National report - November 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 November 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 November 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 – November 2017

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,041,234,673 1,041,234,673 5,746,335,191 5,746,335,191
VIC 883,629,297 883,629,297 5,100,855,511 5,100,855,511
QLD 909,571,053 909,542,456 4,646,745,064 4,646,567,106
WA 206,381,653 206,381,653 1,620,896,919 1,620,896,930
SA 419,412,981 319,754,987 1,363,655,511 1,462,704,936
TAS 100,839,799 100,839,792 478,420,584 478,414,202
ACT 88,666,387 88,666,387 468,567,934 468,567,934
NT 95,361,805 95,360,784 476,809,009 476,803,922
Total 3,745,097,647 3,645,410,028 19,902,285,723 20,001,145,732

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 2017

This table shows NHR funding by the source of funds for each state and territory for November 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 501,634,356 534,100,316 5,500,000 1,041,234,673
VIC 410,468,213 468,661,083 4,500,000 883,629,297
QLD 329,469,314 575,201,739 4,900,000 909,571,053
WA 176,914,074 29,467,578 0 206,381,653
SA 108,833,878 310,579,103 0 419,412,981
TAS 33,639,341 67,200,459 0 100,839,799
ACT 30,244,387 50,472,000 7,950,000 88,666,387
NT 21,426,951 73,934,854 0 95,361,805
Total 1,612,630,515 2,109,617,133 22,850,000 3,745,097,647

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – November 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 November 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 2,508,171,782 3,210,663,409 27,500,000 5,746,335,191
VIC 2,052,341,067 3,026,014,444 22,500,000 5,100,855,511
QLD 1,647,346,570 2,974,898,494 24,500,000 4,646,745,064
WA 884,570,372 736,326,547 0 1,620,896,919
SA 544,169,389 819,486,122 0 1,363,655,511
TAS 168,196,703 310,223,881 0 478,420,584
ACT 151,221,934 277,596,000 39,750,000 468,567,934
NT 107,134,756 369,674,254 0 476,809,009
Total 8,063,152,574 11,724,883,150 114,250,000 19,902,285,723

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 2017

This table shows NHR funding for each state and territory by funding type and source for November 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 431,600,353 441,901,863 0 873,502,216
Block 59,704,661 74,732,695 0 134,437,356
Other 10,329,342 17,465,758 5,500,000 33,295,100
Total 501,634,356 534,100,316 5,500,000 1,041,234,673
VIC ABF 357,230,284 415,557,598 0 772,787,882
Block 45,068,306 52,270,642 0 97,338,948
Other 8,169,623 832,844 4,500,000 13,502,467
Total 410,468,213 468,661,083 4,500,000 883,629,297
QLD ABF 287,208,828 487,537,492 0 774,746,320
Block 35,801,215 79,635,650 0 115,436,865
Other 6,459,271 8,028,597 4,900,000 19,387,868
Total 329,469,314 575,201,739 4,900,000 909,571,053
WA ABF 150,172,697 14,222,797 0 164,395,493
Block 23,254,608 15,244,782 0 38,499,390
Other 3,486,770 0 0 3,486,770
Total 176,914,074 29,467,578 0 206,381,653
SA ABF 91,992,044 285,000,000 0 376,992,044
Block 14,583,846 25,500,000 0 40,083,846
Other 2,257,987 79,103 0 2,337,090
Total 108,833,878 310,579,103 0 419,412,981
TAS ABF 27,721,993 29,536,984 0 57,258,977
Block 5,234,926 37,663,467 0 42,898,393
Other 682,422 8 0 682,429
Total 33,639,341 67,200,459 0 100,839,799
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 1,021 0 322,933
Total 21,426,951 73,934,854 0 95,361,805
Total ABF funding 1,392,797,130 1,743,629,317 0 3,136,426,447
Total Block funding 187,597,367 337,980,486 0 525,577,852
Total Other funding 32,236,018 28,007,330 22,850,000 83,093,348
Grand Total 1,612,630,515 2,109,617,133 22,850,000 3,745,097,647

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – November 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 November 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 2,158,001,768 2,672,410,072 0 4,830,411,840
Block 298,523,304 450,588,623 0 749,111,926
Other 51,646,711 87,664,714 27,500,000 166,811,425
Total 2,508,171,782 3,210,663,409 27,500,000 5,746,335,191
VIC ABF 1,786,151,421 2,621,285,910 0 4,407,437,331
Block 225,341,531 404,266,021 0 629,607,552
Other 40,848,116 462,512 22,500,000 63,810,628
Total 2,052,341,067 3,026,014,444 22,500,000 5,100,855,511
QLD ABF 1,436,044,138 2,496,731,273 0 3,932,775,410
Block 179,006,077 437,989,264 0 616,995,340
Other 32,296,356 40,177,957 24,500,000 96,974,313
Total 1,647,346,570 2,974,898,494 24,500,000 4,646,745,064
WA ABF 750,863,484 306,020,527 0 1,056,884,010
Block 116,273,040 430,306,021 0 546,579,060
Other 17,433,849 0 0 17,433,849
Total 884,570,372 736,326,547 0 1,620,896,919
SA ABF 459,960,221 728,000,000 0 1,187,960,221
Block 72,919,232 90,719,186 0 163,638,418
Other 11,289,936 766,936 0 12,056,872
Total 544,169,389 819,486,122 0 1,363,655,511
TAS ABF 138,609,965 155,022,430 0 293,632,396
Block 26,174,629 155,195,069 0 181,369,697
Other 3,412,109 6,382 0 3,418,491
Total 168,196,703 310,223,881 0 478,420,584
ACT ABF 137,214,124 250,203,000 0 387,417,124
Block 11,364,358 19,393,000 0 30,757,358
Other 2,643,453 8,000,000 39,750,000 50,393,453
Total 151,221,934 277,596,000 39,750,000 468,567,934
NT ABF 97,140,532 122,632,917 0 219,773,448
Block 8,384,664 247,036,250 0 255,420,914
Other 1,609,560 5,087 0 1,614,647
Total 107,134,756 369,674,254 0 476,809,009
Total ABF funding 6,963,985,651 9,352,306,129 0 16,316,291,780
Total Block funding 937,986,834 2,235,493,432 0 3,173,480,266
Total Other funding 161,180,089 137,083,588 114,250,000 412,513,677
Grand Total 8,063,152,574 11,724,883,150 114,250,000 19,902,285,723

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 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 218,840 1,093,382 2,626,084
VIC 173,970 869,850 2,087,640
QLD 144,484 722,419 1,733,806
WA 72,627 360,866 841,706
SA 54,977 255,207 582,364
TAS 11,662 59,804 142,543
ACT 12,274 63,208 153,649
NT 12,608 63,961 152,848
Total 701,442 3,488,697 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.