Queensland report, July 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 for Queensland for July 2018 as part of the National Health Reform Agreement.

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 an LHN.

Note: The term ‘local hospital network’ is a national term. Some states and territories use their own terminology to describe these networks, such as local health districts, health organisations, and hospital and health services.

Under the Agreement, LHNs receive funding 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 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 Queensland Department of Health to view the service agreement for that LHN.

Basis for National Health Reform payments – Queensland, July 2018

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

The basis used to determine NHR payments to LHNs in Queensland for July 2018 was advised by the Queensland Department of Health to be as follows:

Service agreements between the Department of Health and each Hospital and Health Service (HHS) are based on the Department’s funding and purchasing models. In broad terms, the funding model determines the price at which the department purchases services from HHSs, and the purchasing model determines the volume of services that are purchased.

In terms of the funding model:

36 of the largest public hospitals are funded through the Queensland Activity Based Funding (ABF) model, which sets prices at a disaggregated level for each type of public hospital service. The Queensland ABF model is based largely on the national ABF model, but includes a number of modifications to reflect Queensland priorities.

83 public hospitals, predominantly small regional and rural hospitals, and 4 specialist mental health facilities are funded through block funding arrangements which take account of hospital size and location. These are based on 2017-18 reported expenditure (net of depreciation) indexed to 2018-19 levels.

Most non-hospital services (e.g. preventive health, primary and community health) are funded based on historical funding levels. However, some services, such as oral health and breast screening, are funded based on a price per unit of output.

The purchasing model determines the volume and value of services that the Department agrees to purchase from each HHS through the service agreement. The model reflects key priority areas for investment which is informed through a range of planning models, growth projections and performance objectives for each HHS.

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.

State pool account transactions

Table 1a – State pool account transactions – Queensland, July 2018

This table shows funding paid into the Queensland state pool account by the Commonwealth, Queensland or other states/territories, and payments out of the state pool account to LHNs, the state managed fund, the Queensland Department of Health or the state pool accounts of other states/territories for July 2018.

NHR funding by source Paid into state pool account Paid out of state pool account
To Local hospital networks To State
Managed Fund
To state
health department
To state pool (other State) Total paid out
($) ($) ($) ($) ($) ($)
Commonwealth
ABF funding
305,531,876 305,531,876 305,531,876
Commonwealth
Block funding
38,555,765 38,555,765 38,555,765
Commonwealth
Other funding
6,797,179 6,797,179 6,797,179
Total C'wealth
funding
350,884,819 305,531,876 38,555,765 6,797,179 350,884,819
QLD
funding
671,369,287 668,135,154 0 3,200,000 671,335,154
Other state/territory funding 5,000,000 0 5,000,000 5,000,000
Total 1,027,254,106 973,667,030 38,555,765 11,797,179 3,200,000 1,027,219,974

See definitions and explanatory notes following table 1b.

Table 1b – State pool account transactions YTD – Queensland, July 2018

Following on from table 1a, this table shows year-to-date (YTD) funding paid into the Queensland state pool account by the Commonwealth, Queensland or other states/territories, and payments out of the state pool account to LHNs, the state managed fund, the Queensland Department of Health or the state pool accounts of other states/territories as at July 2018.

NHR funding by source Paid into state
pool account
Paid out of state pool account
To Local hospital
networks
YTD
To State
Managed Fund
YTD
To state health
department
YTD
To state pool (other State)
YTD
Total paid out
YTD
($) ($) ($) ($) ($) ($)
Commonwealth
ABF funding
305,531,876 305,531,876 305,531,876
Commonwealth
Block funding
38,555,765 38,555,765 38,555,765
Commonwealth
Other funding
6,797,179 6,797,179 6,797,179
Total C'wealth
funding
350,884,819 305,531,876 38,555,765 6,797,179 350,884,819
QLD
funding
671,369,287 668,135,154 0 3,200,000 671,335,154
Other state/territory funding 5,000,000 0 5,000,000 5,000,000
Total 1,027,254,106 973,667,030 38,555,765 11,797,179 3,200,000 1,027,219,974

Commonwealth ABF funding represents Acute admitted, Non-admitted, Emergency department, Sub-acute, and Admitted mental health service categories, which are funded by the Commonwealth through the state pool account and subsequently paid to LHNs.

Commonwealth Block funding represents Non-admitted mental health, Small rural hospitals, Teaching, training & research, and Other non-admitted categories, which are funded by the Commonwealth and paid to the state managed fund.

Commonwealth Other funding represents other amounts funded by the Commonwealth, transacted through the state pool account and subsequently paid to state or territory health departments. This currently represents the Commonwealth contribution to public health.

QLD funding represents funding contributions paid by Queensland into its own state pool account, and subsequently paid to LHNs within the state, to the Queensland health department and/or to other state pool accounts.

Other state/territory funding represents contributions paid to Queensland by other states and territories for cross-border activity.

Note: The grey shaded areas in these tables reflect cells that are not applicable for a particular 'paid out' column. For example, Commonwealth block funding is only paid to state managed funds and not to local hospital networks or state or territory health departments.

NHR funding and payments shown in these tables include GST where applicable.

For more information, see National Health Reform funding and payments.

State managed fund transactions

Table 2a – State managed fund transactions – Queensland, July 2018

This table shows funding paid into the Queensland state managed fund by the Commonwealth and Queensland, and payments out of the state managed fund to LHNs and other provider organisations for July 2018.

NHR funding by source Paid into state managed fund Paid out of state managed fund
To local hospital networks To Other Total paid out
($) ($) ($) ($)
Commonwealth Block funding 38,555,765 38,555,765
State/territory Block funding 117,162,263 117,162,263
Total 155,718,027 155,718,027 0 155,718,027

See explanatory notes following table 2b.

Table 2b – State managed fund transactions YTD – Queensland, July 2018

Following on from table 2a, this table shows year-to-date (YTD) funding paid into the Queensland state managed fund by the Commonwealth and Queensland, and YTD payments out of the state managed fund to LHNs and other provider organisations as at July 2018.

NHR funding by source Paid into state
managed fund
YTD
Paid out of state managed fund YTD
To local hospital
networks
YTD
To Other
YTD
Total paid out
YTD
($) ($) ($) ($)
Commonwealth Block funding 38,555,765 38,555,765
State/territory Block funding 117,162,263 117,162,263
Total 155,718,027 155,718,027 0 155,718,027

Block funding represents Non-admitted mental health, Small rural hospitals, Teaching, training & research, and Other non-admitted categories.

Commonwealth Block funding represents Commonwealth block funding contributions paid into the state managed fund from the state pool account, and block payments out of the state managed fund to LHNs and other provider organisations.

State/territory Block funding represents Queensland block funding contributions into the state managed fund, and block payments out of the state managed fund to LHNs and other provider organisations.

Note: The grey shaded areas in these tables reflect that these block payments cannot at this stage be identified by source of funding (state, territory or Commonwealth contribution).

NHR funding and payments shown in these tables include GST where applicable.

For more, see National Health Reform funding and payments.

NHR funding and payments by service category

Table 3 – NHR funding and payments by service category – Queensland, July 2018

This table shows NHR funding and payments by service category on both a monthly and year-to-date (YTD) basis for Queensland for July 2018. NHR funding and payments are separated into the following service categories – activity-based funding (ABF), block funding, and other funding.

Service category NHR
funding
NHR
payments
NHR
funding YTD
NHR
payments YTD
($) ($) ($) ($)
ABF
Acute admitted 606,993,137 606,993,137 606,993,137 606,993,137
Admitted mental health 42,715,721 42,715,721 42,715,721 42,715,721
Sub-acute 49,031,157 49,031,157 49,031,157 49,031,157
Emergency department 130,715,709 130,715,709 130,715,709 130,715,709
Non-admitted 144,211,305 144,211,305 144,211,305 144,211,305
Total ABF (Pool) 973,667,030 973,667,030 973,667,030 973,667,030
Block
Small rural hospitals 71,980,302 71,980,302 71,980,302 71,980,302
Teaching, training & research 36,254,475 36,254,475 36,254,475 36,254,475
Non-admitted mental health 44,878,151 44,878,151 44,878,151 44,878,151
Other non-admitted services 2,605,100 2,605,100 2,605,100 2,605,100
Total Block (SMF) 155,718,027 155,718,027 155,718,027 155,718,027
Other
Public health funding 6,797,179 6,797,179 6,797,179 6,797,179
Overdeposit 0 0 0 0
Cross-border 8,200,000 8,200,000 8,200,000 8,200,000
Interest 34,132 0 34,132 0
Total Other (Pool) 15,031,311 14,997,179 15,031,311 14,997,179
Grand Total 1,144,416,369 1,144,382,236 1,144,416,369 1,144,382,236

Total ABF (Pool) is an aggregate of both Commonwealth and state or territory NHR funding and payments for activity-based funding (ABF) which is transacted through the state pool account.

Total Block (SMF) is an aggregate of both Commonwealth and state or territory NHR funding and payments for block funding which is transacted through the state managed fund (SMF).

Total Other (Pool) represents other funding and payments transacted through the state pool account, including public health funding, overdeposits, cross-border funding and payments, and interest.

State and territory cross-border payments can either be:

  • Paid to the relevant state or territory's LHNs - included within ABF and/or block payments in the above table, or
  • Reimbursed to the relevant state or territory where the state or territory's LHNs are already being funded for the cost of treating cross-border patients - shown in the Cross-border row under Other in the above table.

NHR funding and payments shown in these tables include GST where applicable.

For more information, see National Health Reform funding and payments.

NHR contributions by local hospital network

Table 4a – NHR contributions by local hospital network – Queensland, July 2018

This table shows NHR contributions (from state, territory and Commonwealth sources) made to each LHN in Queensland during July 2018.

NHR contributions to LHNs are separated into an activity-based funding (ABF) component and a block component.

Local hospital network (LHN) ABF component
(ex GST)
Block component
(ex GST)
Total NHR payment
(ex GST)
($) ($) ($)
Cairns and Hinterland Hospital and Health Service 60,534,171 11,692,654 72,226,824
Central Queensland Hospital and Health Service 33,112,609 9,369,446 42,482,055
Central West Hospital and Health Service 0 3,456,938 3,456,938
Children's Health Queensland Hospital and Health Service 45,511,518 2,890,392 48,401,910
Darling Downs Hospital and Health Service 36,736,297 16,714,530 53,450,827
Gold Coast Hospital and Health Service 106,542,738 9,104,386 115,647,125
Mackay Hospital and Health Service 24,822,810 6,444,332 31,267,142
Mater Misericordiae Health Service Brisbane 41,895,011 1,243,164 43,138,176
Metro North Hospital and Health Service 203,001,518 18,082,218 221,083,736
Metro South Hospital and Health Service 175,517,007 18,822,709 194,339,716
North West Hospital and Health Service 8,977,470 3,985,697 12,963,166
Queensland Virtual LHN 1,913,596 0 1,913,596
South West Hospital and Health Service 0 7,121,820 7,121,820
Sunshine Coast Hospital and Health Service 89,279,880 6,574,394 95,854,274
Torres and Cape Hospital and Health Service 0 7,765,032 7,765,032
Townsville Hospital and Health Service 62,940,028 13,097,142 76,037,170
West Moreton Hospital and Health Service 35,709,174 13,306,229 49,015,403
Wide Bay Hospital and Health Service 42,983,702 5,922,628 48,906,330
Total 969,477,529 155,593,711 1,125,071,240

See explanatory notes below table 4b.

Table 4b – NHR contributions by local hospital network YTD – Queensland, July 2018

This table shows YTD NHR contributions (from state, territory and Commonwealth sources) made to each LHN in Queensland as at July 2018.

NHR contributions to LHNs are separated into an activity-based funding (ABF) component and a block component.

Local hospital network ABF component YTD
(ex GST)
Block component YTD
(ex GST)
Total NHR payment YTD
(ex GST)
($) ($) ($)
Cairns and Hinterland Hospital and Health Service 60,534,171 11,692,654 72,226,824
Central Queensland Hospital and Health Service 33,112,609 9,369,446 42,482,055
Central West Hospital and Health Service 0 3,456,938 3,456,938
Children's Health Queensland Hospital and Health Service 45,511,518 2,890,392 48,401,910
Darling Downs Hospital and Health Service 36,736,297 16,714,530 53,450,827
Gold Coast Hospital and Health Service 106,542,738 9,104,386 115,647,125
Mackay Hospital and Health Service 24,822,810 6,444,332 31,267,142
Mater Misericordiae Health Service Brisbane 41,895,011 1,243,164 43,138,176
Metro North Hospital and Health Service 203,001,518 18,082,218 221,083,736
Metro South Hospital and Health Service 175,517,007 18,822,709 194,339,716
North West Hospital and Health Service 8,977,470 3,985,697 12,963,166
Queensland Virtual LHN 1,913,596 0 1,913,596
South West Hospital and Health Service 0 7,121,820 7,121,820
Sunshine Coast Hospital and Health Service 89,279,880 6,574,394 95,854,274
Torres and Cape Hospital and Health Service 0 7,765,032 7,765,032
Townsville Hospital and Health Service 62,940,028 13,097,142 76,037,170
West Moreton Hospital and Health Service 35,709,174 13,306,229 49,015,403
Wide Bay Hospital and Health Service 42,983,702 5,922,628 48,906,330
Total 969,477,529 155,593,711 1,125,071,240

NHR contributions in this table are GST exclusive to enable comparability of NHR payments in each LHN report.

Note: This table excludes GST.
The majority of government funding to LHNs is not subject to GST. However in some cases hospital funding to non-government entities does attract GST, for example, denominational hospitals, privately and commercially owned health facilities, or any other non-government third party provider of health services or related supplies.

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 (YTD) 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 5 – Estimated monthly, YTD and annual NWAU by local hospital network – Queensland, July 2018

This table shows estimated state or territory hospital activity for activity-based funding services expressed as NWAU for July 2018, the associated cumulative year-to-date (YTD), and total estimated annual NWAU for each LHN in Queensland.

Local hospital network (LHN) Estimated NWAU delivered in current month Estimated NWAU delivered YTD Estimated annual NWAU 2018-19
Cairns and Hinterland Hospital and Health Service 9,943 9,943 119,310
Central Queensland Hospital and Health Service 5,329 5,329 63,946
Children's Health Queensland Hospital and Health Service 6,602 6,602 79,226
Darling Downs Hospital and Health Service 6,746 6,746 80,957
Gold Coast Hospital and Health Service 17,063 17,063 204,758
Mackay Hospital and Health Service 4,342 4,342 52,104
Mater Misericordiae Health Service Brisbane 7,292 7,292 87,506
Metro North Hospital and Health Service 33,317 33,317 399,804
Metro South Hospital and Health Service 27,002 27,002 324,021
North West Hospital and Health Service 1,072 1,072 12,862
Queensland Virtual LHN 896 896 10,747
Sunshine Coast Hospital and Health Service 12,550 12,550 150,600
Townsville Hospital and Health Service 10,225 10,225 122,701
West Moreton Hospital and Health Service 6,112 6,112 73,348
Wide Bay Hospital and Health Service 7,009 7,009 84,109
Total 155,500 155,500 1,866,000

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, by weighting them for their 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 to be delivered in the month.

For more information on the NWAU calculation, see Calculation of NWAU.