National report - August 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 August 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 August 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 – August 2017

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,347,520,684 1,347,520,684 2,456,763,845 2,456,763,845
VIC 975,279,330 975,279,330 2,544,774,179 2,544,774,179
QLD 867,822,834 1,180,369,640 1,128,816,569 816,177,870
WA 509,253,638 532,508,246 686,167,712 686,167,723
SA 241,842,873 239,154,987 535,719,835 562,939,974
TAS 120,595,057 120,595,057 205,974,754 205,974,754
ACT 88,666,387 88,666,387 177,332,774 177,332,774
NT 95,361,802 95,360,784 190,723,600 190,721,569
Total 4,246,342,605 4,579,455,116 7,926,273,267 7,640,852,688

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 – August 2017

This table shows NHR funding by the source of funds for each state and territory for August 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 501,634,356 839,586,328 6,300,000 1,347,520,684
VIC 410,468,213 555,811,117 9,000,000 975,279,330
QLD 329,469,314 533,453,520 4,900,000 867,822,834
WA 176,914,074 332,339,564 0 509,253,638
SA 108,833,878 133,008,996 0 241,842,873
TAS 33,639,341 86,955,717 0 120,595,057
ACT 30,244,387 50,472,000 7,950,000 88,666,387
NT 21,426,951 73,934,850 0 95,361,802
Total 1,612,630,515 2,605,562,091 28,150,000 4,246,342,605

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – August 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 August 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 1,003,268,713 1,442,495,132 11,000,000 2,456,763,845
VIC 820,936,427 1,714,837,752 9,000,000 2,544,774,179
QLD 329,469,314 794,447,254 4,900,000 1,128,816,569
WA 353,828,149 332,339,564 0 686,167,712
SA 217,667,755 318,052,080 0 535,719,835
TAS 67,278,681 138,696,073 0 205,974,754
ACT 60,488,774 100,944,000 15,900,000 177,332,774
NT 42,853,902 147,869,697 0 190,723,600
Total 2,895,791,715 4,989,681,552 40,800,000 7,926,273,267

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 – August 2017

This table shows NHR funding for each state and territory by funding type and source for August 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 431,600,353 727,551,921 0 1,159,152,274
Block 59,704,661 89,971,579 0 149,676,240
Other 10,329,342 22,062,828 6,300,000 38,692,170
Total 501,634,356 839,586,328 6,300,000 1,347,520,684
VIC ABF 357,230,284 462,312,672 0 819,542,956
Block 45,068,306 91,710,242 0 136,778,549
Other 8,169,623 1,788,202 9,000,000 18,957,825
Total 410,468,213 555,811,117 9,000,000 975,279,330
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 8,059,264 4,900,000 19,418,535
Total 329,469,314 533,453,520 4,900,000 867,822,834
WA ABF 150,172,697 28,445,593 0 178,618,290
Block 23,254,608 303,893,970 0 327,148,578
Other 3,486,770 0 0 3,486,770
Total 176,914,074 332,339,564 0 509,253,638
SA ABF 91,992,044 120,000,000 0 211,992,044
Block 14,583,846 12,800,000 0 27,383,846
Other 2,257,987 208,996 0 2,466,983
Total 108,833,878 133,008,996 0 241,842,873
TAS ABF 27,721,993 31,997,926 0 59,719,919
Block 5,234,926 54,957,790 0 60,192,716
Other 682,422 0 0 682,422
Total 33,639,341 86,955,717 0 120,595,057
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 1,017 0 322,929
Total 21,426,951 73,934,850 0 95,361,802
Total ABF funding 1,392,797,130 1,885,939,302 0 3,278,736,432
Total Block funding 187,597,367 685,902,482 0 873,499,849
Total Other funding 32,236,018 33,720,307 28,150,000 94,106,325
Grand Total 1,612,630,515 2,605,562,091 28,150,000 4,246,342,605

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – August 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 August 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 863,200,707 1,185,967,596 0 2,049,168,303
Block 119,409,321 221,371,182 0 340,780,503
Other 20,658,684 35,156,354 11,000,000 66,815,039
Total 1,003,268,713 1,442,495,132 11,000,000 2,456,763,845
VIC ABF 714,460,568 1,477,329,888 0 2,191,790,456
Block 90,136,612 237,202,336 0 327,338,949
Other 16,339,246 305,528 9,000,000 25,644,775
Total 820,936,427 1,714,837,752 9,000,000 2,544,774,179
QLD ABF 287,208,828 666,967,961 0 954,176,788
Block 35,801,215 119,446,665 0 155,247,880
Other 6,459,271 8,032,629 4,900,000 19,391,900
Total 329,469,314 794,447,254 4,900,000 1,128,816,569
WA ABF 300,345,393 28,445,593 0 328,790,987
Block 46,509,216 303,893,970 0 350,403,186
Other 6,973,540 0 0 6,973,540
Total 353,828,149 332,339,564 0 686,167,712
SA ABF 183,984,088 290,000,000 0 473,984,088
Block 29,167,693 27,700,000 0 56,867,693
Other 4,515,974 352,080 0 4,868,054
Total 217,667,755 318,052,080 0 535,719,835
TAS ABF 55,443,986 62,602,926 0 118,046,912
Block 10,469,852 76,093,147 0 86,562,998
Other 1,364,843 0 0 1,364,843
Total 67,278,681 138,696,073 0 205,974,754
ACT ABF 54,885,649 90,692,000 0 145,577,649
Block 4,545,743 7,052,000 0 11,597,743
Other 1,057,381 3,200,000 15,900,000 20,157,381
Total 60,488,774 100,944,000 15,900,000 177,332,774
NT ABF 38,856,213 49,053,167 0 87,909,379
Block 3,353,866 98,814,500 0 102,168,366
Other 643,824 2,031 0 645,855
Total 42,853,902 147,869,697 0 190,723,600
Total ABF funding 2,498,385,432 3,851,059,130 0 6,349,444,563
Total Block funding 339,393,518 1,091,573,800 0 1,430,967,318
Total Other funding 58,012,764 47,048,622 40,800,000 145,861,386
Grand Total 2,895,791,715 4,989,681,552 40,800,000 7,926,273,267

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 – August 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 217,083 434,166 2,626,084
VIC 173,970 347,940 2,087,640
QLD 144,484 144,484 1,733,806
WA 75,593 145,952 841,706
SA 41,521 99,397 582,364
TAS 11,637 24,042 142,543
ACT 13,689 25,881 153,649
NT 12,636 25,627 152,848
Total 690,612 1,247,489 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.