National report - May 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 May 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 May 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 – May 2015

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 814,006,213 814,006,213 10,235,782,076 10,235,782,076
VIC 603,359,413 603,359,413 7,968,894,407 7,968,894,408
QLD 774,073,216 774,038,089 8,412,521,660 8,412,035,361
WA 324,774,589 324,763,086 3,813,794,886 3,813,780,200
SA 156,616,718 259,018,715 3,032,717,023 2,882,077,699
TAS 69,962,504 69,962,504 852,466,289 852,466,288
ACT 74,189,250 74,189,250 881,009,585 881,009,585
NT 84,070,307 84,068,850 810,424,430 810,407,281
Total 2,901,052,209 3,003,406,119 36,007,610,355 35,856,452,898

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 – May 2015

This table shows NHR funding by the source of funds for each state and territory for May 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 404,007,592 408,660,070 1,338,551 814,006,213
VIC 332,276,032 271,083,381 0 603,359,413
QLD 259,696,233 514,376,983 0 774,073,216
WA 168,966,160 155,808,429 0 324,774,589
SA 110,387,185 46,229,533 0 156,616,718
TAS 30,779,515 39,182,989 0 69,962,504
ACT 31,301,971 35,598,000 7,289,279 74,189,250
NT 13,882,670 70,187,636 0 84,070,307
Total 1,351,297,358 1,541,127,021 8,627,829 2,901,052,209

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – May 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 May 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 4,451,734,581 5,769,323,439 14,724,056 10,235,782,076
VIC 3,532,396,181 4,436,498,226 0 7,968,894,407
QLD 2,795,169,724 5,617,351,936 0 8,412,521,660
WA 1,580,090,504 2,233,704,382 0 3,813,794,886
SA 1,015,545,956 2,017,171,067 0 3,032,717,023
TAS 302,552,810 549,913,479 0 852,466,289
ACT 281,819,518 519,008,000 80,182,066 881,009,585
NT 146,025,460 664,398,969 0 810,424,430
Total 14,105,334,734 21,807,369,499 94,906,123 36,007,610,355

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 – May 2015

This table shows NHR funding for each state and territory by funding type and source for May 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 332,609,110 368,534,798 0 701,143,909
Block 62,339,230 40,006,708 0 102,345,938
Other 9,059,252 118,563 1,338,551 10,516,366
Total 404,007,592 408,660,070 1,338,551 814,006,213
VIC ABF 284,368,688 237,920,730 0 522,289,418
Block 40,875,180 33,009,261 0 73,884,441
Other 7,032,165 153,390 0 7,185,554
Total 332,276,032 271,083,381 0 603,359,413
QLD ABF 221,353,251 443,419,951 0 664,773,202
Block 32,680,425 70,921,904 0 103,602,330
Other 5,662,557 35,128 0 5,697,685
Total 259,696,233 514,376,983 0 774,073,216
WA ABF 140,545,944 121,550,179 0 262,096,123
Block 25,306,379 34,246,747 0 59,553,126
Other 3,113,837 11,503 0 3,125,339
Total 168,966,160 155,808,429 0 324,774,589
SA ABF 93,922,359 40,000,000 0 133,922,359
Block 14,445,531 5,800,000 0 20,245,531
Other 2,019,295 429,533 0 2,448,828
Total 110,387,185 46,229,533 0 156,616,718
TAS ABF 25,384,689 26,131,763 0 51,516,453
Block 4,777,110 13,051,225 0 17,828,335
Other 617,716 0 0 617,716
Total 30,779,515 39,182,989 0 69,962,504
ACT ABF 28,862,594 33,140,000 0 62,002,594
Block 1,974,443 2,458,000 0 4,432,443
Other 464,934 0 7,289,279 7,754,213
Total 31,301,971 35,598,000 7,289,279 74,189,250
NT ABF 12,177,200 23,742,083 0 35,919,283
Block 1,405,255 46,444,096 0 47,849,351
Other 300,215 1,457 0 301,672
Total 13,882,670 70,187,636 0 84,070,307
Total ABF funding 1,139,223,836 1,294,439,505 0 2,433,663,340
Total Block funding 183,803,551 245,937,943 0 429,741,495
Total Other funding 28,269,971 749,574 8,627,829 37,647,374
Grand Total 1,351,297,358 1,541,127,021 8,627,829 2,901,052,209

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – May 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 May 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 3,677,175,119 4,857,859,796 0 8,535,034,915
Block 675,130,571 909,687,057 0 1,584,817,628
Other 99,428,891 1,776,586 14,724,056 115,929,534
Total 4,451,734,581 5,769,323,439 14,724,056 10,235,782,076
VIC ABF 3,037,701,884 3,880,173,701 0 6,917,875,585
Block 417,303,031 555,275,057 0 972,578,089
Other 77,391,265 1,049,468 0 78,440,733
Total 3,532,396,181 4,436,498,226 0 7,968,894,407
QLD ABF 2,371,751,533 4,756,692,669 0 7,128,444,202
Block 360,783,469 860,172,968 0 1,220,956,437
Other 62,634,722 486,299 0 63,121,021
Total 2,795,169,724 5,617,351,936 0 8,412,521,660
WA ABF 1,283,291,744 1,838,221,382 0 3,121,513,126
Block 262,312,491 395,468,314 0 657,780,805
Other 34,486,269 14,685 0 34,500,954
Total 1,580,090,504 2,233,704,382 0 3,813,794,886
SA ABF 838,227,225 1,855,000,000 0 2,693,227,225
Block 155,095,952 158,599,852 0 313,695,804
Other 22,222,778 3,571,215 0 25,793,993
Total 1,015,545,956 2,017,171,067 0 3,032,717,023
TAS ABF 243,360,961 280,374,151 0 523,735,112
Block 52,422,639 269,539,327 0 321,961,966
Other 6,769,210 1 0 6,769,211
Total 302,552,810 549,913,479 0 852,466,289
ACT ABF 254,934,248 486,656,000 0 741,590,248
Block 21,758,210 32,352,000 0 54,110,210
Other 5,127,060 0 80,182,066 85,309,126
Total 281,819,518 519,008,000 80,182,066 881,009,585
NT ABF 127,410,014 261,162,917 0 388,572,931
Block 15,356,015 403,218,904 0 418,574,919
Other 3,259,430 17,149 0 3,276,579
Total 146,025,460 664,398,969 0 810,424,430
Total ABF funding 11,833,852,729 18,216,140,615 0 30,049,993,345
Total Block funding 1,960,162,378 3,584,313,480 0 5,544,475,858
Total Other funding 311,319,626 6,915,404 94,906,123 413,141,152
Grand Total 14,105,334,734 21,807,369,499 94,906,123 36,007,610,355

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 – May 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 195,212 2,118,640 2,342,511
VIC 148,267 1,630,933 1,839,081
QLD 114,811 1,249,603 1,375,734
WA 69,350 683,149 749,831
SA 45,954 494,208 558,731
TAS 12,695 116,730 128,841
ACT 12,413 121,385 133,800
NT 10,486 108,163 114,661
Total 609,188 6,522,811 7,243,190

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.