Townsville Hospital and Health Service report, August 2013

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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 the National Health Reform (NHR) payments made by the Commonwealth and Queensland to the Townsville Hospital and Health Service for August 2013 as part of the National Health Reform Agreement.

The Townsville Hospital and Health Service is the local hospital network covering Townsville and the north western region of Queensland. See Townsville Hospital and Health Service public hospitals and service providers.

Local hospital networks and National Health Reform

A local hospital network (LHN) is an organisation that provides public hospital services in accordance with the National Health Reform Agreement (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 local terminology to describe these networks, such as local health districts, health organisations, and hospital and health services.

Under the Agreement, LHNs receive NHR 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 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 Department of Health in the relevant state or territory to view the service agreement for that local hospital network.

Reference information

The data in this report can be viewed in conjunction with information shown on the MyHospitals website (www.myhospitals.gov.au) (external link, opens in a new window) [http://www.myhospitals.gov.au] which provides information on hospitals throughout Australia.

The financial information outlined in this report represents NHR payments. NHR payments are 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 NHR payments, see the Basis for National Health Reform payments explanation in the Queensland report, August 2013.

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding 2013-14.

NHR payments to the Townsville Hospital and Health Service

Table 1a – NHR payments – Townsville Hospital and Health Service, August 2013

This table shows the NHR payments made by the Commonwealth and Queensland to the Townsville Hospital and Health Service by service category and contribution for August 2013.

The table shows for each service category, payments to the LHN and the Commonwealth and state or territory contributions for each service category. 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.

Service category Total NHR payments
(ex GST)
GST Commonwealth
NHR payments
(ex GST)
State/territory
NHR payments
(ex GST)
($) ($) ($) ($)
Acute admitted - public 23,174,772 0 8,247,496 14,927,276
Acute admitted - private 1,897,908 0 675,432 1,222,476
Admitted mental health 1,846,618 0 657,179 1,189,439
Sub-acute 1,952,224 0 694,762 1,257,462
Emergency department 6,575,750 0 2,340,194 4,235,555
Non-admitted 3,835,042 0 1,364,824 2,470,218
Total ABF payments (Pool) 39,282,315 0 13,979,889 25,302,426
Small rural hospitals 4,707,950 0
Teaching, training & research 348,825 0
Non-admitted mental health 1,535,501 0
Other non-admitted services 0 0
Total Block payments (SMF) 6,592,276 0
Total NHR Payments 45,874,591 0

See explanatory notes following table 1b.

Table 1b – NHR payments YTD – Townsville Hospital and Health Service, August 2013

Following on from table 1a, this table shows year-to-date (YTD) NHR payments to the Townsville Hospital and Health Service by service category, and contributions made by the Commonwealth and Queensland by service category as at August 2013

Service category Total NHR payments YTD
(ex GST)
GST YTD Commonwealth
NHR payments YTD
(ex GST)
State/territory
NHR payments YTD
(ex GST)
($) ($) ($) ($)
Acute admitted - public 46,350,175 0 16,494,992 29,855,183
Acute admitted - private 3,795,868 0 1,350,865 2,445,003
Admitted mental health 3,693,287 0 1,314,358 2,378,928
Sub-acute 3,904,501 0 1,389,525 2,514,976
Emergency department 13,151,678 0 4,680,389 8,471,290
Non-admitted 7,670,189 0 2,729,649 4,940,540
Total ABF payments (Pool) 78,565,698 0 27,959,778 50,605,920
Small rural hospitals 9,415,883 0
Teaching, training & research 697,650 0
Non-admitted mental health 3,070,997 0
Other non-admitted services 0 0
Total Block payments (SMF) 13,184,530 0
Total NHR Payments 91,750,228 0

Total ABF payments (Pool) represents NHR payments made by the Administrator from the state pool account to the LHN.

Total Block payments (SMF) represents NHR payments made by the state or territory from the state managed fund (SMF) to the LHN.

Note: The grey shaded areas in the table above reflect that block payments made to LHNs cannot at this stage be identified by source of funding (state, territory or Commonwealth) when paid from state managed funds.

Payments in these tables are GST exclusive. 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.

For the basis of NHR payments, see the Basis for National Health Reform payments explanation in the Queensland report, August 2013.

Estimated monthly, YTD and annual NWAU

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 provided estimated annual NWAU for the the Townsville Hospital and Health Service 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.

Table 2 – Estimated monthly, YTD and annual NWAU – Townsville Hospital and Health Service, August 2013

This table shows the estimated activity for activity-based funding services expressed as NWAU for August 2013, the associated year-to-date (YTD) NWAU, and total estimated annual NWAU for the Townsville Hospital and Health Service.

Activity based funding
(ABF) service category
Estimated NWAU delivered in current month Estimated NWAU delivered YTD Estimated annual
NWAU 2013-14
Acute admitted - public 4,379 8,758 *
Acute admitted - private 359 717 *
Admitted mental health 349 698 4,187
Sub-acute 369 738 4,427
Emergency department 1,243 2,485 8,696
Non-admitted 725 1,449 14,911
Total 7,423 14,846 89,073

* Information not provided by Queensland.

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.

For more information on the NWAU calculation, see Calculation of NWAU.

For the basis of NHR payments, see the Basis for National Health Reform payments explanation in the Queensland report, August 2013.

Townsville Hospital and Health Service public hospitals and service providers

The Townsville Hospital and Health Service is the local hospital network covering Townsville and the north western region of Queensland.

For the purposes of NHR public hospital funding arrangements, this LHN is made up of the following public hospitals and service providers:

  • Ayr Hospital
  • Charters Towers Hospital
  • Home Hill Hospital
  • Hughenden Hospital
  • Ingham Hospital
  • Joyce Palmer Health Service
  • Magnetic Island Health Service Centre
  • Richmond Hospital
  • Townsville Hospital