National report, October 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 October 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 October 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 October 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 between 1 July and 1 October 2012. 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 October 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 October 2012.

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 848,183,724 988,594,494 3,770,992,315 3,770,992,315
VIC 395,059,254 676,667,130 2,775,585,107 2,771,003,666
QLD 600,888,579 787,019,170 2,681,117,595 2,677,465,133
WA 403,766,939 403,766,939 1,694,987,695 1,694,987,695
SA 263,442,818 238,785,135 912,927,577 888,269,895
TAS 66,431,751 66,422,492 264,559,744 264,548,162
ACT 46,056,000 46,056,000 206,916,000 206,916,000
NT 42,168,420 42,168,420 180,673,682 180,673,682
Total 2,665,997,485 3,249,479,781 12,487,759,714 12,454,856,547

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: October 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 October 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 358,242,688 489,941,035 0 848,183,724
VIC 278,410,661 116,648,593 0 395,059,254
QLD 227,980,568 372,908,011 0 600,888,579
WA 117,200,601 286,566,338 0 403,766,939
SA 86,542,818 176,900,000 0 263,442,818
TAS 24,864,251 41,567,500 0 66,431,751
ACT 21,106,458 24,949,542 0 46,056,000
NT 12,168,420 30,000,000 0 42,168,420
Total 1,126,516,466 1,539,481,019 0 2,665,997,485

* 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 October 2012.

Table 2b – Sources of NHR funding for each state and territory YTD: October 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 1,432,970,753 2,338,021,562 0 3,770,992,315
VIC 1,113,642,643 1,661,942,463 0 2,775,585,107
QLD 911,922,273 1,769,195,322 0 2,681,117,595
WA 468,802,403 1,226,185,292 0 1,694,987,695
SA 346,171,272 566,756,305 0 912,927,577
TAS 99,457,005 165,102,739 0 264,559,744
ACT 84,425,832 122,490,168 0 206,916,000
NT 48,673,682 132,000,000 0 180,673,682
Total 4,506,065,862 7,981,693,852 0 12,487,759,714

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 October 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: October 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 238,037,097 323,605,986 0 561,643,082
Block 111,720,796 166,068,458 0 277,789,254
Other 8,484,795 266,592 0 8,751,387
Total 358,242,688 489,941,035 0 848,183,724
VIC ABF 196,172,870 20,727,770 0 216,900,640
Block 75,803,415 95,840,847 0 171,644,262
Other 6,434,376 79,976 0 6,514,352
Total 278,410,661 116,648,593 0 395,059,254
QLD ABF 180,799,654 288,586,110 0 469,385,764
Block 41,905,571 84,194,047 0 126,099,618
Other 5,275,343 127,854 0 5,403,197
Total 227,980,568 372,908,011 0 600,888,579
WA ABF 85,862,786 214,225,338 0 300,088,124
Block 28,612,625 72,341,000 0 100,953,625
Other 2,725,189 0 0 2,725,189
Total 117,200,601 286,566,338 0 403,766,939
SA ABF 68,478,460 150,000,000 0 218,478,460
Block 16,072,645 26,900,000 0 42,972,645
Other 1,991,713 0 0 1,991,713
Total 86,542,818 176,900,000 0 263,442,818
TAS ABF 19,866,288 20,232,360 0 40,098,648
Block 4,420,128 21,325,881 0 25,746,008
Other 577,835 9,259 0 587,094
Total 24,864,251 41,567,500 0 66,431,751
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 14,973,809 0 18,774,438
Other 296,393 0 0 296,393
Total 12,168,420 30,000,000 0 42,168,420
Total ABF funding 817,652,963 1,053,161,191 0 1,870,814,154
Total Block funding 282,683,703 485,836,148 0 768,519,850
Total Other funding 26,179,800 483,681 0 26,663,481
Grand Total 1,126,516,466 1,539,481,019 0 2,665,997,485

* 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 October 2012.

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

Table 3b – NHR funding by funding type YTD: October 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 952,148,387 1,575,245,484 0 2,527,393,871
Block 446,883,185 762,275,353 0 1,209,158,538
Other 33,939,181 500,724 0 34,439,905
Total 1,432,970,753 2,338,021,562 0 3,770,992,315
VIC ABF 784,691,480 1,271,909,098 0 2,056,600,578
Block 303,213,660 389,953,390 0 693,167,050
Other 25,737,502 79,976 0 25,817,479
Total 1,113,642,643 1,661,942,463 0 2,775,585,107
QLD ABF 723,198,615 1,389,812,728 0 2,113,011,343
Block 167,622,286 379,206,204 0 546,828,490
Other 21,101,372 176,390 0 21,277,762
Total 911,922,273 1,769,195,322 0 2,681,117,595
WA ABF 343,451,145 886,671,292 0 1,230,122,437
Block 114,450,502 339,514,000 0 453,964,502
Other 10,900,757 0 0 10,900,757
Total 468,802,403 1,226,185,292 0 1,694,987,695
SA ABF 273,913,840 468,989,326 0 742,903,166
Block 64,290,578 97,766,980 0 162,057,558
Other 7,966,854 0 0 7,966,854
Total 346,171,272 566,756,305 0 912,927,577
TAS ABF 79,465,153 79,787,635 0 159,252,788
Block 17,680,511 85,303,522 0 102,984,033
Other 2,311,342 11,582 0 2,322,924
Total 99,457,005 165,102,739 0 264,559,744
ACT ABF 81,457,642 103,447,846 0 184,905,488
Block 1,391,571 19,042,322 0 20,433,893
Other 1,576,619 0 0 1,576,619
Total 84,425,832 122,490,168 0 206,916,000
NT ABF 32,285,591 65,256,035 0 97,541,625
Block 15,202,519 66,743,965 0 81,946,484
Other 1,185,572 0 0 1,185,572
Total 48,673,682 132,000,000 0 180,673,682
Total ABF funding 3,270,611,853 5,841,119,443 0 9,111,731,296
Total Block funding 1,130,734,811 2,139,805,736 0 3,270,540,547
Total Other funding 104,719,199 768,672 0 105,487,871
Grand Total 4,506,065,862 7,981,693,852 0 12,487,759,714

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: October 2012

State/territory Estimated NWAU
delivered/funded in
current month
Estimated NWAU
delivered/funded YTD
Estimated annual
NWAU 2012-13
NSW 166,496 599,387 1,731,562
VIC 109,503 438,014 1,314,041
QLD 105,155 420,618 1,261,855
WA 52,631 209,301 618,967
SA 38,733 143,779 486,690
TAS 8,988 37,438 108,968
ACT 9,398 37,714 115,604
NT 13,990 58,102 93,194
Total 504,894 1,944,353 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.