National report - March 2019

Print friendly version (PDF, 315 kB)

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 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 March 2019, see State or territory reports.

NHR funding and payments

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

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,120,847,524 1,120,847,524 10,801,491,844 10,801,491,844
VIC 877,562,904 877,562,904 8,843,892,149 8,939,949,526
QLD 957,347,664 957,317,762 9,189,452,595 9,189,079,721
WA 500,482,825 500,482,817 3,819,511,261 3,819,511,190
SA 341,669,068 288,460,687 3,011,863,476 2,606,560,891
TAS 89,501,300 89,501,300 913,379,568 913,379,568
ACT 92,013,160 92,013,160 869,659,147 869,659,147
NT 96,859,837 96,858,806 889,941,621 889,932,320
Total 4,076,284,282 4,023,044,961 38,339,191,661 38,029,564,207

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 – March 2019

This table shows NHR funding by the source of funds for each state and territory for March 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 528,878,598 586,318,925 5,650,000 1,120,847,524
VIC 436,952,532 436,585,372 4,025,000 877,562,904
QLD 385,494,750 566,852,914 5,000,000 957,347,664
WA 184,779,935 315,137,564 565,326 500,482,825
SA 111,535,144 230,133,924 0 341,669,068
TAS 35,671,013 53,569,905 260,382 89,501,300
ACT 32,215,160 51,538,000 8,260,000 92,013,160
NT 22,956,973 73,902,864 0 96,859,837
Total 1,738,484,105 2,314,039,469 23,760,708 4,076,284,282

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – March 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 March 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 5,009,272,225 5,741,369,619 50,850,000 10,801,491,844
VIC 3,778,827,935 5,028,839,214 36,225,000 8,843,892,149
QLD 3,918,839,183 5,225,613,411 45,000,000 9,189,452,595
WA 1,685,475,887 2,133,470,049 565,326 3,819,511,261
SA 976,731,289 2,035,132,187 0 3,011,863,476
TAS 325,324,735 587,794,451 260,382 913,379,568
ACT 305,708,147 489,611,000 74,340,000 869,659,147
NT 205,163,820 684,777,800 0 889,941,621
Total 16,205,343,222 21,926,607,732 207,240,708 38,339,191,661

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 – March 2019

This table shows NHR funding for each state and territory by funding type and source for March 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 445,919,587 465,808,296 0 911,727,883
Block 72,103,763 103,065,660 0 175,169,422
Other 10,855,249 17,444,970 5,650,000 33,950,219
Total 528,878,598 586,318,925 5,650,000 1,120,847,524
VIC ABF 378,773,292 369,335,763 0 748,109,055
Block 49,365,060 67,151,718 0 116,516,777
Other 8,814,180 97,891 4,025,000 12,937,071
Total 436,952,532 436,585,372 4,025,000 877,562,904
QLD ABF 340,140,557 470,960,072 0 811,100,629
Block 38,555,765 87,662,941 0 126,218,705
Other 6,798,428 8,229,902 5,000,000 20,028,330
Total 385,494,750 566,852,914 5,000,000 957,347,664
WA ABF 157,434,542 299,581,910 0 457,016,453
Block 23,821,772 15,555,647 0 39,377,418
Other 3,523,620 7 565,326 4,088,953
Total 184,779,935 315,137,564 565,326 500,482,825
SA ABF 94,255,311 213,000,000 0 307,255,311
Block 14,935,063 16,772,201 0 31,707,264
Other 2,344,770 361,723 0 2,706,493
Total 111,535,144 230,133,924 0 341,669,068
TAS ABF 29,373,653 32,069,905 0 61,443,558
Block 5,588,884 21,500,000 0 27,088,884
Other 708,476 0 260,382 968,858
Total 35,671,013 53,569,905 260,382 89,501,300
ACT ABF 29,382,613 45,584,000 0 74,966,613
Block 2,266,093 5,954,000 0 8,220,093
Other 566,453 0 8,260,000 8,826,453
Total 32,215,160 51,538,000 8,260,000 92,013,160
NT ABF 20,852,057 24,526,583 0 45,378,640
Block 1,773,904 49,375,250 0 51,149,154
Other 331,012 1,031 0 332,043
Total 22,956,973 73,902,864 0 96,859,837
Total ABF funding 1,496,131,612 1,920,866,530 0 3,416,998,142
Total Block funding 208,410,303 367,037,416 0 575,447,718
Total Other funding 33,942,190 26,135,523 23,760,708 83,838,421
Grand Total 1,738,484,105 2,314,039,469 23,760,708 4,076,284,282

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – March 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 March 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 4,246,728,956 4,606,969,139 0 8,853,698,095
Block 665,324,390 977,207,640 0 1,642,532,030
Other 97,218,878 157,192,841 50,850,000 305,261,720
Total 5,009,272,225 5,741,369,619 50,850,000 10,801,491,844
VIC ABF 3,244,620,385 4,372,103,803 0 7,616,724,188
Block 453,552,463 646,483,238 0 1,100,035,701
Other 80,655,087 10,252,173 36,225,000 127,132,260
Total 3,778,827,935 5,028,839,214 36,225,000 8,843,892,149
QLD ABF 3,497,998,118 4,272,477,341 0 7,770,475,459
Block 359,804,766 878,963,197 0 1,238,767,963
Other 61,036,299 74,172,874 45,000,000 180,209,172
Total 3,918,839,183 5,225,613,411 45,000,000 9,189,452,595
WA ABF 1,430,462,188 1,944,849,945 0 3,375,312,133
Block 224,575,541 188,620,032 0 413,195,572
Other 30,438,158 72 565,326 31,003,556
Total 1,685,475,887 2,133,470,049 565,326 3,819,511,261
SA ABF 819,034,887 1,898,000,000 0 2,717,034,887
Block 136,678,763 134,811,180 0 271,489,943
Other 21,017,639 2,321,007 0 23,338,646
Total 976,731,289 2,035,132,187 0 3,011,863,476
TAS ABF 266,467,027 297,852,655 0 564,319,682
Block 52,499,457 289,936,568 0 342,436,024
Other 6,358,252 5,228 260,382 6,623,862
Total 325,324,735 587,794,451 260,382 913,379,568
ACT ABF 278,995,219 424,798,000 0 703,793,219
Block 21,494,100 56,563,000 0 78,057,100
Other 5,218,829 8,250,000 74,340,000 87,808,829
Total 305,708,147 489,611,000 74,340,000 869,659,147
NT ABF 186,154,761 220,739,250 0 406,894,011
Block 16,030,771 464,029,250 0 480,060,021
Other 2,978,288 9,300 0 2,987,589
Total 205,163,820 684,777,800 0 889,941,621
Total ABF funding 13,970,461,541 18,037,790,132 0 32,008,251,674
Total Block funding 1,929,960,251 3,636,614,104 0 5,566,574,355
Total Other funding 304,921,429 252,203,495 207,240,708 764,365,632
Grand Total 16,205,343,222 21,926,607,732 207,240,708 38,339,191,661

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 – March 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 215,839 2,041,746 2,722,327
VIC 184,586 1,661,274 2,215,000
QLD 155,500 1,399,500 1,866,000
WA 77,403 666,605 885,540
SA 49,152 447,074 595,071
TAS 13,612 118,167 151,628
ACT 12,863 112,764 158,697
NT 15,070 125,884 169,176
Total 724,024 6,573,014 8,763,439

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.