National report - October 2015

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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 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 October 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 – October 2015

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 937,245,343 937,245,343 3,858,230,936 3,858,230,936
VIC 668,968,537 668,968,537 3,487,235,907 3,487,235,907
QLD 850,678,869 850,642,553 3,340,780,530 3,340,604,117
WA 460,430,276 460,430,276 1,511,723,219 1,511,723,200
SA 282,628,432 278,014,717 1,255,249,272 1,109,278,263
TAS 84,442,727 84,442,727 344,500,244 344,500,244
ACT 83,357,463 83,357,463 330,409,924 330,409,924
NT 76,560,443 76,559,104 305,392,336 305,387,030
Total 3,444,312,091 3,439,660,721 14,433,522,368 14,287,369,621

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 2015

This table shows NHR funding by the source of funds for each state and territory for October 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 462,679,573 464,365,771 10,200,000 937,245,343
VIC 354,047,178 314,921,359 0 668,968,537
QLD 292,165,351 545,713,518 12,800,000 850,678,869
WA 137,930,276 322,500,000 0 460,430,276
SA 108,297,010 174,331,422 0 282,628,432
TAS 33,603,085 50,839,642 0 84,442,727
ACT 29,805,463 46,552,000 7,000,000 83,357,463
NT 14,464,271 62,096,172 0 76,560,443
Total 1,432,992,206 1,981,319,884 30,000,000 3,444,312,091

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – October 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 October 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 1,824,613,738 2,019,517,198 14,100,000 3,858,230,936
VIC 1,406,675,593 2,080,560,314 0 3,487,235,907
QLD 1,142,102,721 2,185,877,808 12,800,000 3,340,780,530
WA 566,458,458 945,264,761 0 1,511,723,219
SA 423,901,767 831,347,505 0 1,255,249,272
TAS 129,902,346 214,597,898 0 344,500,244
ACT 116,201,924 186,208,000 28,000,000 330,409,924
NT 57,927,696 247,464,639 0 305,392,336
Total 5,667,784,244 8,710,838,124 54,900,000 14,433,522,368

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 2015

This table shows NHR funding for each state and territory by funding type and source for October 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 401,654,903 416,139,678 0 817,794,581
Block 51,539,741 48,026,343 0 99,566,084
Other 9,484,929 199,749 10,200,000 19,884,678
Total 462,679,573 464,365,771 10,200,000 937,245,343
VIC ABF 306,919,697 272,802,865 0 579,722,563
Block 39,717,484 42,079,923 0 81,797,407
Other 7,409,997 38,570 0 7,448,567
Total 354,047,178 314,921,359 0 668,968,537
QLD ABF 253,981,108 453,491,441 0 707,472,549
Block 32,198,861 70,485,762 0 102,684,622
Other 5,985,382 21,736,316 12,800,000 40,521,698
Total 292,165,351 545,713,518 12,800,000 850,678,869
WA ABF 112,449,866 322,500,000 0 434,949,866
Block 22,163,877 0 0 22,163,877
Other 3,316,533 0 0 3,316,533
Total 137,930,276 322,500,000 0 460,430,276
SA ABF 92,639,875 160,000,000 0 252,639,875
Block 13,547,510 13,971,308 0 27,518,818
Other 2,109,625 360,114 0 2,469,739
Total 108,297,010 174,331,422 0 282,628,432
TAS ABF 28,391,615 33,550,443 0 61,942,058
Block 4,572,970 17,289,199 0 21,862,170
Other 638,500 0 0 638,500
Total 33,603,085 50,839,642 0 84,442,727
ACT ABF 27,269,525 43,228,000 0 70,497,525
Block 2,048,387 3,324,000 0 5,372,387
Other 487,552 0 7,000,000 7,487,552
Total 29,805,463 46,552,000 7,000,000 83,357,463
NT ABF 13,013,878 24,526,583 0 37,540,462
Block 1,139,341 37,568,250 0 38,707,591
Other 311,051 1,339 0 312,390
Total 14,464,271 62,096,172 0 76,560,443
Total ABF funding 1,236,320,467 1,726,239,011 0 2,962,559,478
Total Block funding 166,928,171 232,744,786 0 399,672,957
Total Other funding 29,743,568 22,336,088 30,000,000 82,079,657
Grand Total 1,432,992,206 1,981,319,884 30,000,000 3,444,312,091

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – October 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 October 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 1,580,515,058 1,899,034,856 0 3,479,549,914
Block 206,158,965 119,918,294 0 326,077,259
Other 37,939,715 564,048 14,100,000 52,603,762
Total 1,824,613,738 2,019,517,198 14,100,000 3,858,230,936
VIC ABF 1,218,165,670 1,821,895,874 0 3,040,061,544
Block 158,869,936 258,240,371 0 417,110,307
Other 29,639,987 424,069 0 30,064,056
Total 1,406,675,593 2,080,560,314 0 3,487,235,907
QLD ABF 989,365,750 1,834,916,070 0 2,824,281,820
Block 128,795,442 329,085,326 0 457,880,768
Other 23,941,529 21,876,412 12,800,000 58,617,942
Total 1,142,102,721 2,185,877,808 12,800,000 3,340,780,530
WA ABF 464,536,818 863,026,948 0 1,327,563,766
Block 88,655,508 82,237,794 0 170,893,302
Other 13,266,132 18 0 13,266,151
Total 566,458,458 945,264,761 0 1,511,723,219
SA ABF 361,273,230 765,000,000 0 1,126,273,230
Block 54,190,038 65,271,308 0 119,461,347
Other 8,438,499 1,076,196 0 9,514,696
Total 423,901,767 831,347,505 0 1,255,249,272
TAS ABF 109,056,467 89,789,262 0 198,845,729
Block 18,291,881 124,808,636 0 143,100,517
Other 2,553,998 0 0 2,553,998
Total 129,902,346 214,597,898 0 344,500,244
ACT ABF 106,058,169 172,912,000 0 278,970,169
Block 8,193,547 13,296,000 0 21,489,547
Other 1,950,208 0 28,000,000 29,950,208
Total 116,201,924 186,208,000 28,000,000 330,409,924
NT ABF 52,126,126 98,106,333 0 150,232,459
Block 4,557,366 149,353,000 0 153,910,366
Other 1,244,205 5,306 0 1,249,511
Total 57,927,696 247,464,639 0 305,392,336
Total ABF funding 4,881,097,287 7,544,681,344 0 12,425,778,631
Total Block funding 667,712,684 1,142,210,729 0 1,809,923,413
Total Other funding 118,974,274 23,946,050 54,900,000 197,820,324
Grand Total 5,667,784,244 8,710,838,124 54,900,000 14,433,522,368

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 – October 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 207,288 829,151 2,487,446
VIC 156,940 627,761 1,883,280
QLD 118,027 472,108 1,416,323
WA 64,575 267,821 767,841
SA 49,638 196,119 578,208
TAS 11,839 46,391 129,113
ACT 10,742 43,628 136,447
NT 10,070 40,595 120,717
Total 629,118 2,523,574 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.