National report - January 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 January 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 January 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 – January 2018

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,318,635,338 1,318,635,343 8,172,584,926 8,172,584,931
VIC 947,345,951 947,345,951 6,795,504,728 6,795,504,727
QLD 1,173,517,750 1,173,489,081 6,688,056,612 6,687,819,758
WA 128,860,103 128,860,103 2,247,753,553 2,247,753,564
SA 369,199,816 274,454,987 2,043,117,487 1,976,729,256
TAS 134,126,528 134,135,341 700,503,037 700,503,037
ACT 88,666,387 88,666,387 645,900,708 645,900,708
NT 95,361,808 95,360,784 667,532,621 667,525,491
Total 4,255,713,680 4,160,947,977 27,960,953,671 27,894,321,472

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 – January 2018

This table shows NHR funding by the source of funds for each state and territory for January 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 501,634,357 811,500,981 5,500,000 1,318,635,338
VIC 410,468,213 532,377,737 4,500,000 947,345,951
QLD 329,469,314 839,148,436 4,900,000 1,173,517,750
WA 176,914,074 -48,053,972 0 128,860,103
SA 108,833,878 260,365,938 0 369,199,816
TAS 33,639,341 100,487,188 0 134,126,528
ACT 30,244,387 50,472,000 7,950,000 88,666,387
NT 21,426,951 73,934,857 0 95,361,808
Total 1,612,630,515 2,620,233,164 22,850,000 4,255,713,680

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – January 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 January 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 3,511,440,496 4,622,644,430 38,500,000 8,172,584,926
VIC 2,873,277,494 3,890,727,233 31,500,000 6,795,504,728
QLD 2,306,285,199 4,347,471,413 34,300,000 6,688,056,612
WA 1,238,398,521 1,009,355,032 0 2,247,753,553
SA 761,837,144 1,281,280,343 0 2,043,117,487
TAS 235,475,384 465,027,653 0 700,503,037
ACT 211,710,708 378,540,000 55,650,000 645,900,708
NT 149,988,658 517,543,963 0 667,532,621
Total 11,288,413,603 16,512,590,068 159,950,000 27,960,953,671

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 – January 2018

This table shows NHR funding for each state and territory by funding type and source for January 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 431,600,354 726,390,795 0 1,157,991,149
Block 59,704,661 67,531,380 0 127,236,041
Other 10,329,342 17,578,805 5,500,000 33,408,147
Total 501,634,357 811,500,981 5,500,000 1,318,635,338
VIC ABF 357,230,284 463,913,033 0 821,143,317
Block 45,068,306 67,574,673 0 112,642,979
Other 8,169,623 890,031 4,500,000 13,559,655
Total 410,468,213 532,377,737 4,500,000 947,345,951
QLD ABF 287,208,828 707,153,326 0 994,362,153
Block 35,801,215 123,966,442 0 159,767,657
Other 6,459,271 8,028,668 4,900,000 19,387,939
Total 329,469,314 839,148,436 4,900,000 1,173,517,750
WA ABF 150,172,697 179,201,247 0 329,373,943
Block 23,254,608 -227,255,218 0 -204,000,610
Other 3,486,770 0 0 3,486,770
Total 176,914,074 -48,053,972 0 128,860,103
SA ABF 91,992,044 240,000,000 0 331,992,044
Block 14,583,846 20,200,000 0 34,783,846
Other 2,257,987 165,938 0 2,423,925
Total 108,833,878 260,365,938 0 369,199,816
TAS ABF 27,721,993 25,750,053 0 53,472,046
Block 5,234,926 74,737,125 0 79,972,050
Other 682,422 10 0 682,432
Total 33,639,341 100,487,188 0 134,126,528
ACT ABF 27,442,825 45,346,000 0 72,788,825
Block 2,272,872 3,526,000 0 5,798,872
Other 528,691 1,600,000 7,950,000 10,078,691
Total 30,244,387 50,472,000 7,950,000 88,666,387
NT ABF 19,428,106 24,526,583 0 43,954,690
Block 1,676,933 49,407,250 0 51,084,183
Other 321,912 1,023 0 322,935
Total 21,426,951 73,934,857 0 95,361,808
Total ABF funding 1,392,797,131 2,412,281,037 0 3,805,078,167
Total Block funding 187,597,367 179,687,651 0 367,285,018
Total Other funding 32,236,018 28,264,477 22,850,000 83,350,494
Grand Total 1,612,630,515 2,620,233,164 22,850,000 4,255,713,680

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – January 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 January 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 3,021,202,475 3,839,343,381 0 6,860,545,856
Block 417,932,625 660,611,120 0 1,078,543,746
Other 72,305,395 122,689,929 38,500,000 233,495,324
Total 3,511,440,496 4,622,644,430 38,500,000 8,172,584,926
VIC ABF 2,500,611,989 3,373,115,212 0 5,873,727,201
Block 315,478,143 516,933,253 0 832,411,396
Other 57,187,362 678,769 31,500,000 89,366,131
Total 2,873,277,494 3,890,727,233 31,500,000 6,795,504,728
QLD ABF 2,010,461,793 3,649,643,205 0 5,660,104,998
Block 250,608,507 641,591,355 0 892,199,862
Other 45,214,899 56,236,853 34,300,000 135,751,752
Total 2,306,285,199 4,347,471,413 34,300,000 6,688,056,612
WA ABF 1,051,208,877 791,059,448 0 1,842,268,325
Block 162,782,255 218,295,584 0 381,077,839
Other 24,407,389 0 0 24,407,389
Total 1,238,398,521 1,009,355,032 0 2,247,753,553
SA ABF 643,944,309 1,148,000,000 0 1,791,944,309
Block 102,086,925 132,231,390 0 234,318,315
Other 15,805,910 1,048,953 0 16,854,864
Total 761,837,144 1,281,280,343 0 2,043,117,487
TAS ABF 194,053,952 212,050,122 0 406,104,074
Block 36,644,480 252,968,707 0 289,613,187
Other 4,776,952 8,823 0 4,785,775
Total 235,475,384 465,027,653 0 700,503,037
ACT ABF 192,099,773 340,895,000 0 532,994,773
Block 15,910,101 26,445,000 0 42,355,101
Other 3,700,834 11,200,000 55,650,000 70,550,834
Total 211,710,708 378,540,000 55,650,000 645,900,708
NT ABF 135,996,744 171,686,083 0 307,682,828
Block 11,738,530 345,850,750 0 357,589,280
Other 2,253,384 7,130 0 2,260,513
Total 149,988,658 517,543,963 0 667,532,621
Total ABF funding 9,749,579,911 13,525,792,451 0 23,275,372,363
Total Block funding 1,313,181,567 2,794,927,159 0 4,108,108,726
Total Other funding 225,652,125 191,870,457 159,950,000 577,472,582
Grand Total 11,288,413,603 16,512,590,068 159,950,000 27,960,953,671

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 – January 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 218,986 1,531,180 2,626,084
VIC 179,836 1,229,521 2,087,640
QLD 146,699 1,013,601 1,733,806
WA 64,906 493,196 841,706
SA 47,050 342,173 582,364
TAS 10,891 82,711 142,543
ACT 11,528 86,584 153,649
NT 11,873 88,294 152,848
Total 691,768 4,867,260 8,320,640

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.