National Partnership Agreement on Improving Public Hospital Services
Funding
Facilitation funding
A8. $355 million in facilitation funding payments made to State and Territory treasuries on the first available payment date in 2010-11 occurred following agreement to this Schedule by the relevant jurisdiction and the Commonwealth.Table A1: Facilitation Funding 1, 2, 3
| Year | NSW ($m) | VIC ($m) | QLD ($m) | WA ($m) | SA ($m) | TAS ($m) | ACT ($m) | NT ($m) | Total ($m) |
|---|---|---|---|---|---|---|---|---|---|
| 2010-11 | 114.9 | 88.3 | 71.8 | 36.5 | 26.3 | 8.1 | 5.6 | 3.5 | 355 .0 |
| 2011-12 | 31.1 | 23.8 | 18.9 | 9.5 | 7.4 | 2.3 | 1.4 | 0.8 | 95.0 |
| Total | 146.0 | 112.0 | 90.7 | 46.0 | 33.6 | 10.4 | 7.0 | 4.3 | 450.0 |
2 Rows may not add due to rounding. Actual payments will be calculated to the nearest dollar.
3 Some 2010-11 funding has been rolled into the 2011-12 year.
A9. States and Territories agree to use the facilitation funding to support the objectives and outputs of Schedule A.
A10. States and Territories will ensure facilitation funding is used in the most efficient and effective way to meet the NEST.
A11. States and Territories can flexibly move funding allocated in Table A1 to other Schedules within this Agreement but only in strict accordance with the requirements set out in Clause 32.
Implementation Plans
A12. The Implementation Plan will detail the scope, cost and timeframe for projects funded in order to help achieve the NEST.A13. Implementation Plans should outline the activities, funding allocations, timeframes, and relationship with relevant Commonwealth or State-funded activities and expected improvements to service delivery of each project and may be published online. Implementation Plans should also outline how State and Territory funding and reform plans link with national reform directions.
A14. States and Territories may provide implementation details relating to this Schedule in a single consolidated Implementation Plan covering more than one of the Schedules to this Agreement. The Commonwealth will accept a consolidated Implementation Plan, provided it explicitly and separately covers each individual Schedule’s objectives.
Progress Reports
A15. States and Territories will report against the projects set out in the Implementation Plans every six months during the operation of the Agreement. Reports are expected in the format at Annex 2 and in accordance with Table A2.Top of page
Table A2: Progress Reports
| Reporting Period | Due date |
|---|---|
| 1 July 2010 to 31 December 2010 | 28 February 2011, or the next working day |
| 1 January 2011 to 30 June 2011 | 31 August 2011, or the next working day |
| 1 July 2011 to 31 December 2011 | 28 February 2012, or the next working day |
| 1 January 2012 to 30 June 2012 | 31 August 2012, or the next working day |
| 1 July 2012 to 31 December 2012 | 28 February 2013, or the next working day |
| 1 January 2013 to 30 June 2013 | 31 August 2013, or the next working day |
| 1 July 2013 to 31 December 2013 | 28 February 2014, or the next working day |
| 1 January 2014 to 30 June 2014 | 31 August 2014, or the next working day |
| 1 July 2014 to 31 December 2014 | 28 February 2015, or the next working day |
| 1 January 2015 to 30 June 2015 | 31 August 2015, or the next working day |
| 1 July 2015 to 31 December 2015 | 28 February 2016, or the next working day |
| 1 January 2016 to 30 June 2016 | 31 August 2016, or the next working day |
| 1 July 2016 to 31 December 2016 | 28 February 2017, or the next working day |
Final Report
A17. States and Territories will provide:- an Interim Report within 90 days of the completion of all the projects agreed under the Implementation Plan, or by 30 June 2015 (which ever comes first); and
- a Final Report on 30 June 2017.
A18. The Reports will:
- describe the conduct, benefits and outcomes of the Projects as a whole;
- evaluate the extent to which Projects funded have achieved the objectives contained in the Implementation Plan; and
- explain why any aspect was not achieved.
A19. With the exception of Clauses B15, D15 and F12, States and Territories may provide Final Report details relating to this Schedule in a single consolidated Final Report covering more than one of the Schedules to this Agreement. The Commonwealth will accept a consolidated Final Report, provided it explicitly and separately covers the objectives and outputs of each individual Schedule’s objectives and outputs in the consolidated Final Report.
Reward Funding
A20. The Commonwealth will provide up to $200 million in reward funding. Up to $100m will be provided for Part 1 of the NEST as per Clause A5 (a), and up to $100m will be provided for Part 2 of the NEST, as per Clause A5 (b).A21. The notional annual allocation of reward funding, subject to achievement of targets, is shown in Tables A3 and A4, noting that reward funding is evenly allocated in each year for both Parts 1 and 2 of the NEST.
A22. If a jurisdiction does not achieve the target for a period any unpaid reward payment will be added to the reward payment available to the jurisdiction in the next period. Any reward payments which are not made by the end of this Agreement will not be available to jurisdictions
Table A3: Notional Reward Funding Part 1 NEST 1, 2
| Year | NSW ($m) | VIC ($m) | QLD ($m) | WA ($m) | SA ($m) | TAS ($m) | ACT ($m) | NT ($m) | Total ($m) |
|---|---|---|---|---|---|---|---|---|---|
| 2012-13 | 7.9 | 6.2 | 5.3 | 2.7 | 1.7 | 0.4 | 0.3 | 0.2 | 24.7 |
| 2013-14 | 7.9 | 6.2 | 5.3 | 2.7 | 1.7 | 0.4 | 0.3 | 0.2 | 24.7 |
| 2014-15 | 7.9 | 6.2 | 5.3 | 2.7 | 1.7 | 0.4 | 0.3 | 0.2 | 24.7 |
| 2015-16 | 7.9 | 6.2 | 5.3 | 2.7 | 1.7 | 0.4 | 0.3 | 0.2 | 24.7 |
| 2016-17 |  | | | | 0 | 0.4 | 0.3 | 0.2 | 1.0 |
| Total | 31.5 | 24.7 | 21.1 | 10.9 | 6.8 | 2.2 | 1.7 | 1.2 | 100.0 |
2 Columns and rows may not add due to rounding. Actual reward will be calculated to nearest dollar.
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Table A4: Notional Reward Funding Part 2 NEST 1, 2
| Year | NSW ($m) | VIC ($m) | QLD ($m) | WA ($m) | SA ($m) | TAS ($m) | ACT ($m) | NT ($m) | Total ($m) |
|---|---|---|---|---|---|---|---|---|---|
| 2012-13 | 7.9 | 6.2 | 5.3 | 2.7 | 1.7 | 0.4 | 0.3 | 0.2 | 24.7 |
| 2013-14 | 7.9 | 6.2 | 5.3 | 2.7 | 1.7 | 0.4 | 0.3 | 0.2 | 24.7 |
| 2014-15 | 7.9 | 6.2 | 5.3 | 2.7 | 1.7 | 0.4 | 0.3 | 0.2 | 24.7 |
| 2015-16 | 7.9 | 6.2 | 5.3 | 2.7 | 1.7 | 0.4 | 0.3 | 0.2 | 24.7 |
| 2016-17 | | | | | 0 | 0.3 | 0.2 | 0.2 | 1.0 |
| Total | 31.5 | 24.7 | 21.1 | 10.9 | 6.8 | 2.1 | 1.6 | 1.2 | 100.0 |
2 Columns and rows may not add due to rounding. Actual reward will be calculated to nearest dollar.
A23. Part 1 is comprised as follows:
- Up to $100 million will be provided on the basis of proportional performance against the targets shown in Tables A5 to A7. This is also dependent on the volume of elective surgery being at least maintained and not going below the baseline.
- Maintenance of effort once targets have been reached is required to receive ongoing reward funding.
A24. A jurisdiction’s minimum achievement to receive reward funding for a period is 50 per cent of the distance between the target for the preceding period and the target for the current period (or between the baseline and the target for the period in respect of the first period).
(For example, if the target for the preceding period was 85.0 per cent, and the target for the period is 87.0 per cent, the minimum achievement for the period is 86.0 per cent.)
A25. Where a target for a jurisdiction is 98 per cent or higher (as set out in Tables A5 to A7), a jurisdiction will receive all the reward funding available, for that category in that year for that jurisdiction, if at least 98 per cent of patients within that jurisdiction receive surgery within the clinically recommended time.
A26. Part 2 is comprised as follows:
- Up to $100 million will be provided on the basis of proportional performance on the progressive reduction in the number of patients, who have waited longer than the recommended waiting times (long waits). (For example, if a jurisdictions’ progress is a 20 per cent reduction, 20 per cent of the allocated reward funding will be made available.)
- The strategy for long wait patients is to be implemented by calendar year, commencing in 2012, to reduce the number of patients waiting beyond the clinically recommended time so that there are no overdue patients.
- In each category, of the patients who have not had their procedure within the clinically recommended time, the 10 per cent of patients who have waited the longest must have their procedure in each year. This is a requirement to receive Part 2 reward funding.
A27. Reward payments will be based on the performance achieved in each of the assessment periods. Reward payments will be made annually by 30 June of the following assessment period, providing that the relevant data has been supplied to the Commonwealth in accordance with Table A9.
A28. The achievement of targets will be assessed by the COAG Reform Council. After receipt of the COAG Reform Council’s report, the Commonwealth will determine whether reward payments will be made.
A29. Consistent with Clause C14 of the Intergovernmental Agreement on Federal Financial Relations, States and Territories agree to provide data under this Schedule which is of the highest accuracy and quality, as well as being provided in accordance with Table A9.
A30. Following receipt of an assessment from the COAG Reform Council, prior to a determination of a reward payment, the Commonwealth has discretion in the application of any adjustment having regard to any exceptional circumstances that may have impacted on a State or Territory’s capacity to meet the performance indicators or targets.
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