National report - April 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 monthly and year-to-date (YTD) National Health Reform (NHR) funding and payments at an aggregated national level for April 2013.

Participation in the National Health Funding Pool by states and territories

In signing the National Health Reform Agreement (the Agreement), it was the intention of all states and territories that they would have the necessary legislation in place to enable them to participate in the National Health Funding Pool from 1 July 2012. Under the legislation envisaged by the Agreement, states and territories using the Pool are required to provide data on NHR funding, payments and services to be published by the Administrator of the National Health Funding Pool.

Only New South Wales, Western Australia and Tasmania had legislation in place to enable them to participate in the National Health Funding Pool from 1 July 2012. Legislation in other states and territories has come into effect progressively since then.

From March 2013, all states and territories had the necessary legislation in place, used the National Health Funding Pool to process NHR funding and payments, and provided the data required for the Administrator's monthly reports.

Prior to March 2013, where states or territories did not have their legislation in place to enable them to use the National Health Funding Pool, they instead received equivalent funding directly from the Commonwealth Treasury, and made payments directly to their recipients.

Hence the year-to-date data in this National report and reports for states and territories which did not use the National Health Funding Pool from 1 July 2012 to 28 February 2013 include both payments into and out of the Pool and ‘notional payments’ made outside the Pool arrangements. For further information, see the individual reports for these states and territories.

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. A local hospital network 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 local hospital network.

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, local hospital networks receive funding in 2012-13 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: Local hospital networks 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 local hospital network, contact the Department of Health in the relevant state or territory to view the service agreement for that local hospital network.

Note: Amounts shown in the monthly reports do not include the New South Wales contributions to Victoria 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 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.
  • Notional NHR payments – funds paid into and out of departmental bank accounts to local hospital networks that would have been transacted through the state pool account and/or state managed fund had NHR funding arrangements been in place. Notional payments are included in 2012-13 reporting to enable national comparability for month and year-to-date reporting periods.

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 April 2013, see State or territory reports.

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2012-13.

NHR funding and payments

Table 1 – NHR funding and payments for each state and territory – April 2013

This table shows NHR funding and payments for each state and territory for April 2013.

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 894,230,092 1,036,213,293 9,277,582,830 9,277,582,830
VIC 624,445,578 625,013,885 6,430,016,866 6,423,365,068
QLD 633,479,820 820,115,070 6,575,750,643 6,575,135,819
WA 387,301,401 387,301,401 4,050,612,307 4,050,612,307
SA 313,020,119 274,124,944 2,451,331,447 2,262,014,696
TAS 65,351,838 65,351,789 629,563,725 629,543,555
ACT 63,749,780 63,749,780 517,066,261 517,066,261
NT 56,142,011 56,140,259 531,836,278 531,824,448
Total 3,037,720,640 3,328,010,421 30,463,760,356 30,267,144,983

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.

For more information, see National Health Reform funding and payments.

NHR funding by funding source

Table 2a – NHR funding by funding source for each state and territory – April 2013

This table shows NHR funding by the source of funds for each state and territory for April 2013.

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 339,064,788 555,165,305 0 894,230,092
VIC 263,081,512 361,364,065 0 624,445,578
QLD 213,133,825 420,345,995 0 633,479,820
WA 115,457,062 271,844,338 0 387,301,401
SA 82,086,928 230,933,192 0 313,020,119
TAS 23,992,218 41,359,621 0 65,351,838
ACT 20,349,780 43,400,000 0 63,749,780
NT 11,710,722 44,431,289 0 56,142,011
Total 1,068,876,836 1,968,843,804 0 3,037,720,640

* See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – April 2013

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 April 2013.

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 3,486,537,381 5,791,045,449 0 9,277,582,830
VIC 2,707,460,865 3,722,556,000 0 6,430,016,866
QLD 2,205,571,968 4,370,178,675 0 6,575,750,643
WA 1,163,288,317 2,887,323,990 0 4,050,612,307
SA 843,148,727 1,608,182,720 0 2,451,331,447
TAS 244,282,344 385,281,380 0 629,563,725
ACT 207,281,192 309,785,069 0 517,066,261
NT 119,395,714 412,440,565 0 531,836,278
Total 10,976,966,508 19,486,793,848 0 30,463,760,356

Cross-border funding arrangements between states and territories are yet to be put in place for state and territory contributions.

NHR funding shown in these tables includes GST where applicable.

For more information, see National Health Reform funding and payments.

NHR funding by funding type

Table 3a – NHR funding by funding type for each state and territory – April 2013

This table shows NHR funding for each state and territory by funding type and source for April 2013. 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 225,224,690 342,699,310 0 567,924,000
Block 105,655,010 212,212,467 0 317,867,478
Other 8,185,088 253,527 0 8,438,615
Total 339,064,788 555,165,305 0 894,230,092
VIC ABF 185,281,481 261,030,149 0 446,311,631
Block 71,589,446 100,083,009 0 171,672,455
Other 6,210,585 250,907 0 6,461,492
Total 263,081,512 361,364,065 0 624,445,578
QLD ABF 168,916,595 330,995,803 0 499,912,398
Block 39,152,823 89,261,629 0 128,414,452
Other 5,064,408 88,562 0 5,152,970
Total 213,133,825 420,345,995 0 633,479,820
WA ABF 84,567,916 204,225,338 0 288,793,254
Block 28,184,161 67,619,000 0 95,803,161
Other 2,704,986 0 0 2,704,986
Total 115,457,062 271,844,338 0 387,301,401
SA ABF 64,926,227 220,000,000 0 284,926,227
Block 15,235,757 10,500,000 0 25,735,757
Other 1,924,944 433,192 0 2,358,135
Total 82,086,928 230,933,192 0 313,020,119
TAS ABF 19,164,320 21,006,117 0 40,170,437
Block 4,263,944 20,353,454 0 24,617,398
Other 563,953 50 0 564,003
Total 23,992,218 41,359,621 0 65,351,838
ACT ABF 17,824,847 43,400,000 0 61,224,847
Block 2,134,974 0 0 2,134,974
Other 389,959 0 0 389,959
Total 20,349,780 43,400,000 0 63,749,780
NT ABF 7,760,087 21,742,799 0 29,502,886
Block 3,661,637 22,686,737 0 26,348,374
Other 288,999 1,752 0 290,751
Total 11,710,722 44,431,289 0 56,142,011
Total ABF funding 773,666,163 1,445,099,518 0 2,218,765,681
Total Block funding 269,877,751 522,716,296 0 792,594,048
Total Other funding 25,332,921 1,027,990 0 26,360,911
Grand Total 1,068,876,836 1,968,843,804 0 3,037,720,640

* See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – April 2013

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 April 2013. 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 2,316,308,932 3,933,859,344 0 6,250,168,276
Block 1,086,879,033 1,855,502,419 0 2,942,381,453
Other 83,349,416 1,683,686 0 85,033,101
Total 3,486,537,381 5,791,045,449 0 9,277,582,830
VIC ABF 1,907,271,758 2,730,831,557 0 4,638,103,314
Block 736,964,305 990,253,015 0 1,727,217,320
Other 63,224,803 1,471,429 0 64,696,231
Total 2,707,460,865 3,722,556,000 0 6,430,016,866
QLD ABF 1,748,581,244 3,425,545,764 0 5,174,127,008
Block 405,291,971 944,079,108 0 1,349,371,078
Other 51,698,753 553,803 0 52,252,556
Total 2,205,571,968 4,370,178,675 0 6,575,750,643
WA ABF 852,153,510 2,249,135,990 0 3,101,289,500
Block 283,983,932 638,188,000 0 922,171,932
Other 27,150,875 0 0 27,150,875
Total 1,163,288,317 2,887,323,990 0 4,050,612,307
SA ABF 667,023,437 1,389,989,326 0 2,057,012,763
Block 156,542,005 216,698,607 0 373,240,613
Other 19,583,285 1,494,787 0 21,078,072
Total 843,148,727 1,608,182,720 0 2,451,331,447
TAS ABF 195,153,041 204,351,293 0 399,504,334
Block 43,420,359 180,909,917 0 224,330,276
Other 5,708,944 20,170 0 5,729,114
Total 244,282,344 385,281,380 0 629,563,725
ACT ABF 190,946,287 269,724,862 0 460,671,150
Block 12,414,335 40,060,206 0 52,474,541
Other 3,920,570 0 0 3,920,570
Total 207,281,192 309,785,069 0 517,066,261
NT ABF 79,157,423 217,427,993 0 296,585,417
Block 37,311,331 195,000,740 0 232,312,071
Other 2,926,960 11,831 0 2,938,791
Total 119,395,714 412,440,565 0 531,836,278
Total ABF funding 7,956,595,632 14,420,866,130 0 22,377,461,762
Total Block funding 2,762,807,271 5,060,692,013 0 7,823,499,284
Total Other funding 257,563,605 5,235,705 0 262,799,310
Grand Total 10,976,966,508 19,486,793,848 0 30,463,760,356

ABF funding represents Acute admitted public, Acute admitted private, Non-admitted, and Emergency department service categories, which are funded through the National Health Funding Pool and subsequently paid to local hospital networks.

Block funding represents Mental health, Small rural and metropolitan hospitals, Sub-acute, Teaching, training and research, and Other 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.

For more information, see National Health Reform funding and payments.

Estimated monthly, YTD and annual NWAU

States and territories provide NHR funding amounts and service volumes as service 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.

Table 4 – Estimated monthly, YTD and annual NWAU by each state and territory – April 2013

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 2012-13
NSW 168,382 1,482,925 1,731,562
VIC 109,504 1,095,040 1,314,041
QLD 105,297 1,052,401 1,261,855
WA 49,905 517,415 618,967
SA 49,253 373,784 486,690
TAS 8,607 90,637 108,968
ACT 11,102 93,781 115,604
NT 1,070 65,422 93,194
Total 503,119 4,771,404 5,730,881

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.

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