National report - October 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 October 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 October 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 – October 2013

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 944,928,260 1,149,496,764 3,923,260,300 3,923,260,300
VIC 689,282,895 689,282,895 3,281,261,927 3,281,261,926
QLD 630,480,189 826,286,070 2,758,337,951 2,756,830,157
WA 479,012,106 477,554,658 1,852,730,423 1,851,272,975
SA 327,599,422 231,063,592 1,161,200,306 1,021,054,368
TAS 94,255,041 94,253,468 330,639,768 330,637,412
ACT 67,926,314 67,926,313 249,635,832 249,635,830
NT 57,701,614 57,700,040 230,807,350 230,800,422
Total 3,291,185,840 3,593,563,800 13,787,873,855 13,644,753,392

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 – October 2013

This table shows NHR funding by the source of funds for each state and territory for October 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 368,170,581 576,757,680 0 944,928,260
VIC 292,586,953 396,695,941 0 689,282,895
QLD 237,265,312 393,214,876 0 630,480,189
WA 127,928,106 351,084,000 0 479,012,106
SA 85,421,157 242,178,265 0 327,599,422
TAS 25,331,803 68,923,238 0 94,255,041
ACT 22,024,314 45,902,000 0 67,926,314
NT 11,273,000 46,428,613 0 57,701,614
Total 1,170,001,227 2,121,184,614 0 3,291,185,840

* See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – October 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 October 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 1,472,811,120 2,450,449,180 0 3,923,260,300
VIC 1,170,300,620 2,110,961,307 0 3,281,261,927
QLD 948,992,379 1,809,345,572 0 2,758,337,951
WA 511,712,423 1,341,018,000 0 1,852,730,423
SA 341,680,820 819,519,485 0 1,161,200,306
TAS 101,340,627 229,299,141 0 330,639,768
ACT 88,074,832 161,561,000 0 249,635,832
NT 45,092,089 185,715,261 0 230,807,350
Total 4,680,004,908 9,107,868,947 0 13,787,873,855

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 – October 2013

This table shows NHR funding for each state and territory by funding type and source for October 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 300,263,256 426,069,944 0 726,333,200
Block 59,221,805 150,541,504 0 209,763,309
Other 8,685,520 146,232 0 8,831,752
Total 368,170,581 576,757,680 0 944,928,260
VIC ABF 255,610,373 338,026,136 0 593,636,509
Block 30,224,867 58,630,679 0 88,855,546
Other 6,751,713 39,126 0 6,790,840
Total 292,586,953 396,695,941 0 689,282,895
QLD ABF 200,651,428 346,294,095 0 546,945,523
Block 31,131,216 46,872,004 0 78,003,220
Other 5,482,668 48,778 0 5,531,446
Total 237,265,312 393,214,876 0 630,480,189
WA ABF 103,194,446 273,000,000 0 376,194,446
Block 21,761,547 78,084,000 0 99,845,547
Other 2,972,113 0 0 2,972,113
Total 127,928,106 351,084,000 0 479,012,106
SA ABF 71,337,458 230,000,000 0 301,337,458
Block 12,120,107 12,000,000 0 24,120,107
Other 1,963,592 178,265 0 2,141,857
Total 85,421,157 242,178,265 0 327,599,422
TAS ABF 20,452,807 38,665,027 0 59,117,834
Block 4,277,742 30,256,638 0 34,534,380
Other 601,254 1,573 0 602,827
Total 25,331,803 68,923,238 0 94,255,041
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 1,530 0 281,147
Total 11,273,000 46,428,613 0 57,701,614
Total ABF funding 981,467,200 1,716,931,701 0 2,698,398,902
Total Block funding 161,346,287 403,837,408 0 565,183,695
Total Other funding 27,187,739 415,504 0 27,603,243
Grand Total 1,170,001,227 2,121,184,614 0 3,291,185,840

* See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – October 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 October 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 1,219,485,736 1,852,982,111 0 3,072,467,846
Block 218,583,305 596,681,346 0 815,264,652
Other 34,742,079 785,723 0 35,527,802
Total 1,472,811,120 2,450,449,180 0 3,923,260,300
VIC ABF 1,022,399,287 1,816,497,796 0 2,838,897,084
Block 120,894,478 293,833,946 0 414,728,424
Other 27,006,854 629,565 0 27,636,418
Total 1,170,300,620 2,110,961,307 0 3,281,261,927
QLD ABF 802,546,092 1,595,082,863 0 2,397,628,955
Block 124,515,615 213,954,731 0 338,470,346
Other 21,930,672 307,978 0 22,238,650
Total 948,992,379 1,809,345,572 0 2,758,337,951
WA ABF 412,777,784 884,450,000 0 1,297,227,784
Block 87,046,188 456,568,000 0 543,614,188
Other 11,888,451 0 0 11,888,451
Total 511,712,423 1,341,018,000 0 1,852,730,423
SA ABF 285,346,577 750,000,000 0 1,035,346,577
Block 48,479,875 68,878,220 0 117,358,095
Other 7,854,368 641,265 0 8,495,634
Total 341,680,820 819,519,485 0 1,161,200,306
TAS ABF 85,913,723 110,358,062 0 196,271,784
Block 13,021,887 118,938,724 0 131,960,610
Other 2,405,017 2,355 0 2,407,373
Total 101,340,627 229,299,141 0 330,639,768
ACT ABF 80,714,220 147,689,000 0 228,403,220
Block 5,555,566 13,872,000 0 19,427,566
Other 1,805,046 0 0 1,805,046
Total 88,074,832 161,561,000 0 249,635,832
NT ABF 39,109,553 90,610,000 0 129,719,553
Block 4,864,066 95,098,333 0 99,962,400
Other 1,118,469 6,928 0 1,125,397
Total 45,092,089 185,715,261 0 230,807,350
Total ABF funding 3,948,292,972 7,247,669,832 0 11,195,962,804
Total Block funding 622,960,980 1,857,825,301 0 2,480,786,281
Total Other funding 108,750,956 2,373,814 0 111,124,771
Grand Total 4,680,004,908 9,107,868,947 0 13,787,873,855

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 – October 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 177,429 709,716 2,151,933
VIC 139,191 554,220 1,670,282
QLD 108,844 426,087 1,278,262
WA 57,231 227,281 674,293
SA 40,816 178,383 538,164
TAS 9,505 39,275 114,078
ACT 8,154 35,837 163,911
NT 10,325 41,300 123,900
Total 551,496 2,212,100 6,714,823

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.