National report - May 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 May 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 May 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 – May 2017

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,149,418,858 1,149,216,986 11,703,555,407 11,664,216,672
VIC 871,198,338 871,198,338 9,296,982,570 9,296,982,570
QLD 907,116,502 907,056,630 9,434,164,207 9,433,789,643
WA 449,857,924 450,010,610 4,497,569,982 4,497,417,286
SA 129,502,903 332,983,498 3,190,745,822 3,141,319,235
TAS 88,046,825 88,046,825 957,625,702 957,625,702
ACT 109,291,800 109,291,800 986,710,049 986,710,049
NT 86,811,723 86,810,711 995,344,316 995,333,824
Total 3,791,244,873 3,994,615,398 41,062,698,056 40,973,394,982

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 2017

This table shows NHR funding by the source of funds for each state and territory for May 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 477,563,200 666,655,658 5,200,000 1,149,418,858
VIC 382,785,155 488,413,183 0 871,198,338
QLD 335,166,365 567,250,138 4,700,000 907,116,502
WA 179,084,200 270,773,724 0 449,857,924
SA 105,893,594 23,609,308 0 129,502,903
TAS 34,833,216 53,213,609 0 88,046,825
ACT 28,396,800 73,095,000 7,800,000 109,291,800
NT 20,511,211 66,300,511 0 86,811,723
Total 1,564,233,743 2,209,311,131 17,700,000 3,791,244,873

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – May 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 May 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 5,253,790,785 6,384,900,622 64,864,000 11,703,555,407
VIC 4,219,384,583 5,077,597,988 0 9,296,982,570
QLD 3,516,752,741 5,865,711,466 51,700,000 9,434,164,207
WA 1,910,947,241 2,586,622,742 0 4,497,569,982
SA 1,160,234,403 2,020,685,419 9,826,000 3,190,745,822
TAS 343,330,324 614,295,378 0 957,625,702
ACT 316,150,049 584,760,000 85,800,000 986,710,049
NT 212,189,324 783,154,992 0 995,344,316
Total 16,932,779,450 23,917,728,606 212,190,000 41,062,698,056

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 2017

This table shows NHR funding for each state and territory by funding type and source for May 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 408,779,967 573,058,632 0 981,838,599
Block 58,943,761 93,395,153 0 152,338,914
Other 9,839,473 201,872 5,200,000 15,241,345
Total 477,563,200 666,655,658 5,200,000 1,149,418,858
VIC ABF 323,602,688 429,986,493 0 753,589,181
Block 51,407,944 58,355,719 0 109,763,664
Other 7,774,523 70,970 0 7,845,493
Total 382,785,155 488,413,183 0 871,198,338
QLD ABF 293,513,572 490,130,042 0 783,643,613
Block 35,500,072 69,360,224 0 104,860,296
Other 6,152,721 7,759,872 4,700,000 18,612,593
Total 335,166,365 567,250,138 4,700,000 907,116,502
WA ABF 153,561,313 256,207,721 0 409,769,034
Block 22,228,800 14,566,003 0 36,794,803
Other 3,294,088 0 0 3,294,088
Total 179,084,200 270,773,724 0 449,857,924
SA ABF 88,938,812 0 0 88,938,812
Block 14,791,285 23,100,000 0 37,891,285
Other 2,163,498 509,308 0 2,672,806
Total 105,893,594 23,609,308 0 129,502,903
TAS ABF 29,295,554 33,650,799 0 62,946,353
Block 4,877,550 19,562,810 0 24,440,360
Other 660,111 0 0 660,111
Total 34,833,216 53,213,609 0 88,046,825
ACT ABF 25,677,228 68,871,000 0 94,548,228
Block 2,217,240 4,224,000 0 6,441,240
Other 502,332 0 7,800,000 8,302,332
Total 28,396,800 73,095,000 7,800,000 109,291,800
NT ABF 18,853,589 24,526,583 0 43,380,173
Block 1,352,706 41,772,917 0 43,125,622
Other 304,917 1,011 0 305,928
Total 20,511,211 66,300,511 0 86,811,723
Total ABF funding 1,342,222,723 1,876,431,270 0 3,218,653,993
Total Block funding 191,319,358 324,336,826 0 515,656,184
Total Other funding 30,691,662 8,543,034 17,700,000 56,934,697
Grand Total 1,564,233,743 2,209,311,131 17,700,000 3,791,244,873

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – May 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 May 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 4,532,077,774 5,567,311,533 0 10,099,389,307
Block 612,831,536 815,861,923 0 1,428,693,459
Other 108,881,475 1,727,167 64,864,000 175,472,642
Total 5,253,790,785 6,384,900,622 64,864,000 11,703,555,407
VIC ABF 3,657,028,557 4,406,905,352 0 8,063,933,909
Block 476,886,886 669,669,548 0 1,146,556,434
Other 85,469,140 1,023,087 0 86,492,227
Total 4,219,384,583 5,077,597,988 0 9,296,982,570
QLD ABF 3,068,570,167 4,937,585,344 0 8,006,155,510
Block 380,019,270 843,051,558 0 1,223,070,828
Other 68,163,304 85,074,564 51,700,000 204,937,869
Total 3,516,752,741 5,865,711,466 51,700,000 9,434,164,207
WA ABF 1,624,083,871 2,154,291,506 0 3,778,375,377
Block 249,877,602 432,331,225 0 682,208,826
Other 36,985,768 11 0 36,985,779
Total 1,910,947,241 2,586,622,742 0 4,497,569,982
SA ABF 975,901,223 1,850,500,000 0 2,826,401,223
Block 160,314,192 161,254,344 0 321,568,536
Other 24,018,988 8,931,075 9,826,000 42,776,063
Total 1,160,234,403 2,020,685,419 9,826,000 3,190,745,822
TAS ABF 281,633,084 334,634,746 0 616,267,830
Block 54,431,390 279,660,632 0 334,092,022
Other 7,265,850 0 0 7,265,850
Total 343,330,324 614,295,378 0 957,625,702
ACT ABF 286,189,442 550,968,000 0 837,157,442
Block 24,389,643 33,792,000 0 58,181,643
Other 5,570,965 0 85,800,000 91,370,965
Total 316,150,049 584,760,000 85,800,000 986,710,049
NT ABF 193,881,881 269,792,417 0 463,674,298
Block 14,879,761 513,352,083 0 528,231,845
Other 3,427,682 10,492 0 3,438,174
Total 212,189,324 783,154,992 0 995,344,316
Total ABF funding 14,619,365,999 20,071,988,897 0 34,691,354,896
Total Block funding 1,973,630,280 3,748,973,312 0 5,722,603,592
Total Other funding 339,783,172 96,766,397 212,190,000 648,739,568
Grand Total 16,932,779,450 23,917,728,606 212,190,000 41,062,698,056

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 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 2,368,845 2,584,814
VIC 162,112 1,783,235 1,945,347
QLD 273,669 1,563,014 1,574,306
WA 71,611 740,565 819,809
SA 56,890 541,866 582,476
TAS 11,622 121,138 137,000
ACT 12,845 135,679 143,666
NT 11,628 125,945 141,644
Total 815,728 7,380,289 7,929,062

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.