Northern Territory 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 for the Northern Territory for June 2019 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 NT Department of Health to view the service agreement for that LHN.

Basis for National Health Reform payments – Northern Territory, June 2019

The basis used to determine NHR payments to LHNs in the Northern Territory for June 2019 was advised by the NT Department of Health to be as follows:

The annual funding allocation for the Top End and Central Australia Health Services of Northern Territory is determined on a historical basis for both the activity based funding (ABF) and block service streams, supplemented by a level of growth based on Northern Territory Government Wage and Consumer Price Index parameters. Projected activity increases are not budgeted for and both local hospital networks are required to meet demand increases from within existing budgets supplemented by National Health Reform Agreement efficient growth payments.

Variations to monthly payments to the Northern Territory LHNs are made based on cash requirements. Cash requirements are impacted by the Northern Territory salary payment cycle and other monthly variations, such as contractual obligation payment cycles which the LHNs are engaged in.

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 – Northern Territory, June 2019

This table shows funding paid into the Northern Territory state pool account by the Commonwealth, the Northern Territory or other states/territories, and payments out of the state pool account to LHNs, the state managed fund, the NT Department of Health or the state pool accounts of other states/territories for June 2019.

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
24,749,030 24,749,030 24,749,030
Commonwealth
Block funding
1,773,904 1,773,904 1,773,904
Commonwealth
Other funding
312,353 312,353 312,353
Total C'wealth
funding
26,835,287 24,749,030 1,773,904 312,353 26,835,287
NT
funding
24,527,626 24,526,583 0 0 24,526,583
Other state/territory funding 0 0 0 0
Total 51,362,913 49,275,613 1,773,904 312,353 0 51,361,870

See definitions and explanatory notes following table 1b.

Table 1b – State pool account transactions YTD – Northern Territory, June 2019

Following on from table 1a, this table shows year-to-date (YTD) funding paid into the Northern Territory state pool account by the Commonwealth, the Northern Territory or other states/territories, and payments out of the state pool account to LHNs, the state managed fund, the NT Department of Health or the state pool accounts of other states/territories as at June 2019.

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
260,401,850 260,401,850 260,401,850
Commonwealth
Block funding
21,352,484 21,352,484 21,352,484
Commonwealth
Other funding
3,915,347 3,915,347 3,915,347
Total C'wealth
funding
285,669,681 260,401,850 21,352,484 3,915,347 285,669,681
NT
funding
294,330,483 294,319,000 0 0 294,319,000
Other state/territory funding 0 0 0 0
Total 580,000,164 554,720,850 21,352,484 3,915,347 0 579,988,681

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.

NT funding represents funding contributions paid by the Northern Territory into its own state pool account, and subsequently paid to LHNs within the state, to the Northern Territory health department and/or to other state pool accounts.

Other state/territory funding represents contributions paid to the Northern Territory 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.

State managed fund transactions

Table 2a – State managed fund transactions – Northern Territory, June 2019

This table shows funding paid into the the Northern Territory state managed fund by the Commonwealth and the Northern Territory, and payments out of the state managed fund to LHNs and other provider organisations for June 2019.

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 1,773,904 1,773,904
State/territory Block funding 112,777,250 112,777,250
Total 114,551,154 114,551,154 0 114,551,154

See explanatory notes following table 2b.

Table 2b – State managed fund transactions YTD – Northern Territory, June 2019

Following on from table 2a, this table shows year-to-date (YTD) funding paid into the Northern Territory state managed fund by the Commonwealth and the Northern Territory, and YTD payments out of the state managed fund to LHNs and other provider organisations as at June 2019.

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 21,352,484 21,352,484
State/territory Block funding 675,557,000 675,557,000
Total 696,909,484 696,909,484 0 696,909,484

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 Northern Territory 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.

NHR funding and payments by service category

Table 3 – NHR funding and payments by service category – Northern Territory, June 2019

This table shows NHR funding and payments by service category on both a monthly and year-to-date (YTD) basis for the Northern Territory for June 2019. 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 32,080,612 32,080,612 361,532,721 361,532,721
Admitted mental health 1,297,521 1,297,521 14,561,132 14,561,132
Sub-acute 1,593,033 1,593,033 17,899,290 17,899,290
Emergency department 7,619,845 7,619,845 85,834,310 85,834,310
Non-admitted 6,684,602 6,684,602 74,893,398 74,893,398
Total ABF (Pool) 49,275,613 49,275,613 554,720,850 554,720,850
Block
Small rural hospitals 5,704,774 5,756,270 37,915,577 38,224,550
Teaching, training & research 3,796,371 3,778,020 25,917,045 25,806,943
Non-admitted mental health 3,137,314 3,080,972 22,562,426 22,253,968
Other non-admitted services 101,912,695 101,935,892 610,514,436 610,624,022
Total Block (SMF) 114,551,154 114,551,154 696,909,484 696,909,484
Other
Public health funding 312,353 312,353 3,915,347 3,915,347
Overdeposit 0 0 0 0
Cross-border 0 0 0 0
Interest 1,043 0 11,483 0
Total Other (Pool) 313,396 312,353 3,926,830 3,915,347
Grand Total 164,140,163 164,139,120 1,255,557,164 1,255,545,681

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.

NHR contributions by local hospital network

Table 4a – NHR contributions by local hospital network – Northern Territory, June 2019

This table shows NHR contributions (from state, territory and Commonwealth sources) made to each LHN in the Northern Territory during June 2019.

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)
($) ($) ($)
Central Australia Health Service 17,557,113 18,901,914 36,459,027
Top End Health Service 31,718,500 95,649,240 127,367,740
Total 49,275,613 114,551,154 163,826,767

See explanatory notes below table 4b.

Table 4b – NHR contributions by local hospital network YTD – Northern Territory, June 2019

This table shows YTD NHR contributions (from state, territory and Commonwealth sources) made to each LHN in the Northern Territory as at June 2019.

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)
($) ($) ($)
Central Australia Health Service 202,084,656 156,361,012 358,445,668
Top End Health Service 352,636,194 540,548,472 893,184,666
Total 554,720,850 696,909,484 1,251,630,334

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.

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 – Northern Territory, June 2019

This table shows estimated state or territory hospital activity for activity-based funding services expressed as NWAU for June 2019, the associated cumulative year-to-date (YTD), and total estimated annual NWAU for each LHN in the Northern Territory.

Local hospital network (LHN) Estimated NWAU delivered in current month Estimated NWAU delivered YTD Estimated annual NWAU 2018-19
Central Australia Health Service 4,836 57,731 56,700
Top End Health Service 9,535 111,447 110,051
Total 14,371 169,177 166,751

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.