National report - July 2013

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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 July 2013.

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 July 2013, 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 – July 2013

This table shows NHR funding and payments for each state and territory for July 2013.

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,111,825,985 1,108,066,728 1,111,825,985 1,108,066,728
VIC 1,256,062,263 1,256,062,263 1,256,062,263 1,256,062,263
QLD 641,404,307 625,214,892 641,404,307 625,214,892
WA 430,270,106 430,270,106 430,270,106 430,270,106
SA 284,606,000 249,263,592 284,606,000 249,263,592
TAS 75,420,018 75,419,239 75,420,018 75,419,239
ACT 85,478,102 85,478,102 85,478,102 85,478,102
NT 57,702,158 57,700,127 57,702,158 57,700,127
Total 3,942,768,940 3,887,475,049 3,942,768,940 3,887,475,049

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 – July 2013

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

State/territory NHR funding by source
Commonwealth NHR funding Own state/territory NHR funding NHR funding
from other state/territory
Total NHR funding
($) ($) ($) ($)
NSW 368,234,979 743,591,006 0 1,111,825,985
VIC 292,563,356 963,498,907 0 1,256,062,263
QLD 237,230,877 404,173,430 0 641,404,307
WA 127,928,106 302,342,000 0 430,270,106
SA 85,419,253 199,186,747 0 284,606,000
TAS 25,338,510 50,081,508 0 75,420,018
ACT 22,013,102 63,465,000 0 85,478,102
NT 11,273,044 46,429,114 0 57,702,158
Total 1,170,001,227 2,772,767,712 0 3,942,768,940

* See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – July 2013

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 July 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 368,234,979 743,591,006 0 1,111,825,985
VIC 292,563,356 963,498,907 0 1,256,062,263
QLD 237,230,877 404,173,430 0 641,404,307
WA 127,928,106 302,342,000 0 430,270,106
SA 85,419,253 199,186,747 0 284,606,000
TAS 25,338,510 50,081,508 0 75,420,018
ACT 22,013,102 63,465,000 0 85,478,102
NT 11,273,044 46,429,114 0 57,702,158
Total 1,170,001,227 2,772,767,712 0 3,942,768,940

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 – July 2013

This table shows NHR funding for each state and territory by funding type and source for July 2013. 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 309,479,612 497,126,797 0 806,606,408
Block 50,069,848 246,464,209 0 296,534,057
Other 8,685,520 0 0 8,685,520
Total 368,234,979 743,591,006 0 1,111,825,985
VIC ABF 255,589,271 901,938,379 0 1,157,527,650
Block 30,222,372 61,560,528 0 91,782,900
Other 6,751,713 0 0 6,751,713
Total 292,563,356 963,498,907 0 1,256,062,263
QLD ABF 200,621,618 355,778,385 0 556,400,002
Block 31,126,591 48,395,046 0 79,521,637
Other 5,482,668 0 0 5,482,668
Total 237,230,877 404,173,430 0 641,404,307
WA ABF 103,194,446 108,250,000 0 211,444,446
Block 21,761,547 194,092,000 0 215,853,547
Other 2,972,113 0 0 2,972,113
Total 127,928,106 302,342,000 0 430,270,106
SA ABF 71,335,830 180,189,494 0 251,525,324
Block 12,119,830 18,997,253 0 31,117,084
Other 1,963,592 0 0 1,963,592
Total 85,419,253 199,186,747 0 284,606,000
TAS ABF 22,504,054 23,898,457 0 46,402,511
Block 2,233,202 26,183,051 0 28,416,253
Other 601,254 0 0 601,254
Total 25,338,510 50,081,508 0 75,420,018
ACT ABF 20,177,047 58,452,000 0 78,629,047
Block 1,384,793 5,013,000 0 6,397,793
Other 451,262 0 0 451,262
Total 22,013,102 63,465,000 0 85,478,102
NT ABF 9,777,408 22,654,531 0 32,431,939
Block 1,216,019 23,774,583 0 24,990,602
Other 279,617 0 0 279,617
Total 11,273,044 46,429,114 0 57,702,158
Total ABF funding 992,679,286 2,148,288,042 0 3,140,967,328
Total Block funding 150,134,203 624,479,670 0 774,613,872
Total Other funding 27,187,739 0 0 27,187,739
Grand Total 1,170,001,227 2,772,767,712 0 3,942,768,940

* See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – July 2013

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 July 2013. 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 309,479,612 497,126,797 0 806,606,408
Block 50,069,848 246,464,209 0 296,534,057
Other 8,685,520 0 0 8,685,520
Total 368,234,979 743,591,006 0 1,111,825,985
VIC ABF 255,589,271 901,938,379 0 1,157,527,650
Block 30,222,372 61,560,528 0 91,782,900
Other 6,751,713 0 0 6,751,713
Total 292,563,356 963,498,907 0 1,256,062,263
QLD ABF 200,621,618 355,778,385 0 556,400,002
Block 31,126,591 48,395,046 0 79,521,637
Other 5,482,668 0 0 5,482,668
Total 237,230,877 404,173,430 0 641,404,307
WA ABF 103,194,446 108,250,000 0 211,444,446
Block 21,761,547 194,092,000 0 215,853,547
Other 2,972,113 0 0 2,972,113
Total 127,928,106 302,342,000 0 430,270,106
SA ABF 71,335,830 180,189,494 0 251,525,324
Block 12,119,830 18,997,253 0 31,117,084
Other 1,963,592 0 0 1,963,592
Total 85,419,253 199,186,747 0 284,606,000
TAS ABF 22,504,054 23,898,457 0 46,402,511
Block 2,233,202 26,183,051 0 28,416,253
Other 601,254 0 0 601,254
Total 25,338,510 50,081,508 0 75,420,018
ACT ABF 20,177,047 58,452,000 0 78,629,047
Block 1,384,793 5,013,000 0 6,397,793
Other 451,262 0 0 451,262
Total 22,013,102 63,465,000 0 85,478,102
NT ABF 9,777,408 22,654,531 0 32,431,939
Block 1,216,019 23,774,583 0 24,990,602
Other 279,617 0 0 279,617
Total 11,273,044 46,429,114 0 57,702,158
Total ABF funding 992,679,286 2,148,288,042 0 3,140,967,328
Total Block funding 150,134,203 624,479,670 0 774,613,872
Total Other funding 27,187,739 0 0 27,187,739
Grand Total 1,170,001,227 2,772,767,712 0 3,942,768,940

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 – July 2013

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 177,429 177,429 2,151,933
VIC 137,919 137,919 1,670,282
QLD 104,199 104,199 1,278,262
WA 56,084 56,084 674,293
SA 43,047 43,047 538,164
TAS 9,712 9,712 114,078
ACT 9,765 9,765 163,911
NT 10,325 10,325 123,900
Total 548,479 548,479 6,714,823

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.