National report - September 2017

Print friendly version (PDF, 436 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 September 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 2017-18 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 September 2017, see State or territory reports.

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2017-18.

NHR funding and payments

Table 1 – NHR funding and payments for each state and territory – September 2017

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,039,688,683 1,039,688,683 3,496,452,527 3,496,452,527
VIC 748,814,021 748,930,669 3,293,588,200 3,293,704,848
QLD 872,742,288 872,713,570 2,869,381,691 2,869,261,080
WA 521,965,902 521,965,902 1,208,133,614 1,208,133,625
SA 230,216,768 273,654,987 765,936,603 836,594,962
TAS 85,164,342 85,164,342 291,139,090 291,139,096
ACT 88,666,387 88,666,387 265,999,161 265,999,161
NT 95,361,803 95,360,784 286,085,394 286,082,353
Total 3,682,620,193 3,726,145,324 12,476,716,280 12,547,367,651

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 – September 2017

This table shows NHR funding by the source of funds for each state and territory for September 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 501,634,357 532,554,326 5,500,000 1,039,688,683
VIC 410,468,213 333,845,807 4,500,000 748,814,021
QLD 329,469,314 538,372,974 4,900,000 872,742,288
WA 176,914,074 345,051,827 0 521,965,902
SA 108,833,878 121,382,890 0 230,216,768
TAS 33,639,341 51,525,002 0 85,164,342
ACT 30,244,387 50,472,000 7,950,000 88,666,387
NT 21,426,951 73,934,852 0 95,361,803
Total 1,612,630,515 2,047,139,678 22,850,000 3,682,620,193

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – September 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 September 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 1,504,903,070 1,975,049,458 16,500,000 3,496,452,527
VIC 1,231,404,640 2,048,683,560 13,500,000 3,293,588,200
QLD 988,407,942 1,866,273,749 14,700,000 2,869,381,691
WA 530,742,223 677,391,391 0 1,208,133,614
SA 326,501,633 439,434,970 0 765,936,603
TAS 100,918,022 190,221,068 0 291,139,090
ACT 90,733,161 151,416,000 23,850,000 265,999,161
NT 64,280,853 221,804,541 0 286,085,394
Total 4,837,891,544 7,570,274,736 68,550,000 12,476,716,280

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 – September 2017

This table shows NHR funding for each state and territory by funding type and source for September 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 431,600,354 443,767,163 0 875,367,517
Block 59,704,661 71,285,808 0 130,990,469
Other 10,329,342 17,501,354 5,500,000 33,330,696
Total 501,634,357 532,554,326 5,500,000 1,039,688,683
VIC ABF 357,230,284 284,407,509 0 641,637,793
Block 45,068,306 44,904,219 0 89,972,525
Other 8,169,623 4,534,079 4,500,000 17,203,703
Total 410,468,213 333,845,807 4,500,000 748,814,021
QLD ABF 287,208,828 450,708,607 0 737,917,434
Block 35,801,215 79,635,650 0 115,436,865
Other 6,459,271 8,028,718 4,900,000 19,387,989
Total 329,469,314 538,372,974 4,900,000 872,742,288
WA ABF 150,172,697 249,129,341 0 399,302,037
Block 23,254,608 95,922,487 0 119,177,095
Other 3,486,770 0 0 3,486,770
Total 176,914,074 345,051,827 0 521,965,902
SA ABF 91,992,044 105,000,000 0 196,992,044
Block 14,583,846 16,200,000 0 30,783,846
Other 2,257,987 182,890 0 2,440,877
Total 108,833,878 121,382,890 0 230,216,768
TAS ABF 27,721,993 31,320,122 0 59,042,115
Block 5,234,926 20,204,873 0 25,439,799
Other 682,422 6 0 682,428
Total 33,639,341 51,525,002 0 85,164,342
ACT ABF 27,442,825 45,346,000 0 72,788,825
Block 2,272,872 3,526,000 0 5,798,872
Other 528,691 1,600,000 7,950,000 10,078,691
Total 30,244,387 50,472,000 7,950,000 88,666,387
NT ABF 19,428,106 24,526,583 0 43,954,690
Block 1,676,933 49,407,250 0 51,084,183
Other 321,912 1,018 0 322,930
Total 21,426,951 73,934,852 0 95,361,803
Total ABF funding 1,392,797,131 1,634,205,325 0 3,027,002,456
Total Block funding 187,597,367 381,086,287 0 568,683,653
Total Other funding 32,236,018 31,848,066 22,850,000 86,934,084
Grand Total 1,612,630,515 2,047,139,678 22,850,000 3,682,620,193

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – September 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 September 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 1,294,801,061 1,629,734,759 0 2,924,535,820
Block 179,113,982 292,656,990 0 471,770,972
Other 30,988,027 52,657,709 16,500,000 100,145,735
Total 1,504,903,070 1,975,049,458 16,500,000 3,496,452,527
VIC ABF 1,071,690,852 1,766,237,397 0 2,837,928,249
Block 135,204,918 282,106,555 0 417,311,474
Other 24,508,870 339,608 13,500,000 38,348,477
Total 1,231,404,640 2,048,683,560 13,500,000 3,293,588,200
QLD ABF 861,626,483 1,563,435,174 0 2,425,061,656
Block 107,403,646 278,717,964 0 386,121,610
Other 19,377,814 24,120,611 14,700,000 58,198,425
Total 988,407,942 1,866,273,749 14,700,000 2,869,381,691
WA ABF 450,518,090 277,574,934 0 728,093,024
Block 69,763,824 399,816,457 0 469,580,281
Other 10,460,309 0 0 10,460,309
Total 530,742,223 677,391,391 0 1,208,133,614
SA ABF 275,976,132 395,000,000 0 670,976,132
Block 43,751,539 43,900,000 0 87,651,539
Other 6,773,962 534,970 0 7,308,931
Total 326,501,633 439,434,970 0 765,936,603
TAS ABF 83,165,979 93,923,049 0 177,089,028
Block 15,704,777 96,298,019 0 112,002,797
Other 2,047,265 0 0 2,047,265
Total 100,918,022 190,221,068 0 291,139,090
ACT ABF 82,328,474 136,038,000 0 218,366,474
Block 6,818,615 10,578,000 0 17,396,615
Other 1,586,072 4,800,000 23,850,000 30,236,072
Total 90,733,161 151,416,000 23,850,000 265,999,161
NT ABF 58,284,319 73,579,750 0 131,864,069
Block 5,030,799 148,221,750 0 153,252,549
Other 965,736 3,041 0 968,777
Total 64,280,853 221,804,541 0 286,085,394
Total ABF funding 4,178,391,391 5,935,523,062 0 10,113,914,453
Total Block funding 562,792,100 1,552,295,736 0 2,115,087,836
Total Other funding 96,708,053 82,455,938 68,550,000 247,713,991
Grand Total 4,837,891,544 7,570,274,736 68,550,000 12,476,716,280

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 – September 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 2017-18
NSW 218,456 652,622 2,626,084
VIC 173,970 521,910 2,087,640
QLD 144,484 433,452 1,733,806
WA 71,315 217,267 841,706
SA 47,684 147,081 582,364
TAS 12,025 36,067 142,543
ACT 12,076 37,865 153,649
NT 12,749 38,376 152,848
Total 692,759 2,084,640 8,320,640

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.