National report - December 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 December 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 December 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 – December 2015

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,044,164,780 1,044,164,781 5,809,537,592 5,809,537,592
VIC 807,395,736 807,395,736 4,948,714,041 4,948,714,040
QLD 787,491,385 787,457,297 4,877,732,409 4,877,483,666
WA 589,283,817 589,283,816 2,487,990,852 2,487,990,835
SA 307,373,553 264,054,515 1,784,057,833 1,669,987,293
TAS 76,265,212 76,265,212 496,606,729 496,606,729
ACT 103,613,534 103,613,534 514,360,993 514,360,993
NT 76,631,060 76,629,717 458,654,455 458,646,463
Total 3,792,219,077 3,748,864,608 21,377,654,902 21,263,327,611

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 2015

This table shows NHR funding by the source of funds for each state and territory for December 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 436,982,436 595,582,344 11,600,000 1,044,164,780
VIC 344,534,058 462,861,679 0 807,395,736
QLD 274,418,557 500,272,829 12,800,000 787,491,385
WA 152,667,631 436,616,186 0 589,283,817
SA 99,010,738 202,762,815 5,600,000 307,373,553
TAS 29,093,092 47,172,120 0 76,265,212
ACT 26,785,534 69,828,000 7,000,000 103,613,534
NT 14,534,883 62,096,176 0 76,631,060
Total 1,378,026,929 2,377,192,147 37,000,000 3,792,219,077

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – December 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 December 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 2,698,578,611 3,083,958,981 27,000,000 5,809,537,592
VIC 2,095,743,709 2,852,970,332 0 4,948,714,041
QLD 1,690,939,835 3,161,192,574 25,600,000 4,877,732,409
WA 871,793,720 1,616,197,132 0 2,487,990,852
SA 621,923,243 1,156,534,590 5,600,000 1,784,057,833
TAS 188,088,530 308,518,198 0 496,606,729
ACT 169,772,993 302,588,000 42,000,000 514,360,993
NT 86,997,463 371,656,992 0 458,654,455
Total 8,423,838,103 12,853,616,799 100,200,000 21,377,654,902

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 2015

This table shows NHR funding for each state and territory by funding type and source for December 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 375,957,766 555,103,369 0 931,061,135
Block 51,539,741 40,162,507 0 91,702,248
Other 9,484,929 316,468 11,600,000 21,401,396
Total 436,982,436 595,582,344 11,600,000 1,044,164,780
VIC ABF 297,406,577 403,758,240 0 701,164,817
Block 39,717,484 59,071,357 0 98,788,841
Other 7,409,997 32,082 0 7,442,078
Total 344,534,058 462,861,679 0 807,395,736
QLD ABF 236,234,314 412,432,262 0 648,666,576
Block 32,198,861 66,106,477 0 98,305,338
Other 5,985,382 21,734,089 12,800,000 40,519,471
Total 274,418,557 500,272,829 12,800,000 787,491,385
WA ABF 127,187,221 421,931,737 0 549,118,958
Block 22,163,877 14,684,449 0 36,848,326
Other 3,316,533 0 0 3,316,533
Total 152,667,631 436,616,186 0 589,283,817
SA ABF 83,353,604 182,000,000 0 265,353,604
Block 13,547,510 20,515,707 0 34,063,217
Other 2,109,625 247,108 5,600,000 7,956,732
Total 99,010,738 202,762,815 5,600,000 307,373,553
TAS ABF 23,881,622 24,112,523 0 47,994,145
Block 4,572,970 23,059,597 0 27,632,567
Other 638,500 0 0 638,500
Total 29,093,092 47,172,120 0 76,265,212
ACT ABF 24,249,596 64,842,000 0 89,091,596
Block 2,048,387 4,986,000 0 7,034,387
Other 487,552 0 7,000,000 7,487,552
Total 26,785,534 69,828,000 7,000,000 103,613,534
NT ABF 13,084,491 24,526,583 0 37,611,074
Block 1,139,341 37,568,250 0 38,707,591
Other 311,051 1,343 0 312,394
Total 14,534,883 62,096,176 0 76,631,060
Total ABF funding 1,181,355,190 2,088,706,715 0 3,270,061,905
Total Block funding 166,928,171 266,154,344 0 433,082,515
Total Other funding 29,743,568 22,331,088 37,000,000 89,074,657
Grand Total 1,378,026,929 2,377,192,147 37,000,000 3,792,219,077

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – December 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 December 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 2,332,430,591 2,891,830,572 0 5,224,261,163
Block 309,238,447 190,799,504 0 500,037,952
Other 56,909,572 1,328,905 27,000,000 85,238,477
Total 2,698,578,611 3,083,958,981 27,000,000 5,809,537,592
VIC ABF 1,812,978,824 2,496,425,104 0 4,309,403,928
Block 238,304,904 355,964,273 0 594,269,177
Other 44,459,981 580,955 0 45,040,935
Total 2,095,743,709 2,852,970,332 0 4,948,714,041
QLD ABF 1,461,834,378 2,659,574,218 0 4,121,408,596
Block 193,193,163 457,969,613 0 651,162,777
Other 35,912,294 43,648,743 25,600,000 105,161,036
Total 1,690,939,835 3,161,192,574 25,600,000 4,877,732,409
WA ABF 718,911,259 1,461,590,422 0 2,180,501,680
Block 132,983,263 154,606,691 0 287,589,954
Other 19,899,199 19 0 19,899,217
Total 871,793,720 1,616,197,132 0 2,487,990,852
SA ABF 527,980,437 1,032,000,000 0 1,559,980,437
Block 81,285,057 122,902,723 0 204,187,780
Other 12,657,749 1,631,867 5,600,000 19,889,616
Total 621,923,243 1,156,534,590 5,600,000 1,784,057,833
TAS ABF 156,819,711 137,797,807 0 294,617,518
Block 27,437,822 170,720,392 0 198,158,214
Other 3,830,997 0 0 3,830,997
Total 188,088,530 308,518,198 0 496,606,729
ACT ABF 154,557,360 280,982,000 0 435,539,360
Block 12,290,321 21,606,000 0 33,896,321
Other 2,925,312 0 42,000,000 44,925,312
Total 169,772,993 302,588,000 42,000,000 514,360,993
NT ABF 78,295,107 147,159,500 0 225,454,607
Block 6,836,048 224,489,500 0 231,325,548
Other 1,866,308 7,992 0 1,874,300
Total 86,997,463 371,656,992 0 458,654,455
Total ABF funding 7,243,807,666 11,107,359,622 0 18,351,167,288
Total Block funding 1,001,569,027 1,699,058,697 0 2,700,627,723
Total Other funding 178,461,410 47,198,480 100,200,000 325,859,891
Grand Total 8,423,838,103 12,853,616,799 100,200,000 21,377,654,902

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 – December 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 1,243,727 2,487,446
VIC 156,940 941,641 1,883,280
QLD 120,663 710,798 1,416,323
WA 62,100 395,260 767,841
SA 45,260 290,116 578,208
TAS 11,026 68,344 129,113
ACT 10,118 67,210 136,447
NT 9,761 59,681 120,717
Total 623,157 3,776,778 7,519,375

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.