National report - April 2015

Print friendly version (PDF, 387 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 April 2015.

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 2014-15 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 April 2015, see State or territory reports.

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2014-15.

NHR funding and payments

Table 1 – NHR funding and payments for each state and territory – April 2015

This table shows NHR funding and payments for each state and territory for April 2015.

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 858,836,606 858,836,606 9,421,775,864 9,421,775,864
VIC 645,177,660 645,177,660 7,365,534,994 7,365,534,995
QLD 694,793,018 694,745,316 7,638,448,444 7,637,997,272
WA 235,035,955 235,338,022 3,489,020,297 3,489,017,114
SA 246,344,919 242,179,392 2,876,100,305 2,623,058,984
TAS 102,895,354 102,895,354 782,503,785 782,503,784
ACT 78,575,250 78,575,250 806,820,335 806,820,335
NT 73,291,590 73,290,134 726,354,123 726,338,431
Total 2,934,950,351 2,931,037,733 33,106,558,146 32,853,046,779

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 2015

This table shows NHR funding by the source of funds for each state and territory for April 2015.

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 398,806,509 458,691,547 1,338,551 858,836,606
VIC 332,276,032 312,901,628 0 645,177,660
QLD 259,696,233 435,096,785 0 694,793,018
WA 96,379,108 138,656,847 0 235,035,955
SA 93,488,199 152,856,720 0 246,344,919
TAS 30,779,515 72,115,839 0 102,895,354
ACT 31,301,971 39,984,000 7,289,279 78,575,250
NT 13,882,670 59,408,920 0 73,291,590
Total 1,256,610,237 1,669,712,285 8,627,829 2,934,950,351

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – April 2015

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 2015.

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 4,047,726,989 5,360,663,369 13,385,506 9,421,775,864
VIC 3,200,120,149 4,165,414,845 0 7,365,534,994
QLD 2,535,473,490 5,102,974,953 0 7,638,448,444
WA 1,411,124,344 2,077,895,953 0 3,489,020,297
SA 905,158,771 1,970,941,534 0 2,876,100,305
TAS 271,773,295 510,730,490 0 782,503,785
ACT 250,517,547 483,410,000 72,892,788 806,820,335
NT 132,142,790 594,211,333 0 726,354,123
Total 12,754,037,375 20,266,242,477 86,278,293 33,106,558,146

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 2015

This table shows NHR funding for each state and territory by funding type and source for April 2015. 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 327,408,027 397,709,797 0 725,117,824
Block 62,339,230 60,858,030 0 123,197,260
Other 9,059,252 123,720 1,338,551 10,521,522
Total 398,806,509 458,691,547 1,338,551 858,836,606
VIC ABF 284,368,688 278,126,889 0 562,495,577
Block 40,875,180 34,774,723 0 75,649,903
Other 7,032,165 16 0 7,032,181
Total 332,276,032 312,901,628 0 645,177,660
QLD ABF 221,353,251 361,464,043 0 582,817,295
Block 32,680,425 73,585,039 0 106,265,464
Other 5,662,557 47,702 0 5,710,259
Total 259,696,233 435,096,785 0 694,793,018
WA ABF 67,958,893 107,009,483 0 174,968,375
Block 25,306,379 31,646,747 0 56,953,126
Other 3,113,837 616 0 3,114,453
Total 96,379,108 138,656,847 0 235,035,955
SA ABF 77,023,373 150,000,000 0 227,023,373
Block 14,445,530 2,500,000 0 16,945,530
Other 2,019,295 356,720 0 2,376,015
Total 93,488,199 152,856,720 0 246,344,919
TAS ABF 25,384,689 23,889,246 0 49,273,935
Block 4,777,110 48,226,593 0 53,003,703
Other 617,716 0 0 617,716
Total 30,779,515 72,115,839 0 102,895,354
ACT ABF 28,862,594 37,526,000 0 66,388,594
Block 1,974,443 2,458,000 0 4,432,443
Other 464,934 0 7,289,279 7,754,213
Total 31,301,971 39,984,000 7,289,279 78,575,250
NT ABF 12,177,200 23,742,083 0 35,919,283
Block 1,405,255 35,665,380 0 37,070,635
Other 300,215 1,456 0 301,671
Total 13,882,670 59,408,920 0 73,291,590
Total ABF funding 1,044,536,715 1,379,467,541 0 2,424,004,256
Total Block funding 183,803,551 289,714,513 0 473,518,065
Total Other funding 28,269,971 530,230 8,627,829 37,428,031
Grand Total 1,256,610,237 1,669,712,285 8,627,829 2,934,950,351

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – April 2015

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 2015. 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 3,344,566,009 4,489,324,997 0 7,833,891,006
Block 612,791,341 869,680,349 0 1,482,471,690
Other 90,369,639 1,658,023 13,385,506 105,413,168
Total 4,047,726,989 5,360,663,369 13,385,506 9,421,775,864
VIC ABF 2,753,333,197 3,642,252,971 0 6,395,586,167
Block 376,427,852 522,265,796 0 898,693,648
Other 70,359,101 896,078 0 71,255,179
Total 3,200,120,149 4,165,414,845 0 7,365,534,994
QLD ABF 2,150,398,282 4,313,272,718 0 6,463,671,000
Block 328,103,044 789,251,064 0 1,117,354,108
Other 56,972,165 451,172 0 57,423,336
Total 2,535,473,490 5,102,974,953 0 7,638,448,444
WA ABF 1,142,745,800 1,716,671,203 0 2,859,417,003
Block 237,006,112 361,221,567 0 598,227,679
Other 31,372,432 3,183 0 31,375,615
Total 1,411,124,344 2,077,895,953 0 3,489,020,297
SA ABF 744,304,866 1,815,000,000 0 2,559,304,866
Block 140,650,422 152,799,852 0 293,450,274
Other 20,203,483 3,141,682 0 23,345,165
Total 905,158,771 1,970,941,534 0 2,876,100,305
TAS ABF 217,976,272 254,242,388 0 472,218,660
Block 47,645,529 256,488,101 0 304,133,631
Other 6,151,493 1 0 6,151,495
Total 271,773,295 510,730,490 0 782,503,785
ACT ABF 226,071,655 453,516,000 0 679,587,655
Block 19,783,766 29,894,000 0 49,677,766
Other 4,662,126 0 72,892,788 77,554,914
Total 250,517,547 483,410,000 72,892,788 806,820,335
NT ABF 115,232,815 237,420,833 0 352,653,648
Block 13,950,760 356,774,808 0 370,725,568
Other 2,959,215 15,692 0 2,974,907
Total 132,142,790 594,211,333 0 726,354,123
Total ABF funding 10,694,628,894 16,921,701,111 0 27,616,330,004
Total Block funding 1,776,358,827 3,338,375,537 0 5,114,734,363
Total Other funding 283,049,655 6,165,830 86,278,293 375,493,778
Grand Total 12,754,037,375 20,266,242,477 86,278,293 33,106,558,146

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.

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

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 – April 2015

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 2014-15
NSW 192,343 1,923,428 2,337,895
VIC 148,267 1,482,667 1,839,081
QLD 113,484 1,134,792 1,375,734
WA 64,010 613,799 749,831
SA 43,326 448,254 543,731
TAS 11,087 104,035 128,841
ACT 12,413 108,972 133,800
NT 9,983 97,677 114,661
Total 594,912 5,913,623 7,223,573

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.