322,057,971 3,013,937,795 3,013,581,518
SA 395,045,933 269,617,905 2,246,849,402 1,991,293,681
TAS 81,890,355 81,890,355 596,481,545 596,481,545
ACT 84,932,465 84,932,465 622,632,184 622,632,184
NT 89,953,820 89,952,811 634,185,333 634,178,879
Total 4,145,962,159 4,020,456,490 26,880,044,766 26,584,896,054

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 – January 2017

This table shows NHR funding by the source of funds for each state and territory for January 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 473,137,779 793,494,115 1,600,000 1,268,231,894
VIC 372,818,162 540,605,211 0 913,423,373
QLD 304,144,402 686,231,052 0 990,375,454
WA 166,420,400 155,688,466 0 322,108,866
SA 105,655,609 289,390,324 0 395,045,933
TAS 30,858,475 51,031,880 0 81,890,355
ACT 28,402,465 48,730,000 7,800,000 84,932,465
NT 18,268,311 71,685,509 0 89,953,820
Total 1,499,705,602 2,636,856,557 9,400,000 4,145,962,159

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – January 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 January 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 3,351,357,036 4,126,295,216 11,200,000 7,488,852,252
VIC 2,707,939,287 3,564,874,466 0 6,272,813,752
QLD 2,268,109,400 3,736,183,103 0 6,004,292,503
WA 1,233,385,187 1,780,552,608 0 3,013,937,795
SA 737,163,560 1,509,685,842 0 2,246,849,402
TAS 216,009,323 380,472,222 0 596,481,545
ACT 202,557,184 365,475,000 54,600,000 622,632,184
NT 132,387,379 501,797,954 0 634,185,333
Total 10,848,908,356 15,965,336,410 65,800,000 26,880,044,766

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 – January 2017

This table shows NHR funding for each state and territory by funding type and source for January 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 408,223,617 687,445,231 0 1,095,668,848
Block 54,993,779 105,854,228 0 160,848,007
Other 9,920,382 194,656 1,600,000 11,715,038
Total 473,137,779 793,494,115 1,600,000 1,268,231,894
VIC ABF 323,486,522 471,905,287 0 795,391,809
Block 41,563,444 68,602,433 0 110,165,877
Other 7,768,196 97,491 0 7,865,687
Total 372,818,162 540,605,211 0 913,423,373
QLD ABF 263,595,801 581,387,604 0 844,983,405
Block 34,335,458 104,817,712 0 139,153,170
Other 6,213,143 25,736 0 6,238,879
Total 304,144,402 686,231,052 0 990,375,454
WA ABF 140,208,017 141,045,277 0 281,253,294
Block 22,824,445 14,643,189 0 37,467,634
Other 3,387,938 0 0 3,387,938
Total 166,420,400 155,688,466 0 322,108,866
SA ABF 88,938,812 274,000,000 0 362,938,812
Block 14,525,736 15,074,535 0 29,600,271
Other 2,191,062 315,789 0 2,506,851
Total 105,655,609 289,390,324 0 395,045,933
TAS ABF 25,233,753 31,909,215 0 57,142,968
Block 4,964,032 19,122,665 0 24,086,697
Other 660,690 0 0 660,690
Total 30,858,475 51,031,880 0 81,890,355
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 1,009 0 315,125
Total 18,268,311 71,685,509 0 89,953,820
Total ABF funding 1,291,965,238 2,258,133,197 0 3,550,098,436
Total Block funding 176,776,841 378,088,678 0 554,865,519
Total Other funding 30,963,523 634,682 9,400,000 40,998,205
Grand Total 1,499,705,602 2,636,856,557 9,400,000 4,145,962,159

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – January 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 January 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 2,896,957,906 3,581,256,782 0 6,478,214,688
Block 384,956,456 543,933,922 0 928,890,378
Other 69,442,674 1,104,512 11,200,000 81,747,186
Total 3,351,357,036 4,126,295,216 11,200,000 7,488,852,252
VIC ABF 2,362,617,803 3,079,780,223 0 5,442,398,027
Block 290,944,109 484,429,747 0 775,373,856
Other 54,377,374 664,496 0 55,041,870
Total 2,707,939,287 3,564,874,466 0 6,272,813,752
QLD ABF 1,984,269,192 3,176,905,577 0 5,161,174,769
Block 240,348,209 559,047,266 0 799,395,476
Other 43,491,999 230,260 0 43,722,258
Total 2,268,109,400 3,736,183,103 0 6,004,292,503
WA ABF 1,049,898,508 1,450,716,941 0 2,500,615,449
Block 159,771,113 329,835,655 0 489,606,768
Other 23,715,567 11 0 23,715,578
Total 1,233,385,187 1,780,552,608 0 3,013,937,795
SA ABF 620,145,977 1,383,500,000 0 2,003,645,977
Block 101,680,150 124,754,344 0 226,434,494
Other 15,337,433 1,431,498 0 16,768,931
Total 737,163,560 1,509,685,842 0 2,246,849,402
TAS ABF 176,636,271 214,476,328 0 391,112,599
Block 34,748,225 165,995,894 0 200,744,119
Other 4,624,827 0 0 4,624,827
Total 216,009,323 380,472,222 0 596,481,545
ACT ABF 183,480,529 344,355,000 0 527,835,529
Block 15,520,682 21,120,000 0 36,640,682
Other 3,555,973 0 54,600,000 58,155,973
Total 202,557,184 365,475,000 54,600,000 622,632,184
NT ABF 120,719,625 171,686,083 0 292,405,708
Block 9,468,939 330,105,417 0 339,574,356
Other 2,198,815 6,454 0 2,205,269
Total 132,387,379 501,797,954 0 634,185,333
Total ABF funding 9,394,725,810 13,402,676,935 0 22,797,402,746
Total Block funding 1,237,437,884 2,559,222,244 0 3,796,660,128
Total Other funding 216,744,662 3,437,230 65,800,000 285,981,892
Grand Total 10,848,908,356 15,965,336,410 65,800,000 26,880,044,766

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 – January 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 1,507,447 2,584,814
VIC 162,112 1,134,786 1,945,347
QLD 128,936 902,550 1,547,075
WA 62,175 473,024 807,655
SA 46,189 339,779 582,476
TAS 10,128 78,040 133,303
ACT 10,754 85,436 143,666
NT 10,617 79,627 137,544
Total 646,260 4,600,690 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.