National report, August 2012

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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 shows monthly and year-to-date (YTD) National Health Reform (NHR) funding and payments at an aggregated national level for August 2012.

Participation and provision of data 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.

For August 2012, New South Wales, Queensland, Western Australia and Tasmania 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 August 2012 monthly reports.

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 this National report, and year-to-date data in the reports for states and territories which did not use the National Health Funding Pool from 1 July 2012, 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. Victoria did not provide data for the August 2012 report in accordance with the timelines set by the Administrator.

Local hospital networks and National Health Reform

Under the National Health Reform 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 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 the NHR funding arrangements been in place between 1 July and 1 October 2012. 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 August 2012, see State or territory reports.

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

NHR funding and payments for each state and territory

This table shows NHR funding and payments for each state and territory for August 2012.

Table 1 – NHR funding and payments for each state and territory: August 2012

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 800,776,408 800,776,408 1,918,555,283 1,918,555,283
VIC * * * *
QLD 612,422,358 616,700,624 1,263,820,056 1,261,027,689
WA 470,878,985 470,878,985 837,953,817 837,953,817
SA 227,515,123 227,515,124 444,814,792 444,814,792
TAS 60,929,859 60,927,543 132,086,096 132,083,780
ACT 33,010,000 33,010,000 82,177,000 82,177,000
NT 42,168,420 42,168,420 116,336,841 116,336,841
Total 2,247,701,155 2,251,977,105 4,795,743,884 4,792,949,202

* Victoria did not provide information for the July and August 2012 monthly reports, on the basis that its legislation was not in place and it had no legislative obligation to provide the data.

Differences between NHR funding and NHR payments can occur for a state or territory for several reasons, such as having funds remaining in their state pool account at the end of the month, drawing down on available funds from previous months, or having an overdraft in their state pool account at the end of the month.

NHR funding and payments shown in this table include GST where applicable.

Commonwealth and state NHR funding components are detailed in the following tables.

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

Sources of NHR funding for each state and territory

This table shows NHR funding by the source of funds for each state and territory for: August 2012.

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).

Table 2a – Sources of NHR funding for each state and territory August 2012

State/territory NHR funding by source
Commonwealth NHR funding Own state/territory NHR funding NHR funding
from other state/territory
Total NHR funding
($) ($) ($) ($)
NSW 358,242,688 442,533,720 0 800,776,408
VIC * * * *
QLD 227,980,568 384,441,790 0 612,422,358
WA 117,200,601 353,678,385 0 470,878,985
SA 86,542,818 140,972,306 0 227,515,123
TAS 24,864,251 36,065,608 0 60,929,859
ACT 21,106,458 11,903,542 0 33,010,000
NT 12,168,420 30,000,000 0 42,168,420
Total 848,105,805 1,399,595,350 0 2,247,701,155

* Victoria did not provide data for the August 2012 report in accordance with the timelines set by the Administrator.
See explanatory notes following table 2b.

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 August 2012.

Table 2b – Sources of NHR funding for each state and territory YTD: August 2012

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 716,485,376 1,202,069,906 0 1,918,555,283
VIC * * * *
QLD 455,961,136 807,868,125 0 1,263,829,261
WA 234,401,202 603,552,616 0 837,953,817
SA 173,085,636 271,729,156 0 444,814,792
TAS 49,728,503 82,357,594 0 132,086,096
ACT 42,212,916 39,964,084 0 82,177,000
NT 24,336,841 92,000,000 0 116,336,841
Total 1,696,211,610 3,099,541,480 0 4,795,753,090

* Victoria did not provide information for the July and August 2012 monthly reports, on the basis that its legislation was not in place and it had no legislative obligation to provide the data.

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 on NHR funding and payments, see National Health Reform funding and payments.

Commonwealth and state or territory NHR funding, by funding type

This table shows NHR funding for each state and territory by funding type and source for August 2012.

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).

NHR funding types are either activity based funding (ABF), block funding or other.

Table 3a – NHR funding by funding type: August 2012

State/territory NHR funding type Commonwealth NHR funding Own state/territory NHR funding NHR funding
from other state/territory
Total NHR funding
($) ($) ($) ($)
NSW ABF 238,037,097 323,605,986 0 561,643,082
Block 111,720,796 118,787,482 0 230,508,279
Other 8,484,795 140,252 0 8,625,047
Total 358,242,688 442,533,720 0 800,776,408
VIC ABF * * * *
Block * * * *
Other * * * *
Total * * * *
QLD ABF 180,799,654 299,901,077 0 480,700,731
Block 41,905,571 84,540,712 0 126,446,284
Other 5,275,343 0 0 5,275,343
Total 227,980,568 384,441,790 0 612,422,358
WA ABF 85,862,786 328,487,385 0 414,350,171
Block 28,612,625 25,191,000 0 53,803,625
Other 2,725,189 0 0 2,725,189
Total 117,200,601 353,678,385 0 470,878,985
SA ABF 68,478,460 114,386,547 0 182,865,007
Block 16,072,645 26,585,758 0 42,658,403
Other 1,991,713 0 0 1,991,713
Total 86,542,818 140,972,306 0 227,515,123
TAS ABF 19,866,288 14,737,411 0 34,603,699
Block 4,420,128 21,325,881 0 25,746,008
Other 577,835 2,316 0 580,151
Total 24,864,251 36,065,608 0 60,929,859
ACT ABF 20,364,411 8,921,435 0 29,285,845
Block 347,893 2,982,107 0 3,330,000
Other 394,155 0 0 394,155
Total 21,106,458 11,903,542 0 33,010,000
NT ABF 8,071,398 15,026,191 0 23,097,589
Block 3,800,630 14,973,809 0 18,774,438
Other 296,393 0 0 296,393
Total 12,168,420 30,000,000 0 42,168,420
Total ABF funding 621,480,093 1,105,066,033 0 1,726,546,126
Total Block funding 206,880,288 294,386,749 0 501,267,037
Total Other funding 19,745,424 142,568 0 19,887,992
Grand Total 848,105,805 1,399,595,350 0 2,247,701,155

* Victoria did not provide data for the August 2012 report in accordance with the timelines set by the Administrator.
See explanatory notes following table 3b.

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 August 2012.

NHR funding types are either activity based funding (ABF), block funding or other.

Table 3b – NHR funding by funding type YTD: August 2012

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 476,074,193 787,622,742 0 1,263,696,935
Block 223,441,592 414,306,912 0 637,748,504
Other 16,969,591 140,252 0 17,109,843
Total 716,485,376 1,202,069,906 0 1,918,555,283
VIC ABF * * * *
Block * * * *
Other * * * *
Total * * * *
QLD ABF 361,599,308 639,046,995 0 1,000,646,303
Block 83,811,143 168,821,129 0 252,632,272
Other 10,550,686 0 0 10,550,686
Total 455,961,136 807,868,125 0 1,263,829,261
WA ABF 171,725,572 458,220,616 0 629,946,188
Block 57,225,251 145,332,000 0 202,557,251
Other 5,450,378 0 0 5,450,378
Total 234,401,202 603,552,616 0 837,953,817
SA ABF 136,956,920 222,536,346 0 359,493,266
Block 32,145,289 49,192,810 0 81,338,099
Other 3,983,427 0 0 3,983,427
Total 173,085,636 271,729,156 0 444,814,792
TAS ABF 39,732,576 39,703,517 0 79,436,093
Block 8,840,255 42,651,761 0 51,492,016
Other 1,155,671 2,316 0 1,157,987
Total 49,728,503 82,357,594 0 132,086,096
ACT ABF 40,728,821 32,334,977 0 73,063,798
Block 695,785 7,629,107 0 8,324,893
Other 788,309 0 0 788,309
Total 42,212,916 39,964,084 0 82,177,000
NT ABF 16,142,795 45,937,119 0 62,079,914
Block 7,601,259 46,062,881 0 53,664,140
Other 592,786 0 0 592,786
Total 24,336,841 92,000,000 0 116,336,841
Total ABF funding 1,242,960,186 2,225,402,311 0 3,468,362,498
Total Block funding 413,760,575 873,996,601 0 1,287,757,176
Total Other funding 39,490,848 142,568 0 39,633,416
Grand Total 1,696,211,610 3,099,541,480 0 4,795,753,090

* Victoria did not provide information for the July and August 2012 monthly reports, on the basis that its legislation was not in place and it had no legislative obligation to provide the data.

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 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 on NHR funding and payments, see National Health Reform funding and payments.

Estimated monthly, YTD and annual NWAU by each state and territory

This table shows estimated hospital activity for each state and territory for activity-based funding services expressed as National Weighted Activity Units (NWAU) for the current month, year-to-date (YTD) and total annual estimated NWAU.

NHR funding amounts and service volumes are provided by states and territories as service estimates at the start of each financial year, and may continue to be refined during the course of the year. These estimates form the basis of monthly reporting of service volumes until actual service numbers become available.

The estimated annual NWAU was provided 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: August 2012

State/territory Estimated NWAU
delivered/funded in
current month
Estimated NWAU
delivered/funded YTD
Estimated annual
NWAU 2012-13
NSW 133,197 299,693 1,731,562
VIC * * *
QLD 105,155 210,309 1,261,855
WA 52,793 104,807 618,967
SA 36,654 72,086 486,690
TAS 9,725 19,048 108,968
ACT 9,382 19,097 115,604
NT 13,990 34,514 93,194
Total 360,895 759,554 4,416,840

* Victoria did not provide information for the July and August 2012 monthly reports, on the basis that its legislation was not in place and it had no legislative obligation to provide the data.

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 NHR funding and payments, see National Health Reform funding and payments.

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