National report - August 2015

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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 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 2015-16 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 2015, see State or territory reports.

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2015-16.

NHR funding and payments

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

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 872,451,962 881,873,886 1,757,086,241 1,757,086,241
VIC 638,930,270 638,930,270 2,014,011,562 2,014,011,562
QLD 957,540,107 735,217,819 1,681,122,238 1,458,760,394
WA 400,246,461 413,412,613 578,230,296 569,232,552
SA 304,070,727 288,551,671 689,522,754 562,009,030
TAS 80,214,101 80,214,101 163,109,876 163,109,876
ACT 90,357,463 90,357,463 163,694,998 163,694,998
NT 75,640,441 75,639,104 152,271,449 152,268,821
Total 3,419,451,533 3,204,196,928 7,199,049,414 6,840,173,475

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 2015

This table shows NHR funding by the source of funds for each state and territory for August 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 462,679,573 406,972,389 2,800,000 872,451,962
VIC 354,047,178 284,883,091 0 638,930,270
QLD 289,228,055 668,312,052 0 957,540,107
WA 137,930,276 262,316,186 0 400,246,461
SA 108,297,010 195,773,717 0 304,070,727
TAS 33,603,085 46,611,016 0 80,214,101
ACT 29,805,463 46,552,000 14,000,000 90,357,463
NT 14,464,271 61,176,170 0 75,640,441
Total 1,430,054,911 1,972,596,622 16,800,000 3,419,451,533

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – August 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 August 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 899,254,592 855,031,649 2,800,000 1,757,086,241
VIC 698,581,236 1,315,430,326 0 2,014,011,562
QLD 560,709,315 1,120,412,922 0 1,681,122,238
WA 290,597,907 287,632,390 0 578,230,296
SA 207,307,748 482,215,006 0 689,522,754
TAS 62,696,177 100,413,699 0 163,109,876
ACT 56,590,998 93,104,000 14,000,000 163,694,998
NT 28,999,154 123,272,295 0 152,271,449
Total 2,804,737,127 4,377,512,287 16,800,000 7,199,049,414

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 2015

This table shows NHR funding for each state and territory by funding type and source for August 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 401,654,903 405,469,065 0 807,123,968
Block 51,539,741 1,437,051 0 52,976,793
Other 9,484,929 66,273 2,800,000 12,351,202
Total 462,679,573 406,972,389 2,800,000 872,451,962
VIC ABF 306,919,698 250,039,377 0 556,959,075
Block 39,717,484 34,545,116 0 74,262,600
Other 7,409,997 298,598 0 7,708,595
Total 354,047,178 284,883,091 0 638,930,270
QLD ABF 251,043,812 559,140,924 0 810,184,736
Block 32,198,861 109,139,145 0 141,338,005
Other 5,985,382 31,983 0 6,017,365
Total 289,228,055 668,312,052 0 957,540,107
WA ABF 112,449,866 237,631,737 0 350,081,603
Block 22,163,877 24,684,449 0 46,848,326
Other 3,316,533 0 0 3,316,533
Total 137,930,276 262,316,186 0 400,246,461
SA ABF 92,639,875 175,000,000 0 267,639,875
Block 13,547,510 20,500,000 0 34,047,510
Other 2,109,625 273,717 0 2,383,342
Total 108,297,010 195,773,717 0 304,070,727
TAS ABF 28,391,615 16,337,871 0 44,729,486
Block 4,572,970 30,273,145 0 34,846,116
Other 638,500 0 0 638,500
Total 33,603,085 46,611,016 0 80,214,101
ACT ABF 27,269,525 43,228,000 0 70,497,525
Block 2,048,387 3,324,000 0 5,372,387
Other 487,552 0 14,000,000 14,487,552
Total 29,805,463 46,552,000 14,000,000 90,357,463
NT ABF 13,013,878 24,526,583 0 37,540,462
Block 1,139,341 36,648,250 0 37,787,591
Other 311,051 1,337 0 312,388
Total 14,464,271 61,176,170 0 75,640,441
Total ABF funding 1,233,383,171 1,711,373,557 0 2,944,756,728
Total Block funding 166,928,171 260,551,156 0 427,479,327
Total Other funding 29,743,568 671,909 16,800,000 47,215,477
Grand Total 1,430,054,911 1,972,596,622 16,800,000 3,419,451,533

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – August 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 August 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 777,205,252 822,576,755 0 1,599,782,007
Block 103,079,482 32,309,441 0 135,388,923
Other 18,969,857 145,453 2,800,000 21,915,310
Total 899,254,592 855,031,649 2,800,000 1,757,086,241
VIC ABF 604,326,275 1,162,795,554 0 1,767,121,829
Block 79,434,968 152,336,132 0 231,771,100
Other 14,819,994 298,640 0 15,118,633
Total 698,581,236 1,315,430,326 0 2,014,011,562
QLD ABF 484,340,830 939,024,672 0 1,423,365,502
Block 64,397,721 181,316,711 0 245,714,432
Other 11,970,765 71,539 0 12,042,303
Total 560,709,315 1,120,412,922 0 1,681,122,238
WA ABF 239,637,086 248,263,474 0 487,900,561
Block 44,327,754 39,368,897 0 83,696,651
Other 6,633,066 18 0 6,633,085
Total 290,597,907 287,632,390 0 578,230,296
SA ABF 175,993,479 445,000,000 0 620,993,479
Block 27,095,019 36,800,000 0 63,895,019
Other 4,219,250 415,006 0 4,634,256
Total 207,307,748 482,215,006 0 689,522,754
TAS ABF 52,273,237 39,867,408 0 92,140,645
Block 9,145,941 60,546,291 0 69,692,232
Other 1,276,999 0 0 1,276,999
Total 62,696,177 100,413,699 0 163,109,876
ACT ABF 51,519,120 86,456,000 0 137,975,120
Block 4,096,774 6,648,000 0 10,744,774
Other 975,104 0 14,000,000 14,975,104
Total 56,590,998 93,104,000 14,000,000 163,694,998
NT ABF 26,098,369 49,053,167 0 75,151,536
Block 2,278,683 74,216,500 0 76,495,183
Other 622,103 2,629 0 624,731
Total 28,999,154 123,272,295 0 152,271,449
Total ABF funding 2,411,393,648 3,793,037,030 0 6,204,430,679
Total Block funding 333,856,342 583,541,972 0 917,398,314
Total Other funding 59,487,137 933,285 16,800,000 77,220,421
Grand Total 2,804,737,127 4,377,512,287 16,800,000 7,199,049,414

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 – August 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 2015-16
NSW 207,288 414,575 2,487,446
VIC 156,940 313,880 1,883,280
QLD 118,027 236,054 1,404,501
WA 68,619 135,668 767,841
SA 50,439 98,700 578,208
TAS 11,001 22,903 129,113
ACT 10,252 21,510 136,447
NT 10,175 20,350 120,717
Total 632,740 1,263,640 7,507,552

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.