National report - November 2018

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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 November 2018.

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 November 2018, 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 – November 2018

This table shows NHR funding and payments for each state and territory for November 2018.

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,098,986,014 1,086,636,637 6,149,768,918 6,137,419,542
VIC 757,774,573 853,831,950 5,163,672,814 5,259,730,191
QLD 1,059,366,004 1,059,331,704 5,033,462,168 5,033,270,436
WA 636,582,940 639,976,130 1,845,628,100 1,845,628,060
SA 318,597,349 291,421,035 1,619,494,871 1,449,357,795
TAS 111,918,458 111,918,458 526,651,493 526,651,492
ACT 98,046,149 98,046,149 495,573,519 495,573,519
NT 98,970,633 98,969,597 495,478,463 495,473,304
Total 4,180,242,120 4,240,131,661 21,329,730,346 21,243,104,338

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 – November 2018

This table shows NHR funding by the source of funds for each state and territory for November 2018.

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 604,727,920 488,608,093 5,650,000 1,098,986,014
VIC 390,186,639 363,562,934 4,025,000 757,774,573
QLD 569,900,159 484,465,845 5,000,000 1,059,366,004
WA 190,901,368 445,681,573 0 636,582,940
SA 101,047,404 217,549,944 0 318,597,349
TAS 36,646,107 75,272,351 0 111,918,458
ACT 38,248,149 51,538,000 8,260,000 98,046,149
NT 22,611,264 76,359,369 0 98,970,633
Total 1,954,269,011 2,203,038,109 22,935,000 4,180,242,120

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – November 2018

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 November 2018.

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 2,818,962,907 3,302,556,011 28,250,000 6,149,768,918
VIC 2,091,819,221 3,051,728,593 20,125,000 5,163,672,814
QLD 2,192,454,776 2,816,007,392 25,000,000 5,033,462,168
WA 940,234,715 905,393,385 0 1,845,628,100
SA 541,078,451 1,078,416,420 0 1,619,494,871
TAS 181,665,588 344,985,904 0 526,651,493
ACT 170,814,519 283,459,000 41,300,000 495,573,519
NT 113,681,637 381,796,826 0 495,478,463
Total 9,050,711,814 12,164,343,532 114,675,000 21,329,730,346

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 – November 2018

This table shows NHR funding for each state and territory by funding type and source for November 2018. 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 516,479,757 401,194,406 0 917,674,163
Block 77,567,272 70,001,858 0 147,569,130
Other 10,680,891 17,411,830 5,650,000 33,742,721
Total 604,727,920 488,608,093 5,650,000 1,098,986,014
VIC ABF 328,455,626 300,338,875 0 628,794,501
Block 52,454,035 54,237,820 0 106,691,856
Other 9,276,978 8,986,239 4,025,000 22,288,217
Total 390,186,639 363,562,934 4,025,000 757,774,573
QLD ABF 520,326,940 388,074,653 0 908,401,593
Block 42,823,393 88,156,892 0 130,980,285
Other 6,749,825 8,234,300 5,000,000 19,984,126
Total 569,900,159 484,465,845 5,000,000 1,059,366,004
WA ABF 160,612,703 430,125,918 0 590,738,622
Block 27,214,970 15,555,647 0 42,770,616
Other 3,073,694 8 0 3,073,702
Total 190,901,368 445,681,573 0 636,582,940
SA ABF 83,052,824 200,000,000 0 283,052,824
Block 15,689,462 17,300,000 0 32,989,462
Other 2,305,118 249,944 0 2,555,062
Total 101,047,404 217,549,944 0 318,597,349
TAS ABF 29,623,253 33,842,577 0 63,465,829
Block 6,322,050 41,429,774 0 47,751,825
Other 700,804 0 0 700,804
Total 36,646,107 75,272,351 0 111,918,458
ACT ABF 35,009,186 45,584,000 0 80,593,186
Block 2,632,513 5,954,000 0 8,586,513
Other 606,450 0 8,260,000 8,866,450
Total 38,248,149 51,538,000 8,260,000 98,046,149
NT ABF 20,487,282 24,526,583 0 45,013,866
Block 1,795,782 51,831,750 0 53,627,532
Other 328,200 1,035 0 329,236
Total 22,611,264 76,359,369 0 98,970,633
Total ABF funding 1,694,047,572 1,823,687,012 0 3,517,734,584
Total Block funding 226,499,478 344,467,741 0 570,967,219
Total Other funding 33,721,961 34,883,357 22,935,000 91,540,318
Grand Total 1,954,269,011 2,203,038,109 22,935,000 4,180,242,120

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – November 2018

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 November 2018. 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 2,393,544,836 2,538,051,271 0 4,931,596,107
Block 371,445,831 677,275,320 0 1,048,721,151
Other 53,972,240 87,229,420 28,250,000 169,451,660
Total 2,818,962,907 3,302,556,011 28,250,000 6,149,768,918
VIC ABF 1,793,880,403 2,648,645,686 0 4,442,526,090
Block 253,003,249 393,189,630 0 646,192,879
Other 44,935,568 9,893,277 20,125,000 74,953,846
Total 2,091,819,221 3,051,728,593 20,125,000 5,163,672,814
QLD ABF 1,957,249,508 2,297,895,666 0 4,255,145,174
Block 201,314,080 476,919,994 0 678,234,074
Other 33,891,188 41,191,732 25,000,000 100,082,920
Total 2,192,454,776 2,816,007,392 25,000,000 5,033,462,168
WA ABF 797,545,857 779,345,899 0 1,576,891,757
Block 125,895,255 126,047,446 0 251,942,701
Other 16,793,603 40 0 16,793,643
Total 940,234,715 905,393,385 0 1,845,628,100
SA ABF 453,216,128 1,002,000,000 0 1,455,216,128
Block 76,184,113 75,400,000 0 151,584,113
Other 11,678,210 1,016,420 0 12,694,630
Total 541,078,451 1,078,416,420 0 1,619,494,871
TAS ABF 148,722,817 171,269,011 0 319,991,827
Block 29,410,754 173,711,665 0 203,122,419
Other 3,532,018 5,228 0 3,537,246
Total 181,665,588 344,985,904 0 526,651,493
ACT ABF 155,838,193 249,062,000 0 404,900,193
Block 12,063,306 32,747,000 0 44,810,306
Other 2,913,019 1,650,000 41,300,000 45,863,019
Total 170,814,519 283,459,000 41,300,000 495,573,519
NT ABF 103,111,309 122,632,917 0 225,744,226
Block 8,913,276 259,158,750 0 268,072,026
Other 1,657,051 5,159 0 1,662,210
Total 113,681,637 381,796,826 0 495,478,463
Total ABF funding 7,803,109,052 9,808,902,450 0 17,612,011,502
Total Block funding 1,078,229,864 2,214,449,805 0 3,292,679,669
Total Other funding 169,372,898 140,991,277 114,675,000 425,039,175
Grand Total 9,050,711,814 12,164,343,532 114,675,000 21,329,730,346

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 – November 2018

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 1,134,303 2,722,327
VIC 184,586 922,930 2,215,000
QLD 155,500 777,500 1,866,000
WA 76,358 379,681 885,540
SA 48,447 248,473 595,071
TAS 13,230 67,082 151,628
ACT 13,736 61,692 158,697
NT 14,045 70,388 169,176
Total 732,762 3,662,048 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.