National report - December 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 December 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 December 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 – December 2017

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,107,614,397 1,107,614,397 6,853,949,588 6,853,949,588
VIC 747,303,266 747,303,266 5,848,158,777 5,848,158,777
QLD 867,793,798 867,763,570 5,514,538,862 5,514,330,677
WA 497,996,531 497,996,531 2,118,893,450 2,118,893,461
SA 310,262,161 239,569,333 1,673,917,672 1,702,274,269
TAS 87,955,924 87,953,494 566,376,508 566,367,696
ACT 88,666,387 88,666,387 557,234,321 557,234,321
NT 95,361,804 95,360,784 572,170,813 572,164,707
Total 3,802,954,268 3,732,227,762 23,705,239,991 23,733,373,495

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 – December 2017

This table shows NHR funding by the source of funds for each state and territory for December 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 501,634,356 600,480,041 5,500,000 1,107,614,397
VIC 410,468,213 332,335,052 4,500,000 747,303,266
QLD 329,469,314 533,424,484 4,900,000 867,793,798
WA 176,914,074 321,082,456 0 497,996,531
SA 108,833,878 201,428,283 0 310,262,161
TAS 33,639,341 54,316,584 0 87,955,924
ACT 30,244,387 50,472,000 7,950,000 88,666,387
NT 21,426,951 73,934,853 0 95,361,804
Total 1,612,630,515 2,167,473,754 22,850,000 3,802,954,268

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – December 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 December 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 3,009,806,139 3,811,143,450 33,000,000 6,853,949,588
VIC 2,462,809,281 3,358,349,496 27,000,000 5,848,158,777
QLD 1,976,815,884 3,508,322,978 29,400,000 5,514,538,862
WA 1,061,484,446 1,057,409,004 0 2,118,893,450
SA 653,003,266 1,020,914,405 0 1,673,917,672
TAS 201,836,043 364,540,465 0 566,376,508
ACT 181,466,321 328,068,000 47,700,000 557,234,321
NT 128,561,707 443,609,106 0 572,170,813
Total 9,675,783,088 13,892,356,903 137,100,000 23,705,239,991

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 – December 2017

This table shows NHR funding for each state and territory by funding type and source for December 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 431,600,353 440,542,514 0 872,142,867
Block 59,704,661 142,491,117 0 202,195,778
Other 10,329,342 17,446,410 5,500,000 33,275,752
Total 501,634,356 600,480,041 5,500,000 1,107,614,397
VIC ABF 357,230,284 286,316,268 0 643,546,552
Block 45,068,306 45,092,559 0 90,160,865
Other 8,169,623 926,225 4,500,000 13,595,848
Total 410,468,213 332,335,052 4,500,000 747,303,266
QLD ABF 287,208,828 445,758,607 0 732,967,434
Block 35,801,215 79,635,650 0 115,436,865
Other 6,459,271 8,030,228 4,900,000 19,389,499
Total 329,469,314 533,424,484 4,900,000 867,793,798
WA ABF 150,172,697 305,837,675 0 456,010,371
Block 23,254,608 15,244,782 0 38,499,390
Other 3,486,770 0 0 3,486,770
Total 176,914,074 321,082,456 0 497,996,531
SA ABF 91,992,044 180,000,000 0 271,992,044
Block 14,583,846 21,312,204 0 35,896,050
Other 2,257,987 116,079 0 2,374,066
Total 108,833,878 201,428,283 0 310,262,161
TAS ABF 27,721,993 31,277,640 0 58,999,633
Block 5,234,926 23,036,514 0 28,271,440
Other 682,422 2,431 0 684,852
Total 33,639,341 54,316,584 0 87,955,924
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 1,019 0 322,931
Total 21,426,951 73,934,853 0 95,361,804
Total ABF funding 1,392,797,130 1,759,605,286 0 3,152,402,416
Total Block funding 187,597,367 379,746,076 0 567,343,442
Total Other funding 32,236,018 28,122,392 22,850,000 83,208,410
Grand Total 1,612,630,515 2,167,473,754 22,850,000 3,802,954,268

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – December 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 December 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 2,589,602,121 3,112,952,586 0 5,702,554,707
Block 358,227,964 593,079,740 0 951,307,704
Other 61,976,053 105,111,124 33,000,000 200,087,177
Total 3,009,806,139 3,811,143,450 33,000,000 6,853,949,588
VIC ABF 2,143,381,705 2,908,402,179 0 5,051,783,884
Block 270,409,837 449,358,580 0 719,768,417
Other 49,017,739 588,737 27,000,000 76,606,476
Total 2,462,809,281 3,358,349,496 27,000,000 5,848,158,777
QLD ABF 1,723,252,965 2,942,489,879 0 4,665,742,844
Block 214,807,292 517,624,913 0 732,432,205
Other 38,755,627 48,208,185 29,400,000 116,363,813
Total 1,976,815,884 3,508,322,978 29,400,000 5,514,538,862
WA ABF 901,036,180 611,858,201 0 1,512,894,382
Block 139,527,647 445,550,802 0 585,078,450
Other 20,920,619 0 0 20,920,619
Total 1,061,484,446 1,057,409,004 0 2,118,893,450
SA ABF 551,952,265 908,000,000 0 1,459,952,265
Block 87,503,078 112,031,390 0 199,534,469
Other 13,547,923 883,015 0 14,430,938
Total 653,003,266 1,020,914,405 0 1,673,917,672
TAS ABF 166,331,959 186,300,070 0 352,632,028
Block 31,409,555 178,231,582 0 209,641,137
Other 4,094,530 8,813 0 4,103,343
Total 201,836,043 364,540,465 0 566,376,508
ACT ABF 164,656,948 295,549,000 0 460,205,948
Block 13,637,229 22,919,000 0 36,556,229
Other 3,172,143 9,600,000 47,700,000 60,472,143
Total 181,466,321 328,068,000 47,700,000 557,234,321
NT ABF 116,568,638 147,159,500 0 263,728,138
Block 10,061,597 296,443,500 0 306,505,097
Other 1,931,472 6,106 0 1,937,578
Total 128,561,707 443,609,106 0 572,170,813
Total ABF funding 8,356,782,781 11,112,711,415 0 19,469,494,196
Total Block funding 1,125,584,200 2,615,239,508 0 3,740,823,708
Total Other funding 193,416,107 164,405,980 137,100,000 494,922,087
Grand Total 9,675,783,088 13,892,356,903 137,100,000 23,705,239,991

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 – December 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 218,812 1,312,194 2,626,084
VIC 179,836 1,049,686 2,087,640
QLD 144,483 866,902 1,733,806
WA 67,424 428,290 841,706
SA 39,916 295,123 582,364
TAS 12,016 71,820 142,543
ACT 11,378 74,809 153,649
NT 12,608 76,569 152,848
Total 686,472 4,175,392 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.