National report - April 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 April 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 2017-18 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 April 2018, see State or territory reports.

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

NHR funding and payments

Table 1 – NHR funding and payments for each state and territory – April 2018

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,010,607,785 1,010,607,785 11,310,784,832 11,310,784,832
VIC 857,291,550 857,291,551 9,210,513,422 9,210,513,423
QLD 876,857,986 876,828,807 9,322,766,653 9,322,432,936
WA 393,634,408 393,741,910 3,637,833,709 3,637,941,222
SA 242,402,187 299,549,478 2,868,948,762 2,832,577,691
TAS 95,624,825 95,624,825 1,015,997,003 1,015,997,003
ACT 88,666,387 88,666,387 911,899,869 911,899,869
NT 95,361,811 95,360,784 953,618,043 953,607,844
Total 3,660,446,939 3,717,671,527 39,232,362,292 39,195,754,819

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 – April 2018

This table shows NHR funding by the source of funds for each state and territory for April 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 510,137,305 494,970,479 5,500,000 1,010,607,785
VIC 410,468,213 442,323,337 4,500,000 857,291,550
QLD 329,469,314 542,488,672 4,900,000 876,857,986
WA 176,564,145 217,070,262 0 393,634,408
SA 108,913,461 133,488,726 0 242,402,187
TAS 35,163,577 60,461,248 0 95,624,825
ACT 30,244,387 50,472,000 7,950,000 88,666,387
NT 21,426,951 73,934,860 0 95,361,811
Total 1,622,387,354 2,015,209,585 22,850,000 3,660,446,939

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – April 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 April 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 5,024,822,352 6,230,962,480 55,000,000 11,310,784,832
VIC 4,117,176,835 5,048,336,588 45,000,000 9,210,513,422
QLD 3,294,693,141 5,979,073,512 49,000,000 9,322,766,653
WA 1,768,305,961 1,869,527,748 0 3,637,833,709
SA 1,088,407,342 1,780,541,420 0 2,868,948,762
TAS 340,966,115 675,030,887 0 1,015,997,003
ACT 302,443,869 529,956,000 79,500,000 911,899,869
NT 214,269,511 739,348,532 0 953,618,043
Total 16,151,085,126 22,852,777,166 228,500,000 39,232,362,292

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 – April 2018

This table shows NHR funding for each state and territory by funding type and source for April 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 431,600,353 452,298,680 0 883,899,033
Block 68,219,690 25,117,793 0 93,337,483
Other 10,317,262 17,554,006 5,500,000 33,371,268
Total 510,137,305 494,970,479 5,500,000 1,010,607,785
VIC ABF 344,398,973 394,296,595 0 738,695,568
Block 57,563,006 47,082,836 0 104,645,842
Other 8,506,235 943,906 4,500,000 13,950,141
Total 410,468,213 442,323,337 4,500,000 857,291,550
QLD ABF 281,568,267 468,112,101 0 749,680,367
Block 41,434,240 66,347,393 0 107,781,633
Other 6,466,807 8,029,179 4,900,000 19,395,986
Total 329,469,314 542,488,672 4,900,000 876,857,986
WA ABF 150,172,697 201,825,473 0 351,998,169
Block 23,147,106 15,244,782 0 38,391,888
Other 3,244,343 8 0 3,244,351
Total 176,564,145 217,070,262 0 393,634,408
SA ABF 91,992,044 120,000,000 0 211,992,044
Block 14,668,939 13,169,662 0 27,838,601
Other 2,252,478 319,063 0 2,571,541
Total 108,913,461 133,488,726 0 242,402,187
TAS ABF 29,249,641 29,823,800 0 59,073,441
Block 5,234,926 30,637,449 0 35,872,375
Other 679,010 0 0 679,010
Total 35,163,577 60,461,248 0 95,624,825
ACT ABF 27,952,432 45,346,000 0 73,298,432
Block 1,740,262 3,526,000 0 5,266,262
Other 551,693 1,600,000 7,950,000 10,101,693
Total 30,244,387 50,472,000 7,950,000 88,666,387
NT ABF 19,431,020 24,526,583 0 43,957,603
Block 1,676,933 49,407,250 0 51,084,183
Other 318,998 1,027 0 320,025
Total 21,426,951 73,934,860 0 95,361,811
Total ABF funding 1,376,365,426 1,736,229,231 0 3,112,594,657
Total Block funding 213,685,102 250,533,165 0 464,218,267
Total Other funding 32,336,826 28,447,189 22,850,000 83,634,015
Grand Total 1,622,387,354 2,015,209,585 22,850,000 3,660,446,939

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – April 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 April 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 4,316,003,535 5,198,159,875 0 9,514,163,409
Block 605,561,636 857,500,858 0 1,463,062,494
Other 103,257,181 175,301,748 55,000,000 333,558,929
Total 5,024,822,352 6,230,962,480 55,000,000 11,310,784,832
VIC ABF 3,571,293,007 4,380,627,042 0 7,951,920,049
Block 463,177,762 666,746,625 0 1,129,924,387
Other 82,706,066 962,920 45,000,000 128,668,986
Total 4,117,176,835 5,048,336,588 45,000,000 9,210,513,422
QLD ABF 2,866,432,642 5,025,851,529 0 7,892,284,172
Block 363,645,178 872,888,267 0 1,236,533,446
Other 64,615,320 80,333,715 49,000,000 193,949,035
Total 3,294,693,141 5,979,073,512 49,000,000 9,322,766,653
WA ABF 1,501,726,967 1,522,655,268 0 3,024,382,235
Block 232,438,577 346,865,679 0 579,304,256
Other 34,140,417 6,801 0 34,147,218
Total 1,768,305,961 1,869,527,748 0 3,637,833,709
SA ABF 919,920,441 1,602,000,000 0 2,521,920,441
Block 145,923,556 176,639,425 0 322,562,982
Other 22,563,345 1,901,994 0 24,465,339
Total 1,088,407,342 1,780,541,420 0 2,868,948,762
TAS ABF 281,802,876 297,137,311 0 578,940,187
Block 52,349,257 377,884,751 0 430,234,008
Other 6,813,982 8,826 0 6,822,808
Total 340,966,115 675,030,887 0 1,015,997,003
ACT ABF 274,891,850 476,933,000 0 751,824,850
Block 22,196,107 37,023,000 0 59,219,107
Other 5,355,912 16,000,000 79,500,000 100,855,912
Total 302,443,869 529,956,000 79,500,000 911,899,869
NT ABF 194,289,804 245,265,833 0 439,555,638
Block 16,769,328 494,072,500 0 510,841,828
Other 3,210,379 10,198 0 3,220,577
Total 214,269,511 739,348,532 0 953,618,043
Total ABF funding 13,926,361,122 18,748,629,858 0 32,674,990,980
Total Block funding 1,902,061,402 3,829,621,105 0 5,731,682,507
Total Other funding 322,662,602 274,526,203 228,500,000 825,688,805
Grand Total 16,151,085,126 22,852,777,166 228,500,000 39,232,362,292

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 – April 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 218,840 2,188,409 2,626,084
VIC 179,836 1,769,028 2,128,699
QLD 145,117 1,448,635 1,741,408
WA 64,134 697,694 841,706
SA 53,400 492,955 582,364
TAS 11,314 117,040 146,000
ACT 11,986 122,618 153,649
NT 12,581 126,801 152,848
Total 697,208 6,963,179 8,372,757

Note: Queensland has revised the purchased NWAU estimates as part of the mid-year revision to LHN Service Agreements. The revised NWAU are yet to be reflected in the Administrator reporting due to the timing of adjusting the data in the National Data Model. Therefore the NWAU in the Administrator reporting may be different to the NWAU in the published Service Agreements

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.