National report - June 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 June 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 June 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 – June 2015

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 960,742,673 960,742,673 11,196,524,749 11,196,524,749
VIC 556,632,926 556,632,926 8,525,527,333 8,525,527,333
QLD 819,730,196 820,216,496 9,232,251,857 9,232,251,857
WA 250,831,737 250,846,422 4,064,626,622 4,064,626,623
SA 261,257,634 356,174,652 3,293,974,657 3,238,252,351
TAS 116,329,391 116,329,392 968,795,680 968,795,680
ACT 84,698,721 84,698,721 965,708,306 965,708,306
NT 83,572,675 83,571,382 893,997,105 893,978,663
Total 3,133,795,954 3,229,212,665 39,141,406,309 39,085,665,561

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 – June 2015

This table shows NHR funding by the source of funds for each state and territory for June 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 409,294,190 509,609,932 41,838,551 960,742,673
VIC 330,847,082 149,785,844 76,000,000 556,632,926
QLD 264,349,880 497,380,316 58,000,000 819,730,196
WA 170,266,765 80,564,972 0 250,831,737
SA 110,016,414 141,241,220 10,000,000 261,257,634
TAS 30,856,818 85,472,573 0 116,329,391
ACT 29,138,442 48,271,000 7,289,279 84,698,721
NT 13,385,203 70,187,472 0 83,572,675
Total 1,358,154,795 1,582,513,329 193,127,829 3,133,795,954

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – June 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 June 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 4,861,028,771 6,278,933,372 56,562,607 11,196,524,749
VIC 3,863,243,263 4,586,284,070 76,000,000 8,525,527,333
QLD 3,059,519,604 6,114,732,253 58,000,000 9,232,251,857
WA 1,750,357,269 2,314,269,353 0 4,064,626,622
SA 1,125,562,370 2,158,412,287 10,000,000 3,293,974,657
TAS 333,409,628 635,386,052 0 968,795,680
ACT 310,957,961 567,279,000 87,471,345 965,708,306
NT 159,410,663 734,586,442 0 893,997,105
Total 15,463,489,528 23,389,882,828 288,033,952 39,141,406,309

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 – June 2015

This table shows NHR funding for each state and territory by funding type and source for June 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 338,281,658 480,254,425 0 818,536,083
Block 62,249,035 23,642,532 0 85,891,567
Other 8,763,497 5,712,975 41,838,551 56,315,023
Total 409,294,190 509,609,932 41,838,551 960,742,673
VIC ABF 283,213,018 130,231,451 0 413,444,469
Block 40,906,557 19,455,433 0 60,361,990
Other 6,727,506 98,961 76,000,000 82,826,467
Total 330,847,082 149,785,844 76,000,000 556,632,926
QLD ABF 226,297,132 426,422,961 0 652,720,093
Block 32,798,497 70,921,949 0 103,720,446
Other 5,254,251 35,406 58,000,000 63,289,657
Total 264,349,880 497,380,316 58,000,000 819,730,196
WA ABF 142,182,812 47,442,158 0 189,624,970
Block 25,416,357 33,122,789 0 58,539,146
Other 2,667,596 24 0 2,667,620
Total 170,266,765 80,564,972 0 250,831,737
SA ABF 93,633,181 136,000,000 0 229,633,181
Block 14,448,960 4,868,418 0 19,317,378
Other 1,934,273 372,802 10,000,000 12,307,075
Total 110,016,414 141,241,220 10,000,000 261,257,634
TAS ABF 25,495,527 30,750,588 0 56,246,115
Block 4,765,694 54,721,984 0 59,487,679
Other 595,597 0 0 595,597
Total 30,856,818 85,472,573 0 116,329,391
ACT ABF 26,744,711 44,579,000 0 71,323,711
Block 1,978,022 3,692,000 0 5,670,022
Other 415,709 0 7,289,279 7,704,987
Total 29,138,442 48,271,000 7,289,279 84,698,721
NT ABF 11,715,810 23,742,083 0 35,457,893
Block 1,396,006 46,444,096 0 47,840,102
Other 273,387 1,293 0 274,680
Total 13,385,203 70,187,472 0 83,572,675
Total ABF funding 1,147,563,850 1,319,422,667 0 2,466,986,516
Total Block funding 183,959,130 256,869,202 0 440,828,332
Total Other funding 26,631,816 6,221,461 193,127,829 225,981,106
Grand Total 1,358,154,795 1,582,513,329 193,127,829 3,133,795,954

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – June 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 June 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 4,015,456,777 5,338,114,221 0 9,353,570,998
Block 737,379,605 933,329,590 0 1,670,709,195
Other 108,192,388 7,489,561 56,562,607 172,244,556
Total 4,861,028,771 6,278,933,372 56,562,607 11,196,524,749
VIC ABF 3,320,914,903 4,010,405,151 0 7,331,320,054
Block 458,209,589 574,730,490 0 1,032,940,079
Other 84,118,772 1,148,429 76,000,000 161,267,201
Total 3,863,243,263 4,586,284,070 76,000,000 8,525,527,333
QLD ABF 2,598,048,665 5,183,115,630 0 7,781,164,295
Block 393,581,966 931,094,917 0 1,324,676,884
Other 67,888,972 521,705 58,000,000 126,410,678
Total 3,059,519,604 6,114,732,253 58,000,000 9,232,251,857
WA ABF 1,425,474,557 1,885,663,540 0 3,311,138,097
Block 287,728,848 428,591,104 0 716,319,951
Other 37,153,865 14,709 0 37,168,574
Total 1,750,357,269 2,314,269,353 0 4,064,626,622
SA ABF 931,860,406 1,991,000,000 0 2,922,860,406
Block 169,544,913 163,468,270 0 333,013,183
Other 24,157,051 3,944,017 10,000,000 38,101,068
Total 1,125,562,370 2,158,412,287 10,000,000 3,293,974,657
TAS ABF 268,856,488 311,124,740 0 579,981,227
Block 57,188,333 324,261,311 0 381,449,645
Other 7,364,807 1 0 7,364,808
Total 333,409,628 635,386,052 0 968,795,680
ACT ABF 281,678,960 531,235,000 0 812,913,960
Block 23,736,232 36,044,000 0 59,780,232
Other 5,542,769 0 87,471,345 93,014,114
Total 310,957,961 567,279,000 87,471,345 965,708,306
NT ABF 139,125,824 284,905,000 0 424,030,824
Block 16,752,021 449,663,000 0 466,415,022
Other 3,532,817 18,442 0 3,551,259
Total 159,410,663 734,586,442 0 893,997,105
Total ABF funding 12,981,416,579 19,535,563,282 0 32,516,979,861
Total Block funding 2,144,121,508 3,841,182,682 0 5,985,304,190
Total Other funding 337,951,441 13,136,865 288,033,952 639,122,258
Grand Total 15,463,489,528 23,389,882,828 288,033,952 39,141,406,309

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 – June 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 195,209 2,313,850 2,342,511
VIC 148,267 1,779,200 1,840,373
QLD 114,811 1,364,414 1,377,733
WA 66,682 749,831 749,831
SA 64,523 558,731 558,731
TAS 12,112 128,841 128,841
ACT 12,412 133,797 133,800
NT 10,149 118,312 114,661
Total 624,165 7,146,976 7,246,482

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.