National report - March 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 March 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 March 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 – March 2018

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,058,048,858 1,058,048,858 10,300,177,048 10,300,177,047
VIC 784,979,510 784,979,511 8,353,221,872 8,353,221,872
QLD 879,155,880 879,126,924 8,445,908,666 8,445,604,129
WA 522,368,577 522,368,577 3,244,199,301 3,244,199,312
SA 291,242,435 280,649,478 2,626,546,575 2,533,028,213
TAS 93,707,794 93,707,794 920,372,177 920,372,177
ACT 88,666,387 88,666,387 823,233,482 823,233,482
NT 95,361,802 95,360,784 858,256,232 858,247,060
Total 3,813,531,243 3,802,908,313 35,571,915,352 35,478,083,292

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 – March 2018

This table shows NHR funding by the source of funds for each state and territory for March 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 501,622,276 550,926,582 5,500,000 1,058,048,858
VIC 410,468,213 370,011,297 4,500,000 784,979,510
QLD 329,469,314 544,786,566 4,900,000 879,155,880
WA 176,671,647 345,696,930 0 522,368,577
SA 108,828,369 182,414,067 0 291,242,435
TAS 35,163,577 58,544,217 0 93,707,794
ACT 30,244,387 50,472,000 7,950,000 88,666,387
NT 21,426,951 73,934,851 0 95,361,802
Total 1,613,894,735 2,176,786,508 22,850,000 3,813,531,243

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – March 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 March 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 4,514,685,047 5,735,992,000 49,500,000 10,300,177,048
VIC 3,694,213,921 4,618,507,951 40,500,000 8,353,221,872
QLD 2,965,223,827 5,436,584,840 44,100,000 8,445,908,666
WA 1,591,741,816 1,652,457,485 0 3,244,199,301
SA 979,493,881 1,647,052,694 0 2,626,546,575
TAS 305,802,538 614,569,639 0 920,372,177
ACT 272,199,482 479,484,000 71,550,000 823,233,482
NT 192,842,560 665,413,671 0 858,256,232
Total 14,516,203,072 20,850,062,281 205,650,000 35,571,915,352

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 – March 2018

This table shows NHR funding for each state and territory by funding type and source for March 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 431,600,353 447,331,139 0 878,931,493
Block 59,704,661 86,038,644 0 145,743,305
Other 10,317,262 17,556,798 5,500,000 33,374,060
Total 501,622,276 550,926,582 5,500,000 1,058,048,858
VIC ABF 356,893,673 319,537,350 0 676,431,023
Block 45,068,306 49,567,539 0 94,635,845
Other 8,506,235 906,407 4,500,000 13,912,642
Total 410,468,213 370,011,297 4,500,000 784,979,510
QLD ABF 287,201,292 456,102,158 0 743,303,450
Block 35,801,215 80,655,452 0 116,456,667
Other 6,466,807 8,028,956 4,900,000 19,395,763
Total 329,469,314 544,786,566 4,900,000 879,155,880
WA ABF 150,172,697 247,616,391 0 397,789,087
Block 23,254,608 98,080,532 0 121,335,140
Other 3,244,343 7 0 3,244,350
Total 176,671,647 345,696,930 0 522,368,577
SA ABF 91,992,044 169,000,000 0 260,992,044
Block 14,583,846 13,119,186 0 27,703,033
Other 2,252,478 294,880 0 2,547,358
Total 108,828,369 182,414,067 0 291,242,435
TAS ABF 29,249,641 30,674,927 0 59,924,568
Block 5,234,926 27,869,291 0 33,104,217
Other 679,010 0 0 679,010
Total 35,163,577 58,544,217 0 93,707,794
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 1,017 0 320,016
Total 21,426,951 73,934,851 0 95,361,802
Total ABF funding 1,393,960,542 1,740,134,548 0 3,134,095,091
Total Block funding 187,597,367 408,263,894 0 595,861,261
Total Other funding 32,336,826 28,388,066 22,850,000 83,574,892
Grand Total 1,613,894,735 2,176,786,508 22,850,000 3,813,531,243

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – March 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 March 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 3,884,403,181 4,745,861,195 0 8,630,264,376
Block 537,341,947 832,383,064 0 1,369,725,011
Other 92,939,919 157,747,741 49,500,000 300,187,661
Total 4,514,685,047 5,735,992,000 49,500,000 10,300,177,048
VIC ABF 3,214,399,334 3,998,025,147 0 7,212,424,482
Block 405,614,755 619,663,789 0 1,025,278,545
Other 74,199,832 819,014 40,500,000 115,518,846
Total 3,694,213,921 4,618,507,951 40,500,000 8,353,221,872
QLD ABF 2,584,864,376 4,557,739,429 0 7,142,603,805
Block 322,210,938 806,540,875 0 1,128,751,813
Other 58,148,513 72,304,536 44,100,000 174,553,049
Total 2,965,223,827 5,436,584,840 44,100,000 8,445,908,666
WA ABF 1,351,554,270 1,320,829,795 0 2,672,384,066
Block 209,291,471 331,620,897 0 540,912,368
Other 30,896,074 6,793 0 30,902,867
Total 1,591,741,816 1,652,457,485 0 3,244,199,301
SA ABF 827,928,397 1,482,000,000 0 2,309,928,397
Block 131,254,617 163,469,763 0 294,724,380
Other 20,310,867 1,582,931 0 21,893,798
Total 979,493,881 1,647,052,694 0 2,626,546,575
TAS ABF 252,553,234 267,313,511 0 519,866,746
Block 47,114,332 347,247,302 0 394,361,634
Other 6,134,972 8,826 0 6,143,798
Total 305,802,538 614,569,639 0 920,372,177
ACT ABF 246,939,418 431,587,000 0 678,526,418
Block 20,455,844 33,497,000 0 53,952,844
Other 4,804,220 14,400,000 71,550,000 90,754,220
Total 272,199,482 479,484,000 71,550,000 823,233,482
NT ABF 174,858,784 220,739,250 0 395,598,034
Block 15,092,396 444,665,250 0 459,757,646
Other 2,891,380 9,171 0 2,900,552
Total 192,842,560 665,413,671 0 858,256,232
Total ABF funding 12,537,500,995 17,024,095,327 0 29,561,596,322
Total Block funding 1,688,376,300 3,579,087,940 0 5,267,464,240
Total Other funding 290,325,776 246,879,013 205,650,000 742,854,790
Grand Total 14,516,203,072 20,850,062,281 205,650,000 35,571,915,352

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 – March 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 219,409 1,969,569 2,626,084
VIC 179,836 1,589,192 2,128,699
QLD 145,117 1,303,518 1,741,408
WA 73,577 633,560 841,706
SA 49,682 439,555 582,364
TAS 12,270 105,726 146,000
ACT 12,672 111,058 153,649
NT 13,686 114,220 152,848
Total 706,249 6,266,398 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.