National report - July 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 July 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 July 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 – July 2017

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,109,243,160 1,109,243,160 1,109,243,160 1,109,243,160
VIC 1,569,494,849 1,569,494,849 1,569,494,849 1,569,494,849
QLD 1,128,816,569 816,177,870 1,128,816,569 816,177,870
WA 176,914,074 176,914,085 176,914,074 176,914,085
SA 293,876,962 323,784,987 293,876,962 323,784,987
TAS 85,379,697 85,379,697 85,379,697 85,379,697
ACT 88,666,387 88,666,387 88,666,387 88,666,387
NT 95,361,798 95,360,784 95,361,798 95,360,784
Total 4,547,753,496 4,265,021,820 4,547,753,496 4,265,021,820

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 – July 2017

This table shows NHR funding by the source of funds for each state and territory for July 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 501,634,356 602,908,804 4,700,000 1,109,243,160
VIC 410,468,213 1,159,026,636 0 1,569,494,849
QLD 329,469,314 794,447,254 4,900,000 1,128,816,569
WA 176,914,074 0 0 176,914,074
SA 108,833,878 185,043,084 0 293,876,962
TAS 33,639,341 51,740,356 0 85,379,697
ACT 30,244,387 50,472,000 7,950,000 88,666,387
NT 21,426,951 73,934,847 0 95,361,798
Total 1,612,630,515 2,917,572,981 17,550,000 4,547,753,496

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – July 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 July 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 501,634,356 602,908,804 4,700,000 1,109,243,160
VIC 410,468,213 1,159,026,636 0 1,569,494,849
QLD 329,469,314 794,447,254 4,900,000 1,128,816,569
WA 176,914,074 0 0 176,914,074
SA 108,833,878 185,043,084 0 293,876,962
TAS 33,639,341 51,740,356 0 85,379,697
ACT 30,244,387 50,472,000 7,950,000 88,666,387
NT 21,426,951 73,934,847 0 95,361,798
Total 1,612,630,515 2,917,572,981 17,550,000 4,547,753,496

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 – July 2017

This table shows NHR funding for each state and territory by funding type and source for July 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 431,600,353 458,415,675 0 890,016,029
Block 59,704,661 131,399,602 0 191,104,263
Other 10,329,342 13,093,526 4,700,000 28,122,869
Total 501,634,356 602,908,804 4,700,000 1,109,243,160
VIC ABF 357,230,284 1,013,417,216 0 1,370,647,500
Block 45,068,306 145,492,094 0 190,560,400
Other 8,169,623 117,326 0 8,286,949
Total 410,468,213 1,159,026,636 0 1,569,494,849
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 150,172,697 0 0 150,172,697
Block 23,254,608 0 0 23,254,608
Other 3,486,770 0 0 3,486,770
Total 176,914,074 0 0 176,914,074
SA ABF 91,992,044 170,000,000 0 261,992,044
Block 14,583,846 14,900,000 0 29,483,846
Other 2,257,987 143,084 0 2,401,071
Total 108,833,878 185,043,084 0 293,876,962
TAS ABF 27,721,993 30,605,000 0 58,326,993
Block 5,234,926 21,135,356 0 26,370,282
Other 682,422 0 0 682,422
Total 33,639,341 51,740,356 0 85,379,697
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 1,014 0 322,926
Total 21,426,951 73,934,847 0 95,361,798
Total ABF funding 1,392,797,130 2,409,278,435 0 3,802,075,565
Total Block funding 187,597,367 485,306,967 0 672,904,334
Total Other funding 32,236,018 22,987,579 17,550,000 72,773,597
Grand Total 1,612,630,515 2,917,572,981 17,550,000 4,547,753,496

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – July 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 July 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 431,600,353 458,415,675 0 890,016,029
Block 59,704,661 131,399,602 0 191,104,263
Other 10,329,342 13,093,526 4,700,000 28,122,869
Total 501,634,356 602,908,804 4,700,000 1,109,243,160
VIC ABF 357,230,284 1,013,417,216 0 1,370,647,500
Block 45,068,306 145,492,094 0 190,560,400
Other 8,169,623 117,326 0 8,286,949
Total 410,468,213 1,159,026,636 0 1,569,494,849
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 150,172,697 0 0 150,172,697
Block 23,254,608 0 0 23,254,608
Other 3,486,770 0 0 3,486,770
Total 176,914,074 0 0 176,914,074
SA ABF 91,992,044 170,000,000 0 261,992,044
Block 14,583,846 14,900,000 0 29,483,846
Other 2,257,987 143,084 0 2,401,071
Total 108,833,878 185,043,084 0 293,876,962
TAS ABF 27,721,993 30,605,000 0 58,326,993
Block 5,234,926 21,135,356 0 26,370,282
Other 682,422 0 0 682,422
Total 33,639,341 51,740,356 0 85,379,697
ACT ABF 27,442,825 46,946,000 0 74,388,825
Block 2,272,872 3,526,000 0 5,798,872
Other 528,691 0 7,950,000 8,478,691
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 1,014 0 322,926
Total 21,426,951 73,934,847 0 95,361,798
Total ABF funding 1,392,797,130 2,410,878,435 0 3,803,675,565
Total Block funding 187,597,367 485,306,967 0 672,904,334
Total Other funding 32,236,018 21,387,579 17,550,000 71,173,597
Grand Total 1,612,630,515 2,917,572,981 17,550,000 4,547,753,496

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 – July 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 217,083 217,083 2,626,084
VIC 173,970 173,970 2,087,640
QLD 144,484 144,484 1,733,806
WA 70,359 70,359 841,706
SA 57,876 57,876 582,364
TAS 12,405 12,405 142,543
ACT 12,192 12,192 153,649
NT 12,991 12,991 152,848
Total 701,360 701,360 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.