National report - March 2017

Print friendly version (PDF, 433 kB)

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 March 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 March 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 – March 2017

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,071,743,509 1,071,743,509 9,520,807,991 9,481,807,991
VIC 701,686,882 701,686,882 7,688,285,800 7,688,285,800
QLD 849,019,064 848,993,789 7,615,364,316 7,615,076,100
WA 457,715,015 457,664,120 3,854,461,673 3,854,003,606
SA 365,553,820 276,283,498 2,935,097,828 2,523,888,240
TAS 112,166,238 112,166,238 787,569,548 787,569,548
ACT 84,926,800 84,926,800 792,491,449 792,491,449
NT 92,196,716 92,195,711 816,335,870 816,327,402
Total 3,735,008,046 3,645,660,549 34,010,414,474 33,559,450,134

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 – March 2017

This table shows NHR funding by the source of funds for each state and territory for March 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 473,613,220 569,530,290 28,600,000 1,071,743,509
VIC 372,940,656 328,746,226 0 701,686,882
QLD 304,083,981 502,635,084 42,300,000 849,019,064
WA 166,326,549 291,388,466 0 457,715,015
SA 105,628,045 259,925,775 0 365,553,820
TAS 30,857,896 81,308,342 0 112,166,238
ACT 28,396,800 48,730,000 7,800,000 84,926,800
NT 20,511,211 71,685,504 0 92,196,716
Total 1,502,358,358 2,153,949,687 78,700,000 3,735,008,046

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – March 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 March 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 4,298,664,384 5,180,743,607 41,400,000 9,520,807,991
VIC 3,453,814,272 4,234,471,528 0 7,688,285,800
QLD 2,876,337,782 4,696,726,534 42,300,000 7,615,364,316
WA 1,566,132,133 2,288,329,540 0 3,854,461,673
SA 948,447,214 1,986,650,614 0 2,935,097,828
TAS 277,725,694 509,843,854 0 787,569,548
ACT 259,356,449 462,935,000 70,200,000 792,491,449
NT 171,166,902 645,168,968 0 816,335,870
Total 13,851,644,830 20,004,869,644 153,900,000 34,010,414,474

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 – March 2017

This table shows NHR funding for each state and territory by funding type and source for March 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 408,779,967 493,941,433 0 902,721,401
Block 54,993,779 75,458,404 0 130,452,183
Other 9,839,473 130,453 28,600,000 38,569,926
Total 473,613,220 569,530,290 28,600,000 1,071,743,509
VIC ABF 323,602,689 283,721,141 0 607,323,829
Block 41,563,444 44,913,608 0 86,477,052
Other 7,774,523 111,477 0 7,886,000
Total 372,940,656 328,746,226 0 701,686,882
QLD ABF 263,595,801 363,427,440 0 627,023,241
Block 34,335,458 69,882,369 0 104,217,827
Other 6,152,721 69,325,275 42,300,000 117,777,996
Total 304,083,981 502,635,084 42,300,000 849,019,064
WA ABF 140,208,017 276,745,277 0 416,953,294
Block 22,824,445 14,643,189 0 37,467,634
Other 3,294,088 0 0 3,294,088
Total 166,326,549 291,388,466 0 457,715,015
SA ABF 88,938,812 255,000,000 0 343,938,812
Block 14,525,736 4,500,000 0 19,025,736
Other 2,163,498 425,775 0 2,589,273
Total 105,628,045 259,925,775 0 365,553,820
TAS ABF 25,233,753 29,813,206 0 55,046,959
Block 4,964,032 51,495,136 0 56,459,168
Other 660,111 0 0 660,111
Total 30,857,896 81,308,342 0 112,166,238
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 1,004 0 305,921
Total 20,511,211 71,685,504 0 92,196,716
Total ABF funding 1,294,889,856 1,773,089,081 0 3,067,978,937
Total Block funding 176,776,841 310,866,622 0 487,643,462
Total Other funding 30,691,662 69,993,985 78,700,000 179,385,647
Grand Total 1,502,358,358 2,153,949,687 78,700,000 3,735,008,046

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – March 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 March 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 3,714,517,840 4,506,699,133 0 8,221,216,973
Block 494,944,015 672,656,042 0 1,167,600,057
Other 89,202,529 1,388,432 41,400,000 131,990,961
Total 4,298,664,384 5,180,743,607 41,400,000 9,520,807,991
VIC ABF 3,009,823,181 3,658,910,048 0 6,668,733,228
Block 374,070,998 574,753,081 0 948,824,078
Other 69,920,093 808,400 0 70,728,493
Total 3,453,814,272 4,234,471,528 0 7,688,285,800
QLD ABF 2,511,460,794 3,928,326,314 0 6,439,787,108
Block 309,019,126 698,812,004 0 1,007,831,130
Other 55,857,862 69,588,217 42,300,000 167,746,079
Total 2,876,337,782 4,696,726,534 42,300,000 7,615,364,316
WA ABF 1,330,314,541 1,885,207,496 0 3,215,522,037
Block 205,420,002 403,122,033 0 608,542,035
Other 30,397,590 11 0 30,397,601
Total 1,566,132,133 2,288,329,540 0 3,854,461,673
SA ABF 798,023,600 1,850,500,000 0 2,648,523,600
Block 130,731,622 133,954,344 0 264,685,965
Other 19,691,992 2,196,270 0 21,888,262
Total 948,447,214 1,986,650,614 0 2,935,097,828
TAS ABF 227,103,777 271,449,056 0 498,552,833
Block 44,676,290 238,394,798 0 283,071,087
Other 5,945,628 0 0 5,945,628
Total 277,725,694 509,843,854 0 787,569,548
ACT ABF 234,834,985 436,183,000 0 671,017,985
Block 19,955,163 26,752,000 0 46,707,163
Other 4,566,301 0 70,200,000 74,766,301
Total 259,356,449 462,935,000 70,200,000 792,491,449
NT ABF 156,174,703 220,739,250 0 376,913,953
Block 12,174,350 424,421,250 0 436,595,600
Other 2,817,849 8,468 0 2,826,317
Total 171,166,902 645,168,968 0 816,335,870
Total ABF funding 11,982,253,421 16,758,014,296 0 28,740,267,717
Total Block funding 1,590,991,565 3,172,865,551 0 4,763,857,116
Total Other funding 278,399,844 73,989,797 153,900,000 506,289,641
Grand Total 13,851,644,830 20,004,869,644 153,900,000 34,010,414,474

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 – March 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 1,938,146 2,584,814
VIC 162,112 1,459,011 1,945,347
QLD 128,936 1,160,409 1,547,075
WA 70,598 607,730 807,655
SA 49,542 434,941 582,476
TAS 10,848 98,770 133,303
ACT 12,245 110,880 143,666
NT 12,044 102,982 141,644
Total 661,675 5,912,868 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.