National report, November 2012

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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 shows monthly and year-to-date (YTD) National Health Reform (NHR) funding and payments at an aggregated national level for November 2012.

Participation and provision of data by states and territories

In signing the National Health Reform Agreement (the Agreement), it was the intention of all states and territories that they would have the necessary legislation in place to enable them to participate in the National Health Funding Pool from 1 July 2012. Under the legislation envisaged by the Agreement, states and territories using the Pool are required to provide data on NHR funding, payments and services to be published by the Administrator of the National Health Funding Pool.

Only New South Wales, Western Australia and Tasmania had legislation in place to enable them to participate in the National Health Funding Pool from 1 July 2012. Legislation in other states and territories has come into effect progressively since then.

For November 2012, all states and territories, except the Australian Capital Territory, had the necessary legislation in place, used the National Health Funding Pool to process NHR funding and payments, and provided the data required for the Administrator's November 2012 monthly reports.

Where states or territories did not have their legislation in place to enable them to use the National Health Funding Pool, they instead received equivalent funding directly from the Commonwealth Treasury, and made payments directly to their recipients.

Hence this National report, and year-to-date data in the reports for states and territories which did not use the National Health Funding Pool from 1 July 2012, include both payments into and out of the Pool and ‘notional payments’ made outside the Pool arrangements. For further information, see the individual reports for these states and territories.

Local hospital networks and National Health Reform

Under the National Health Reform Agreement, local hospital networks receive funding in 2012-13 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: Local hospital networks 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 local hospital network, contact the Department of Health in the relevant state or territory to view the service agreement for that local hospital network.

Note: Amounts shown in the monthly reports do not include New South Wales contributions to Victoria 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 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.
  • Notional NHR payments – funds paid into and out of departmental bank accounts to local hospital networks that would have been transacted through the state pool account and/or state managed fund had the NHR funding arrangements been in place. Notional payments are included in 2012-13 reporting to enable national comparability for month and year-to-date reporting periods.

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 November 2012, see State or territory reports.

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth funding 2012-13.

NHR funding and payments for each state and territory

This table shows NHR funding and payments for each state and territory for November 2012.

Table 1 – NHR funding and payments for each state and territory: November 2012

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 863,532,653 863,532,653 4,634,524,967 4,634,524,967
VIC 901,683,198 663,872,842 3,677,268,304 3,434,876,508
QLD 604,428,461 604,612,126 3,285,546,051 3,282,077,259
WA 379,416,939 379,416,939 2,074,404,634 2,074,404,634
SA 244,561,398 209,842,818 1,157,488,975 1,098,112,713
TAS 68,193,123 68,168,712 332,752,867 332,716,874
ACT 46,056,000 46,056,000 252,972,000 252,972,000
NT 46,240,480 46,239,184 226,914,162 226,912,865
Total 3,154,112,252 2,881,741,274 15,641,871,961 15,336,597,821

Differences between NHR funding and NHR payments can occur for a state or territory for several reasons, such as having funds remaining in their state pool account at the end of the month, drawing down on available funds from previous months, or having an overdraft in their state pool account at the end of the month.

NHR funding and payments shown in this table include GST where applicable.

Commonwealth and state NHR funding components are detailed in the following tables.

For more information on NHR funding and payments, see National Health Reform funding and payments.

Sources of NHR funding for each state and territory

This table shows NHR funding by the source of funds for each state and territory for: November 2012.

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).

Table 2a – Sources of NHR funding for each state and territory November 2012

State/territory NHR funding by source
Commonwealth NHR funding Own state/territory NHR funding NHR funding
from other state/territory
Total NHR funding
($) ($) ($) ($)
NSW 358,242,688 505,289,964 0 863,532,653
VIC 278,410,661 623,272,537 0 901,683,198
QLD 227,980,568 376,447,893 0 604,428,461
WA 117,200,601 262,216,338 0 379,416,939
SA 86,542,818 158,018,580 0 244,561,398
TAS 24,864,251 43,328,871 0 68,193,123
ACT 21,106,458 24,949,542 0 46,056,000
NT 12,168,420 34,072,060 0 46,240,480
Total 1,126,516,466 2,027,595,786 0 3,154,112,252

* See explanatory notes following table 2b.

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 November 2012.

Table 2b – Sources of NHR funding for each state and territory YTD: November 2012

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 1,791,213,441 2,843,311,526 0 4,634,524,967
VIC 1,392,053,304 2,285,215,000 0 3,677,268,304
QLD 1,139,902,841 2,145,643,210 0 3,285,546,051
WA 586,003,004 1,488,401,630 0 2,074,404,634
SA 432,714,090 724,774,886 0 1,157,488,975
TAS 124,321,256 208,431,610 0 332,752,867
ACT 105,532,290 147,439,710 0 252,972,000
NT 60,842,102 166,072,060 0 226,914,162
Total 5,632,582,328 10,009,289,633 0 15,641,871,961

Cross-border funding arrangements between states and territories are yet to be put in place for state and territory contributions.

NHR funding shown in these tables includes GST where applicable.

For more information on NHR funding and payments, see National Health Reform funding and payments.

Commonwealth and state or territory NHR funding, by funding type

This table shows NHR funding for each state and territory by funding type and source for November 2012.

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).

NHR funding types are either activity based funding (ABF), block funding or other.

Table 3a – NHR funding by funding type: November 2012

State/territory NHR funding type Commonwealth NHR funding Own state/territory NHR funding NHR funding
from other state/territory
Total NHR funding
($) ($) ($) ($)
NSW ABF 238,037,097 337,179,240 0 575,216,337
Block 111,720,796 168,010,552 0 279,731,348
Other 8,484,795 100,172 0 8,584,967
Total 358,242,688 505,289,964 0 863,532,653
VIC ABF 196,172,870 516,907,051 0 713,079,921
Block 75,803,415 106,237,553 0 182,040,968
Other 6,434,376 127,933 0 6,562,308
Total 278,410,661 623,272,537 0 901,683,198
QLD ABF 180,799,654 292,019,375 0 472,819,029
Block 41,905,571 84,367,499 0 126,273,070
Other 5,275,343 61,020 0 5,336,363
Total 227,980,568 376,447,893 0 604,428,461
WA ABF 85,862,786 214,225,338 0 300,088,124
Block 28,612,625 47,991,000 0 76,603,625
Other 2,725,189 0 0 2,725,189
Total 117,200,601 262,216,338 0 379,416,939
SA ABF 68,478,460 135,000,000 0 203,478,460
Block 16,072,645 22,800,000 0 38,872,645
Other 1,991,713 218,580 0 2,210,293
Total 86,542,818 158,018,580 0 244,561,398
TAS ABF 19,866,288 20,232,360 0 40,098,648
Block 4,420,128 23,096,480 0 27,516,608
Other 577,835 31 0 577,867
Total 24,864,251 43,328,871 0 68,193,123
ACT ABF 20,364,411 20,757,435 0 41,121,845
Block 347,893 4,192,107 0 4,540,000
Other 394,155 0 0 394,155
Total 21,106,458 24,949,542 0 46,056,000
NT ABF 8,071,398 15,026,191 0 23,097,589
Block 3,800,630 19,044,572 0 22,845,201
Other 296,393 1,297 0 297,690
Total 12,168,420 34,072,060 0 46,240,480
Total ABF funding 817,652,963 1,551,346,991 0 2,368,999,954
Total Block funding 282,683,703 475,739,763 0 758,423,466
Total Other funding 26,179,800 509,032 0 26,688,832
Grand Total 1,126,516,466 2,027,595,786 0 3,154,112,252

* See explanatory notes following table 3b.

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 November 2012.

NHR funding types are either activity based funding (ABF), block funding or other.

Table 3b – NHR funding by funding type YTD: November 2012

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 1,190,185,483 1,912,424,725 0 3,102,610,208
Block 558,603,981 930,285,906 0 1,488,889,887
Other 42,423,977 600,896 0 43,024,872
Total 1,791,213,441 2,843,311,526 0 4,634,524,967
VIC ABF 980,864,351 1,788,816,149 0 2,769,680,499
Block 379,017,076 496,190,943 0 875,208,018
Other 32,171,878 207,909 0 32,379,787
Total 1,392,053,304 2,285,215,000 0 3,677,268,304
QLD ABF 903,998,269 1,681,832,102 0 2,585,830,371
Block 209,527,857 463,573,698 0 673,101,555
Other 26,376,715 237,410 0 26,614,124
Total 1,139,902,841 2,145,643,210 0 3,285,546,051
WA ABF 429,313,931 1,100,896,630 0 1,530,210,561
Block 143,063,127 387,505,000 0 530,568,127
Other 13,625,946 0 0 13,625,946
Total 586,003,004 1,488,401,630 0 2,074,404,634
SA ABF 342,392,300 603,989,326 0 946,381,626
Block 80,363,223 120,566,980 0 200,930,202
Other 9,958,567 218,580 0 10,177,147
Total 432,714,090 724,774,886 0 1,157,488,975
TAS ABF 99,331,441 100,019,995 0 199,351,436
Block 22,100,638 108,400,002 0 130,500,640
Other 2,889,177 11,613 0 2,900,790
Total 124,321,256 208,431,610 0 332,752,867
ACT ABF 101,822,053 124,205,281 0 226,027,334
Block 1,739,463 23,234,429 0 24,973,893
Other 1,970,774 0 0 1,970,774
Total 105,532,290 147,439,710 0 252,972,000
NT ABF 40,356,988 80,282,226 0 120,639,214
Block 19,003,148 85,788,537 0 104,791,686
Other 1,481,965 1,297 0 1,483,262
Total 60,842,102 166,072,060 0 226,914,162
Total ABF funding 4,088,264,816 7,392,466,434 0 11,480,731,250
Total Block funding 1,413,418,513 2,615,545,495 0 4,028,964,008
Total Other funding 130,898,999 1,277,704 0 132,176,703
Grand Total 5,632,582,328 10,009,289,633 0 15,641,871,961

ABF funding represents Acute admitted public, Acute admitted private, Non-admitted, and Emergency department service categories, which are funded through the National Health Funding Pool and subsequently paid to local hospital networks.

Block funding represents Mental health, Small rural and metropolitan hospitals, Sub-acute, Teaching, training and research, and Other 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 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 on NHR funding and payments, see National Health Reform funding and payments.

Estimated monthly, YTD and annual NWAU by each state and territory

This table shows estimated hospital activity for each state and territory for activity-based funding services expressed as National Weighted Activity Units (NWAU) for the current month, year-to-date (YTD) and total annual estimated NWAU.

NHR funding amounts and service volumes are provided by states and territories as service estimates at the start of each financial year, and may continue to be refined during the course of the year. These estimates form the basis of monthly reporting of service volumes until actual service numbers become available.

The estimated annual NWAU was provided 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.

Table 4 – Estimated monthly, YTD and annual NWAU by each state and territory: November 2012

State/territory Estimated NWAU
delivered/funded in
current month
Estimated NWAU
delivered/funded YTD
Estimated annual
NWAU 2012-13
NSW 136,569 735,955 1,731,562
VIC 109,503 547,517 1,314,041
QLD 105,293 525,911 1,261,855
WA 52,698 262,000 618,967
SA 33,769 177,547 486,690
TAS 9,439 46,877 108,968
ACT 9,442 47,156 115,604
NT 1,550 59,652 93,194
Total 458,263 2,402,616 5,730,881

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 NHR funding and payments, see National Health Reform funding and payments.

For more information on the NWAU calculation, see Calculation of NWAU.