National report - December 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 December 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 December 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 – December 2013

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 982,559,363 982,559,363 5,679,082,411 5,679,082,411
VIC 759,718,996 759,718,996 4,600,313,043 4,600,313,043
QLD 693,058,150 693,016,668 4,093,309,723 4,091,722,590
WA 396,331,874 395,967,512 2,612,378,403 2,610,192,231
SA 243,212,466 273,095,591 1,687,209,745 1,535,613,552
TAS 67,406,499 67,406,494 484,238,699 484,236,334
ACT 90,877,314 90,877,314 406,768,459 406,768,458
NT 57,701,617 57,700,084 346,209,096 346,200,590
Total 3,290,866,279 3,320,342,022 19,909,509,579 19,754,129,209

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 – December 2013

This table shows NHR funding by the source of funds for each state and territory for December 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 368,170,581 614,388,782 0 982,559,363
VIC 292,586,953 467,132,042 0 759,718,996
QLD 237,265,312 455,792,838 0 693,058,150
WA 127,928,106 268,403,768 0 396,331,874
SA 85,421,157 157,791,309 0 243,212,466
TAS 25,331,803 42,074,696 0 67,406,499
ACT 22,024,314 68,853,000 0 90,877,314
NT 11,273,000 46,428,617 0 57,701,617
Total 1,170,001,227 2,120,865,052 0 3,290,866,279

* See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – December 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 December 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 2,209,152,281 3,469,930,130 0 5,679,082,411
VIC 1,755,474,526 2,844,838,517 0 4,600,313,043
QLD 1,423,523,003 2,669,786,719 0 4,093,309,723
WA 767,568,634 1,844,809,768 0 2,612,378,403
SA 512,523,135 1,174,686,611 0 1,687,209,745
TAS 152,004,233 332,234,466 0 484,238,699
ACT 132,123,459 274,645,000 0 406,768,459
NT 67,638,090 278,571,006 0 346,209,096
Total 7,020,007,362 12,889,502,217 0 19,909,509,579

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 – December 2013

This table shows NHR funding for each state and territory by funding type and source for December 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 300,263,256 523,814,794 0 824,078,050
Block 59,221,805 90,375,195 0 149,597,000
Other 8,685,520 198,794 0 8,884,313
Total 368,170,581 614,388,782 0 982,559,363
VIC ABF 255,610,373 391,634,519 0 647,244,892
Block 30,224,867 75,386,736 0 105,611,604
Other 6,751,713 110,787 0 6,862,501
Total 292,586,953 467,132,042 0 759,718,996
QLD ABF 200,651,428 408,432,199 0 609,083,627
Block 31,131,216 47,319,156 0 78,450,373
Other 5,482,668 41,482 0 5,524,150
Total 237,265,312 455,792,838 0 693,058,150
WA ABF 103,194,446 242,648,184 0 345,842,630
Block 21,761,547 25,755,585 0 47,517,132
Other 2,972,113 0 0 2,972,113
Total 127,928,106 268,403,768 0 396,331,874
SA ABF 71,337,458 150,000,000 0 221,337,458
Block 12,120,107 7,500,000 0 19,620,107
Other 1,963,592 291,309 0 2,254,901
Total 85,421,157 157,791,309 0 243,212,466
TAS ABF 20,452,807 31,474,001 0 51,926,808
Block 4,277,742 10,600,690 0 14,878,431
Other 601,254 5 0 601,259
Total 25,331,803 42,074,696 0 67,406,499
ACT ABF 20,180,063 63,336,000 0 83,516,063
Block 1,392,989 5,517,000 0 6,909,989
Other 451,262 0 0 451,262
Total 22,024,314 68,853,000 0 90,877,314
NT ABF 9,777,369 22,652,500 0 32,429,869
Block 1,216,014 23,774,583 0 24,990,598
Other 279,617 1,533 0 281,150
Total 11,273,000 46,428,617 0 57,701,617
Total ABF funding 981,467,200 1,833,992,197 0 2,815,459,397
Total Block funding 161,346,288 286,228,945 0 447,575,233
Total Other funding 27,187,739 643,909 0 27,831,648
Grand Total 1,170,001,227 2,120,865,052 0 3,290,866,279

* See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – December 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 December 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 1,820,012,248 2,743,656,069 0 4,563,668,317
Block 337,026,915 725,191,737 0 1,062,218,652
Other 52,113,118 1,082,324 0 53,195,442
Total 2,209,152,281 3,469,930,130 0 5,679,082,411
VIC ABF 1,533,620,033 2,429,839,580 0 3,963,459,613
Block 181,344,213 414,236,340 0 595,580,553
Other 40,510,281 762,596 0 41,272,877
Total 1,755,474,526 2,844,838,517 0 4,600,313,043
QLD ABF 1,203,848,948 2,360,384,069 0 3,564,233,017
Block 186,778,047 309,015,333 0 495,793,380
Other 32,896,008 387,317 0 33,283,325
Total 1,423,523,003 2,669,786,719 0 4,093,309,723
WA ABF 619,166,676 1,294,098,184 0 1,913,264,860
Block 130,569,282 550,711,585 0 681,280,866
Other 17,832,676 0 0 17,832,676
Total 767,568,634 1,844,809,768 0 2,612,378,403
SA ABF 428,021,493 1,080,000,000 0 1,508,021,493
Block 72,720,089 93,536,221 0 166,256,310
Other 11,781,553 1,150,390 0 12,931,943
Total 512,523,135 1,174,686,611 0 1,687,209,745
TAS ABF 126,819,337 191,232,646 0 318,051,983
Block 21,577,370 140,999,456 0 162,576,826
Other 3,607,526 2,365 0 3,609,891
Total 152,004,233 332,234,466 0 484,238,699
ACT ABF 121,074,346 253,249,000 0 374,323,346
Block 8,341,544 21,396,000 0 29,737,544
Other 2,707,569 0 0 2,707,569
Total 132,123,459 274,645,000 0 406,768,459
NT ABF 58,664,291 135,915,000 0 194,579,291
Block 7,296,095 142,647,500 0 149,943,595
Other 1,677,704 8,506 0 1,686,210
Total 67,638,090 278,571,006 0 346,209,096
Total ABF funding 5,911,227,372 10,488,374,548 0 16,399,601,920
Total Block funding 945,653,555 2,397,734,171 0 3,343,387,726
Total Other funding 163,126,435 3,393,498 0 166,519,933
Grand Total 7,020,007,362 12,889,502,217 0 19,909,509,579

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 – December 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 1,064,575 2,129,148
VIC 139,191 832,602 1,670,282
QLD 108,081 648,487 1,278,262
WA 55,304 340,623 674,293
SA 50,082 270,326 538,164
TAS 9,177 57,454 114,078
ACT 15,143 63,304 163,911
NT 10,326 61,952 123,900
Total 564,733 3,339,323 6,692,038

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.