National report - February 2019

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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 February 2019.

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 2018-19 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 February 2019, see State or territory reports.

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2018-19.

NHR funding and payments

Table 1 – NHR funding and payments for each state and territory – February 2019

This table shows NHR funding and payments for each state and territory for February 2019.

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,059,195,298 1,059,195,298 9,680,644,320 9,680,644,320
VIC 856,269,840 856,348,030 7,966,329,245 8,062,386,622
QLD 908,032,658 907,992,867 8,232,104,931 8,231,761,959
WA 468,316,540 468,316,531 3,319,028,437 3,319,028,372
SA 351,247,210 289,960,687 2,670,194,408 2,318,100,204
TAS 86,675,593 86,675,593 823,878,268 823,878,267
ACT 92,013,160 92,013,160 777,645,988 777,645,987
NT 99,316,346 99,315,306 793,081,784 793,073,514
Total 3,921,066,643 3,859,817,472 34,262,907,379 34,006,519,246

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 – February 2019

This table shows NHR funding by the source of funds for each state and territory for February 2019.

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 528,574,813 524,970,485 5,650,000 1,059,195,298
VIC 436,751,498 415,493,343 4,025,000 856,269,840
QLD 385,494,750 517,537,908 5,000,000 908,032,658
WA 184,779,935 283,536,605 0 468,316,540
SA 111,535,144 239,712,065 0 351,247,210
TAS 35,671,013 51,004,579 0 86,675,593
ACT 32,215,160 51,538,000 8,260,000 92,013,160
NT 22,956,973 76,359,372 0 99,316,346
Total 1,737,979,285 2,160,152,358 22,935,000 3,921,066,643

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – February 2019

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 February 2019.

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 4,480,393,626 5,155,050,694 45,200,000 9,680,644,320
VIC 3,341,875,403 4,592,253,842 32,200,000 7,966,329,245
QLD 3,533,344,434 4,658,760,497 40,000,000 8,232,104,931
WA 1,500,695,952 1,818,332,484 0 3,319,028,437
SA 865,196,144 1,804,998,263 0 2,670,194,408
TAS 289,653,722 534,224,546 0 823,878,268
ACT 273,492,987 438,073,000 66,080,000 777,645,988
NT 182,206,847 610,874,936 0 793,081,784
Total 14,466,859,116 19,612,568,263 183,480,000 34,262,907,379

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 – February 2019

This table shows NHR funding for each state and territory by funding type and source for February 2019. 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 445,615,801 467,023,797 0 912,639,598
Block 72,103,763 40,496,287 0 112,600,050
Other 10,855,249 17,450,400 5,650,000 33,955,649
Total 528,574,813 524,970,485 5,650,000 1,059,195,298
VIC ABF 378,572,258 360,726,926 0 739,299,184
Block 49,365,060 54,729,784 0 104,094,843
Other 8,814,180 36,633 4,025,000 12,875,813
Total 436,751,498 415,493,343 4,025,000 856,269,840
QLD ABF 340,140,557 421,635,176 0 761,775,733
Block 38,555,765 87,662,941 0 126,218,705
Other 6,798,428 8,239,791 5,000,000 20,038,219
Total 385,494,750 517,537,908 5,000,000 908,032,658
WA ABF 157,434,542 267,630,950 0 425,065,493
Block 23,821,772 15,905,647 0 39,727,418
Other 3,523,620 8 0 3,523,629
Total 184,779,935 283,536,605 0 468,316,540
SA ABF 94,255,311 222,000,000 0 316,255,311
Block 14,935,063 17,372,201 0 32,307,264
Other 2,344,770 339,865 0 2,684,635
Total 111,535,144 239,712,065 0 351,247,210
TAS ABF 29,373,653 31,504,580 0 60,878,232
Block 5,588,884 19,500,000 0 25,088,884
Other 708,476 0 0 708,476
Total 35,671,013 51,004,579 0 86,675,593
ACT ABF 29,382,613 45,584,000 0 74,966,613
Block 2,266,093 5,954,000 0 8,220,093
Other 566,453 0 8,260,000 8,826,453
Total 32,215,160 51,538,000 8,260,000 92,013,160
NT ABF 20,852,057 24,526,583 0 45,378,640
Block 1,773,904 51,831,750 0 53,605,654
Other 331,012 1,039 0 332,051
Total 22,956,973 76,359,372 0 99,316,346
Total ABF funding 1,495,626,792 1,840,632,013 0 3,336,258,805
Total Block funding 208,410,303 293,452,609 0 501,862,912
Total Other funding 33,942,190 26,067,736 22,935,000 82,944,926
Grand Total 1,737,979,285 2,160,152,358 22,935,000 3,921,066,643

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – February 2019

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 February 2019. 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 3,800,809,369 4,141,160,842 0 7,941,970,211
Block 593,220,628 874,141,980 0 1,467,362,608
Other 86,363,629 139,747,872 45,200,000 271,311,501
Total 4,480,393,626 5,155,050,694 45,200,000 9,680,644,320
VIC ABF 2,865,847,093 4,002,768,040 0 6,868,615,133
Block 404,187,403 579,331,520 0 983,518,924
Other 71,840,907 10,154,282 32,200,000 114,195,189
Total 3,341,875,403 4,592,253,842 32,200,000 7,966,329,245
QLD ABF 3,157,857,562 3,801,517,269 0 6,959,374,830
Block 321,249,002 791,300,256 0 1,112,549,258
Other 54,237,870 65,942,972 40,000,000 160,180,842
Total 3,533,344,434 4,658,760,497 40,000,000 8,232,104,931
WA ABF 1,273,027,646 1,645,268,035 0 2,918,295,680
Block 200,753,769 173,064,385 0 373,818,154
Other 26,914,538 64 0 26,914,602
Total 1,500,695,952 1,818,332,484 0 3,319,028,437
SA ABF 724,779,576 1,685,000,000 0 2,409,779,576
Block 121,743,700 118,038,979 0 239,782,680
Other 18,672,868 1,959,284 0 20,632,152
Total 865,196,144 1,804,998,263 0 2,670,194,408
TAS ABF 237,093,374 265,782,750 0 502,876,124
Block 46,910,572 268,436,568 0 315,347,140
Other 5,649,775 5,228 0 5,655,003
Total 289,653,722 534,224,546 0 823,878,268
ACT ABF 249,612,606 380,864,000 0 630,476,606
Block 19,228,006 50,609,000 0 69,837,006
Other 4,652,376 6,600,000 66,080,000 77,332,376
Total 273,492,987 438,073,000 66,080,000 777,645,988
NT ABF 165,302,705 196,212,667 0 361,515,371
Block 14,256,867 414,654,000 0 428,910,867
Other 2,647,276 8,270 0 2,655,546
Total 182,206,847 610,874,936 0 793,081,784
Total ABF funding 12,474,329,929 16,118,573,602 0 28,592,903,531
Total Block funding 1,721,549,948 3,269,576,689 0 4,991,126,637
Total Other funding 270,979,239 224,417,972 183,480,000 678,877,211
Grand Total 14,466,859,116 19,612,568,263 183,480,000 34,262,907,379

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 – February 2019

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 226,861 1,814,885 2,722,327
VIC 184,586 1,476,688 2,215,000
QLD 155,500 1,244,000 1,866,000
WA 70,251 589,203 885,540
SA 49,325 397,922 595,071
TAS 12,084 104,555 151,628
ACT 12,403 99,902 158,697
NT 13,582 110,814 169,176
Total 724,592 5,837,969 8,763,439

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.