National report - September 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 September 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 September 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 – September 2018

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,112,992,611 1,112,992,611 3,727,100,020 3,727,100,020
VIC 822,521,608 822,521,608 3,373,912,802 3,373,912,802
QLD 930,602,668 930,570,969 3,049,988,263 3,049,884,923
WA 246,873,847 269,871,425 709,891,694 732,065,071
SA 325,593,784 234,771,908 1,042,302,479 831,115,725
TAS 91,719,750 91,722,520 321,097,924 321,097,920
ACT 91,237,407 91,237,407 273,712,220 273,712,220
NT 99,179,069 99,178,036 297,537,201 297,534,109
Total 3,720,720,744 3,652,866,484 12,795,542,603 12,606,422,791

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 – September 2018

This table shows NHR funding by the source of funds for each state and territory for September 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 536,502,355 570,840,256 5,650,000 1,112,992,611
VIC 437,148,647 381,347,960 4,025,000 822,521,608
QLD 350,884,819 574,717,849 5,000,000 930,602,668
WA 186,143,993 60,729,853 0 246,873,847
SA 112,994,547 212,599,237 0 325,593,784
TAS 36,124,458 55,595,292 0 91,719,750
ACT 31,439,407 51,538,000 8,260,000 91,237,407
NT 22,819,703 76,359,366 0 99,179,069
Total 1,714,057,931 1,983,727,813 22,935,000 3,720,720,744

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – September 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 September 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 1,609,507,066 2,100,642,954 16,950,000 3,727,100,020
VIC 1,311,445,942 2,050,391,860 12,075,000 3,373,912,802
QLD 1,052,654,458 1,982,333,805 15,000,000 3,049,988,263
WA 558,431,980 151,459,714 0 709,891,694
SA 338,983,642 703,318,837 0 1,042,302,479
TAS 108,373,374 212,724,550 0 321,097,924
ACT 94,318,220 154,614,000 24,780,000 273,712,220
NT 68,459,109 229,078,092 0 297,537,201
Total 5,142,173,792 7,584,563,811 68,805,000 12,795,542,603

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 – September 2018

This table shows NHR funding for each state and territory by funding type and source for September 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 453,528,441 441,356,604 0 894,885,044
Block 72,103,763 112,051,690 0 184,155,453
Other 10,870,152 17,431,962 5,650,000 33,952,114
Total 536,502,355 570,840,256 5,650,000 1,112,992,611
VIC ABF 378,989,717 327,098,871 0 706,088,588
Block 49,365,060 54,003,136 0 103,368,195
Other 8,793,871 245,953 4,025,000 13,064,824
Total 437,148,647 381,347,960 4,025,000 822,521,608
QLD ABF 305,531,876 479,478,734 0 785,010,610
Block 38,555,765 87,007,415 0 125,563,179
Other 6,797,179 8,231,700 5,000,000 20,028,879
Total 350,884,819 574,717,849 5,000,000 930,602,668
WA ABF 158,773,483 27,970,764 0 186,744,247
Block 23,821,772 32,759,082 0 56,580,853
Other 3,548,738 8 0 3,548,746
Total 186,143,993 60,729,853 0 246,873,847
SA ABF 95,703,493 202,000,000 0 297,703,493
Block 14,935,063 10,400,000 0 25,335,063
Other 2,355,991 199,237 0 2,555,228
Total 112,994,547 212,599,237 0 325,593,784
TAS ABF 29,825,437 34,386,454 0 64,211,891
Block 5,588,884 21,208,835 0 26,797,719
Other 710,137 3 0 710,140
Total 36,124,458 55,595,292 0 91,719,750
ACT ABF 28,606,607 45,584,000 0 74,190,607
Block 2,266,093 5,954,000 0 8,220,093
Other 566,706 0 8,260,000 8,826,706
Total 31,439,407 51,538,000 8,260,000 91,237,407
NT ABF 20,712,248 24,526,583 0 45,238,832
Block 1,773,904 51,831,750 0 53,605,654
Other 333,550 1,033 0 334,583
Total 22,819,703 76,359,366 0 99,179,069
Total ABF funding 1,471,671,303 1,582,402,010 0 3,054,073,313
Total Block funding 208,410,303 375,215,907 0 583,626,210
Total Other funding 33,976,325 26,109,895 22,935,000 83,021,220
Grand Total 1,714,057,931 1,983,727,813 22,935,000 3,720,720,744

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – September 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 September 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 1,360,585,322 1,572,377,010 0 2,932,962,331
Block 216,311,288 475,888,138 0 692,199,426
Other 32,610,457 52,377,806 16,950,000 101,938,262
Total 1,609,507,066 2,100,642,954 16,950,000 3,727,100,020
VIC ABF 1,136,969,151 1,784,939,358 0 2,921,908,509
Block 148,095,179 264,735,932 0 412,831,110
Other 26,381,613 716,570 12,075,000 39,173,183
Total 1,311,445,942 2,050,391,860 12,075,000 3,373,912,802
QLD ABF 916,595,628 1,653,113,132 0 2,569,708,760
Block 115,667,294 304,517,333 0 420,184,627
Other 20,391,537 24,703,340 15,000,000 60,094,877
Total 1,052,654,458 1,982,333,805 15,000,000 3,049,988,263
WA ABF 476,320,450 55,941,527 0 532,261,977
Block 71,465,315 95,518,163 0 166,983,478
Other 10,646,214 24 0 10,646,238
Total 558,431,980 151,459,714 0 709,891,694
SA ABF 287,110,479 672,000,000 0 959,110,479
Block 44,805,188 30,800,000 0 75,605,188
Other 7,067,974 518,837 0 7,586,811
Total 338,983,642 703,318,837 0 1,042,302,479
TAS ABF 89,476,311 103,084,525 0 192,560,836
Block 16,766,653 109,634,797 0 126,401,449
Other 2,130,410 5,228 0 2,135,638
Total 108,373,374 212,724,550 0 321,097,924
ACT ABF 85,819,821 136,752,000 0 222,571,821
Block 6,798,280 17,862,000 0 24,660,280
Other 1,700,119 0 24,780,000 26,480,119
Total 94,318,220 154,614,000 24,780,000 273,712,220
NT ABF 62,136,745 73,579,750 0 135,716,495
Block 5,321,713 155,495,250 0 160,816,963
Other 1,000,651 3,092 0 1,003,744
Total 68,459,109 229,078,092 0 297,537,201
Total ABF funding 4,415,013,908 6,051,787,301 0 10,466,801,209
Total Block funding 625,230,909 1,454,451,613 0 2,079,682,521
Total Other funding 101,928,975 78,324,897 68,805,000 249,058,873
Grand Total 5,142,173,792 7,584,563,811 68,805,000 12,795,542,603

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 – September 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 226,861 680,582 2,722,327
VIC 184,586 553,758 2,215,000
QLD 155,500 466,500 1,866,000
WA 79,519 233,150 885,540
SA 40,008 144,599 595,071
TAS 13,482 40,379 151,628
ACT 11,063 34,407 158,697
NT 13,854 41,959 169,176
Total 724,873 2,195,333 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.