National report - October 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 October 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 October 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 – October 2017

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,208,647,991 1,208,647,991 4,705,100,518 4,705,100,518
VIC 923,638,014 923,638,014 4,217,226,214 4,217,226,214
QLD 867,792,320 867,763,570 3,737,174,011 3,737,024,650
WA 206,381,653 206,381,653 1,414,515,267 1,414,515,278
SA 178,305,927 306,354,987 944,242,530 1,142,949,949
TAS 86,436,527 86,435,320 377,580,784 377,574,410
ACT 113,902,387 113,902,387 379,901,547 379,901,547
NT 95,361,802 95,360,784 381,447,204 381,443,138
Total 3,680,466,621 3,808,484,707 16,157,188,076 16,355,735,704

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 – October 2017

This table shows NHR funding by the source of funds for each state and territory for October 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 501,634,356 701,513,635 5,500,000 1,208,647,991
VIC 410,468,213 508,669,801 4,500,000 923,638,014
QLD 329,469,314 533,423,006 4,900,000 867,792,320
WA 176,914,074 29,467,578 0 206,381,653
SA 108,833,878 69,472,050 0 178,305,927
TAS 33,639,341 52,797,187 0 86,436,527
ACT 30,244,387 75,708,000 7,950,000 113,902,387
NT 21,426,951 73,934,850 0 95,361,802
Total 1,612,630,515 2,044,986,106 22,850,000 3,680,466,621

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – October 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 October 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 2,006,537,426 2,676,563,092 22,000,000 4,705,100,518
VIC 1,641,872,854 2,557,353,360 18,000,000 4,217,226,214
QLD 1,317,877,256 2,399,696,754 19,600,000 3,737,174,011
WA 707,656,298 706,858,969 0 1,414,515,267
SA 435,335,511 508,907,019 0 944,242,530
TAS 134,557,362 243,023,422 0 377,580,784
ACT 120,977,547 227,124,000 31,800,000 379,901,547
NT 85,707,805 295,739,399 0 381,447,204
Total 6,450,522,059 9,615,266,017 91,400,000 16,157,188,076

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 – October 2017

This table shows NHR funding for each state and territory by funding type and source for October 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 431,600,353 600,773,451 0 1,032,373,804
Block 59,704,661 83,198,937 0 142,903,598
Other 10,329,342 17,541,247 5,500,000 33,370,589
Total 501,634,356 701,513,635 5,500,000 1,208,647,991
VIC ABF 357,230,284 437,890,916 0 795,121,200
Block 45,068,306 69,888,824 0 114,957,130
Other 8,169,623 890,061 4,500,000 13,559,684
Total 410,468,213 508,669,801 4,500,000 923,638,014
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 8,028,749 4,900,000 19,388,021
Total 329,469,314 533,423,006 4,900,000 867,792,320
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 48,000,000 0 139,992,044
Block 14,583,846 21,319,186 0 35,903,033
Other 2,257,987 152,863 0 2,410,851
Total 108,833,878 69,472,050 0 178,305,927
TAS ABF 27,721,993 31,562,397 0 59,284,390
Block 5,234,926 21,233,582 0 26,468,508
Other 682,422 1,207 0 683,629
Total 33,639,341 52,797,187 0 86,436,527
ACT ABF 27,442,825 68,819,000 0 96,261,825
Block 2,272,872 5,289,000 0 7,561,872
Other 528,691 1,600,000 7,950,000 10,078,691
Total 30,244,387 75,708,000 7,950,000 113,902,387
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 1,017 0 322,929
Total 21,426,951 73,934,850 0 95,361,802
Total ABF funding 1,392,797,130 1,671,553,750 0 3,064,350,880
Total Block funding 187,597,367 345,217,211 0 532,814,578
Total Other funding 32,236,018 28,215,145 22,850,000 83,301,163
Grand Total 1,612,630,515 2,044,986,106 22,850,000 3,680,466,621

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – October 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 October 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 1,726,401,415 2,230,508,209 0 3,956,909,624
Block 238,818,643 375,855,927 0 614,674,570
Other 41,317,369 70,198,956 22,000,000 133,516,324
Total 2,006,537,426 2,676,563,092 22,000,000 4,705,100,518
VIC ABF 1,428,921,137 2,204,928,313 0 3,633,849,449
Block 180,273,225 351,995,379 0 532,268,604
Other 32,678,493 429,669 18,000,000 51,108,161
Total 1,641,872,854 2,557,353,360 18,000,000 4,217,226,214
QLD ABF 1,148,835,310 2,009,193,780 0 3,158,029,090
Block 143,204,861 358,353,614 0 501,558,475
Other 25,837,085 32,149,360 19,600,000 77,586,445
Total 1,317,877,256 2,399,696,754 19,600,000 3,737,174,011
WA ABF 600,690,787 291,797,730 0 892,488,517
Block 93,018,432 415,061,239 0 508,079,670
Other 13,947,079 0 0 13,947,079
Total 707,656,298 706,858,969 0 1,414,515,267
SA ABF 367,968,176 443,000,000 0 810,968,176
Block 58,335,386 65,219,186 0 123,554,572
Other 9,031,949 687,833 0 9,719,782
Total 435,335,511 508,907,019 0 944,242,530
TAS ABF 110,887,972 125,485,446 0 236,373,418
Block 20,939,703 117,531,601 0 138,471,304
Other 2,729,687 6,375 0 2,736,061
Total 134,557,362 243,023,422 0 377,580,784
ACT ABF 109,771,299 204,857,000 0 314,628,299
Block 9,091,486 15,867,000 0 24,958,486
Other 2,114,762 6,400,000 31,800,000 40,314,762
Total 120,977,547 227,124,000 31,800,000 379,901,547
NT ABF 77,712,425 98,106,333 0 175,818,759
Block 6,707,731 197,629,000 0 204,336,731
Other 1,287,648 4,066 0 1,291,714
Total 85,707,805 295,739,399 0 381,447,204
Total ABF funding 5,571,188,521 7,607,876,812 0 13,179,065,333
Total Block funding 750,389,467 1,897,512,947 0 2,647,902,414
Total Other funding 128,944,071 109,876,258 91,400,000 330,220,329
Grand Total 6,450,522,059 9,615,266,017 91,400,000 16,157,188,076

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 – October 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 221,920 874,542 2,626,084
VIC 173,970 695,880 2,087,640
QLD 144,483 577,935 1,733,806
WA 70,971 288,239 841,706
SA 53,150 200,231 582,364
TAS 12,075 48,142 142,543
ACT 12,819 50,873 153,649
NT 12,977 51,353 152,848
Total 702,365 2,787,194 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.