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

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 2013-14 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 August 2013, see State or territory reports.

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

NHR funding and payments

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

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 832,326,378 816,020,662 1,944,152,363 1,924,087,390
VIC 584,327,123 584,327,123 1,840,389,387 1,840,389,387
QLD 641,836,116 657,653,265 1,283,240,423 1,282,868,157
WA 552,620,106 552,620,106 982,890,211 982,890,211
SA 270,222,721 234,063,592 554,828,721 483,327,184
TAS 85,419,241 85,419,239 160,839,260 160,838,479
ACT 51,256,102 51,256,102 136,734,204 136,734,203
NT 57,701,810 57,700,127 115,403,969 115,400,255
Total 3,075,709,598 3,039,060,217 7,018,478,537 6,926,535,266

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 – August 2013

This table shows NHR funding by the source of funds for each state and territory for August 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 368,234,979 464,091,399 0 832,326,378
VIC 292,563,356 291,763,767 0 584,327,123
QLD 237,230,877 404,605,239 0 641,836,116
WA 127,928,106 424,692,000 0 552,620,106
SA 85,419,253 184,803,468 0 270,222,721
TAS 25,338,510 60,080,731 0 85,419,241
ACT 22,013,102 29,243,000 0 51,256,102
NT 11,273,044 46,428,766 0 57,701,810
Total 1,170,001,227 1,905,708,370 0 3,075,709,598

* See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – August 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 August 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 736,469,958 1,207,682,405 0 1,944,152,363
VIC 585,126,713 1,255,262,674 0 1,840,389,387
QLD 474,461,754 808,778,669 0 1,283,240,423
WA 255,856,211 727,034,000 0 982,890,211
SA 170,838,506 383,990,215 0 554,828,721
TAS 50,677,021 110,162,239 0 160,839,259
ACT 44,026,204 92,708,000 0 136,734,204
NT 22,546,088 92,857,881 0 115,403,969
Total 2,340,002,454 4,678,476,083 0 7,018,478,537

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 – August 2013

This table shows NHR funding for each state and territory by funding type and source for August 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 309,479,612 372,537,647 0 682,017,258
Block 50,069,848 91,553,753 0 141,623,601
Other 8,685,520 0 0 8,685,520
Total 368,234,979 464,091,399 0 832,326,378
VIC ABF 255,589,271 275,597,989 0 531,187,260
Block 30,222,372 16,165,778 0 46,388,150
Other 6,751,713 0 0 6,751,713
Total 292,563,356 291,763,767 0 584,327,123
QLD ABF 200,621,618 356,129,514 0 556,751,132
Block 31,126,591 48,475,724 0 79,602,315
Other 5,482,668 0 0 5,482,668
Total 237,230,877 404,605,239 0 641,836,116
WA ABF 103,194,446 271,000,000 0 374,194,446
Block 21,761,547 153,692,000 0 175,453,547
Other 2,972,113 0 0 2,972,113
Total 127,928,106 424,692,000 0 552,620,106
SA ABF 71,335,830 170,119,594 0 241,455,425
Block 12,119,830 14,683,874 0 26,803,704
Other 1,963,592 0 0 1,963,592
Total 85,419,253 184,803,468 0 270,222,721
TAS ABF 22,504,054 23,897,680 0 46,401,734
Block 2,233,202 36,183,051 0 38,416,253
Other 601,254 0 0 601,254
Total 25,338,510 60,080,731 0 85,419,241
ACT ABF 20,177,047 25,901,000 0 46,078,047
Block 1,384,793 3,342,000 0 4,726,793
Other 451,262 0 0 451,262
Total 22,013,102 29,243,000 0 51,256,102
NT ABF 9,777,408 22,654,183 0 32,431,591
Block 1,216,019 23,774,583 0 24,990,602
Other 279,617 0 0 279,617
Total 11,273,044 46,428,766 0 57,701,810
Total ABF funding 992,679,286 1,517,837,607 0 2,510,516,893
Total Block funding 150,134,203 387,870,763 0 538,004,966
Total Other funding 27,187,739 0 0 27,187,739
Grand Total 1,170,001,227 1,905,708,370 0 3,075,709,597

* See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – August 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 August 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 618,959,223 869,664,443 0 1,488,623,666
Block 100,139,696 338,017,962 0 438,157,657
Other 17,371,039 0 0 17,371,039
Total 736,469,958 1,207,682,405 0 1,944,152,363
VIC ABF 511,178,542 1,177,536,368 0 1,688,714,910
Block 60,444,744 77,726,306 0 138,171,050
Other 13,503,427 0 0 13,503,427
Total 585,126,713 1,255,262,674 0 1,840,389,387
QLD ABF 401,243,236 711,907,899 0 1,113,151,134
Block 62,253,182 96,870,770 0 159,123,952
Other 10,965,336 0 0 10,965,336
Total 474,461,754 808,778,669 0 1,283,240,423
WA ABF 206,388,892 379,250,000 0 585,638,892
Block 43,523,094 347,784,000 0 391,307,094
Other 5,944,225 0 0 5,944,225
Total 255,856,211 727,034,000 0 982,890,211
SA ABF 142,671,661 350,309,088 0 492,980,749
Block 24,239,661 33,681,127 0 57,920,788
Other 3,927,184 0 0 3,927,184
Total 170,838,506 383,990,215 0 554,828,721
TAS ABF 45,008,108 47,796,137 0 92,804,246
Block 4,466,403 62,366,102 0 66,832,505
Other 1,202,509 0 0 1,202,509
Total 50,677,021 110,162,239 0 160,839,259
ACT ABF 40,354,094 84,353,000 0 124,707,094
Block 2,769,587 8,355,000 0 11,124,587
Other 902,523 0 0 902,523
Total 44,026,204 92,708,000 0 136,734,204
NT ABF 19,554,815 45,308,714 0 64,863,529
Block 2,432,038 47,549,167 0 49,981,205
Other 559,235 0 0 559,235
Total 22,546,088 92,857,881 0 115,403,969
Total ABF funding 1,985,358,571 3,666,125,650 0 5,651,484,221
Total Block funding 300,268,405 1,012,350,433 0 1,312,618,838
Total Other funding 54,375,478 0 0 54,375,478
Grand Total 2,340,002,454 4,678,476,082 0 7,018,478,537

ABF funding represents Acute admitted public, Acute admitted private, 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 – August 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 2013-14
NSW 177,429 354,858 2,151,933
VIC 137,919 275,838 1,670,282
QLD 108,845 213,044 1,278,262
WA 57,366 113,450 674,293
SA 40,879 83,927 538,164
TAS 10,029 19,741 114,078
ACT 9,765 19,529 163,911
NT 10,325 20,650 123,900
Total 552,558 1,101,037 6,714,823

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.