National report - January 2019

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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 2019.

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 2018-19 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 2019, see State or territory reports.

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

NHR funding and payments

Table 1 – NHR funding and payments for each state and territory – January 2019

This table shows NHR funding and payments for each state and territory for January 2019.

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,354,784,365 1,354,849,365 8,621,449,023 8,621,449,022
VIC 1,029,965,452 1,029,887,262 7,110,059,405 7,206,038,592
QLD 1,209,999,386 1,209,923,315 7,324,072,273 7,323,769,092
WA 533,148,848 533,148,840 2,850,711,897 2,850,711,841
SA 345,869,005 268,660,687 2,318,947,198 2,028,139,517
TAS 123,675,593 123,675,593 737,202,675 737,202,675
ACT 92,013,160 92,013,160 685,632,828 685,632,828
NT 99,316,344 99,315,306 693,765,438 693,758,208
Total 4,788,772,151 4,711,473,528 30,341,840,736 30,146,701,774

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 2019

This table shows NHR funding by the source of funds for each state and territory for January 2019.

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 528,127,986 821,006,379 5,650,000 1,354,784,365
VIC 423,118,045 602,822,406 4,025,000 1,029,965,452
QLD 385,494,750 819,504,636 5,000,000 1,209,999,386
WA 184,779,935 348,368,913 0 533,148,848
SA 111,535,144 234,333,860 0 345,869,005
TAS 35,671,013 88,004,579 0 123,675,593
ACT 32,215,160 51,538,000 8,260,000 92,013,160
NT 22,956,973 76,359,371 0 99,316,344
Total 1,723,899,006 3,041,938,145 22,935,000 4,788,772,151

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – January 2019

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 2019.

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 3,951,818,813 4,630,080,209 39,550,000 8,621,449,023
VIC 2,905,123,905 4,176,760,500 28,175,000 7,110,059,405
QLD 3,147,849,684 4,141,222,589 35,000,000 7,324,072,273
WA 1,315,916,018 1,534,795,880 0 2,850,711,897
SA 753,661,000 1,565,286,198 0 2,318,947,198
TAS 253,982,709 483,219,966 0 737,202,675
ACT 241,277,828 386,535,000 57,820,000 685,632,828
NT 159,249,874 534,515,564 0 693,765,438
Total 12,728,879,831 17,452,415,905 160,545,000 30,341,840,736

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 2019

This table shows NHR funding for each state and territory by funding type and source for January 2019. 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 445,168,975 747,681,206 0 1,192,850,181
Block 72,103,763 55,877,271 0 127,981,034
Other 10,855,249 17,447,901 5,650,000 33,953,150
Total 528,127,986 821,006,379 5,650,000 1,354,784,365
VIC ABF 364,938,805 523,201,486 0 888,140,292
Block 49,365,060 79,542,731 0 128,907,790
Other 8,814,180 78,189 4,025,000 12,917,370
Total 423,118,045 602,822,406 4,025,000 1,029,965,452
QLD ABF 340,140,557 679,742,753 0 1,019,883,310
Block 38,555,765 131,485,812 0 170,041,576
Other 6,798,428 8,276,071 5,000,000 20,074,499
Total 385,494,750 819,504,636 5,000,000 1,209,999,386
WA ABF 157,434,542 332,813,259 0 490,247,801
Block 23,821,772 15,555,647 0 39,377,418
Other 3,523,620 8 0 3,523,629
Total 184,779,935 348,368,913 0 533,148,848
SA ABF 94,255,311 226,000,000 0 320,255,311
Block 14,935,063 8,000,000 0 22,935,063
Other 2,344,770 333,860 0 2,678,631
Total 111,535,144 234,333,860 0 345,869,005
TAS ABF 29,373,653 31,504,580 0 60,878,232
Block 5,588,884 56,500,000 0 62,088,884
Other 708,476 0 0 708,476
Total 35,671,013 88,004,579 0 123,675,593
ACT ABF 29,382,613 45,584,000 0 74,966,613
Block 2,266,093 5,954,000 0 8,220,093
Other 566,453 0 8,260,000 8,826,453
Total 32,215,160 51,538,000 8,260,000 92,013,160
NT ABF 20,852,057 24,526,583 0 45,378,640
Block 1,773,904 51,831,750 0 53,605,654
Other 331,012 1,038 0 332,050
Total 22,956,973 76,359,371 0 99,316,344
Total ABF funding 1,481,546,513 2,611,053,868 0 4,092,600,381
Total Block funding 208,410,303 404,747,211 0 613,157,513
Total Other funding 33,942,190 26,137,067 22,935,000 83,014,257
Grand Total 1,723,899,006 3,041,938,145 22,935,000 4,788,772,151

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – January 2019

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 2019. 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 3,355,193,568 3,674,137,045 0 7,029,330,613
Block 521,116,865 833,645,693 0 1,354,762,558
Other 75,508,380 122,297,471 39,550,000 237,355,851
Total 3,951,818,813 4,630,080,209 39,550,000 8,621,449,023
VIC ABF 2,487,274,835 3,642,041,114 0 6,129,315,949
Block 354,822,344 524,601,736 0 879,424,080
Other 63,026,726 10,117,650 28,175,000 101,319,376
Total 2,905,123,905 4,176,760,500 28,175,000 7,110,059,405
QLD ABF 2,817,717,005 3,379,882,093 0 6,197,599,098
Block 282,693,237 703,637,315 0 986,330,553
Other 47,439,442 57,703,181 35,000,000 140,142,623
Total 3,147,849,684 4,141,222,589 35,000,000 7,324,072,273
WA ABF 1,115,593,103 1,377,637,085 0 2,493,230,188
Block 176,931,997 157,158,739 0 334,090,736
Other 23,390,917 56 0 23,390,974
Total 1,315,916,018 1,534,795,880 0 2,850,711,897
SA ABF 630,524,264 1,463,000,000 0 2,093,524,264
Block 106,808,638 100,666,778 0 207,475,416
Other 16,328,098 1,619,420 0 17,947,518
Total 753,661,000 1,565,286,198 0 2,318,947,198
TAS ABF 207,719,722 234,278,170 0 441,997,892
Block 41,321,688 248,936,568 0 290,258,256
Other 4,941,299 5,228 0 4,946,527
Total 253,982,709 483,219,966 0 737,202,675
ACT ABF 220,229,992 336,930,000 0 557,159,992
Block 16,961,913 44,655,000 0 61,616,913
Other 4,085,923 4,950,000 57,820,000 66,855,923
Total 241,277,828 386,535,000 57,820,000 685,632,828
NT ABF 144,450,648 171,686,083 0 316,136,731
Block 12,482,963 362,822,250 0 375,305,213
Other 2,316,264 7,230 0 2,323,494
Total 159,249,874 534,515,564 0 693,765,438
Total ABF funding 10,978,703,137 14,279,591,589 0 25,258,294,726
Total Block funding 1,513,139,645 2,976,124,079 0 4,489,263,724
Total Other funding 237,037,049 196,700,237 160,545,000 594,282,285
Grand Total 12,728,879,831 17,452,415,905 160,545,000 30,341,840,736

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 2019

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 226,861 1,588,025 2,722,327
VIC 184,586 1,292,102 2,215,000
QLD 155,500 1,088,500 1,866,000
WA 68,256 518,951 885,540
SA 47,021 348,597 595,071
TAS 12,349 92,471 151,628
ACT 12,902 87,499 158,697
NT 13,243 97,232 169,176
Total 720,717 5,113,377 8,763,439

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.