National report - May 2016

Print friendly version (PDF, 465 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 May 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 2015-16 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 May 2016, see State or territory reports.

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2015-16.

NHR funding and payments

Table 1 – NHR funding and payments for each state and territory – May 2016

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,082,022,650 1,082,022,650 10,944,735,100 10,944,735,100
VIC 889,299,195 889,299,195 8,617,902,415 8,617,902,415
QLD 819,831,175 819,758,062 9,072,268,494 9,071,754,791
WA 353,538,014 353,538,000 4,517,765,279 4,517,756,722
SA 238,165,348 281,137,576 3,167,339,471 3,044,384,302
TAS 83,409,034 83,409,034 915,639,020 915,639,020
ACT 101,615,623 101,615,623 933,533,877 933,533,877
NT 84,044,741 84,043,388 862,695,649 862,680,905
Total 3,651,925,780 3,694,823,528 39,031,879,304 38,908,387,131

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 – May 2016

This table shows NHR funding by the source of funds for each state and territory for May 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 498,196,407 582,526,243 1,300,000 1,082,022,650
VIC 352,101,005 492,198,190 45,000,000 889,299,195
QLD 329,847,151 489,984,024 0 819,831,175
WA 163,777,008 189,761,006 0 353,538,014
SA 100,303,044 137,862,304 0 238,165,348
TAS 33,137,291 50,271,743 0 83,409,034
ACT 24,787,623 69,828,000 7,000,000 101,615,623
NT 21,948,555 62,096,187 0 84,044,741
Total 1,524,098,082 2,074,527,698 53,300,000 3,651,925,780

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – May 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 May 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 5,015,770,746 5,886,564,354 42,400,000 10,944,735,100
VIC 3,832,284,577 4,740,617,838 45,000,000 8,617,902,415
QLD 3,221,942,671 5,811,925,822 38,400,000 9,072,268,494
WA 1,667,858,243 2,849,907,036 0 4,517,765,279
SA 1,121,944,300 2,039,795,171 5,600,000 3,167,339,471
TAS 341,632,715 574,006,305 0 915,639,020
ACT 297,909,877 558,624,000 77,000,000 933,533,877
NT 180,557,738 682,137,910 0 862,695,649
Total 15,679,900,867 23,143,578,437 208,400,000 39,031,879,304

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 – May 2016

This table shows NHR funding for each state and territory by funding type and source for May 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 436,210,369 514,347,535 0 950,557,903
Block 52,626,804 67,795,492 0 120,422,296
Other 9,359,234 383,217 1,300,000 11,042,451
Total 498,196,407 582,526,243 1,300,000 1,082,022,650
VIC ABF 303,097,769 424,952,295 0 728,050,065
Block 41,687,584 67,142,035 0 108,829,620
Other 7,315,651 103,860 45,000,000 52,419,511
Total 352,101,005 492,198,190 45,000,000 889,299,195
QLD ABF 291,797,113 424,549,395 0 716,346,508
Block 32,198,861 65,361,516 0 97,560,377
Other 5,851,177 73,113 0 5,924,291
Total 329,847,151 489,984,024 0 819,831,175
WA ABF 138,715,415 155,482,021 0 294,197,436
Block 22,015,827 34,278,972 0 56,294,799
Other 3,045,765 13 0 3,045,779
Total 163,777,008 189,761,006 0 353,538,014
SA ABF 84,105,248 120,000,000 0 204,105,248
Block 14,105,110 17,500,000 0 31,605,110
Other 2,092,686 362,304 0 2,454,990
Total 100,303,044 137,862,304 0 238,165,348
TAS ABF 27,759,589 29,971,320 0 57,730,909
Block 4,745,919 20,300,423 0 25,046,342
Other 631,783 0 0 631,783
Total 33,137,291 50,271,743 0 83,409,034
ACT ABF 22,154,234 64,842,000 0 86,996,234
Block 2,155,809 4,986,000 0 7,141,809
Other 477,581 0 7,000,000 7,477,581
Total 24,787,623 69,828,000 7,000,000 101,615,623
NT ABF 20,526,611 24,526,583 0 45,053,194
Block 1,139,341 37,568,250 0 38,707,591
Other 282,602 1,354 0 283,956
Total 21,948,555 62,096,187 0 84,044,741
Total ABF funding 1,324,366,349 1,758,671,149 0 3,083,037,498
Total Block funding 170,675,255 314,932,688 0 485,607,943
Total Other funding 29,056,479 923,861 53,300,000 83,280,340
Grand Total 1,524,098,082 2,074,527,698 53,300,000 3,651,925,780

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – May 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 May 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 4,339,586,305 5,377,694,364 0 9,717,280,669
Block 572,372,469 505,765,881 0 1,078,138,350
Other 103,811,972 3,104,109 42,400,000 149,316,081
Total 5,015,770,746 5,886,564,354 42,400,000 10,944,735,100
VIC ABF 3,304,429,684 4,137,166,950 0 7,441,596,633
Block 446,742,824 602,551,388 0 1,049,294,213
Other 81,112,068 899,500 45,000,000 127,011,569
Total 3,832,284,577 4,740,617,838 45,000,000 8,617,902,415
QLD ABF 2,802,492,565 4,929,180,069 0 7,731,672,634
Block 354,187,466 817,132,050 0 1,171,319,516
Other 65,262,641 65,613,703 38,400,000 169,276,343
Total 3,221,942,671 5,811,925,822 38,400,000 9,072,268,494
WA ABF 1,389,431,947 2,382,050,974 0 3,771,482,921
Block 243,062,396 467,847,506 0 710,909,902
Other 35,363,899 8,557 0 35,372,456
Total 1,667,858,243 2,849,907,036 0 4,517,765,279
SA ABF 947,003,389 1,852,000,000 0 2,799,003,389
Block 151,810,605 184,470,868 0 336,281,473
Other 23,130,306 3,324,303 5,600,000 32,054,609
Total 1,121,944,300 2,039,795,171 5,600,000 3,167,339,471
TAS ABF 283,472,080 265,251,513 0 548,723,593
Block 51,167,418 308,754,791 0 359,922,210
Other 6,993,217 0 0 6,993,217
Total 341,632,715 574,006,305 0 915,639,020
ACT ABF 269,519,253 518,736,000 0 788,255,253
Block 23,069,367 39,888,000 0 62,957,367
Other 5,321,257 0 77,000,000 82,321,257
Total 297,909,877 558,624,000 77,000,000 933,533,877
NT ABF 164,719,178 269,792,417 0 434,511,595
Block 12,532,755 412,330,750 0 424,863,505
Other 3,305,805 14,744 0 3,320,549
Total 180,557,738 682,137,910 0 862,695,649
Total ABF funding 13,500,654,400 19,731,872,286 0 33,232,526,686
Total Block funding 1,854,945,301 3,338,741,236 0 5,193,686,537
Total Other funding 324,301,166 72,964,915 208,400,000 605,666,081
Grand Total 15,679,900,867 23,143,578,437 208,400,000 39,031,879,304

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 – May 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 2015-16
NSW 211,455 2,301,931 2,507,724
VIC 161,457 1,739,894 1,899,269
QLD 124,105 1,320,997 1,489,257
WA 65,033 699,175 767,840
SA 49,448 536,285 578,206
TAS 13,704 123,372 135,000
ACT 12,036 131,442 140,066
NT 10,686 109,690 120,717
Total 647,924 6,962,786 7,638,078

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.