National report - November 2013

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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 November 2013.

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 2013-14 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 November 2013, see State or territory reports.

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2013-14.

NHR funding and payments

Table 1 – NHR funding and payments for each state and territory – November 2013

This table shows NHR funding and payments for each state and territory for November 2013.

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 773,262,748 773,262,748 4,696,523,048 4,696,523,048
VIC 559,332,120 559,332,120 3,840,594,047 3,840,594,047
QLD 641,913,622 641,875,765 3,400,251,573 3,398,705,922
WA 363,316,106 362,951,744 2,216,046,529 2,214,224,718
SA 282,796,974 241,463,592 1,443,997,279 1,262,517,961
TAS 86,192,432 86,192,428 416,832,200 416,829,840
ACT 67,926,314 67,926,314 315,891,146 315,891,144
NT 57,700,129 57,700,084 288,507,479 288,500,506
Total 2,832,440,445 2,790,704,794 16,618,643,300 16,433,787,186

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 – November 2013

This table shows NHR funding by the source of funds for each state and territory for November 2013.

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 368,170,581 405,092,167 0 773,262,748
VIC 292,586,953 266,745,167 0 559,332,120
QLD 237,265,312 404,648,310 0 641,913,622
WA 127,928,106 235,388,000 0 363,316,106
SA 85,421,157 197,375,817 0 282,796,974
TAS 25,331,803 60,860,629 0 86,192,432
ACT 22,024,314 45,902,000 0 67,926,314
NT 11,273,000 46,427,128 0 57,700,129
Total 1,170,001,227 1,662,439,218 0 2,832,440,445

* See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – November 2013

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 2013.

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 1,840,981,701 2,855,541,347 0 4,696,523,048
VIC 1,462,887,573 2,377,706,474 0 3,840,594,047
QLD 1,186,257,691 2,213,993,882 0 3,400,251,573
WA 639,640,529 1,576,406,000 0 2,216,046,529
SA 427,101,977 1,016,895,302 0 1,443,997,279
TAS 126,672,430 290,159,770 0 416,832,200
ACT 110,099,146 205,792,000 0 315,891,146
NT 56,365,089 232,142,390 0 288,507,479
Total 5,850,006,135 10,768,637,165 0 16,618,643,300

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 – November 2013

This table shows NHR funding for each state and territory by funding type and source for November 2013. 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 300,263,256 366,859,165 0 667,122,421
Block 59,221,805 38,135,195 0 97,357,000
Other 8,685,520 97,807 0 8,783,327
Total 368,170,581 405,092,167 0 773,262,748
VIC ABF 255,610,373 221,707,265 0 477,317,638
Block 30,224,867 45,015,658 0 75,240,525
Other 6,751,713 22,244 0 6,773,958
Total 292,586,953 266,745,167 0 559,332,120
QLD ABF 200,651,428 356,869,007 0 557,520,435
Block 31,131,216 47,741,445 0 78,872,662
Other 5,482,668 37,858 0 5,520,526
Total 237,265,312 404,648,310 0 641,913,622
WA ABF 103,194,446 167,000,000 0 270,194,446
Block 21,761,547 68,388,000 0 90,149,547
Other 2,972,113 0 0 2,972,113
Total 127,928,106 235,388,000 0 363,316,106
SA ABF 71,337,458 180,000,000 0 251,337,458
Block 12,120,107 17,158,001 0 29,278,108
Other 1,963,592 217,816 0 2,181,408
Total 85,421,157 197,375,817 0 282,796,974
TAS ABF 20,452,807 49,400,583 0 69,853,390
Block 4,277,742 11,460,042 0 15,737,784
Other 601,254 5 0 601,259
Total 25,331,803 60,860,629 0 86,192,432
ACT ABF 20,180,063 42,224,000 0 62,404,063
Block 1,392,989 3,678,000 0 5,070,989
Other 451,262 0 0 451,262
Total 22,024,314 45,902,000 0 67,926,314
NT ABF 9,777,369 22,652,500 0 32,429,869
Block 1,216,014 23,774,583 0 24,990,598
Other 279,617 45 0 279,662
Total 11,273,000 46,427,128 0 57,700,129
Total ABF funding 981,467,200 1,406,712,519 0 2,388,179,719
Total Block funding 161,346,287 255,350,924 0 416,697,212
Total Other funding 27,187,739 375,775 0 27,563,514
Grand Total 1,170,001,227 1,662,439,218 0 2,832,440,445

* See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – November 2013

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 2013. 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 1,519,748,992 2,219,841,275 0 3,739,590,267
Block 277,805,110 634,816,541 0 912,621,652
Other 43,427,598 883,531 0 44,311,129
Total 1,840,981,701 2,855,541,347 0 4,696,523,048
VIC ABF 1,278,009,660 2,038,205,061 0 3,316,214,721
Block 151,119,345 338,849,604 0 489,968,949
Other 33,758,567 651,809 0 34,410,376
Total 1,462,887,573 2,377,706,474 0 3,840,594,047
QLD ABF 1,003,197,520 1,951,951,870 0 2,955,149,390
Block 155,646,831 261,696,177 0 417,343,008
Other 27,413,340 345,835 0 27,759,175
Total 1,186,257,691 2,213,993,882 0 3,400,251,573
WA ABF 515,972,230 1,051,450,000 0 1,567,422,230
Block 108,807,735 524,956,000 0 633,763,735
Other 14,860,564 0 0 14,860,564
Total 639,640,529 1,576,406,000 0 2,216,046,529
SA ABF 356,684,035 930,000,000 0 1,286,684,035
Block 60,599,982 86,036,221 0 146,636,203
Other 9,817,961 859,081 0 10,677,042
Total 427,101,977 1,016,895,302 0 1,443,997,279
TAS ABF 106,366,530 159,758,644 0 266,125,174
Block 17,299,628 130,398,766 0 147,698,394
Other 3,006,272 2,360 0 3,008,632
Total 126,672,430 290,159,770 0 416,832,200
ACT ABF 100,894,283 189,913,000 0 290,807,283
Block 6,948,555 15,879,000 0 22,827,555
Other 2,256,308 0 0 2,256,308
Total 110,099,146 205,792,000 0 315,891,146
NT ABF 48,886,922 113,262,500 0 162,149,422
Block 6,080,081 118,872,917 0 124,952,997
Other 1,398,086 6,973 0 1,405,059
Total 56,365,089 232,142,390 0 288,507,479
Total ABF funding 4,929,760,172 8,654,382,351 0 13,584,142,523
Total Block funding 784,307,268 2,111,505,225 0 2,895,812,493
Total Other funding 135,938,696 2,749,589 0 138,688,285
Grand Total 5,850,006,135 10,768,637,165 0 16,618,643,300

ABF funding represents Acute admitted public, Acute admitted private, 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 – November 2013

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 2013-14
NSW 177,429 887,146 2,129,148
VIC 139,191 693,411 1,670,282
QLD 114,319 540,406 1,278,262
WA 58,039 285,319 674,293
SA 41,860 220,244 538,164
TAS 9,790 48,277 114,078
ACT 12,323 48,160 163,911
NT 10,326 51,626 123,900
Total 563,277 2,774,589 6,692,038

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.