National report - April 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 April 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 April 2019, see State or territory reports.

NHR funding and payments

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

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,254,569,983 1,254,569,983 12,056,061,827 12,056,061,827
VIC 1,095,793,013 1,095,793,013 9,939,685,162 10,035,742,539
QLD 831,372,366 831,340,497 10,020,824,960 10,020,420,218
WA 482,802,233 482,253,842 4,302,313,494 4,301,765,031
SA 300,134,695 328,215,398 3,311,998,171 2,934,776,289
TAS 123,036,954 123,036,893 1,036,416,522 1,036,416,460
ACT 141,476,756 141,476,757 1,011,135,903 1,011,135,904
NT 100,737,221 100,737,120 990,678,842 990,669,441
Total 4,329,923,220 4,357,423,501 42,669,114,881 42,386,987,709

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.

NHR funding by funding source

Table 2a – NHR funding by funding source for each state and territory – April 2019

This table shows NHR funding by the source of funds for each state and territory for April 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 575,809,478 673,110,505 5,650,000 1,254,569,983
VIC 439,124,285 652,643,728 4,025,000 1,095,793,013
QLD 432,234,006 394,138,359 5,000,000 831,372,366
WA 193,989,760 288,812,472 0 482,802,233
SA 118,471,081 181,663,614 0 300,134,695
TAS 33,067,217 89,969,737 0 123,036,954
ACT 35,909,756 97,307,000 8,260,000 141,476,756
NT 26,835,287 73,901,934 0 100,737,221
Total 1,855,440,870 2,451,547,350 22,935,000 4,329,923,220

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – April 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 April 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 5,585,081,703 6,414,480,124 56,500,000 12,056,061,827
VIC 4,217,952,220 5,681,482,942 40,250,000 9,939,685,162
QLD 4,351,073,189 5,619,751,771 50,000,000 10,020,824,960
WA 1,879,465,647 2,422,282,521 565,326 4,302,313,494
SA 1,095,202,369 2,216,795,801 0 3,311,998,171
TAS 358,391,952 677,764,188 260,382 1,036,416,522
ACT 341,617,903 586,918,000 82,600,000 1,011,135,903
NT 231,999,107 758,679,734 0 990,678,842
Total 18,060,784,092 24,378,155,082 230,175,708 42,669,114,881

NHR funding shown in these tables includes GST where applicable.

NHR funding by funding type

Table 3a – NHR funding by funding type for each state and territory – April 2019

This table shows NHR funding for each state and territory by funding type and source for April 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 493,571,594 560,273,163 0 1,053,844,758
Block 72,126,133 95,389,001 0 167,515,134
Other 10,111,751 17,448,340 5,650,000 33,210,091
Total 575,809,478 673,110,505 5,650,000 1,254,569,983
VIC ABF 345,602,953 402,380,566 0 747,983,519
Block 85,297,860 222,250,525 0 307,548,384
Other 8,223,473 28,012,637 4,025,000 40,261,110
Total 439,124,285 652,643,728 4,025,000 1,095,793,013
QLD ABF 380,523,755 311,889,113 0 692,412,867
Block 45,305,090 74,017,378 0 119,322,468
Other 6,405,161 8,231,869 5,000,000 19,637,030
Total 432,234,006 394,138,359 5,000,000 831,372,366
WA ABF 166,385,250 225,734,853 0 392,120,103
Block 24,370,046 63,077,503 0 87,447,549
Other 3,234,464 117 0 3,234,580
Total 193,989,760 288,812,472 0 482,802,233
SA ABF 101,186,230 154,000,000 0 255,186,230
Block 15,085,370 27,191,912 0 42,277,281
Other 2,199,481 471,703 0 2,671,184
Total 118,471,081 181,663,614 0 300,134,695
TAS ABF 26,258,872 40,766,743 0 67,025,615
Block 6,117,234 49,202,933 0 55,320,166
Other 691,111 62 0 691,173
Total 33,067,217 89,969,737 0 123,036,954
ACT ABF 33,090,364 88,376,000 0 121,466,364
Block 2,266,093 8,931,000 0 11,197,093
Other 553,298 0 8,260,000 8,813,298
Total 35,909,756 97,307,000 8,260,000 141,476,756
NT ABF 24,749,030 24,526,583 0 49,275,613
Block 1,773,904 49,375,250 0 51,149,154
Other 312,353 101 0 312,454
Total 26,835,287 73,901,934 0 100,737,221
Total ABF funding 1,571,368,048 1,807,947,021 0 3,379,315,069
Total Block funding 252,341,730 589,435,501 0 841,777,231
Total Other funding 31,731,093 54,164,827 22,935,000 108,830,920
Grand Total 1,855,440,870 2,451,547,350 22,935,000 4,329,923,220

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – April 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 April 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 4,740,300,550 5,167,242,302 0 9,907,542,852
Block 737,450,523 1,072,596,641 0 1,810,047,164
Other 107,330,630 174,641,181 56,500,000 338,471,811
Total 5,585,081,703 6,414,480,124 56,500,000 12,056,061,827
VIC ABF 3,590,223,338 4,774,484,369 0 8,364,707,707
Block 538,850,322 868,733,763 0 1,407,584,086
Other 88,878,559 38,264,810 40,250,000 167,393,369
Total 4,217,952,220 5,681,482,942 40,250,000 9,939,685,162
QLD ABF 3,878,521,873 4,584,366,453 0 8,462,888,326
Block 405,109,857 952,980,575 0 1,358,090,432
Other 67,441,460 82,404,742 50,000,000 199,846,202
Total 4,351,073,189 5,619,751,771 50,000,000 10,020,824,960
WA ABF 1,596,847,438 2,170,584,799 0 3,767,432,237
Block 248,945,587 251,697,534 0 500,643,121
Other 33,672,622 188 565,326 34,238,136
Total 1,879,465,647 2,422,282,521 565,326 4,302,313,494
SA ABF 920,221,117 2,052,000,000 0 2,972,221,117
Block 151,764,133 162,003,091 0 313,767,224
Other 23,217,120 2,792,710 0 26,009,829
Total 1,095,202,369 2,216,795,801 0 3,311,998,171
TAS ABF 292,725,899 338,619,398 0 631,345,296
Block 58,616,690 339,139,501 0 397,756,191
Other 7,049,363 5,290 260,382 7,315,035
Total 358,391,952 677,764,188 260,382 1,036,416,522
ACT ABF 312,085,583 511,524,000 0 823,609,583
Block 23,760,193 65,494,000 0 89,254,193
Other 5,772,127 9,900,000 82,600,000 98,272,127
Total 341,617,903 586,918,000 82,600,000 1,011,135,903
NT ABF 210,903,791 245,265,833 0 456,169,624
Block 17,804,675 513,404,500 0 531,209,175
Other 3,290,641 9,401 0 3,300,042
Total 231,999,107 758,679,734 0 990,678,842
Total ABF funding 15,541,829,589 19,844,087,154 0 35,385,916,743
Total Block funding 2,182,301,981 4,226,049,606 0 6,408,351,586
Total Other funding 336,652,522 308,018,323 230,175,708 874,846,552
Grand Total 18,060,784,092 24,378,155,082 230,175,708 42,669,114,881

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.

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 – April 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 247,694 2,289,440 2,747,328
VIC 184,586 1,845,860 2,215,000
QLD 156,209 1,555,709 1,866,000
WA 67,396 734,001 885,540
SA 54,818 501,892 595,071
TAS 12,683 130,849 151,628
ACT 12,624 130,871 158,697
NT 13,990 139,874 169,176
Total 750,000 7,328,497 8,788,440

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.