National report - February 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 February 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 February 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 – February 2018

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,069,543,263 1,069,543,263 9,242,128,190 9,242,128,189
VIC 772,737,634 772,737,634 7,568,242,362 7,568,242,361
QLD 878,696,175 878,657,448 7,566,752,787 7,566,477,206
WA 474,077,171 474,077,171 2,721,830,724 2,721,830,735
SA 292,186,652 275,649,478 2,335,304,140 2,252,378,735
TAS 126,161,346 126,161,346 826,664,383 826,664,383
ACT 88,666,387 88,666,387 734,567,095 734,567,095
NT 95,361,809 95,360,784 762,894,430 762,886,276
Total 3,797,430,438 3,780,853,512 31,758,384,109 31,675,174,979

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 – February 2018

This table shows NHR funding by the source of funds for each state and territory for February 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 501,622,276 562,420,987 5,500,000 1,069,543,263
VIC 410,468,213 357,769,421 4,500,000 772,737,634
QLD 329,469,314 544,326,861 4,900,000 878,696,175
WA 176,671,647 297,405,524 0 474,077,171
SA 108,828,369 183,358,284 0 292,186,652
TAS 35,163,577 90,997,769 0 126,161,346
ACT 30,244,387 50,472,000 7,950,000 88,666,387
NT 21,426,951 73,934,858 0 95,361,809
Total 1,613,894,735 2,160,685,704 22,850,000 3,797,430,438

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – February 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 February 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 4,013,062,771 5,185,065,418 44,000,000 9,242,128,190
VIC 3,283,745,708 4,248,496,654 36,000,000 7,568,242,362
QLD 2,635,754,513 4,891,798,274 39,200,000 7,566,752,787
WA 1,415,070,168 1,306,760,556 0 2,721,830,724
SA 870,665,512 1,464,638,627 0 2,335,304,140
TAS 270,638,961 556,025,422 0 826,664,383
ACT 241,955,095 429,012,000 63,600,000 734,567,095
NT 171,415,609 591,478,821 0 762,894,430
Total 12,902,308,337 18,673,275,772 182,800,000 31,758,384,109

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 – February 2018

This table shows NHR funding for each state and territory by funding type and source for February 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 431,600,353 459,186,674 0 890,787,027
Block 59,704,661 85,733,299 0 145,437,960
Other 10,317,262 17,501,014 5,500,000 33,318,276
Total 501,622,276 562,420,987 5,500,000 1,069,543,263
VIC ABF 356,893,673 303,772,585 0 660,666,258
Block 45,068,306 53,162,997 0 98,231,304
Other 8,506,235 833,838 4,500,000 13,840,073
Total 410,468,213 357,769,421 4,500,000 772,737,634
QLD ABF 287,201,292 451,994,066 0 739,195,357
Block 35,801,215 84,294,068 0 120,095,283
Other 6,466,807 8,038,727 4,900,000 19,405,534
Total 329,469,314 544,326,861 4,900,000 878,696,175
WA ABF 150,172,697 282,153,957 0 432,326,653
Block 23,254,608 15,244,782 0 38,499,390
Other 3,244,343 6,786 0 3,251,129
Total 176,671,647 297,405,524 0 474,077,171
SA ABF 91,992,044 165,000,000 0 256,992,044
Block 14,583,846 18,119,186 0 32,703,033
Other 2,252,478 239,098 0 2,491,576
Total 108,828,369 183,358,284 0 292,186,652
TAS ABF 29,249,641 24,588,462 0 53,838,104
Block 5,234,926 66,409,304 0 71,644,230
Other 679,010 3 0 679,013
Total 35,163,577 90,997,769 0 126,161,346
ACT ABF 27,419,822 45,346,000 0 72,765,822
Block 2,272,872 3,526,000 0 5,798,872
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 1,024 0 320,023
Total 21,426,951 73,934,858 0 95,361,809
Total ABF funding 1,393,960,542 1,756,568,327 0 3,150,528,869
Total Block funding 187,597,367 375,896,887 0 563,494,253
Total Other funding 32,336,826 28,220,490 22,850,000 83,407,316
Grand Total 1,613,894,735 2,160,685,704 22,850,000 3,797,430,438

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – February 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 February 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 3,452,802,828 4,298,530,055 0 7,751,332,883
Block 477,637,286 746,344,420 0 1,223,981,706
Other 82,622,657 140,190,943 44,000,000 266,813,601
Total 4,013,062,771 5,185,065,418 44,000,000 9,242,128,190
VIC ABF 2,857,505,662 3,677,687,797 0 6,535,193,459
Block 360,546,449 570,096,250 0 930,642,700
Other 65,693,597 712,607 36,000,000 102,406,204
Total 3,283,745,708 4,248,496,654 36,000,000 7,568,242,362
QLD ABF 2,297,663,084 4,101,637,271 0 6,399,300,355
Block 286,409,723 725,885,423 0 1,012,295,146
Other 51,681,706 64,275,580 39,200,000 155,157,286
Total 2,635,754,513 4,891,798,274 39,200,000 7,566,752,787
WA ABF 1,201,381,574 1,073,213,404 0 2,274,594,978
Block 186,036,863 233,540,366 0 419,577,229
Other 27,651,731 6,786 0 27,658,517
Total 1,415,070,168 1,306,760,556 0 2,721,830,724
SA ABF 735,936,353 1,313,000,000 0 2,048,936,353
Block 116,670,771 150,350,577 0 267,021,348
Other 18,058,389 1,288,051 0 19,346,439
Total 870,665,512 1,464,638,627 0 2,335,304,140
TAS ABF 223,303,593 236,638,585 0 459,942,178
Block 41,879,406 319,378,011 0 361,257,417
Other 5,455,962 8,826 0 5,464,788
Total 270,638,961 556,025,422 0 826,664,383
ACT ABF 219,519,595 386,241,000 0 605,760,595
Block 18,182,973 29,971,000 0 48,153,973
Other 4,252,527 12,800,000 63,600,000 80,652,527
Total 241,955,095 429,012,000 63,600,000 734,567,095
NT ABF 155,427,764 196,212,667 0 351,640,431
Block 13,415,463 395,258,000 0 408,673,463
Other 2,572,382 8,154 0 2,580,536
Total 171,415,609 591,478,821 0 762,894,430
Total ABF funding 11,143,540,453 15,283,160,779 0 26,426,701,232
Total Block funding 1,500,778,934 3,170,824,046 0 4,671,602,980
Total Other funding 257,988,950 219,290,947 182,800,000 660,079,897
Grand Total 12,902,308,337 18,673,275,772 182,800,000 31,758,384,109

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 – February 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 218,983 1,750,159 2,626,084
VIC 179,836 1,409,357 2,087,640
QLD 144,800 1,158,401 1,733,806
WA 66,787 559,983 841,706
SA 47,700 389,873 582,364
TAS 10,745 93,456 146,000
ACT 11,189 97,773 153,649
NT 12,240 100,534 152,848
Total 692,279 5,559,535 8,324,097

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.