National 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 at an aggregated national level for June 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 June 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 – June 2018

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 958,412,044 981,012,044 13,461,654,360 13,484,254,360
VIC 602,566,480 506,509,103 10,801,438,026 10,705,380,649
QLD 1,010,033,109 1,010,396,267 11,209,641,269 11,209,641,269
WA 347,175,152 346,960,148 4,536,000,469 4,536,000,480
SA 199,627,744 279,225,885 3,232,669,695 3,389,353,054
TAS 98,903,942 98,903,942 1,213,732,352 1,213,732,352
ACT 88,673,470 88,673,470 1,110,727,726 1,110,727,726
NT 136,023,869 136,022,840 1,211,514,722 1,211,502,469
Total 3,441,415,811 3,447,703,700 46,777,378,617 46,860,592,358

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 – June 2018

This table shows NHR funding by the source of funds for each state and territory for June 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 487,538,546 465,373,498 5,500,000 958,412,044
VIC 506,525,590 91,540,890 4,500,000 602,566,480
QLD 664,986,175 340,146,934 4,900,000 1,010,033,109
WA 229,259,068 117,916,084 0 347,175,152
SA 151,502,188 48,125,556 0 199,627,744
TAS 47,944,968 50,958,974 0 98,903,942
ACT 52,892,470 27,831,000 7,950,000 88,673,470
NT 35,578,007 100,445,863 0 136,023,869
Total 2,176,227,013 1,242,338,798 22,850,000 3,441,415,811

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – June 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 June 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 6,022,498,203 7,373,156,156 66,000,000 13,461,654,360
VIC 5,021,675,938 5,725,762,088 54,000,000 10,801,438,026
QLD 4,289,148,630 6,861,692,639 58,800,000 11,209,641,269
WA 2,174,129,175 2,361,871,294 0 4,536,000,469
SA 1,348,822,991 1,883,846,704 0 3,232,669,695
TAS 424,074,661 789,657,691 0 1,213,732,352
ACT 385,580,726 629,747,000 95,400,000 1,110,727,726
NT 271,274,469 940,240,253 0 1,211,514,722
Total 19,937,204,793 26,565,973,824 274,200,000 46,777,378,617

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 – June 2018

This table shows NHR funding for each state and territory by funding type and source for June 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 409,001,594 477,203,371 0 886,204,965
Block 68,219,690 -29,290,364 0 38,929,326
Other 10,317,262 17,460,491 5,500,000 33,277,753
Total 487,538,546 465,373,498 5,500,000 958,412,044
VIC ABF 440,456,349 83,395,188 0 523,851,537
Block 57,563,006 7,310,031 0 64,873,037
Other 8,506,235 835,671 4,500,000 13,841,905
Total 506,525,590 91,540,890 4,500,000 602,566,480
QLD ABF 617,085,128 252,718,968 0 869,804,096
Block 41,434,240 79,359,944 0 120,794,184
Other 6,466,807 8,068,022 4,900,000 19,434,829
Total 664,986,175 340,146,934 4,900,000 1,010,033,109
WA ABF 202,867,620 80,629,880 0 283,497,499
Block 23,147,106 37,286,196 0 60,433,302
Other 3,244,343 8 0 3,244,351
Total 229,259,068 117,916,084 0 347,175,152
SA ABF 134,580,771 11,000,000 0 145,580,771
Block 14,668,939 36,875,149 0 51,544,088
Other 2,252,478 250,407 0 2,502,885
Total 151,502,188 48,125,556 0 199,627,744
TAS ABF 42,031,033 35,110,786 0 77,141,819
Block 5,234,926 15,848,186 0 21,083,112
Other 679,010 1 0 679,011
Total 47,944,968 50,958,974 0 98,903,942
ACT ABF 50,600,515 22,696,000 0 73,296,515
Block 1,740,262 3,535,000 0 5,275,262
Other 551,693 1,600,000 7,950,000 10,101,693
Total 52,892,470 27,831,000 7,950,000 88,673,470
NT ABF 33,582,075 24,526,583 0 58,108,659
Block 1,676,933 75,918,250 0 77,595,183
Other 318,998 1,029 0 320,028
Total 35,578,007 100,445,863 0 136,023,869
Total ABF funding 1,930,205,086 987,280,776 0 2,917,485,862
Total Block funding 213,685,102 226,842,393 0 440,527,495
Total Other funding 32,336,826 28,215,629 22,850,000 83,402,454
Grand Total 2,176,227,013 1,242,338,798 22,850,000 3,441,415,811

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – June 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 June 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 5,156,605,482 6,263,929,777 0 11,420,535,259
Block 742,001,016 899,004,997 0 1,641,006,013
Other 123,891,706 210,221,383 66,000,000 400,113,088
Total 6,022,498,203 7,373,156,156 66,000,000 13,461,654,360
VIC ABF 4,343,653,629 4,990,211,812 0 9,333,865,441
Block 578,303,774 734,520,502 0 1,312,824,276
Other 99,718,536 1,029,773 54,000,000 154,748,309
Total 5,021,675,938 5,725,762,088 54,000,000 10,801,438,026
QLD ABF 3,765,086,037 5,733,653,303 0 9,498,739,340
Block 446,513,659 1,031,608,155 0 1,478,121,814
Other 77,548,934 96,431,180 58,800,000 232,780,114
Total 4,289,148,630 6,861,692,639 58,800,000 11,209,641,269
WA ABF 1,854,767,284 1,920,467,820 0 3,775,235,104
Block 278,732,789 441,396,657 0 720,129,446
Other 40,629,102 6,817 0 40,635,919
Total 2,174,129,175 2,361,871,294 0 4,536,000,469
SA ABF 1,146,493,256 1,633,000,000 0 2,779,493,256
Block 175,261,434 248,414,575 0 423,676,009
Other 27,068,301 2,432,129 0 29,500,430
Total 1,348,822,991 1,883,846,704 0 3,232,669,695
TAS ABF 353,083,550 367,225,656 0 720,309,206
Block 62,819,109 422,421,859 0 485,240,968
Other 8,172,002 10,176 0 8,182,177
Total 424,074,661 789,657,691 0 1,213,732,352
ACT ABF 353,444,797 564,700,000 0 918,144,797
Block 25,676,631 45,847,000 0 71,523,631
Other 6,459,298 19,200,000 95,400,000 121,059,298
Total 385,580,726 629,747,000 95,400,000 1,110,727,726
NT ABF 247,302,900 294,319,000 0 541,621,900
Block 20,123,194 645,909,000 0 666,032,194
Other 3,848,375 12,253 0 3,860,628
Total 271,274,469 940,240,253 0 1,211,514,722
Total ABF funding 17,220,436,934 21,767,507,368 0 38,987,944,302
Total Block funding 2,329,431,606 4,469,122,745 0 6,798,554,351
Total Other funding 387,336,254 329,343,711 274,200,000 990,879,964
Grand Total 19,937,204,793 26,565,973,824 274,200,000 46,777,378,617

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 – June 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 2,626,090 2,626,084
VIC 179,836 2,128,699 2,128,699
QLD 147,656 1,741,408 1,741,408
WA 70,158 841,706 841,706
SA 44,675 582,364 582,364
TAS 12,788 142,626 146,000
ACT 12,035 148,752 153,649
NT 12,806 152,844 152,848
Total 698,794 8,364,488 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.