National report - July 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 July 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 2015-16 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 2015, see State or territory reports.

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2015-16.

NHR funding and payments

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

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 884,634,278 875,212,355 884,634,278 875,212,355
VIC 1,375,081,292 1,375,081,292 1,375,081,292 1,375,081,292
QLD 723,582,131 723,542,575 723,582,131 723,542,575
WA 177,983,835 155,819,940 177,983,835 155,819,940
SA 385,452,027 273,457,360 385,452,027 273,457,360
TAS 82,895,775 82,895,775 82,895,775 82,895,775
ACT 73,337,534 73,337,534 73,337,534 73,337,534
NT 76,631,009 76,629,717 76,631,009 76,629,717
Total 3,779,597,881 3,635,976,547 3,779,597,881 3,635,976,548

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 2015

This table shows NHR funding by the source of funds for each state and territory for July 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 436,575,019 448,059,259 0 884,634,278
VIC 344,534,058 1,030,547,234 0 1,375,081,292
QLD 271,481,261 452,100,870 0 723,582,131
WA 152,667,631 25,316,204 0 177,983,835
SA 99,010,738 286,441,289 0 385,452,027
TAS 29,093,092 53,802,683 0 82,895,775
ACT 26,785,534 46,552,000 0 73,337,534
NT 14,534,883 62,096,125 0 76,631,009
Total 1,374,682,216 2,404,915,665 0 3,779,597,881

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – July 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 July 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 436,575,019 448,059,259 0 884,634,278
VIC 344,534,058 1,030,547,234 0 1,375,081,292
QLD 271,481,261 452,100,870 0 723,582,131
WA 152,667,631 25,316,204 0 177,983,835
SA 99,010,738 286,441,289 0 385,452,027
TAS 29,093,092 53,802,683 0 82,895,775
ACT 26,785,534 46,552,000 0 73,337,534
NT 14,534,883 62,096,125 0 76,631,009
Total 1,374,682,216 2,404,915,665 0 3,779,597,881

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 2015

This table shows NHR funding for each state and territory by funding type and source for July 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 375,550,349 417,107,691 0 792,658,040
Block 51,539,741 30,872,389 0 82,412,130
Other 9,484,929 79,180 0 9,564,108
Total 436,575,019 448,059,259 0 884,634,278
VIC ABF 297,406,577 912,756,177 0 1,210,162,754
Block 39,717,484 117,791,016 0 157,508,500
Other 7,409,997 41 0 7,410,038
Total 344,534,058 1,030,547,234 0 1,375,081,292
QLD ABF 233,297,018 379,883,748 0 613,180,766
Block 32,198,861 72,177,566 0 104,376,427
Other 5,985,382 39,556 0 6,024,938
Total 271,481,261 452,100,870 0 723,582,131
WA ABF 127,187,221 10,631,737 0 137,818,958
Block 22,163,877 14,684,449 0 36,848,326
Other 3,316,533 18 0 3,316,551
Total 152,667,631 25,316,204 0 177,983,835
SA ABF 83,353,604 270,000,000 0 353,353,604
Block 13,547,510 16,300,000 0 29,847,510
Other 2,109,625 141,289 0 2,250,914
Total 99,010,738 286,441,289 0 385,452,027
TAS ABF 23,881,622 23,529,538 0 47,411,160
Block 4,572,970 30,273,145 0 34,846,116
Other 638,500 0 0 638,500
Total 29,093,092 53,802,683 0 82,895,775
ACT ABF 24,249,596 43,228,000 0 67,477,596
Block 2,048,387 3,324,000 0 5,372,387
Other 487,552 0 0 487,552
Total 26,785,534 46,552,000 0 73,337,534
NT ABF 13,084,491 24,526,583 0 37,611,074
Block 1,139,341 37,568,250 0 38,707,591
Other 311,051 1,292 0 312,343
Total 14,534,883 62,096,125 0 76,631,009
Total ABF funding 1,178,010,477 2,081,663,473 0 3,259,673,950
Total Block funding 166,928,171 322,990,815 0 489,918,986
Total Other funding 29,743,568 261,376 0 30,004,944
Grand Total 1,374,682,216 2,404,915,665 0 3,779,597,881

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – July 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 July 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 375,550,349 417,107,691 0 792,658,040
Block 51,539,741 30,872,389 0 82,412,130
Other 9,484,929 79,180 0 9,564,108
Total 436,575,019 448,059,259 0 884,634,278
VIC ABF 297,406,577 912,756,177 0 1,210,162,754
Block 39,717,484 117,791,016 0 157,508,500
Other 7,409,997 41 0 7,410,038
Total 344,534,058 1,030,547,234 0 1,375,081,292
QLD ABF 233,297,018 379,883,748 0 613,180,766
Block 32,198,861 72,177,566 0 104,376,427
Other 5,985,382 39,556 0 6,024,938
Total 271,481,261 452,100,870 0 723,582,131
WA ABF 127,187,221 10,631,737 0 137,818,958
Block 22,163,877 14,684,449 0 36,848,326
Other 3,316,533 18 0 3,316,551
Total 152,667,631 25,316,204 0 177,983,835
SA ABF 83,353,604 270,000,000 0 353,353,604
Block 13,547,510 16,300,000 0 29,847,510
Other 2,109,625 141,289 0 2,250,914
Total 99,010,738 286,441,289 0 385,452,027
TAS ABF 23,881,622 23,529,538 0 47,411,160
Block 4,572,970 30,273,145 0 34,846,116
Other 638,500 0 0 638,500
Total 29,093,092 53,802,683 0 82,895,775
ACT ABF 24,249,596 43,228,000 0 67,477,596
Block 2,048,387 3,324,000 0 5,372,387
Other 487,552 0 0 487,552
Total 26,785,534 46,552,000 0 73,337,534
NT ABF 13,084,491 24,526,583 0 37,611,074
Block 1,139,341 37,568,250 0 38,707,591
Other 311,051 1,292 0 312,343
Total 14,534,883 62,096,125 0 76,631,009
Total ABF funding 1,178,010,477 2,081,663,473 0 3,259,673,950
Total Block funding 166,928,171 322,990,815 0 489,918,986
Total Other funding 29,743,568 261,376 0 30,004,944
Grand Total 1,374,682,216 2,404,915,665 0 3,779,597,881

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 – July 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 2015-16
NSW 207,287 207,287 2,487,446
VIC 156,940 156,940 1,883,280
QLD 118,027 118,027 1,404,501
WA 67,050 67,050 767,841
SA 48,261 48,261 578,208
TAS 11,902 11,902 129,113
ACT 11,258 11,258 136,447
NT 10,175 10,175 120,717
Total 630,900 630,900 7,507,552

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.