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

NHR funding and payments

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

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 981,818,886 981,818,886 13,037,880,713 13,037,880,713
VIC 872,927,300 872,927,300 10,812,612,462 10,908,669,839
QLD 941,806,302 941,778,964 10,962,631,262 10,962,199,181
WA 589,463,098 590,422,570 4,891,776,592 4,892,187,601
SA 207,263,302 266,115,398 3,519,261,473 3,200,891,687
TAS 90,770,391 90,770,391 1,127,186,913 1,127,186,851
ACT 82,797,756 82,797,756 1,093,933,659 1,093,933,659
NT 100,738,159 100,737,120 1,091,417,000 1,091,406,561
Total 3,867,585,193 3,927,368,384 46,536,700,074 46,314,356,093

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 – May 2019

This table shows NHR funding by the source of funds for each state and territory for May 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 575,809,478 400,359,408 5,650,000 981,818,886
VIC 439,124,285 429,778,015 4,025,000 872,927,300
QLD 432,234,006 504,572,296 5,000,000 941,806,302
WA 193,989,760 395,473,337 0 589,463,098
SA 118,471,081 88,792,222 0 207,263,302
TAS 33,067,217 57,703,174 0 90,770,391
ACT 35,909,756 38,628,000 8,260,000 82,797,756
NT 26,835,287 73,902,872 0 100,738,159
Total 1,855,440,870 1,989,209,323 22,935,000 3,867,585,193

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – May 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 May 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 6,160,891,181 6,814,839,532 62,150,000 13,037,880,713
VIC 4,657,076,505 6,111,260,956 44,275,000 10,812,612,462
QLD 4,783,307,195 6,124,324,067 55,000,000 10,962,631,262
WA 2,073,455,408 2,817,755,859 565,326 4,891,776,592
SA 1,213,673,450 2,305,588,023 0 3,519,261,473
TAS 391,459,169 735,467,362 260,382 1,127,186,913
ACT 377,527,659 625,546,000 90,860,000 1,093,933,659
NT 258,834,394 832,582,606 0 1,091,417,000
Total 19,916,224,962 26,367,364,405 253,110,708 46,536,700,074

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 – May 2019

This table shows NHR funding for each state and territory by funding type and source for May 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 493,571,594 430,827,617 0 924,399,212
Block 72,126,133 -47,861,318 0 24,264,815
Other 10,111,751 17,393,108 5,650,000 33,154,859
Total 575,809,478 400,359,408 5,650,000 981,818,886
VIC ABF 345,602,953 403,124,760 0 748,727,713
Block 85,297,860 24,156,396 0 109,454,255
Other 8,223,473 2,496,859 4,025,000 14,745,332
Total 439,124,285 429,778,015 4,025,000 872,927,300
QLD ABF 380,523,755 411,948,101 0 792,471,856
Block 45,305,090 84,396,856 0 129,701,947
Other 6,405,161 8,227,339 5,000,000 19,632,500
Total 432,234,006 504,572,296 5,000,000 941,806,302
WA ABF 166,385,250 356,497,421 0 522,882,671
Block 24,370,046 38,975,909 0 63,345,955
Other 3,234,464 8 0 3,234,472
Total 193,989,760 395,473,337 0 589,463,098
SA ABF 101,186,230 80,000,000 0 181,186,230
Block 15,085,370 8,300,000 0 23,385,370
Other 2,199,481 492,222 0 2,691,702
Total 118,471,081 88,792,222 0 207,263,302
TAS ABF 26,258,872 37,248,403 0 63,507,275
Block 6,117,234 20,454,771 0 26,572,005
Other 691,111 0 0 691,111
Total 33,067,217 57,703,174 0 90,770,391
ACT ABF 33,090,364 32,674,000 0 65,764,364
Block 2,266,093 5,954,000 0 8,220,093
Other 553,298 0 8,260,000 8,813,298
Total 35,909,756 38,628,000 8,260,000 82,797,756
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 1,038 0 313,392
Total 26,835,287 73,902,872 0 100,738,159
Total ABF funding 1,571,368,048 1,776,846,885 0 3,348,214,933
Total Block funding 252,341,730 183,751,864 0 436,093,594
Total Other funding 31,731,093 28,610,574 22,935,000 83,276,667
Grand Total 1,855,440,870 1,989,209,323 22,935,000 3,867,585,193

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – May 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 May 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 5,233,872,144 5,598,069,919 0 10,831,942,064
Block 809,576,656 1,024,735,323 0 1,834,311,979
Other 117,442,381 192,034,289 62,150,000 371,626,670
Total 6,160,891,181 6,814,839,532 62,150,000 13,037,880,713
VIC ABF 3,935,826,291 5,177,609,128 0 9,113,435,420
Block 624,148,182 892,890,159 0 1,517,038,341
Other 97,102,032 40,761,669 44,275,000 182,138,701
Total 4,657,076,505 6,111,260,956 44,275,000 10,812,612,462
QLD ABF 4,259,045,627 4,996,314,555 0 9,255,360,182
Block 450,414,947 1,037,377,432 0 1,487,792,379
Other 73,846,621 90,632,081 55,000,000 219,478,702
Total 4,783,307,195 6,124,324,067 55,000,000 10,962,631,262
WA ABF 1,763,232,689 2,527,082,219 0 4,290,314,908
Block 273,315,633 290,673,443 0 563,989,076
Other 36,907,086 196 565,326 37,472,608
Total 2,073,455,408 2,817,755,859 565,326 4,891,776,592
SA ABF 1,021,407,347 2,132,000,000 0 3,153,407,347
Block 166,849,502 170,303,091 0 337,152,594
Other 25,416,601 3,284,931 0 28,701,532
Total 1,213,673,450 2,305,588,023 0 3,519,261,473
TAS ABF 318,984,770 375,867,801 0 694,852,571
Block 64,733,924 359,594,272 0 424,328,196
Other 7,740,474 5,290 260,382 8,006,146
Total 391,459,169 735,467,362 260,382 1,127,186,913
ACT ABF 345,175,947 542,548,000 0 887,723,947
Block 26,026,286 71,448,000 0 97,474,286
Other 6,325,426 11,550,000 90,860,000 108,735,426
Total 377,527,659 625,546,000 90,860,000 1,093,933,659
NT ABF 235,652,820 269,792,417 0 505,445,237
Block 19,578,579 562,779,750 0 582,358,329
Other 3,602,994 10,440 0 3,613,434
Total 258,834,394 832,582,606 0 1,091,417,000
Total ABF funding 17,113,197,637 21,619,284,039 0 38,732,481,675
Total Block funding 2,434,643,710 4,409,801,470 0 6,844,445,180
Total Other funding 368,383,615 338,278,897 253,110,708 959,773,219
Grand Total 19,916,224,962 26,367,364,405 253,110,708 46,536,700,074

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 – May 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 2,518,384 2,747,328
VIC 184,586 2,030,446 2,215,000
QLD 155,571 1,711,280 1,866,851
WA 77,767 811,768 885,540
SA 46,470 548,362 595,071
TAS 14,271 145,120 151,628
ACT 13,808 144,785 158,697
NT 14,932 154,806 166,751
Total 736,349 8,064,952 8,786,866

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.