National report, December 2012

Print friendly version (PDF, 334 kB)

Table of Contents:

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 December 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 December 2012, all states and territories, except the Australian Capital Territory, 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 December 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.

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 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 the 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 December 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 December 2012.

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,075,471,538 1,075,471,538 5,709,996,505 5,709,996,505
VIC 701,030,723 943,422,519 4,375,822,130 4,375,822,130
QLD 639,759,167 639,296,195 3,925,305,218 3,921,373,454
WA 377,173,401 377,173,401 2,451,578,035 2,451,578,035
SA 232,151,138 223,724,944 1,389,640,113 1,321,837,657
TAS 56,642,571 56,659,955 389,395,438 389,376,829
ACT 69,084,000 67,296,918 322,056,000 320,268,918
NT 80,351,848 80,350,548 307,266,010 307,263,413
Total 3,231,664,384 3,463,396,017 18,871,059,448 18,797,516,941

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: December 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 – December 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 339,064,788 736,406,750 0 1,075,471,538
VIC 263,081,512 437,949,211 0 701,030,723
QLD 213,133,825 426,625,341 0 639,759,167
WA 115,457,062 261,716,338 0 377,173,401
SA 82,086,928 150,064,210 0 232,151,138
TAS 23,992,218 32,650,353 0 56,642,571
ACT 20,349,780 48,734,220 0 69,084,000
NT 11,710,722 68,641,125 0 80,351,848
Total 1,068,876,836 2,162,787,548 0 3,231,664,385

* 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 December 2012.

Table 2b – Sources of NHR funding for each state and territory YTD – December 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 2,130,278,229 3,579,718,276 0 5,709,996,505
VIC 1,655,134,816 2,720,687,313 0 4,375,822,130
QLD 1,353,036,666 2,572,268,552 0 3,925,305,218
WA 701,460,067 1,750,117,968 0 2,451,578,035
SA 514,801,017 874,839,096 0 1,389,640,113
TAS 148,313,474 241,081,964 0 389,395,438
ACT 125,882,070 196,173,930 0 322,056,000
NT 72,552,824 234,713,185 0 307,266,010
Total 6,701,459,164 12,169,600,284 0 18,871,059,448

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 December 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 – December 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 225,224,690 494,637,918 0 719,862,608
Block 105,655,010 241,497,300 0 347,152,310
Other 8,185,088 271,532 0 8,456,620
Total 339,064,788 736,406,750 0 1,075,471,538
VIC ABF 185,281,481 234,755,557 0 420,037,038
Block 71,589,446 202,877,299 0 274,466,745
Other 6,210,585 316,355 0 6,526,940
Total 263,081,512 437,949,211 0 701,030,723
QLD ABF 168,916,595 338,816,225 0 507,732,820
Block 39,152,823 87,757,762 0 126,910,584
Other 5,064,408 51,355 0 5,115,763
Total 213,133,825 426,625,341 0 639,759,167
WA ABF 84,567,916 214,225,338 0 298,793,254
Block 28,184,161 47,491,000 0 75,675,161
Other 2,704,986 0 0 2,704,986
Total 115,457,062 261,716,338 0 377,173,401
SA ABF 64,926,227 125,000,000 0 189,926,227
Block 15,235,757 24,899,968 0 40,135,725
Other 1,924,944 164,242 0 2,089,185
Total 82,086,928 150,064,210 0 232,151,138
TAS ABF 19,164,320 20,232,360 0 39,396,680
Block 4,263,944 12,417,963 0 16,681,907
Other 563,953 30 0 563,984
Total 23,992,218 32,650,353 0 56,642,571
ACT ABF 17,824,847 44,059,194 0 61,884,041
Block 2,134,974 4,675,026 0 6,810,000
Other 389,959 0 0 389,959
Total 20,349,780 48,734,220 0 69,084,000
NT ABF 7,760,087 50,174,570 0 57,934,657
Block 3,661,637 18,465,255 0 22,126,892
Other 288,999 1,300 0 290,299
Total 11,710,722 68,641,125 0 80,351,848
Total ABF funding 773,666,163 1,521,901,162 0 2,295,567,325
Total Block funding 269,877,751 640,081,573 0 909,959,324
Total Other funding 25,332,921 804,814 0 26,137,735
Grand Total 1,068,876,836 2,162,787,548 0 3,231,664,385

* 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 December 2012.

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

Table 3b – NHR funding by funding type YTD – December 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 1,415,410,173 2,407,062,643 0 3,822,472,816
Block 664,258,991 1,171,783,206 0 1,836,042,197
Other 50,609,065 872,427 0 51,481,492
Total 2,130,278,229 3,579,718,276 0 5,709,996,505
VIC ABF 1,166,145,832 2,023,571,705 0 3,189,717,537
Block 450,606,521 696,591,343 0 1,147,197,864
Other 38,382,463 524,265 0 38,906,728
Total 1,655,134,816 2,720,687,313 0 4,375,822,130
QLD ABF 1,072,914,864 2,020,648,327 0 3,093,563,191
Block 248,680,680 551,331,460 0 800,012,139
Other 31,441,122 288,765 0 31,729,887
Total 1,353,036,666 2,572,268,552 0 3,925,305,218
WA ABF 513,881,847 1,315,121,968 0 1,829,003,815
Block 171,247,288 434,996,000 0 606,243,288
Other 16,330,932 0 0 16,330,932
Total 701,460,067 1,750,117,968 0 2,451,578,035
SA ABF 407,318,527 728,989,326 0 1,136,307,853
Block 95,598,979 145,466,948 0 241,065,928
Other 11,883,511 382,822 0 12,266,332
Total 514,801,017 874,839,096 0 1,389,640,113
TAS ABF 118,495,761 120,252,355 0 238,748,116
Block 26,364,583 120,817,965 0 147,182,547
Other 3,453,131 11,643 0 3,464,774
Total 148,313,474 241,081,964 0 389,395,438
ACT ABF 119,646,900 168,264,475 0 287,911,375
Block 3,874,438 27,909,455 0 31,783,893
Other 2,360,733 0 0 2,360,733
Total 125,882,070 196,173,930 0 322,056,000
NT ABF 48,117,075 130,456,796 0 178,573,871
Block 22,664,785 104,253,792 0 126,918,577
Other 1,770,964 2,597 0 1,773,561
Total 72,552,824 234,713,185 0 307,266,010
Total ABF funding 4,861,930,979 8,914,367,595 0 13,776,298,575
Total Block funding 1,683,296,265 3,253,150,168 0 4,936,446,434
Total Other funding 156,231,920 2,082,519 0 158,314,439
Grand Total 6,701,459,164 12,169,600,284 0 18,871,059,448

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 – December 2012

State/territory Estimated NWAU
delivered/funded in
current month
Estimated NWAU
delivered/funded YTD
Estimated annual
NWAU 2012-13
NSW 170,912 906,867 1,731,562
VIC 109,504 657,024 1,314,041
QLD 105,250 631,161 1,261,855
WA 50,608 312,607 618,967
SA 36,304 213,851 486,690
TAS 9,008 55,885 108,968
ACT 9,212 56,368 115,604
NT 1,550 61,202 93,194
Total 492,347 2,894,966 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 NHR funding and payments, see National Health Reform funding and payments.

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