National report - November 2014

Print friendly version (PDF, 394 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 November 2014.

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 November 2014, 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 – November 2014

This table shows NHR funding and payments for each state and territory for November 2014.

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 855,846,293 855,846,293 4,879,577,244 4,879,577,244
VIC 618,002,784 618,002,784 3,929,937,291 3,929,937,291
QLD 745,692,420 745,649,750 3,833,341,473 3,833,128,137
WA 358,989,492 358,821,654 1,838,744,545 1,838,576,708
SA 294,499,798 213,089,667 1,514,006,865 1,333,670,655
TAS 74,900,473 74,900,473 382,070,328 382,070,326
ACT 105,148,841 105,148,841 402,244,629 402,244,629
NT 72,497,075 72,495,466 362,485,269 362,477,328
Total 3,125,577,176 3,043,954,928 17,142,407,644 16,961,682,319

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 2014

This table shows NHR funding by the source of funds for each state and territory for November 2014.

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 405,414,086 443,739,454 6,692,753 855,846,293
VIC 316,425,983 301,576,801 0 618,002,784
QLD 253,888,359 491,804,061 0 745,692,420
WA 145,431,856 213,557,635 0 358,989,492
SA 89,140,266 205,359,532 0 294,499,798
TAS 26,279,578 48,620,895 0 74,900,473
ACT 24,130,447 44,572,000 36,446,394 105,148,841
NT 13,070,716 59,426,360 0 72,497,075
Total 1,273,781,291 1,808,656,738 43,139,147 3,125,577,176

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – November 2014

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 2014.

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 2,027,070,429 2,845,814,062 6,692,753 4,879,577,244
VIC 1,582,129,914 2,347,807,377 0 3,929,937,291
QLD 1,262,135,275 2,571,206,199 0 3,833,341,473
WA 727,159,280 1,111,585,265 0 1,838,744,545
SA 445,701,330 1,068,305,535 0 1,514,006,865
TAS 135,856,139 246,214,189 0 382,070,328
ACT 120,652,235 245,146,000 36,446,394 402,244,629
NT 65,353,578 297,131,691 0 362,485,269
Total 6,366,058,180 10,733,210,317 43,139,147 17,142,407,644

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 2014

This table shows NHR funding for each state and territory by funding type and source for November 2014. 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 335,785,017 398,999,511 0 734,784,528
Block 60,602,425 44,614,824 0 105,217,249
Other 9,026,644 125,119 6,692,753 15,844,516
Total 405,414,086 443,739,454 6,692,753 855,846,293
VIC ABF 273,912,040 257,311,396 0 531,223,436
Block 35,477,396 44,099,762 0 79,577,158
Other 7,036,547 165,643 0 7,202,190
Total 316,425,983 301,576,801 0 618,002,784
QLD ABF 215,317,500 413,921,392 0 629,238,893
Block 32,857,533 77,839,999 0 110,697,532
Other 5,713,325 42,670 0 5,755,995
Total 253,888,359 491,804,061 0 745,692,420
WA ABF 119,690,596 180,438,875 0 300,129,471
Block 22,593,467 33,118,761 0 55,712,228
Other 3,147,793 0 0 3,147,793
Total 145,431,856 213,557,635 0 358,989,492
SA ABF 73,309,232 180,000,000 0 253,309,232
Block 13,810,168 24,957,260 0 38,767,429
Other 2,020,865 402,272 0 2,423,137
Total 89,140,266 205,359,532 0 294,499,798
TAS ABF 20,905,573 17,852,937 0 38,758,510
Block 4,759,987 30,767,957 0 35,527,944
Other 614,019 0 0 614,019
Total 26,279,578 48,620,895 0 74,900,473
ACT ABF 21,683,886 42,114,000 0 63,797,886
Block 1,979,783 2,458,000 0 4,437,783
Other 466,778 0 36,446,394 36,913,171
Total 24,130,447 44,572,000 36,446,394 105,148,841
NT ABF 11,385,571 23,742,083 0 35,127,654
Block 1,391,377 35,682,667 0 37,074,044
Other 293,767 1,610 0 295,377
Total 13,070,716 59,426,360 0 72,497,075
Total ABF funding 1,071,989,415 1,514,380,195 0 2,586,369,610
Total Block funding 173,472,138 293,539,230 0 467,011,367
Total Other funding 28,319,738 737,314 43,139,147 72,196,198
Grand Total 1,273,781,291 1,808,656,738 43,139,147 3,125,577,176

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – November 2014

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 2014. 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 1,678,925,083 2,247,830,982 0 3,926,756,066
Block 303,012,125 597,189,830 0 900,201,955
Other 45,133,221 793,250 6,692,753 52,619,223
Total 2,027,070,429 2,845,814,062 6,692,753 4,879,577,244
VIC ABF 1,369,560,199 2,050,839,605 0 3,420,399,804
Block 177,386,981 296,397,492 0 473,784,474
Other 35,182,734 570,280 0 35,753,014
Total 1,582,129,914 2,347,807,377 0 3,929,937,291
QLD ABF 1,069,280,983 2,176,759,694 0 3,246,040,676
Block 164,287,666 394,233,169 0 558,520,835
Other 28,566,626 213,336 0 28,779,962
Total 1,262,135,275 2,571,206,199 0 3,833,341,473
WA ABF 598,452,980 921,741,462 0 1,520,194,442
Block 112,967,336 189,843,804 0 302,811,139
Other 15,738,965 0 0 15,738,965
Total 727,159,280 1,111,585,265 0 1,838,744,545
SA ABF 366,546,162 985,000,000 0 1,351,546,162
Block 69,050,842 81,899,852 0 150,950,694
Other 10,104,326 1,405,683 0 11,510,009
Total 445,701,330 1,068,305,535 0 1,514,006,865
TAS ABF 108,986,111 141,821,175 0 250,807,286
Block 23,799,934 104,393,012 0 128,192,947
Other 3,070,093 1 0 3,070,095
Total 135,856,139 246,214,189 0 382,070,328
ACT ABF 108,419,431 228,771,000 0 337,190,431
Block 9,898,916 16,375,000 0 26,273,916
Other 2,333,889 0 36,446,394 38,780,282
Total 120,652,235 245,146,000 36,446,394 402,244,629
NT ABF 56,927,855 118,710,417 0 175,638,272
Block 6,956,887 178,413,333 0 185,370,220
Other 1,468,837 7,941 0 1,476,777
Total 65,353,578 297,131,691 0 362,485,269
Total ABF funding 5,357,098,803 8,871,474,334 0 14,228,573,137
Total Block funding 867,360,688 1,858,745,492 0 2,726,106,180
Total Other funding 141,598,689 2,990,491 43,139,147 187,728,326
Grand Total 6,366,058,180 10,733,210,317 43,139,147 17,142,407,644

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 – November 2014

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 192,343 961,714 2,308,114
VIC 148,267 741,333 1,779,200
QLD 113,476 567,381 1,361,714
WA 60,270 302,871 749,831
SA 33,444 227,604 535,696
TAS 10,226 52,970 123,487
ACT 10,687 54,202 128,248
NT 9,683 49,085 118,336
Total 578,395 2,957,160 7,104,626

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.