National report, January 2013

Print friendly version (PDF, 334 kB)

Table of Contents:

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 January 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 January 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 January 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 January 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 January 2013.

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 839,720,324 839,720,324 6,549,716,830 6,549,716,830
VIC 298,154,395 293,069,029 4,673,976,525 4,668,891,158
QLD 612,257,306 615,748,777 4,537,562,523 4,537,122,232
WA 473,286,070 473,286,070 2,924,864,105 2,924,864,105
SA 272,956,766 225,902,209 1,662,596,878 1,547,739,865
TAS 62,576,098 62,593,483 451,971,536 451,970,312
ACT 46,056,000 46,056,000 368,112,000 366,324,918
NT 33,457,514 33,453,522 340,723,524 340,716,935
Total 2,638,464,473 2,589,829,414 21,509,523,921 21,387,346,355

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: January 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 – January 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 339,064,788 500,655,536 0 839,720,324
VIC 263,081,512 35,072,883 0 298,154,395
QLD 213,133,825 399,123,480 0 612,257,306
WA 115,457,062 357,829,007 0 473,286,070
SA 82,086,928 190,869,838 0 272,956,766
TAS 23,992,218 38,583,880 0 62,576,098
ACT 20,349,780 25,706,220 0 46,056,000
NT 11,710,722 21,746,792 0 33,457,514
Total 1,068,876,836 1,569,587,637 0 2,638,464,473

* 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 January 2013.

Table 2b – Sources of NHR funding for each state and territory YTD – January 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 2,469,343,017 4,080,373,813 0 6,549,716,830
VIC 1,918,216,329 2,755,760,196 0 4,673,976,525
QLD 1,566,170,492 2,971,392,032 0 4,537,562,523
WA 816,917,129 2,107,946,976 0 2,924,864,105
SA 596,887,945 1,065,708,934 0 1,662,596,878
TAS 172,305,692 279,665,844 0 451,971,536
ACT 146,231,851 221,880,149 0 368,112,000
NT 84,263,547 256,459,977 0 340,723,524
Total 7,770,336,000 13,739,187,921 0 21,509,523,921

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 January 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 – January 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 225,224,690 350,697,959 0 575,922,649
Block 105,655,010 149,742,006 0 255,397,017
Other 8,185,088 215,571 0 8,400,659
Total 339,064,788 500,655,536 0 839,720,324
VIC ABF 185,281,481 23,828,385 0 209,109,866
Block 71,589,446 10,922,579 0 82,512,025
Other 6,210,585 321,919 0 6,532,504
Total 263,081,512 35,072,883 0 298,154,395
QLD ABF 168,916,595 311,877,925 0 480,794,520
Block 39,152,823 87,155,079 0 126,307,902
Other 5,064,408 90,476 0 5,154,884
Total 213,133,825 399,123,480 0 612,257,306
WA ABF 84,567,916 311,338,007 0 395,905,923
Block 28,184,161 46,491,000 0 74,675,161
Other 2,704,986 0 0 2,704,986
Total 115,457,062 357,829,007 0 473,286,070
SA ABF 64,926,227 171,000,000 0 235,926,227
Block 15,235,757 19,700,000 0 34,935,757
Other 1,924,944 169,838 0 2,094,782
Total 82,086,928 190,869,838 0 272,956,766
TAS ABF 19,164,320 21,080,586 0 40,244,906
Block 4,263,944 17,503,265 0 21,767,209
Other 563,953 29 0 563,982
Total 23,992,218 38,583,880 0 62,576,098
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 0 0 3,661,637
Other 288,999 3,993 0 292,992
Total 11,710,722 21,746,792 0 33,457,514
Total ABF funding 773,666,163 1,234,866,856 0 2,008,533,019
Total Block funding 269,877,751 333,918,955 0 603,796,707
Total Other funding 25,332,921 801,826 0 26,134,747
Grand Total 1,068,876,836 1,569,587,637 0 2,638,464,473

* 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 January 2013.

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

Table 3b – NHR funding by funding type YTD – January 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 1,640,634,863 2,757,760,602 0 4,398,395,465
Block 769,914,002 1,321,525,212 0 2,091,439,214
Other 58,794,152 1,087,999 0 59,882,151
Total 2,469,343,017 4,080,373,813 0 6,549,716,830
VIC ABF 1,351,427,313 2,047,400,091 0 3,398,827,404
Block 522,195,967 707,513,922 0 1,229,709,889
Other 44,593,048 846,184 0 45,439,232
Total 1,918,216,329 2,755,760,196 0 4,673,976,525
QLD ABF 1,241,831,459 2,332,526,252 0 3,574,357,712
Block 287,833,502 638,486,539 0 926,320,041
Other 36,505,530 379,241 0 36,884,771
Total 1,566,170,492 2,971,392,032 0 4,537,562,523
WA ABF 598,449,762 1,626,459,976 0 2,224,909,738
Block 199,431,449 481,487,000 0 680,918,449
Other 19,035,918 0 0 19,035,918
Total 816,917,129 2,107,946,976 0 2,924,864,105
SA ABF 472,244,755 899,989,326 0 1,372,234,081
Block 110,834,736 165,166,948 0 276,001,684
Other 13,808,454 552,660 0 14,361,114
Total 596,887,945 1,065,708,934 0 1,662,596,878
TAS ABF 137,660,081 141,332,942 0 278,993,023
Block 30,628,527 138,321,230 0 168,949,757
Other 4,017,084 11,672 0 4,028,756
Total 172,305,692 279,665,844 0 451,971,536
ACT ABF 137,471,747 191,565,669 0 329,037,415
Block 6,009,412 30,314,481 0 36,323,893
Other 2,750,692 0 0 2,750,692
Total 146,231,851 221,880,149 0 368,112,000
NT ABF 55,877,162 152,199,595 0 208,076,757
Block 26,326,421 104,253,792 0 130,580,214
Other 2,059,963 6,590 0 2,066,553
Total 84,263,547 256,459,977 0 340,723,524
Total ABF funding 5,635,597,142 10,149,234,452 0 15,784,831,595
Total Block funding 1,953,174,016 3,587,069,124 0 5,540,243,140
Total Other funding 181,564,841 2,884,345 0 184,449,186
Grand Total 7,770,336,000 13,739,187,921 0 21,509,523,921

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 – January 2013

State/territory Estimated NWAU
delivered/funded in
current month
Estimated NWAU
delivered/funded YTD
Estimated annual
NWAU 2012-13
NSW 136,737 1,043,604 1,731,562
VIC 109,504 766,528 1,314,041
QLD 105,349 736,509 1,261,855
WA 50,608 363,215 618,967
SA 37,778 251,629 486,690
TAS 8,250 64,135 108,968
ACT 8,206 64,574 115,604
NT 1,040 62,242 93,194
Total 457,471 3,352,437 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.