National report - November 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 November 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 2015-16 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 2015, see State or territory reports.

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth NHR funding, 2015-16.

NHR funding and payments

Table 1 – NHR funding and payments for each state and territory – November 2015

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 907,141,876 907,141,876 4,765,372,812 4,765,372,812
VIC 654,082,397 654,082,397 4,141,318,304 4,141,318,304
QLD 749,460,494 749,422,252 4,090,241,023 4,090,026,369
WA 386,983,817 386,983,816 1,898,707,035 1,898,707,018
SA 221,435,008 296,654,515 1,476,684,280 1,405,932,778
TAS 75,841,273 75,841,273 420,341,517 420,341,517
ACT 80,337,534 80,337,534 410,747,459 410,747,459
NT 76,631,060 76,629,717 382,023,395 382,016,746
Total 3,151,913,458 3,227,093,380 17,585,435,825 17,514,463,003

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 2015

This table shows NHR funding by the source of funds for each state and territory for November 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 436,982,436 468,859,440 1,300,000 907,141,876
VIC 344,534,058 309,548,339 0 654,082,397
QLD 274,418,557 475,041,937 0 749,460,494
WA 152,667,631 234,316,186 0 386,983,817
SA 99,010,738 122,424,270 0 221,435,008
TAS 29,093,092 46,748,181 0 75,841,273
ACT 26,785,534 46,552,000 7,000,000 80,337,534
NT 14,534,883 62,096,176 0 76,631,060
Total 1,378,026,930 1,765,586,529 8,300,000 3,151,913,458

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – November 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 November 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 2,261,596,174 2,488,376,638 15,400,000 4,765,372,812
VIC 1,751,209,651 2,390,108,653 0 4,141,318,304
QLD 1,416,521,278 2,660,919,745 12,800,000 4,090,241,023
WA 719,126,089 1,179,580,946 0 1,898,707,035
SA 522,912,505 953,771,775 0 1,476,684,280
TAS 158,995,438 261,346,079 0 420,341,517
ACT 142,987,459 232,760,000 35,000,000 410,747,459
NT 72,462,580 309,560,816 0 382,023,395
Total 7,045,811,174 10,476,424,652 63,200,000 17,585,435,825

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 2015

This table shows NHR funding for each state and territory by funding type and source for November 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 375,957,766 437,692,346 0 813,650,113
Block 51,539,741 30,718,703 0 82,258,444
Other 9,484,929 448,390 1,300,000 11,233,319
Total 436,982,436 468,859,440 1,300,000 907,141,876
VIC ABF 297,406,577 270,770,990 0 568,177,567
Block 39,717,484 38,652,545 0 78,370,029
Other 7,409,997 124,804 0 7,534,801
Total 344,534,058 309,548,339 0 654,082,397
QLD ABF 236,234,314 412,225,885 0 648,460,199
Block 32,198,861 62,777,810 0 94,976,671
Other 5,985,382 38,242 0 6,023,624
Total 274,418,557 475,041,937 0 749,460,494
WA ABF 127,187,221 176,631,737 0 303,818,958
Block 22,163,877 57,684,449 0 79,848,326
Other 3,316,533 0 0 3,316,533
Total 152,667,631 234,316,186 0 386,983,817
SA ABF 83,353,604 85,000,000 0 168,353,604
Block 13,547,510 37,115,707 0 50,663,217
Other 2,109,625 308,563 0 2,418,188
Total 99,010,738 122,424,270 0 221,435,008
TAS ABF 23,881,622 23,896,022 0 47,777,644
Block 4,572,970 22,852,159 0 27,425,129
Other 638,500 0 0 638,500
Total 29,093,092 46,748,181 0 75,841,273
ACT ABF 24,249,596 43,228,000 0 67,477,596
Block 2,048,387 3,324,000 0 5,372,387
Other 487,552 0 7,000,000 7,487,552
Total 26,785,534 46,552,000 7,000,000 80,337,534
NT ABF 13,084,491 24,526,583 0 37,611,074
Block 1,139,341 37,568,250 0 38,707,591
Other 311,051 1,343 0 312,394
Total 14,534,883 62,096,176 0 76,631,060
Total ABF funding 1,181,355,190 1,473,971,564 0 2,655,326,754
Total Block funding 166,928,171 290,693,623 0 457,621,794
Total Other funding 29,743,568 921,342 8,300,000 38,964,910
Grand Total 1,378,026,930 1,765,586,529 8,300,000 3,151,913,458

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – November 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 November 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 1,956,472,825 2,336,727,203 0 4,293,200,027
Block 257,698,706 150,636,997 0 408,335,704
Other 47,424,643 1,012,438 15,400,000 63,837,081
Total 2,261,596,174 2,488,376,638 15,400,000 4,765,372,812
VIC ABF 1,515,572,247 2,092,666,864 0 3,608,239,111
Block 198,587,420 296,892,916 0 495,480,336
Other 37,049,984 548,873 0 37,598,857
Total 1,751,209,651 2,390,108,653 0 4,141,318,304
QLD ABF 1,225,600,064 2,247,141,955 0 3,472,742,019
Block 160,994,303 391,863,136 0 552,857,439
Other 29,926,911 21,914,654 12,800,000 64,641,565
Total 1,416,521,278 2,660,919,745 12,800,000 4,090,241,023
WA ABF 591,724,038 1,039,658,685 0 1,631,382,723
Block 110,819,386 139,922,243 0 250,741,629
Other 16,582,665 19 0 16,582,684
Total 719,126,089 1,179,580,946 0 1,898,707,035
SA ABF 444,626,833 850,000,000 0 1,294,626,833
Block 67,737,548 102,387,016 0 170,124,564
Other 10,548,124 1,384,759 0 11,932,883
Total 522,912,505 953,771,775 0 1,476,684,280
TAS ABF 132,938,089 113,685,284 0 246,623,373
Block 22,864,852 147,660,795 0 170,525,646
Other 3,192,498 0 0 3,192,498
Total 158,995,438 261,346,079 0 420,341,517
ACT ABF 130,307,765 216,140,000 0 346,447,765
Block 10,241,934 16,620,000 0 26,861,934
Other 2,437,760 0 35,000,000 37,437,760
Total 142,987,459 232,760,000 35,000,000 410,747,459
NT ABF 65,210,616 122,632,917 0 187,843,533
Block 5,696,707 186,921,250 0 192,617,957
Other 1,555,256 6,649 0 1,561,906
Total 72,462,580 309,560,816 0 382,023,395
Total ABF funding 6,062,452,476 9,018,652,907 0 15,081,105,383
Total Block funding 834,640,856 1,432,904,353 0 2,267,545,208
Total Other funding 148,717,842 24,867,392 63,200,000 236,785,234
Grand Total 7,045,811,174 10,476,424,652 63,200,000 17,585,435,825

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 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 2015-16
NSW 207,288 1,036,439 2,487,446
VIC 156,940 784,701 1,883,280
QLD 118,027 590,135 1,416,323
WA 65,338 333,160 767,841
SA 48,737 244,856 578,208
TAS 10,927 57,318 129,113
ACT 11,357 56,250 136,447
NT 9,325 49,920 120,717
Total 627,940 3,152,779 7,519,375

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.