National report - February 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 February 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 2014-15 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 2015, see State or territory reports.

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2014-15.

NHR funding and payments

Table 1 – NHR funding and payments for each state and territory – February 2015

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 820,772,172 820,772,172 7,506,127,508 7,506,127,508
VIC 610,790,903 610,790,903 5,938,926,520 5,938,926,521
QLD 706,605,944 706,563,626 6,000,450,502 6,000,084,087
WA 331,229,232 331,329,883 2,898,001,662 2,897,595,524
SA 281,794,368 263,688,653 2,283,882,277 2,101,591,501
TAS 70,994,369 70,994,369 604,563,745 604,563,743
ACT 75,967,763 75,967,763 652,457,881 652,457,881
NT 72,530,104 72,528,484 580,059,836 580,047,049
Total 2,970,684,856 2,952,635,852 26,464,469,931 26,281,393,814

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 2015

This table shows NHR funding by the source of funds for each state and territory for February 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 407,334,901 412,098,720 1,338,551 820,772,172
VIC 321,752,813 289,038,090 0 610,790,903
QLD 253,443,713 453,162,231 0 706,605,944
WA 147,972,037 183,257,196 0 331,229,232
SA 93,388,160 188,406,209 0 281,794,368
TAS 26,318,581 44,675,788 0 70,994,369
ACT 24,106,484 44,572,000 7,289,279 75,967,763
NT 13,121,021 59,409,083 0 72,530,104
Total 1,287,437,709 1,674,619,317 8,627,829 2,970,684,856

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – February 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 February 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 3,247,154,317 4,248,264,787 10,708,405 7,506,127,508
VIC 2,542,061,524 3,396,864,996 0 5,938,926,520
QLD 2,022,911,059 3,977,539,443 0 6,000,450,502
WA 1,168,535,209 1,729,466,452 0 2,898,001,662
SA 717,997,220 1,565,885,057 0 2,283,882,277
TAS 214,772,879 389,790,866 0 604,563,745
ACT 192,995,651 401,148,000 58,314,230 652,457,881
NT 104,666,335 475,393,501 0 580,059,836
Total 10,211,094,194 16,184,353,102 69,022,635 26,464,469,931

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 2015

This table shows NHR funding for each state and territory by funding type and source for February 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 336,040,143 373,872,876 0 709,913,019
Block 62,249,122 37,916,169 0 100,165,291
Other 9,045,636 309,676 1,338,551 10,693,862
Total 407,334,901 412,098,720 1,338,551 820,772,172
VIC ABF 273,808,510 255,547,491 0 529,356,001
Block 40,906,557 33,346,586 0 74,253,143
Other 7,037,746 144,013 0 7,181,759
Total 321,752,813 289,038,090 0 610,790,903
QLD ABF 214,961,666 381,649,227 0 596,610,893
Block 32,798,497 71,470,686 0 104,269,183
Other 5,683,550 42,318 0 5,725,868
Total 253,443,713 453,162,231 0 706,605,944
WA ABF 119,426,733 169,009,483 0 288,436,216
Block 25,416,303 14,246,747 0 39,663,050
Other 3,129,000 966 0 3,129,966
Total 147,972,037 183,257,196 0 331,229,232
SA ABF 76,919,205 170,000,000 0 246,919,205
Block 14,449,103 18,000,000 0 32,449,103
Other 2,019,851 406,209 0 2,426,059
Total 93,388,160 188,406,209 0 281,794,368
TAS ABF 20,936,912 23,563,117 0 44,500,029
Block 4,765,694 21,112,672 0 25,878,366
Other 615,974 0 0 615,974
Total 26,318,581 44,675,788 0 70,994,369
ACT ABF 21,662,620 42,114,000 0 63,776,620
Block 1,978,068 2,458,000 0 4,436,068
Other 465,796 0 7,289,279 7,755,075
Total 24,106,484 44,572,000 7,289,279 75,967,763
NT ABF 11,426,933 23,742,083 0 35,169,016
Block 1,395,997 35,665,380 0 37,061,378
Other 298,090 1,619 0 299,710
Total 13,121,021 59,409,083 0 72,530,104
Total ABF funding 1,075,182,723 1,439,498,277 0 2,514,681,000
Total Block funding 183,959,343 234,216,240 0 418,175,583
Total Other funding 28,295,643 904,801 8,627,829 37,828,273
Grand Total 1,287,437,709 1,674,619,317 8,627,829 2,970,684,856

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – February 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 February 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 2,686,790,387 3,497,252,269 0 6,184,042,656
Block 488,112,794 749,612,146 0 1,237,724,940
Other 72,251,136 1,400,372 10,708,405 84,359,913
Total 3,247,154,317 4,248,264,787 10,708,405 7,506,127,508
VIC ABF 2,191,089,259 2,970,157,589 0 5,161,246,848
Block 294,677,493 425,845,421 0 720,522,913
Other 56,294,772 861,987 0 57,156,759
Total 2,542,061,524 3,396,864,996 0 5,938,926,520
QLD ABF 1,714,521,814 3,368,975,301 0 5,083,497,115
Block 262,742,194 608,197,727 0 870,939,921
Other 45,647,051 366,415 0 46,013,466
Total 2,022,911,059 3,977,539,443 0 6,000,450,502
WA ABF 956,997,042 1,447,136,542 0 2,404,133,584
Block 186,393,409 282,328,072 0 468,721,481
Other 25,144,758 1,838 0 25,146,596
Total 1,168,535,209 1,729,466,452 0 2,898,001,662
SA ABF 590,073,110 1,430,000,000 0 2,020,073,110
Block 111,759,218 133,399,852 0 245,159,070
Other 16,164,893 2,485,205 0 18,650,098
Total 717,997,220 1,565,885,057 0 2,283,882,277
TAS ABF 171,765,508 204,178,796 0 375,944,305
Block 38,091,310 185,612,068 0 223,703,378
Other 4,916,061 1 0 4,916,062
Total 214,772,879 389,790,866 0 604,563,745
ACT ABF 173,428,558 376,170,000 0 549,598,558
Block 15,834,835 24,978,000 0 40,812,835
Other 3,732,258 0 58,314,230 62,046,488
Total 192,995,651 401,148,000 58,314,230 652,457,881
NT ABF 91,167,292 189,936,667 0 281,103,958
Block 11,140,259 285,444,047 0 296,584,306
Other 2,358,785 12,787 0 2,371,572
Total 104,666,335 475,393,501 0 580,059,836
Total ABF funding 8,575,832,970 13,483,807,164 0 22,059,640,134
Total Block funding 1,408,751,511 2,695,417,333 0 4,104,168,844
Total Other funding 226,509,713 5,128,606 69,022,635 300,660,954
Grand Total 10,211,094,194 16,184,353,102 69,022,635 26,464,469,931

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 – February 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 2014-15
NSW 192,343 1,538,743 2,308,114
VIC 148,267 1,186,133 1,779,200
QLD 113,484 907,824 1,361,805
WA 63,658 479,994 749,831
SA 44,491 357,195 543,731
TAS 9,465 82,411 123,487
ACT 10,688 85,357 128,248
NT 9,423 77,506 118,336
Total 591,819 4,715,162 7,112,753

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.