National report, February 2013

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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 February 2013.

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 February 2013, 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 February 2013 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 February 2013, 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 February 2013.

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 899,362,539 899,362,539 7,449,079,368 7,449,079,368
VIC 548,864,303 542,111,613 5,222,840,828 5,211,002,771
QLD 609,043,891 609,000,295 5,146,606,414 5,146,122,557
WA 368,573,401 368,573,401 3,293,437,506 3,293,437,506
SA 254,356,528 198,824,944 1,916,953,406 1,746,564,809
TAS 56,050,967 56,042,564 508,022,503 508,002,428
ACT 46,056,000 46,056,000 414,168,000 414,168,000
NT 78,828,739 78,826,996 419,552,263 419,543,930
Total 2,861,136,367 2,798,798,352 24,370,660,288 24,187,921,369

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: February 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).

Table 2a – Sources of NHR funding for each state and territory – February 2013

State/territory NHR funding by source
Commonwealth NHR funding Own state/territory NHR funding NHR funding
from other state/territory
Total NHR funding
($) ($) ($) ($)
NSW 339,064,788 560,297,751 0 899,362,539
VIC 263,081,512 285,782,791 0 548,864,303
QLD 213,133,825 395,910,065 0 609,043,891
WA 115,457,062 253,116,338 0 368,573,401
SA 82,086,928 172,269,600 0 254,356,528
TAS 23,992,218 32,058,750 0 56,050,967
ACT 20,349,780 25,706,220 0 46,056,000
NT 11,710,722 67,118,016 0 78,828,739
Total 1,068,876,836 1,792,259,531 0 2,861,136,367

* 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 February 2013.

Table 2b – Sources of NHR funding for each state and territory YTD – February 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 2,808,407,805 4,640,671,563 0 7,449,079,368
VIC 2,181,297,841 3,041,542,988 0 5,222,840,828
QLD 1,779,304,317 3,367,302,097 0 5,146,606,414
WA 932,374,192 2,361,063,314 0 3,293,437,506
SA 678,974,872 1,237,978,534 0 1,916,953,406
TAS 196,297,909 311,724,594 0 508,022,503
ACT 166,581,631 247,586,369 0 414,168,000
NT 95,974,269 323,577,994 0 419,552,263
Total 8,839,212,836 15,531,447,452 0 24,370,660,288

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 February 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).

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

Table 3a – NHR funding by funding type – February 2013

State/territory NHR funding type Commonwealth NHR funding Own state/territory NHR funding NHR funding
from other state/territory
Total NHR funding
($) ($) ($) ($)
NSW ABF 225,224,690 348,708,116 0 573,932,806
Block 105,655,010 211,455,104 0 317,110,114
Other 8,185,088 134,531 0 8,319,619
Total 339,064,788 560,297,751 0 899,362,539
VIC ABF 185,281,481 199,195,413 0 384,476,894
Block 71,589,446 86,458,837 0 158,048,283
Other 6,210,585 128,541 0 6,339,126
Total 263,081,512 285,782,791 0 548,864,303
QLD ABF 168,916,595 308,740,403 0 477,656,998
Block 39,152,823 87,126,067 0 126,278,890
Other 5,064,408 43,595 0 5,108,003
Total 213,133,825 395,910,065 0 609,043,891
WA ABF 84,567,916 204,225,338 0 288,793,254
Block 28,184,161 48,891,000 0 77,075,161
Other 2,704,986 0 0 2,704,986
Total 115,457,062 253,116,338 0 368,573,401
SA ABF 64,926,227 150,000,000 0 214,926,227
Block 15,235,757 22,131,041 0 37,366,798
Other 1,924,944 138,559 0 2,063,503
Total 82,086,928 172,269,600 0 254,356,528
TAS ABF 19,164,320 21,080,586 0 40,244,906
Block 4,263,944 10,969,761 0 15,233,705
Other 563,953 8,403 0 572,356
Total 23,992,218 32,058,750 0 56,050,967
ACT ABF 17,824,847 23,301,194 0 41,126,041
Block 2,134,974 2,405,026 0 4,540,000
Other 389,959 0 0 389,959
Total 20,349,780 25,706,220 0 46,056,000
NT ABF 7,760,087 21,742,799 0 29,502,886
Block 3,661,637 45,373,474 0 49,035,110
Other 288,999 1,743 0 290,742
Total 11,710,722 67,118,016 0 78,828,739
Total ABF funding 773,666,163 1,276,993,850 0 2,050,660,013
Total Block funding 269,877,751 514,810,309 0 784,688,061
Total Other funding 25,332,921 455,372 0 25,788,293
Grand Total 1,068,876,836 1,792,259,531 0 2,861,136,367

* 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 February 2013.

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

Table 3b – NHR funding by funding type YTD – February 2013

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 1,865,859,553 3,106,468,718 0 4,972,328,271
Block 875,569,012 1,532,980,315 0 2,408,549,328
Other 66,979,240 1,222,530 0 68,201,770
Total 2,808,407,805 4,640,671,563 0 7,449,079,368
VIC ABF 1,536,708,795 2,246,595,504 0 3,783,304,298
Block 593,785,413 793,972,759 0 1,387,758,172
Other 50,803,633 974,725 0 51,778,358
Total 2,181,297,841 3,041,542,988 0 5,222,840,828
QLD ABF 1,410,748,054 2,641,266,655 0 4,052,014,709
Block 326,986,325 725,612,606 0 1,052,598,931
Other 41,569,938 422,836 0 41,992,774
Total 1,779,304,317 3,367,302,097 0 5,146,606,414
WA ABF 683,017,678 1,830,685,314 0 2,513,702,992
Block 227,615,610 530,378,000 0 757,993,610
Other 21,740,903 0 0 21,740,903
Total 932,374,192 2,361,063,314 0 3,293,437,506
SA ABF 537,170,982 1,049,989,326 0 1,587,160,308
Block 126,070,492 187,297,990 0 313,368,482
Other 15,733,398 691,219 0 16,424,617
Total 678,974,872 1,237,978,534 0 1,916,953,406
TAS ABF 156,824,401 162,413,528 0 319,237,929
Block 34,892,471 149,290,991 0 184,183,461
Other 4,581,038 20,075 0 4,601,113
Total 196,297,909 311,724,594 0 508,022,503
ACT ABF 155,296,594 214,866,862 0 370,163,456
Block 8,144,386 32,719,506 0 40,863,893
Other 3,140,651 0 0 3,140,651
Total 166,581,631 247,586,369 0 414,168,000
NT ABF 63,637,249 173,942,395 0 237,579,644
Block 29,988,058 149,627,266 0 179,615,324
Other 2,348,962 8,333 0 2,357,295
Total 95,974,269 323,577,994 0 419,552,263
Total ABF funding 6,409,263,306 11,426,228,302 0 17,835,491,608
Total Block funding 2,223,051,768 4,101,879,433 0 6,324,931,201
Total Other funding 206,897,763 3,339,717 0 210,237,480
Grand Total 8,839,212,836 15,531,447,452 0 24,370,660,288

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 – February 2013

State/territory Estimated NWAU
delivered/funded in
current month
Estimated NWAU
delivered/funded YTD
Estimated annual
NWAU 2012-13
NSW 136,232 1,179,836 1,731,562
VIC 109,504 876,032 1,314,041
QLD 105,297 841,806 1,261,855
WA 49,033 412,248 618,967
SA 31,881 283,510 486,690
TAS 8,900 73,035 108,968
ACT 8,894 73,467 115,604
NT 1,040 63,282 93,194
Total 450,781 3,803,218 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.