South Australian report, June 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 South Australia for June 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 SA Department of Health to view the service agreement for that LHN.

Basis for National Health Reform payments – South Australia, June 2018

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2017-18.

The basis used to determine NHR payments to LHNs in South Australia for June 2018 was advised by the SA Department of Health to be as follows:

In determining the annual funding allocation for all LHNs, the budget has been built up predominantly on an activity basis that shares principles with the IHPA framework. It is designed to equitably distribute funding to each LHN relative to all LHNs in South Australia. This occurs within the confines of a limited funding pool that includes adjustments to recognise cost improvements and the attainment of service efficiencies that are also equitably allocated on an activity basis. Supplementation is provided as block funding where an activity-based approach is not appropriate. This captures the provision of services including teaching, training and research, some mental health services and the delivery of out of hospital strategies incorporating primary health.

Monthly allocations to LHNs will vary for a variety of reasons, but they are predominantly cash flow financed based on need which includes the activity demand on hospital services.

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 – South Australia, June 2018

This table shows funding paid into the South Australian state pool account by the Commonwealth, South Australia or other states/territories, and payments out of the state pool account to LHNs, the state managed fund, the SA Department of Health or the state pool accounts of other states/territories for June 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
134,580,771 134,580,771 134,580,771
Commonwealth
Block funding
14,668,939 14,668,939 14,668,939
Commonwealth
Other funding
2,252,478 2,252,478 2,252,478
Total C'wealth
funding
151,502,188 134,580,771 14,668,939 2,252,478 151,502,188
SA
funding
11,250,407 90,848,548 0 0 90,848,548
Other state/territory funding 0 0 0 0
Total 162,752,595 225,429,319 14,668,939 2,252,478 0 242,350,736

See definitions and explanatory notes following table 1b.

Table 1b – State pool account transactions YTD – South Australia, June 2018

Following on from table 1a, this table shows year-to-date (YTD) funding paid into the South Australian state pool account by the Commonwealth, South Australia or other states/territories, and payments out of the state pool account to LHNs, the state managed fund, the SA Department of Health or the state pool accounts of other states/territories as at June 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
1,146,493,256 1,146,493,256 1,146,493,256
Commonwealth
Block funding
175,261,434 175,261,434 175,261,434
Commonwealth
Other funding
27,068,301 27,068,301 27,068,301
Total C'wealth
funding
1,348,822,991 1,146,493,256 175,261,434 27,068,301 1,348,822,991
SA
funding
1,635,432,129 1,792,115,488 0 0 1,792,115,488
Other state/territory funding 0 0 0 0
Total 2,984,255,120 2,938,608,744 175,261,434 27,068,301 0 3,140,938,479

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.

Total Activity Based Funding receipts from the Commonwealth includes an adjustment of $42,588,726.99 in relation to the Commonwealth Treasurer’s Determination for 2015 - 16 and six months reconciliation for 2016 - 17.

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.

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

Other state/territory funding represents contributions paid to South Australia 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 – South Australia, June 2018

This table shows funding paid into the South Australia state managed fund by the Commonwealth and South Australia, and payments out of the state managed fund to LHNs and other provider organisations for June 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 14,668,939 14,668,939
State/territory Block funding 36,875,149 36,875,149
Total 51,544,088 51,544,088 0 51,544,088

See explanatory notes following table 2b.

Table 2b – State managed fund transactions YTD – South Australia, June 2018

Following on from table 2a, this table shows year-to-date (YTD) funding paid into the South Australian state managed fund by the Commonwealth and South Australia, and YTD payments out of the state managed fund to LHNs and other provider organisations as at June 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 175,261,434 175,261,434
State/territory Block funding 248,414,575 248,414,575
Total 423,676,009 423,676,009 0 423,676,009

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 South Australian 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 – South Australia, June 2018

This table shows NHR funding and payments by service category on both a monthly and year-to-date (YTD) basis for South Australia for June 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 93,305,933 141,690,066 1,748,023,583 1,850,149,866
Admitted mental health 11,341,918 17,985,956 224,786,251 238,836,174
Sub-acute 7,221,871 11,480,189 148,275,548 157,779,959
Emergency department 17,738,365 25,984,961 318,323,110 336,166,804
Non-admitted 15,972,683 28,288,148 340,084,764 355,675,941
Total ABF (Pool) 145,580,771 225,429,319 2,779,493,256 2,938,608,744
Block
Small rural hospitals 21,061,188 21,061,188 172,116,055 172,116,055
Teaching, training & research 10,136,740 10,136,740 82,878,563 82,878,563
Non-admitted mental health 13,694,471 13,694,471 114,372,041 114,372,041
Other non-admitted services 6,651,689 6,651,689 54,309,350 54,309,350
Total Block (SMF) 51,544,088 51,544,088 423,676,009 423,676,009
Other
Public health funding 2,252,478 2,252,478 27,068,301 27,068,301
Overdeposit 0 0 0 0
Cross-border 0 0 0 0
Interest 250,407 0 2,432,129 0
Total Other (Pool) 2,502,885 2,252,478 29,500,430 27,068,301
Grand Total 199,627,744 279,225,885 3,232,669,695 3,389,353,054

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 – South Australia, June 2018

This table shows NHR contributions (from state, territory and Commonwealth sources) made to each LHN in South Australia during June 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)
($) ($) ($)
Central Adelaide Local Health Network 85,170,382 5,963,059 91,133,441
Central Office Services 4,187,034 0 4,187,034
Country Health SA Local Health Network 23,555,206 30,144,794 53,700,000
Northern Adelaide Local Health Network 39,078,545 3,121,455 42,200,000
Southern Adelaide Local Health Network 50,375,284 11,524,716 61,900,000
Women's and Children's Health Network 23,062,868 790,064 23,852,932
Total 225,429,319 51,544,088 276,973,407

See explanatory notes below table 4b.

Table 4b – NHR contributions by local hospital network YTD – South Australia, June 2018

This table shows YTD NHR contributions (from state, territory and Commonwealth sources) made to each LHN in South Australia as at June 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)
($) ($) ($)
Central Adelaide Local Health Network 1,027,634,886 74,222,901 1,101,857,787
Central Office Services 50,354,034 0 50,354,034
Country Health SA Local Health Network 349,510,976 246,349,024 595,860,000
Northern Adelaide Local Health Network 473,425,812 40,134,188 513,560,000
Southern Adelaide Local Health Network 767,025,724 54,504,276 821,530,000
Women's and Children's Health Network 270,657,312 8,465,620 279,122,932
Total 2,938,608,744 423,676,009 3,362,284,753

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 – South Australia, June 2018

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

Local hospital network (LHN) Estimated NWAU delivered in current month Estimated NWAU delivered YTD Estimated annual NWAU 2017-18
Central Adelaide Local Health Network 16,879 203,653 203,373
Central Office Services 830 9,979 9,979
Country Health SA Local Health Network 4,668 69,265 68,218
Northern Adelaide Local Health Network 7,744 93,822 93,822
Southern Adelaide Local Health Network 9,983 152,007 153,487
Women's and Children's Health Network 4,571 53,638 53,485
Total 44,675 582,364 582,364

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.