National report - February 2014

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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 February 2014.

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 February 2014, 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 – February 2014

This table shows NHR funding and payments for each state and territory for February 2014.

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 826,122,150 826,122,150 7,351,488,741 7,351,488,741
VIC 553,546,292 553,546,292 5,709,942,413 5,709,942,412
QLD 649,340,392 649,303,077 5,376,145,032 5,375,654,233
WA 148,597,813 148,597,813 3,048,703,226 3,046,563,359
SA 262,924,603 270,658,030 2,210,378,308 2,030,463,345
TAS 66,747,993 66,747,988 618,394,638 618,392,264
ACT 69,879,513 69,879,513 546,805,332 546,805,331
NT 57,631,898 57,645,800 461,545,809 461,549,667
Total 2,634,790,654 2,642,500,664 25,323,403,499 25,140,859,353

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 – February 2014

This table shows NHR funding by the source of funds for each state and territory for February 2014.

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 360,479,197 465,642,952 0 826,122,150
VIC 286,976,582 266,569,710 0 553,546,292
QLD 234,127,854 415,212,538 0 649,340,392
WA 126,705,571 21,892,241 0 148,597,813
SA 83,518,770 179,405,834 0 262,924,603
TAS 24,761,660 41,986,333 0 66,747,993
ACT 23,977,513 45,902,000 0 69,879,513
NT 11,204,768 46,427,130 0 57,631,898
Total 1,151,751,917 1,483,038,737 0 2,634,790,654

* See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – February 2014

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 2014.

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 2,935,626,890 4,415,861,851 0 7,351,488,741
VIC 2,335,053,155 3,374,889,258 0 5,709,942,413
QLD 1,894,840,696 3,481,304,336 0 5,376,145,032
WA 1,022,201,568 2,026,501,658 0 3,048,703,226
SA 681,463,668 1,528,914,640 0 2,210,378,308
TAS 202,099,143 416,295,495 0 618,394,638
ACT 180,356,332 366,449,000 0 546,805,332
NT 90,119,052 371,426,757 0 461,545,809
Total 9,341,760,505 15,981,642,994 0 25,323,403,499

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 – February 2014

This table shows NHR funding for each state and territory by funding type and source for February 2014. 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 293,915,754 400,936,604 0 694,852,358
Block 58,008,321 64,602,819 0 122,611,140
Other 8,555,122 103,530 0 8,658,652
Total 360,479,197 465,642,952 0 826,122,150
VIC ABF 250,709,224 222,909,472 0 473,618,696
Block 29,645,327 43,511,278 0 73,156,605
Other 6,622,032 148,959 0 6,770,991
Total 286,976,582 266,569,710 0 553,546,292
QLD ABF 198,770,717 364,597,596 0 563,368,313
Block 29,945,358 50,577,628 0 80,522,986
Other 5,411,779 37,314 0 5,449,093
Total 234,127,854 415,212,538 0 649,340,392
WA ABF 102,616,839 11,817,243 0 114,434,082
Block 21,145,004 10,074,999 0 31,220,002
Other 2,943,728 0 0 2,943,728
Total 126,705,571 21,892,241 0 148,597,813
SA ABF 69,748,651 170,000,000 0 239,748,651
Block 11,850,171 9,025,000 0 20,875,171
Other 1,919,948 380,834 0 2,300,781
Total 83,518,770 179,405,834 0 262,924,603
TAS ABF 19,984,784 25,436,756 0 45,421,540
Block 4,189,132 16,549,572 0 20,738,704
Other 587,744 5 0 587,749
Total 24,761,660 41,986,333 0 66,747,993
ACT ABF 21,197,319 42,224,000 0 63,421,319
Block 2,334,395 3,678,000 0 6,012,395
Other 445,800 0 0 445,800
Total 23,977,513 45,902,000 0 69,879,513
NT ABF 9,718,549 22,652,500 0 32,371,049
Block 1,208,699 23,774,583 0 24,983,282
Other 277,521 46 0 277,567
Total 11,204,768 46,427,130 0 57,631,898
Total ABF funding 966,661,836 1,260,574,171 0 2,227,236,007
Total Block funding 158,326,407 221,793,879 0 380,120,286
Total Other funding 26,763,673 670,688 0 27,434,362
Grand Total 1,151,751,917 1,483,038,737 0 2,634,790,654

* See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – February 2014

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 2014. 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 2,412,365,188 3,541,354,373 0 5,953,719,561
Block 453,907,942 873,214,470 0 1,327,122,413
Other 69,353,760 1,293,007 0 70,646,767
Total 2,935,626,890 4,415,861,851 0 7,351,488,741
VIC ABF 2,039,953,126 2,869,411,342 0 4,909,364,468
Block 241,216,002 504,521,312 0 745,737,315
Other 53,884,027 956,603 0 54,840,630
Total 2,335,053,155 3,374,889,258 0 5,709,942,413
QLD ABF 1,603,984,764 3,070,963,083 0 4,674,947,847
Block 247,065,476 409,850,456 0 656,915,932
Other 43,790,455 490,797 0 44,281,252
Total 1,894,840,696 3,481,304,336 0 5,376,145,032
WA ABF 825,387,886 1,497,783,269 0 2,323,171,155
Block 173,065,165 528,718,388 0 701,783,554
Other 23,748,517 0 0 23,748,517
Total 1,022,201,568 2,026,501,658 0 3,048,703,226
SA ABF 569,108,121 1,420,000,000 0 1,989,108,121
Block 96,690,455 106,965,131 0 203,655,586
Other 15,665,093 1,949,509 0 17,614,601
Total 681,463,668 1,528,914,640 0 2,210,378,308
TAS ABF 167,258,144 248,143,403 0 415,401,547
Block 30,044,474 168,149,717 0 198,194,192
Other 4,796,525 2,374 0 4,798,899
Total 202,099,143 416,295,495 0 618,394,638
ACT ABF 163,718,873 337,697,000 0 501,415,873
Block 13,032,829 28,752,000 0 41,784,829
Other 3,604,630 0 0 3,604,630
Total 180,356,332 366,449,000 0 546,805,332
NT ABF 78,163,050 181,220,000 0 259,383,050
Block 9,721,161 190,196,667 0 199,917,827
Other 2,234,842 10,090 0 2,244,932
Total 90,119,052 371,426,757 0 461,545,809
Total ABF funding 7,859,939,152 13,166,572,471 0 21,026,511,622
Total Block funding 1,264,743,506 2,810,368,142 0 4,075,111,648
Total Other funding 217,077,847 4,702,381 0 221,780,228
Grand Total 9,341,760,505 15,981,642,994 0 25,323,403,499

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 – February 2014

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 1,419,433 2,129,148
VIC 139,191 1,110,984 1,670,282
QLD 104,910 861,478 1,296,974
WA 55,251 447,841 682,068
SA 49,355 360,642 538,164
TAS 8,992 75,553 114,078
ACT 9,594 75,851 125,570
NT 10,326 82,604 123,900
Total 555,048 4,434,386 6,680,184

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.