National report - May 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 May 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 May 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 – May 2018

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,192,457,484 1,192,457,484 12,503,242,316 12,503,242,316
VIC 988,358,124 980,127,364 10,198,871,546 10,190,640,787
QLD 876,841,507 876,812,064 10,199,608,160 10,199,245,000
WA 550,991,608 551,099,110 4,188,825,316 4,189,040,331
SA 164,093,189 277,549,478 3,033,041,951 3,110,127,169
TAS 98,831,407 98,831,407 1,114,828,409 1,114,828,409
ACT 110,154,387 110,154,387 1,022,054,255 1,022,054,256
NT 121,872,810 121,871,784 1,075,490,853 1,075,479,629
Total 4,103,600,515 4,208,903,078 43,335,962,806 43,404,657,897

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 – May 2018

This table shows NHR funding by the source of funds for each state and territory for May 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 510,137,305 676,820,179 5,500,000 1,192,457,484
VIC 410,468,213 573,389,910 4,500,000 988,358,124
QLD 329,469,314 542,472,193 4,900,000 876,841,507
WA 176,564,145 374,427,462 0 550,991,608
SA 108,913,461 55,179,728 0 164,093,189
TAS 35,163,577 63,667,830 0 98,831,407
ACT 30,244,387 71,960,000 7,950,000 110,154,387
NT 21,426,951 100,445,859 0 121,872,810
Total 1,622,387,354 2,458,363,161 22,850,000 4,103,600,515

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – May 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 May 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 5,534,959,657 6,907,782,659 60,500,000 12,503,242,316
VIC 4,515,150,348 5,634,221,198 49,500,000 10,198,871,546
QLD 3,624,162,455 6,521,545,705 53,900,000 10,199,608,160
WA 1,944,870,107 2,243,955,210 0 4,188,825,316
SA 1,197,320,803 1,835,721,148 0 3,033,041,951
TAS 376,129,692 738,698,717 0 1,114,828,409
ACT 332,688,256 601,916,000 87,450,000 1,022,054,255
NT 235,696,462 839,794,390 0 1,075,490,853
Total 17,760,977,780 25,323,635,026 251,350,000 43,335,962,806

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 – May 2018

This table shows NHR funding for each state and territory by funding type and source for May 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 431,600,353 588,566,531 0 1,020,166,885
Block 68,219,690 70,794,503 0 139,014,193
Other 10,317,262 17,459,144 5,500,000 33,276,406
Total 510,137,305 676,820,179 5,500,000 1,192,457,484
VIC ABF 344,398,973 512,094,882 0 856,493,855
Block 57,563,006 60,463,846 0 118,026,852
Other 8,506,235 831,182 4,500,000 13,837,417
Total 410,468,213 573,389,910 4,500,000 988,358,124
QLD ABF 281,568,267 455,082,806 0 736,651,073
Block 41,434,240 79,359,944 0 120,794,184
Other 6,466,807 8,029,443 4,900,000 19,396,250
Total 329,469,314 542,472,193 4,900,000 876,841,507
WA ABF 150,172,697 317,182,673 0 467,355,369
Block 23,147,106 57,244,782 0 80,391,888
Other 3,244,343 8 0 3,244,351
Total 176,564,145 374,427,462 0 550,991,608
SA ABF 91,992,044 20,000,000 0 111,992,044
Block 14,668,939 34,900,000 0 49,568,939
Other 2,252,478 279,728 0 2,532,206
Total 108,913,461 55,179,728 0 164,093,189
TAS ABF 29,249,641 34,977,559 0 64,227,200
Block 5,234,926 28,688,922 0 33,923,848
Other 679,010 1,349 0 680,359
Total 35,163,577 63,667,830 0 98,831,407
ACT ABF 27,952,432 65,071,000 0 93,023,432
Block 1,740,262 5,289,000 0 7,029,262
Other 551,693 1,600,000 7,950,000 10,101,693
Total 30,244,387 71,960,000 7,950,000 110,154,387
NT ABF 19,431,020 24,526,583 0 43,957,603
Block 1,676,933 75,918,250 0 77,595,183
Other 318,998 1,025 0 320,024
Total 21,426,951 100,445,859 0 121,872,810
Total ABF funding 1,376,365,426 2,017,502,034 0 3,393,867,461
Total Block funding 213,685,102 412,659,247 0 626,344,349
Total Other funding 32,336,826 28,201,879 22,850,000 83,388,705
Grand Total 1,622,387,354 2,458,363,161 22,850,000 4,103,600,515

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – May 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 May 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 4,747,603,888 5,786,726,406 0 10,534,330,294
Block 673,781,326 928,295,361 0 1,602,076,687
Other 113,574,444 192,760,892 60,500,000 366,835,335
Total 5,534,959,657 6,907,782,659 60,500,000 12,503,242,316
VIC ABF 3,903,197,279 4,906,016,624 0 8,809,213,904
Block 520,740,768 727,210,471 0 1,247,951,239
Other 91,212,301 994,103 49,500,000 141,706,404
Total 4,515,150,348 5,634,221,198 49,500,000 10,198,871,546
QLD ABF 3,148,000,909 5,480,934,336 0 8,628,935,245
Block 405,079,419 952,248,211 0 1,357,327,630
Other 71,082,127 88,363,158 53,900,000 213,345,285
Total 3,624,162,455 6,521,545,705 53,900,000 10,199,608,160
WA ABF 1,651,899,664 1,839,837,940 0 3,491,737,604
Block 255,585,683 404,110,461 0 659,696,144
Other 37,384,760 6,809 0 37,391,569
Total 1,944,870,107 2,243,955,210 0 4,188,825,316
SA ABF 1,011,912,485 1,622,000,000 0 2,633,912,485
Block 160,592,495 211,539,425 0 372,131,921
Other 24,815,823 2,181,722 0 26,997,545
Total 1,197,320,803 1,835,721,148 0 3,033,041,951
TAS ABF 311,052,517 332,114,870 0 643,167,387
Block 57,584,183 406,573,673 0 464,157,856
Other 7,492,992 10,175 0 7,503,166
Total 376,129,692 738,698,717 0 1,114,828,409
ACT ABF 302,844,281 542,004,000 0 844,848,281
Block 23,936,369 42,312,000 0 66,248,369
Other 5,907,605 17,600,000 87,450,000 110,957,605
Total 332,688,256 601,916,000 87,450,000 1,022,054,255
NT ABF 213,720,824 269,792,417 0 483,513,241
Block 18,446,261 569,990,750 0 588,437,011
Other 3,529,377 11,224 0 3,540,600
Total 235,696,462 839,794,390 0 1,075,490,853
Total ABF funding 15,290,231,848 20,779,426,592 0 36,069,658,441
Total Block funding 2,115,746,504 4,242,280,352 0 6,358,026,856
Total Other funding 354,999,428 301,928,082 251,350,000 908,277,510
Grand Total 17,760,977,780 25,323,635,026 251,350,000 43,335,962,806

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 – May 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 2,407,249 2,626,084
VIC 179,836 1,948,863 2,128,699
QLD 145,117 1,593,752 1,741,408
WA 73,854 771,548 841,706
SA 44,734 537,689 582,364
TAS 12,798 129,838 146,000
ACT 12,865 136,506 153,649
NT 13,237 140,038 152,848
Total 701,281 7,665,483 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.