National report - January 2015

Print friendly version (PDF, 387 kB)

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 January 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 January 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 – January 2015

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 832,331,722 832,331,722 6,685,355,336 6,685,355,336
VIC 619,261,606 619,261,606 5,328,135,617 5,328,135,617
QLD 743,750,842 743,710,334 5,293,844,558 5,293,520,461
WA 352,788,127 352,617,279 2,566,772,429 2,566,265,641
SA 231,668,974 260,847,122 2,002,087,909 1,837,902,849
TAS 76,899,550 76,899,550 533,569,376 533,569,376
ACT 75,967,763 75,967,763 576,490,118 576,490,118
NT 72,547,387 72,545,771 507,529,732 507,518,565
Total 3,005,215,971 3,034,181,146 23,493,785,076 23,328,757,963

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 – January 2015

This table shows NHR funding by the source of funds for each state and territory for January 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 407,334,901 423,658,271 1,338,551 832,331,722
VIC 321,752,813 297,508,793 0 619,261,606
QLD 253,443,713 490,307,129 0 743,750,842
WA 147,972,037 204,816,091 0 352,788,127
SA 89,767,465 141,901,510 0 231,668,974
TAS 26,318,581 50,580,969 0 76,899,550
ACT 24,106,484 44,572,000 7,289,279 75,967,763
NT 13,121,021 59,426,366 0 72,547,387
Total 1,283,817,014 1,712,771,128 8,627,829 3,005,215,971

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – January 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 January 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 2,839,819,416 3,836,166,066 9,369,854 6,685,355,336
VIC 2,220,308,710 3,107,826,907 0 5,328,135,617
QLD 1,769,467,346 3,524,377,212 0 5,293,844,558
WA 1,020,563,173 1,546,209,256 0 2,566,772,429
SA 624,609,060 1,377,478,849 0 2,002,087,909
TAS 188,454,298 345,115,078 0 533,569,376
ACT 168,889,166 356,576,000 51,024,951 576,490,118
NT 91,545,315 415,984,418 0 507,529,732
Total 8,923,656,485 14,509,733,786 60,394,805 23,493,785,076

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 – January 2015

This table shows NHR funding for each state and territory by funding type and source for January 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 336,040,143 368,533,202 0 704,573,346
Block 62,249,122 55,013,793 0 117,262,915
Other 9,045,636 111,275 1,338,551 10,495,461
Total 407,334,901 423,658,271 1,338,551 832,331,722
VIC ABF 273,808,510 259,162,905 0 532,971,415
Block 40,906,557 38,298,425 0 79,204,982
Other 7,037,746 47,463 0 7,085,209
Total 321,752,813 297,508,793 0 619,261,606
QLD ABF 214,961,666 418,620,793 0 633,582,458
Block 32,798,497 71,645,828 0 104,444,326
Other 5,683,550 40,508 0 5,724,058
Total 253,443,713 490,307,129 0 743,750,842
WA ABF 119,426,733 175,696,723 0 295,123,456
Block 25,416,303 29,118,761 0 54,535,064
Other 3,129,000 608 0 3,129,608
Total 147,972,037 204,816,091 0 352,788,127
SA ABF 73,298,510 130,000,000 0 203,298,510
Block 14,449,104 11,500,000 0 25,949,104
Other 2,019,851 401,510 0 2,421,360
Total 89,767,465 141,901,510 0 231,668,974
TAS ABF 20,936,912 22,983,849 0 43,920,761
Block 4,765,694 27,597,121 0 32,362,815
Other 615,974 0 0 615,974
Total 26,318,581 50,580,969 0 76,899,550
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 35,682,667 0 37,078,664
Other 298,090 1,616 0 299,706
Total 13,121,021 59,426,366 0 72,547,387
Total ABF funding 1,071,562,028 1,440,853,555 0 2,512,415,583
Total Block funding 183,959,343 271,314,594 0 455,273,937
Total Other funding 28,295,643 602,979 8,627,829 37,526,451
Grand Total 1,283,817,014 1,712,771,128 8,627,829 3,005,215,971

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – January 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 January 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 2,350,750,243 3,123,379,393 0 5,474,129,637
Block 425,863,672 711,695,977 0 1,137,559,649
Other 63,205,500 1,090,697 9,369,854 73,666,051
Total 2,839,819,416 3,836,166,066 9,369,854 6,685,355,336
VIC ABF 1,917,280,749 2,714,610,098 0 4,631,890,847
Block 253,770,935 392,498,836 0 646,269,771
Other 49,257,026 717,974 0 49,975,000
Total 2,220,308,710 3,107,826,907 0 5,328,135,617
QLD ABF 1,499,560,149 2,987,326,074 0 4,486,886,222
Block 229,943,697 536,727,041 0 766,670,738
Other 39,963,501 324,097 0 40,287,598
Total 1,769,467,346 3,524,377,212 0 5,293,844,558
WA ABF 837,570,309 1,278,127,059 0 2,115,697,368
Block 160,977,106 268,081,325 0 429,058,431
Other 22,015,758 872 0 22,016,630
Total 1,020,563,173 1,546,209,256 0 2,566,772,429
SA ABF 513,153,904 1,260,000,000 0 1,773,153,904
Block 97,310,114 115,399,852 0 212,709,966
Other 14,145,042 2,078,997 0 16,224,038
Total 624,609,060 1,377,478,849 0 2,002,087,909
TAS ABF 150,828,596 180,615,680 0 331,444,276
Block 33,325,616 164,499,396 0 197,825,012
Other 4,300,086 1 0 4,300,088
Total 188,454,298 345,115,078 0 533,569,376
ACT ABF 151,765,937 334,056,000 0 485,821,937
Block 13,856,767 22,520,000 0 36,376,767
Other 3,266,462 0 51,024,951 54,291,414
Total 168,889,166 356,576,000 51,024,951 576,490,118
NT ABF 79,740,359 166,194,583 0 245,934,942
Block 9,744,262 249,778,667 0 259,522,928
Other 2,060,694 11,168 0 2,071,862
Total 91,545,315 415,984,418 0 507,529,732
Total ABF funding 7,500,650,247 12,044,308,887 0 19,544,959,134
Total Block funding 1,224,792,168 2,461,201,093 0 3,685,993,262
Total Other funding 198,214,070 4,223,805 60,394,805 262,832,680
Grand Total 8,923,656,485 14,509,733,786 60,394,805 23,493,785,076

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 – January 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 1,346,400 2,308,114
VIC 148,267 1,037,867 1,779,200
QLD 113,484 794,341 1,361,805
WA 54,855 416,335 749,831
SA 45,202 312,703 535,696
TAS 9,787 72,946 123,487
ACT 10,688 75,452 128,248
NT 9,460 68,083 118,336
Total 584,085 4,124,126 7,104,718

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.