National report - June 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 June 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 June 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 – June 2017

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 972,446,649 972,785,384 12,668,208,370 12,637,002,056
VIC 573,698,009 573,698,009 9,870,680,579 9,870,680,579
QLD 957,169,378 957,543,942 10,391,333,585 10,391,333,585
WA 243,262,480 243,415,165 4,740,832,462 4,740,832,451
SA 300,384,154 270,235,715 3,491,129,976 3,411,554,951
TAS 127,503,377 127,503,377 1,085,129,078 1,085,129,078
ACT 81,349,865 81,349,865 1,068,059,915 1,068,059,915
NT 103,904,026 103,903,011 1,099,248,342 1,099,236,836
Total 3,359,717,937 3,330,434,468 44,414,622,307 44,303,829,450

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 – June 2017

This table shows NHR funding by the source of funds for each state and territory for June 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 476,349,448 490,897,201 5,200,000 972,446,649
VIC 502,759,742 26,938,266 44,000,000 573,698,009
QLD 334,206,615 618,262,762 4,700,000 957,169,378
WA 178,110,556 65,151,924 0 243,262,480
SA 105,496,740 194,887,414 0 300,384,154
TAS 44,347,647 83,155,729 0 127,503,377
ACT 28,345,865 45,204,000 7,800,000 81,349,865
NT 33,703,511 70,200,515 0 103,904,026
Total 1,703,320,125 1,594,697,812 61,700,000 3,359,717,937

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – June 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 June 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 5,730,140,233 6,868,004,137 70,064,000 12,668,208,370
VIC 4,722,144,325 5,104,536,254 44,000,000 9,870,680,579
QLD 3,850,959,357 6,483,974,228 56,400,000 10,391,333,585
WA 2,089,057,796 2,651,774,666 0 4,740,832,462
SA 1,265,731,143 2,215,572,833 9,826,000 3,491,129,976
TAS 387,677,971 697,451,107 0 1,085,129,078
ACT 344,495,915 629,964,000 93,600,000 1,068,059,915
NT 245,892,836 853,355,506 0 1,099,248,342
Total 18,636,099,576 25,504,632,731 273,890,000 44,414,622,307

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 – June 2017

This table shows NHR funding for each state and territory by funding type and source for June 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 408,779,967 409,079,338 0 817,859,305
Block 58,943,761 65,699,719 0 124,643,480
Other 8,625,720 16,118,143 5,200,000 29,943,864
Total 476,349,448 490,897,201 5,200,000 972,446,649
VIC ABF 444,230,784 10,481,390 0 454,712,174
Block 51,407,944 7,225,680 0 58,633,624
Other 7,121,014 9,231,197 44,000,000 60,352,211
Total 502,759,742 26,938,266 44,000,000 573,698,009
QLD ABF 293,513,572 547,041,354 0 840,554,925
Block 35,500,072 63,490,610 0 98,990,682
Other 5,192,972 7,730,798 4,700,000 17,623,770
Total 334,206,615 618,262,762 4,700,000 957,169,378
WA ABF 153,561,313 65,727,984 0 219,289,296
Block 22,228,800 -576,060 0 21,652,740
Other 2,320,443 0 0 2,320,443
Total 178,110,556 65,151,924 0 243,262,480
SA ABF 88,938,812 150,000,000 0 238,938,812
Block 14,791,285 44,577,948 0 59,369,233
Other 1,766,643 309,466 0 2,076,109
Total 105,496,740 194,887,414 0 300,384,154
TAS ABF 38,869,408 50,792,760 0 89,662,168
Block 4,877,550 32,362,969 0 37,240,519
Other 600,689 0 0 600,689
Total 44,347,647 83,155,729 0 127,503,377
ACT ABF 25,677,228 40,791,000 0 66,468,228
Block 2,217,240 2,813,000 0 5,030,240
Other 451,397 1,600,000 7,800,000 9,851,397
Total 28,345,865 45,204,000 7,800,000 81,349,865
NT ABF 32,114,596 24,526,583 0 56,641,180
Block 1,352,706 45,672,917 0 47,025,622
Other 236,209 1,015 0 237,224
Total 33,703,511 70,200,515 0 103,904,026
Total ABF funding 1,485,685,681 1,298,440,409 0 2,784,126,090
Total Block funding 191,319,358 261,266,783 0 452,586,141
Total Other funding 26,315,087 34,990,619 61,700,000 123,005,707
Grand Total 1,703,320,125 1,594,697,812 61,700,000 3,359,717,937

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – June 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 June 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 4,940,857,741 5,749,564,871 0 10,690,422,612
Block 671,775,297 881,561,642 0 1,553,336,938
Other 117,507,195 205,671,311 70,064,000 393,242,506
Total 5,730,140,233 6,836,797,823 70,064,000 12,637,002,056
VIC ABF 4,101,259,341 4,426,586,743 0 8,527,846,084
Block 528,294,830 676,895,228 0 1,205,190,058
Other 92,590,154 1,054,284 44,000,000 137,644,438
Total 4,722,144,325 5,104,536,254 44,000,000 9,870,680,579
QLD ABF 3,362,083,738 5,484,626,697 0 8,846,710,436
Block 415,519,342 906,542,168 0 1,322,061,510
Other 73,356,276 92,805,363 56,400,000 222,561,639
Total 3,850,959,357 6,483,974,228 56,400,000 10,391,333,585
WA ABF 1,777,645,183 2,220,019,490 0 3,997,664,673
Block 272,106,401 431,755,165 0 703,861,566
Other 39,306,212 11 0 39,306,223
Total 2,089,057,796 2,651,774,666 0 4,740,832,462
SA ABF 1,064,840,035 2,000,500,000 0 3,065,340,035
Block 175,105,477 205,832,292 0 380,937,769
Other 25,785,631 9,240,541 9,826,000 44,852,172
Total 1,265,731,143 2,215,572,833 9,826,000 3,491,129,976
TAS ABF 320,502,493 385,427,506 0 705,929,999
Block 59,308,940 312,023,601 0 371,332,541
Other 7,866,539 0 0 7,866,539
Total 387,677,971 697,451,107 0 1,085,129,078
ACT ABF 311,866,670 593,359,000 0 905,225,670
Block 26,606,883 36,605,000 0 63,211,883
Other 6,022,361 0 93,600,000 99,622,361
Total 344,495,915 629,964,000 93,600,000 1,068,059,915
NT ABF 225,996,478 294,319,000 0 520,315,478
Block 16,232,467 559,025,000 0 575,257,467
Other 3,663,891 11,506 0 3,675,398
Total 245,892,836 853,355,506 0 1,099,248,342
Total ABF funding 16,105,051,679 21,154,403,306 0 37,259,454,986
Total Block funding 2,164,949,637 4,010,240,095 0 6,175,189,733
Total Other funding 366,098,259 308,783,016 273,890,000 948,771,275
Grand Total 18,636,099,576 25,473,426,417 273,890,000 44,383,415,993

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 – June 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 2,584,195 2,584,814
VIC 217,009 2,000,244 2,000,244
QLD 11,291 1,574,306 1,574,306
WA 67,091 807,656 819,809
SA 40,610 582,476 582,476
TAS 12,165 133,303 141,357
ACT 11,926 148,109 143,666
NT 11,600 137,545 147,679
Total 587,041 7,967,834 7,994,351

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.