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

NHR funding and payments

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

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 895,917,039 895,917,039 13,933,797,752 13,933,797,752
VIC 621,701,604 621,701,604 11,434,314,065 11,530,371,442
QLD 1,046,796,597 1,047,228,678 12,009,427,859 12,009,427,859
WA 436,476,705 436,065,491 5,328,253,297 5,328,253,092
SA 226,276,269 278,394,310 3,745,537,742 3,479,285,998
TAS 168,636,006 168,636,006 1,295,822,919 1,295,822,919
ACT 73,211,756 73,211,757 1,167,145,415 1,167,145,416
NT 164,140,163 164,139,120 1,255,557,164 1,255,545,681
Total 3,633,156,139 3,685,294,005 50,169,856,213 49,999,650,159

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 – June 2019

This table shows NHR funding by the source of funds for each state and territory for June 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 575,809,478 314,457,561 5,650,000 895,917,039
VIC 393,126,264 224,550,339 4,025,000 621,701,604
QLD 455,686,839 586,109,758 5,000,000 1,046,796,597
WA 193,989,760 242,486,945 0 436,476,705
SA 106,405,170 119,871,099 0 226,276,269
TAS 33,067,217 135,568,789 0 168,636,006
ACT 35,909,756 29,042,000 8,260,000 73,211,756
NT 26,835,287 137,304,876 0 164,140,163
Total 1,820,829,772 1,789,391,367 22,935,000 3,633,156,139

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – June 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 June 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 6,736,700,659 7,129,297,092 67,800,000 13,933,797,752
VIC 5,050,202,770 6,335,811,296 48,300,000 11,434,314,065
QLD 5,238,994,034 6,710,433,825 60,000,000 12,009,427,859
WA 2,267,445,168 3,060,242,803 565,326 5,328,253,297
SA 1,320,078,620 2,425,459,122 0 3,745,537,742
TAS 424,526,386 871,036,151 260,382 1,295,822,919
ACT 413,437,415 654,588,000 99,120,000 1,167,145,415
NT 285,669,681 969,887,483 0 1,255,557,164
Total 21,737,054,734 28,156,755,772 276,045,708 50,169,856,213

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 – June 2019

This table shows NHR funding for each state and territory by funding type and source for June 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 493,571,594 366,932,208 0 860,503,802
Block 72,126,133 -69,846,318 0 2,279,815
Other 10,111,751 17,371,670 5,650,000 33,133,421
Total 575,809,478 314,457,561 5,650,000 895,917,039
VIC ABF 299,626,532 224,298,181 0 523,924,714
Block 85,276,259 -380,964 0 84,895,295
Other 8,223,473 633,122 4,025,000 12,881,595
Total 393,126,264 224,550,339 4,025,000 621,701,604
QLD ABF 403,976,588 493,318,083 0 897,294,670
Block 45,305,090 84,560,574 0 129,865,664
Other 6,405,161 8,231,102 5,000,000 19,636,263
Total 455,686,839 586,109,758 5,000,000 1,046,796,597
WA ABF 166,385,250 224,361,916 0 390,747,166
Block 24,370,046 18,125,020 0 42,495,067
Other 3,234,464 8 0 3,234,472
Total 193,989,760 242,486,945 0 436,476,705
SA ABF 89,120,320 100,000,000 0 189,120,320
Block 15,085,370 19,346,214 0 34,431,584
Other 2,199,481 524,885 0 2,724,366
Total 106,405,170 119,871,099 0 226,276,269
TAS ABF 26,258,872 44,285,083 0 70,543,955
Block 6,117,234 91,283,706 0 97,400,940
Other 691,111 0 0 691,111
Total 33,067,217 135,568,789 0 168,636,006
ACT ABF 33,090,364 23,080,000 0 56,170,364
Block 2,266,093 5,962,000 0 8,228,093
Other 553,298 0 8,260,000 8,813,298
Total 35,909,756 29,042,000 8,260,000 73,211,756
NT ABF 24,749,030 24,526,583 0 49,275,613
Block 1,773,904 112,777,250 0 114,551,154
Other 312,353 1,043 0 313,396
Total 26,835,287 137,304,876 0 164,140,163
Total ABF funding 1,536,778,550 1,500,802,054 0 3,037,580,604
Total Block funding 252,320,130 261,827,482 0 514,147,612
Total Other funding 31,731,093 26,761,830 22,935,000 81,427,923
Grand Total 1,820,829,772 1,789,391,367 22,935,000 3,633,156,139

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – June 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 June 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 5,727,443,739 5,965,002,127 0 11,692,445,866
Block 881,702,788 954,889,006 0 1,836,591,794
Other 127,554,132 209,405,959 67,800,000 404,760,092
Total 6,736,700,659 7,129,297,092 67,800,000 13,933,797,752
VIC ABF 4,235,452,824 5,401,907,310 0 9,637,360,133
Block 709,424,441 892,509,194 0 1,601,933,636
Other 105,325,505 41,394,792 48,300,000 195,020,296
Total 5,050,202,770 6,335,811,296 48,300,000 11,434,314,065
QLD ABF 4,663,022,215 5,489,632,637 0 10,152,654,852
Block 495,720,037 1,121,938,005 0 1,617,658,042
Other 80,251,782 98,863,183 60,000,000 239,114,965
Total 5,238,994,034 6,710,433,825 60,000,000 12,009,427,859
WA ABF 1,929,617,939 2,751,444,135 0 4,681,062,074
Block 297,685,679 308,798,463 0 606,484,143
Other 40,141,550 205 565,326 40,707,080
Total 2,267,445,168 3,060,242,803 565,326 5,328,253,297
SA ABF 1,110,527,666 2,232,000,000 0 3,342,527,666
Block 181,934,872 189,649,305 0 371,584,178
Other 27,616,081 3,809,816 0 31,425,898
Total 1,320,078,620 2,425,459,122 0 3,745,537,742
TAS ABF 345,243,642 420,152,884 0 765,396,526
Block 70,851,158 450,877,978 0 521,729,136
Other 8,431,586 5,290 260,382 8,697,258
Total 424,526,386 871,036,151 260,382 1,295,822,919
ACT ABF 378,266,311 563,978,000 0 942,244,311
Block 28,292,380 77,410,000 0 105,702,380
Other 6,878,724 13,200,000 99,120,000 119,198,724
Total 413,437,415 654,588,000 99,120,000 1,167,145,415
NT ABF 260,401,850 294,319,000 0 554,720,850
Block 21,352,484 675,557,000 0 696,909,484
Other 3,915,347 11,483 0 3,926,830
Total 285,669,681 969,887,483 0 1,255,557,164
Total ABF funding 18,649,976,186 23,118,436,093 0 41,768,412,279
Total Block funding 2,686,963,840 4,671,628,952 0 7,358,592,792
Total Other funding 400,114,707 366,690,727 276,045,708 1,042,851,142
Grand Total 21,737,054,734 28,156,755,772 276,045,708 50,169,856,213

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 – June 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 228,944 2,747,328 2,747,328
VIC 184,554 2,215,000 2,214,677
QLD 179,421 1,890,701 1,866,851
WA 73,770 885,538 885,540
SA 46,709 595,071 595,071
TAS 14,331 159,451 151,628
ACT 12,926 157,611 158,697
NT 14,371 169,177 166,751
Total 755,026 8,819,877 8,786,543

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.