Western Australian report, November 2017

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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 for Western Australia for November 2017 as part of the National Health Reform Agreement.

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 an LHN.

Note: The term ‘local hospital network’ is a national term. Some states and territories use their own terminology to describe these networks, such as local health districts, health organisations, and hospital and health services.

Under the Agreement, LHNs receive funding 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 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 WA Department of Health to view the service agreement for that LHN.

Basis for National Health Reform payments – Western Australia, November 2017

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2017-18.

The basis used to determine NHR payments to LHNs in Western Australia for November 2017 is as follows:

Service agreements between the Department of Health (the Department) and Health Service Providers (HSPs) are based on the Department’s funding and purchasing policies and resource allocation models.

The Western Australia Activity- Based Funding (WA ABF) model determines the price at which the Department purchases services from HSPs and the type and volume of services that are purchased. Metropolitan public hospitals and Regional and District rural hospitals are funded through the WA ABF model. The WA ABF model is based on the national ABF model however, it includes a range of modifications reflecting WA funding principles and purchasing mechanisms.

Small rural hospitals are funded through block funding arrangements which, although based on the National Efficient Cost Determination contain some funding modifications.

The vast majority of non-hospital services are block-funded. Block funding is based on budget to budget build from the previous year using WA State Government funding parameters consistent with the WA State budget.

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.

State pool account transactions

Table 1a – State pool account transactions – Western Australia, November 2017

This table shows funding paid into the Western Australian state pool account by the Commonwealth, Western Australia or other states/territories, and payments out of the state pool account to LHNs, the state managed fund, the WA Department of Health or the state pool accounts of other states/territories for November 2017.

NHR funding by source Paid into state pool account Paid out of state pool account
To Local hospital networks To State
Managed Fund
To state
health department
To state pool (other State) Total paid out
($) ($) ($) ($) ($) ($)
Commonwealth
ABF funding
150,172,697 150,172,697 150,172,697
Commonwealth
Block funding
23,254,608 23,254,608 23,254,608
Commonwealth
Other funding
3,486,770 3,486,770 3,486,770
Total C'wealth
funding
176,914,074 150,172,697 23,254,608 3,486,770 176,914,074
WA
funding
14,222,797 14,222,797 0 0 14,222,797
Other state/territory funding 0 0 0 0
Total 191,136,871 164,395,493 23,254,608 3,486,770 0 191,136,871

See definitions and explanatory notes following table 1b.

Table 1b – State pool account transactions YTD – Western Australia, November 2017

Following on from table 1a, this table shows year-to-date (YTD) funding paid into the Western Australian state pool account by the Commonwealth, Western Australia or other states/territories, and payments out of the state pool account to LHNs, the state managed fund, the WA Department of Health or the state pool accounts of other states/territories as at November 2017.

NHR funding by source Paid into state
pool account
Paid out of state pool account
To Local hospital
networks
YTD
To State
Managed Fund
YTD
To state health
department
YTD
To state pool (other State)
YTD
Total paid out
YTD
($) ($) ($) ($) ($) ($)
Commonwealth
ABF funding
750,863,484 750,863,484 750,863,484
Commonwealth
Block funding
116,273,040 116,273,040 116,273,040
Commonwealth
Other funding
17,433,849 17,433,849 17,433,849
Total C'wealth
funding
884,570,372 750,863,484 116,273,040 17,433,849 884,570,372
WA
funding
306,020,527 306,020,527 11 0 306,020,538
Other state/territory funding 0 0 0 0
Total 1,190,590,899 1,056,884,010 116,273,040 17,433,860 0 1,190,590,910

Commonwealth ABF funding represents Acute admitted, Non-admitted, Emergency department, Sub-acute, and Admitted mental health service categories, which are funded by the Commonwealth through the state pool account and subsequently paid to LHNs.

Commonwealth Block funding represents Non-admitted mental health, Small rural hospitals, Teaching, training & research, and Other non-admitted categories, which are funded by the Commonwealth and paid to the state managed fund.

Commonwealth Other funding represents other amounts funded by the Commonwealth, transacted through the state pool account and subsequently paid to state or territory health departments. This currently represents the Commonwealth contribution to public health.

WA funding represents funding contributions paid by Western Australia into its own state pool account, and subsequently paid to LHNs within the state, to the Western Australian health department and/or to other state pool accounts.

Other state/territory funding represents contributions paid to Western Australia by other states and territories for cross-border activity.

Note: The grey shaded areas in these tables reflect cells that are not applicable for a particular 'paid out' column. For example, Commonwealth block funding is only paid to state managed funds and not to local hospital networks or state or territory health departments.

NHR funding and payments shown in these tables include GST where applicable.

For more information, see National Health Reform funding and payments.

State managed fund transactions

Table 2a – State managed fund transactions – Western Australia, November 2017

This table shows funding paid into the Western Australia state managed fund by the Commonwealth and Western Australia, and payments out of the state managed fund to LHNs and other provider organisations for November 2017.

NHR funding by source Paid into state managed fund Paid out of state managed fund
To local hospital networks To Other Total paid out
($) ($) ($) ($)
Commonwealth Block funding 23,254,608 23,254,608
State/territory Block funding 15,244,782 15,244,782
Total 38,499,390 37,904,486 594,904 38,499,390

See explanatory notes following table 2b.

Table 2b – State managed fund transactions YTD – Western Australia, November 2017

Following on from table 2a, this table shows year-to-date (YTD) funding paid into the Western Australian state managed fund by the Commonwealth and Western Australia, and YTD payments out of the state managed fund to LHNs and other provider organisations as at November 2017.

NHR funding by source Paid into state
managed fund
YTD
Paid out of state managed fund YTD
To local hospital
networks
YTD
To Other
YTD
Total paid out
YTD
($) ($) ($) ($)
Commonwealth Block funding 116,273,040 116,273,040
State/territory Block funding 430,306,021 430,306,021
Total 546,579,060 543,604,542 2,974,518 546,579,060

Block funding represents Non-admitted mental health, Small rural hospitals, Teaching, training & research, and Other non-admitted categories.

Commonwealth Block funding represents Commonwealth block funding contributions paid into the state managed fund from the state pool account, and block payments out of the state managed fund to LHNs and other provider organisations.

State/territory Block funding represents Western Australian block funding contributions into the state managed fund, and block payments out of the state managed fund to LHNs and other provider organisations.

Note: The grey shaded areas in these tables reflect that these block payments cannot at this stage be identified by source of funding (state, territory or Commonwealth contribution).

NHR funding and payments shown in these tables include GST where applicable.

For more, see National Health Reform funding and payments.

NHR funding and payments by service category

Table 3 – NHR funding and payments by service category – Western Australia, November 2017

This table shows NHR funding and payments by service category on both a monthly and year-to-date (YTD) basis for Western Australia for November 2017. NHR funding and payments are separated into the following service categories – activity-based funding (ABF), block funding, and other funding.

Service category NHR
funding
NHR
payments
NHR
funding YTD
NHR
payments YTD
($) ($) ($) ($)
ABF
Acute admitted 90,442,407 90,442,407 608,410,336 608,410,336
Admitted mental health 22,821,467 22,821,467 113,075,646 113,075,646
Sub-acute 7,440,462 7,440,462 48,256,684 48,256,684
Emergency department 18,313,120 18,313,120 127,182,084 127,182,084
Non-admitted 25,378,037 25,378,037 159,959,260 159,959,260
Total ABF (Pool) 164,395,493 164,395,493 1,056,884,010 1,056,884,010
Block
Small rural hospitals 8,964,108 8,964,108 79,295,354 80,306,819
Teaching, training & research 9,402,120 9,402,120 365,606,434 365,606,434
Non-admitted mental health 20,133,161 20,133,161 101,677,272 100,665,806
Other non-admitted services 0 0 0 0
Total Block (SMF) 38,499,390 38,499,390 546,579,060 546,579,060
Other
Public health funding 3,486,770 3,486,770 17,433,849 17,433,849
Overdeposit 0 0 0 0
Cross-border 0 0 0 0
Interest 0 0 0 11
Total Other (Pool) 3,486,770 3,486,770 17,433,849 17,433,860
Grand Total 206,381,653 206,381,653 1,620,896,919 1,620,896,930

Total ABF (Pool) is an aggregate of both Commonwealth and state or territory NHR funding and payments for activity-based funding (ABF) which is transacted through the state pool account.

Total Block (SMF) is an aggregate of both Commonwealth and state or territory NHR funding and payments for block funding which is transacted through the state managed fund (SMF).

Total Other (Pool) represents other funding and payments transacted through the state pool account, including public health funding, overdeposits, cross-border funding and payments, and interest.

State and territory cross-border payments can either be:

  • Paid to the relevant state or territory's LHNs - included within ABF and/or block payments in the above table, or
  • Reimbursed to the relevant state or territory where the state or territory's LHNs are already being funded for the cost of treating cross-border patients - shown in the Cross-border row under Other in the above table.

NHR funding and payments shown in these tables include GST where applicable.

For more information, see National Health Reform funding and payments.

NHR contributions by local hospital network

Table 4a – NHR contributions by local hospital network – Western Australia, November 2017

This table shows NHR contributions (from state, territory and Commonwealth sources) made to each LHN in Western Australia during November 2017.

NHR contributions to LHNs are separated into an activity-based funding (ABF) component and a block component.

Local hospital network (LHN) ABF component
(ex GST)
Block component
(ex GST)
Total NHR payment
(ex GST)
($) ($) ($)
Child and Adolescent Health Service 9,927,113 940,481 10,867,594
East Metropolitan Health Service 36,463,153 7,394,896 43,858,049
North Metropolitan Health Service 49,641,230 10,059,069 59,700,299
Notional LHN - Royal Street - WA 3,986,730 0 3,986,730
South Metropolitan Health Service 41,123,851 6,037,586 47,161,437
WA Country Health Service 23,253,416 13,472,453 36,725,870
Total 164,395,493 37,904,486 202,299,979

See explanatory notes below table 4b.

Table 4b – NHR contributions by local hospital network YTD – Western Australia, November 2017

This table shows YTD NHR contributions (from state, territory and Commonwealth sources) made to each LHN in Western Australia as at November 2017.

NHR contributions to LHNs are separated into an activity-based funding (ABF) component and a block component.

Local hospital network ABF component YTD
(ex GST)
Block component YTD
(ex GST)
Total NHR payment YTD
(ex GST)
($) ($) ($)
Child and Adolescent Health Service 69,635,565 33,702,406 103,337,970
East Metropolitan Health Service 222,315,764 141,105,364 363,421,128
North Metropolitan Health Service 282,916,786 165,295,345 448,212,130
Notional LHN - Royal Street - WA 19,933,651 0 19,933,651
South Metropolitan Health Service 284,667,513 97,348,896 382,016,409
WA Country Health Service 177,414,733 106,152,532 283,567,265
Total 1,056,884,010 543,604,542 1,600,488,553

NHR contributions in this table are GST exclusive to enable comparability of NHR payments in each LHN report.

Note: This table excludes GST.
The majority of government funding to LHNs is not subject to GST. However in some cases hospital funding to non-government entities does attract GST, for example, denominational hospitals, privately and commercially owned health facilities, or any other non-government third party provider of health services or related supplies.

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 (YTD) 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 5 – Estimated monthly, YTD and annual NWAU by local hospital network – Western Australia, November 2017

This table shows estimated state or territory hospital activity for activity-based funding services expressed as NWAU for November 2017, the associated cumulative year-to-date (YTD), and total estimated annual NWAU for each LHN in Western Australia.

Local hospital network (LHN) Estimated NWAU delivered in current month Estimated NWAU delivered YTD Estimated annual NWAU 2017-18
Child and Adolescent Health Service 4,625 22,430 51,319
East Metropolitan Health Service 15,619 78,816 183,556
North Metropolitan Health Service 20,801 104,296 245,803
Notional LHN - Royal Street - WA 1,811 8,663 20,082
South Metropolitan Health Service 19,145 93,392 216,830
WA Country Health Service 10,626 53,269 124,116
Total 72,627 360,866 841,706

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, by weighting them for their 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 to be delivered in the month.

For more information on the NWAU calculation, see Calculation of NWAU.