National report - March 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 March 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 March 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 – March 2015

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,056,811,749 1,056,811,749 8,562,939,258 8,562,939,258
VIC 781,430,814 781,430,814 6,720,357,334 6,720,357,335
QLD 943,204,924 943,167,870 6,943,655,426 6,943,251,956
WA 355,982,681 356,083,569 3,253,984,343 3,253,679,093
SA 345,873,108 279,288,090 2,629,755,386 2,380,879,592
TAS 75,044,686 75,044,686 679,608,431 679,608,430
ACT 75,787,204 75,787,204 728,245,085 728,245,085
NT 73,002,697 73,001,248 653,062,533 653,048,297
Total 3,707,137,864 3,640,615,232 30,171,607,795 29,922,009,045

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 – March 2015

This table shows NHR funding by the source of funds for each state and territory for March 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 401,766,164 653,707,035 1,338,551 1,056,811,749
VIC 325,782,594 455,648,220 0 781,430,814
QLD 252,866,198 690,338,725 0 943,204,924
WA 146,210,027 209,772,654 0 355,982,681
SA 93,673,352 252,199,757 0 345,873,108
TAS 26,220,900 48,823,786 0 75,044,686
ACT 26,219,926 42,278,000 7,289,279 75,787,204
NT 13,593,784 59,408,913 0 73,002,697
Total 1,286,332,945 2,412,177,090 8,627,829 3,707,137,864

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – March 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 March 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 3,648,920,480 4,901,971,822 12,046,955 8,562,939,258
VIC 2,867,844,118 3,852,513,217 0 6,720,357,334
QLD 2,275,777,257 4,667,878,169 0 6,943,655,426
WA 1,314,745,236 1,939,239,107 0 3,253,984,343
SA 811,670,572 1,818,084,814 0 2,629,755,386
TAS 240,993,779 438,614,652 0 679,608,431
ACT 219,215,576 443,426,000 65,603,509 728,245,085
NT 118,260,120 534,802,413 0 653,062,533
Total 11,497,427,138 18,596,530,193 77,650,464 30,171,607,795

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 – March 2015

This table shows NHR funding for each state and territory by funding type and source for March 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 330,367,595 594,362,931 0 924,730,526
Block 62,339,317 59,210,173 0 121,549,490
Other 9,059,252 133,931 1,338,551 10,531,733
Total 401,766,164 653,707,035 1,338,551 1,056,811,749
VIC ABF 277,875,250 393,968,493 0 671,843,743
Block 40,875,180 61,645,652 0 102,520,832
Other 7,032,165 34,075 0 7,066,240
Total 325,782,594 455,648,220 0 781,430,814
QLD ABF 214,523,216 582,833,374 0 797,356,590
Block 32,680,425 107,468,297 0 140,148,722
Other 5,662,557 37,054 0 5,699,611
Total 252,866,198 690,338,725 0 943,204,924
WA ABF 117,789,865 162,525,179 0 280,315,044
Block 25,306,325 47,246,747 0 72,553,072
Other 3,113,837 728 0 3,114,565
Total 146,210,027 209,772,654 0 355,982,681
SA ABF 77,208,383 235,000,000 0 312,208,383
Block 14,445,674 16,900,000 0 31,345,674
Other 2,019,295 299,757 0 2,319,052
Total 93,673,352 252,199,757 0 345,873,108
TAS ABF 20,826,074 26,174,346 0 47,000,420
Block 4,777,110 22,649,440 0 27,426,550
Other 617,716 0 0 617,716
Total 26,220,900 48,823,786 0 75,044,686
ACT ABF 23,780,503 39,820,000 0 63,600,503
Block 1,974,489 2,458,000 0 4,432,489
Other 464,934 0 7,289,279 7,754,213
Total 26,219,926 42,278,000 7,289,279 75,787,204
NT ABF 11,888,323 23,742,083 0 35,630,406
Block 1,405,246 35,665,380 0 37,070,626
Other 300,215 1,449 0 301,664
Total 13,593,784 59,408,913 0 73,002,697
Total ABF funding 1,074,259,209 2,058,426,406 0 3,132,685,615
Total Block funding 183,803,764 353,243,691 0 537,047,455
Total Other funding 28,269,971 506,994 8,627,829 37,404,794
Grand Total 1,286,332,945 2,412,177,090 8,627,829 3,707,137,864

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – March 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 March 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 3,017,157,982 4,091,615,200 0 7,108,773,182
Block 550,452,111 808,822,319 0 1,359,274,430
Other 81,310,388 1,534,303 12,046,955 94,891,646
Total 3,648,920,480 4,901,971,822 12,046,955 8,562,939,258
VIC ABF 2,468,964,509 3,364,126,082 0 5,833,090,591
Block 335,552,672 487,491,073 0 823,043,745
Other 63,326,936 896,062 0 64,222,998
Total 2,867,844,118 3,852,513,217 0 6,720,357,334
QLD ABF 1,929,045,030 3,951,808,675 0 5,880,853,705
Block 295,422,619 715,666,024 0 1,011,088,643
Other 51,309,608 403,470 0 51,713,077
Total 2,275,777,257 4,667,878,169 0 6,943,655,426
WA ABF 1,074,786,907 1,609,661,721 0 2,684,448,628
Block 211,699,734 329,574,820 0 541,274,553
Other 28,258,595 2,566 0 28,261,161
Total 1,314,745,236 1,939,239,107 0 3,253,984,343
SA ABF 667,281,493 1,665,000,000 0 2,332,281,493
Block 126,204,891 150,299,852 0 276,504,743
Other 18,184,188 2,784,962 0 20,969,150
Total 811,670,572 1,818,084,814 0 2,629,755,386
TAS ABF 192,591,583 230,353,142 0 422,944,725
Block 42,868,420 208,261,508 0 251,129,928
Other 5,533,777 1 0 5,533,778
Total 240,993,779 438,614,652 0 679,608,431
ACT ABF 197,209,061 415,990,000 0 613,199,061
Block 17,809,323 27,436,000 0 45,245,323
Other 4,197,192 0 65,603,509 69,800,701
Total 219,215,576 443,426,000 65,603,509 728,245,085
NT ABF 103,055,615 213,678,750 0 316,734,365
Block 12,545,505 321,109,427 0 333,654,932
Other 2,659,000 14,236 0 2,673,236
Total 118,260,120 534,802,413 0 653,062,533
Total ABF funding 9,650,092,179 15,542,233,570 0 25,192,325,749
Total Block funding 1,592,555,275 3,048,661,023 0 4,641,216,299
Total Other funding 254,779,684 5,635,600 77,650,464 338,065,748
Grand Total 11,497,427,138 18,596,530,193 77,650,464 30,171,607,795

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 – March 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 1,731,085 2,308,114
VIC 148,267 1,334,400 1,779,200
QLD 113,484 1,021,308 1,361,805
WA 69,795 549,789 749,831
SA 47,734 404,928 543,731
TAS 10,537 92,947 123,487
ACT 11,202 96,559 128,248
NT 10,188 87,694 118,336
Total 603,549 5,318,711 7,112,753

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.