National report - November 2016

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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 November 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 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 November 2016, 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 – November 2016

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,106,645,032 1,150,362,540 5,261,730,998 5,236,448,505
VIC 864,315,120 864,315,120 4,629,144,432 4,629,144,432
QLD 771,047,253 770,994,689 4,238,815,873 4,238,636,892
WA 398,375,532 398,324,637 2,143,520,064 2,143,265,577
SA 313,953,656 269,001,062 1,489,243,471 1,430,935,309
TAS 79,403,670 79,403,670 434,425,060 434,425,060
ACT 109,297,465 109,297,465 452,767,254 452,767,254
NT 89,953,818 89,952,811 454,278,637 454,273,258
Total 3,732,991,545 3,731,651,993 19,103,925,789 19,019,896,288

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 – November 2016

This table shows NHR funding by the source of funds for each state and territory for November 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 472,909,988 632,135,044 1,600,000 1,106,645,032
VIC 371,117,044 493,198,076 0 864,315,120
QLD 304,144,402 466,902,851 0 771,047,253
WA 166,420,400 231,955,133 0 398,375,532
SA 105,655,609 208,298,047 0 313,953,656
TAS 30,858,475 48,545,195 0 79,403,670
ACT 28,402,465 73,095,000 7,800,000 109,297,465
NT 18,268,311 71,685,507 0 89,953,818
Total 1,497,776,693 2,225,814,852 9,400,000 3,732,991,545

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – November 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 November 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 2,405,309,269 2,848,421,728 8,000,000 5,261,730,998
VIC 1,964,004,080 2,665,140,352 0 4,629,144,432
QLD 1,659,820,595 2,578,995,278 0 4,238,815,873
WA 900,544,388 1,242,975,675 0 2,143,520,064
SA 525,852,342 963,391,130 0 1,489,243,471
TAS 154,292,374 280,132,687 0 434,425,060
ACT 145,752,254 268,015,000 39,000,000 452,767,254
NT 95,850,758 358,427,879 0 454,278,637
Total 7,851,426,061 11,205,499,728 47,000,000 19,103,925,789

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 – November 2016

This table shows NHR funding for each state and territory by funding type and source for November 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 407,995,826 518,698,523 0 926,694,350
Block 54,993,779 113,255,974 0 168,249,753
Other 9,920,382 180,547 1,600,000 11,700,929
Total 472,909,988 632,135,044 1,600,000 1,106,645,032
VIC ABF 321,785,404 425,485,896 0 747,271,300
Block 41,563,444 67,639,031 0 109,202,475
Other 7,768,196 73,149 0 7,841,345
Total 371,117,044 493,198,076 0 864,315,120
QLD ABF 263,595,801 396,967,918 0 660,563,719
Block 34,335,458 69,882,369 0 104,217,827
Other 6,213,143 52,564 0 6,265,706
Total 304,144,402 466,902,851 0 771,047,253
WA ABF 140,208,017 196,245,277 0 336,453,294
Block 22,824,445 35,709,856 0 58,534,300
Other 3,387,938 0 0 3,387,938
Total 166,420,400 231,955,133 0 398,375,532
SA ABF 88,938,812 195,500,000 0 284,438,812
Block 14,525,736 12,600,000 0 27,125,736
Other 2,191,062 198,047 0 2,389,108
Total 105,655,609 208,298,047 0 313,953,656
TAS ABF 25,233,753 29,272,491 0 54,506,244
Block 4,964,032 19,272,704 0 24,236,736
Other 660,690 0 0 660,690
Total 30,858,475 48,545,195 0 79,403,670
ACT ABF 25,677,228 68,871,000 0 94,548,228
Block 2,217,240 4,224,000 0 6,441,240
Other 507,996 0 7,800,000 8,307,996
Total 28,402,465 73,095,000 7,800,000 109,297,465
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 1,007 0 315,124
Total 18,268,311 71,685,507 0 89,953,818
Total ABF funding 1,290,036,329 1,855,567,690 0 3,145,604,019
Total Block funding 176,776,841 369,741,849 0 546,518,690
Total Other funding 30,963,523 505,314 9,400,000 40,868,837
Grand Total 1,497,776,693 2,225,814,852 9,400,000 3,732,991,545

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – November 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 November 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 2,080,738,462 2,452,584,307 0 4,533,322,769
Block 274,968,897 395,051,392 0 670,020,289
Other 49,601,910 786,030 8,000,000 58,387,940
Total 2,405,309,269 2,848,421,728 8,000,000 5,261,730,998
VIC ABF 1,717,345,878 2,293,211,461 0 4,010,557,339
Block 207,817,221 371,392,460 0 579,209,681
Other 38,840,982 536,430 0 39,377,412
Total 1,964,004,080 2,665,140,352 0 4,629,144,432
QLD ABF 1,457,077,590 2,194,469,111 0 3,651,546,701
Block 171,677,292 384,347,186 0 556,024,478
Other 31,065,713 178,980 0 31,244,694
Total 1,659,820,595 2,578,995,278 0 4,238,815,873
WA ABF 769,482,474 974,426,387 0 1,743,908,861
Block 114,122,224 268,549,278 0 382,671,501
Other 16,939,691 11 0 16,939,701
Total 900,544,388 1,242,975,675 0 2,143,520,064
SA ABF 442,268,354 869,500,000 0 1,311,768,354
Block 72,628,679 92,979,808 0 165,608,487
Other 10,955,309 911,321 0 11,866,630
Total 525,852,342 963,391,130 0 1,489,243,471
TAS ABF 126,168,765 152,765,523 0 278,934,288
Block 24,820,161 127,367,164 0 152,187,325
Other 3,303,448 0 0 3,303,448
Total 154,292,374 280,132,687 0 434,425,060
ACT ABF 132,126,072 252,527,000 0 384,653,072
Block 11,086,201 15,488,000 0 26,574,201
Other 2,539,981 0 39,000,000 41,539,981
Total 145,752,254 268,015,000 39,000,000 452,767,254
NT ABF 87,516,647 122,632,917 0 210,149,564
Block 6,763,528 235,789,583 0 242,553,111
Other 1,570,582 5,379 0 1,575,962
Total 95,850,758 358,427,879 0 454,278,637
Total ABF funding 6,812,724,243 9,312,116,705 0 16,124,840,947
Total Block funding 883,884,203 1,890,964,871 0 2,774,849,074
Total Other funding 154,817,616 2,418,152 47,000,000 204,235,768
Grand Total 7,851,426,061 11,205,499,728 47,000,000 19,103,925,789

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 – November 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 2016-17
NSW 215,350 1,076,748 2,584,814
VIC 162,112 810,562 1,945,347
QLD 128,936 644,679 1,547,075
WA 69,646 346,220 807,655
SA 46,550 243,615 582,476
TAS 10,889 56,826 133,303
ACT 11,876 61,815 143,666
NT 11,022 58,137 137,544
Total 656,380 3,298,602 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.