National report, September 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 September 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 September 2012, New South Wales, Queensland, Western Australia and Tasmania 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 September 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 September 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 September 2012.

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,004,253,308 863,842,538 2,922,808,591 2,782,397,820
VIC 972,243,240 686,053,925 2,380,525,852 2,094,336,537
QLD 816,351,213 629,418,275 2,080,180,480 1,890,445,963
WA 453,266,939 453,266,939 1,291,220,756 1,291,220,756
SA 204,669,967 204,669,967 649,484,759 649,484,759
TAS 66,041,897 66,041,890 198,127,993 198,125,670
ACT 78,683,000 78,683,000 160,860,000 160,860,000
NT 22,168,420 22,168,420 138,505,261 138,505,261
Total 3,617,677,985 3,004,144,954 9,821,713,692 9,205,376,768

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: September 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 September 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 358,242,688 646,010,620 0 1,004,253,308
VIC 278,410,661 693,832,579 0 972,243,240
QLD 227,980,568 588,370,645 0 816,351,213
WA 117,200,601 336,066,338 0 453,266,939
SA 86,542,818 118,127,149 0 204,669,967
TAS 24,864,251 41,177,646 0 66,041,897
ACT 21,106,458 57,576,542 0 78,683,000
NT 12,168,420 10,000,000 0 22,168,420
Total 1,126,516,466 2,491,161,519 0 3,617,677,985

* 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 September 2012.

Table 2b – Sources of NHR funding for each state and territory YTD: September 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 1,074,728,065 1,848,080,526 0 2,922,808,591
VIC 835,231,982 1,545,293,869 0 2,380,525,852
QLD 683,941,704 1,396,238,775 0 2,080,180,480
WA 351,601,802 939,618,954 0 1,291,220,756
SA 259,628,454 389,856,305 0 649,484,759
TAS 74,592,754 123,535,239 0 198,127,993
ACT 63,319,374 97,540,626 0 160,860,000
NT 36,505,261 102,000,000 0 138,505,261
Total 3,379,549,397 6,442,164,295 0 9,821,713,692

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 September 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: September 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 238,037,097 464,016,756 0 702,053,853
Block 111,720,796 181,899,984 0 293,620,780
Other 8,484,795 93,880 0 8,578,675
Total 358,242,688 646,010,620 0 1,004,253,308
VIC ABF 196,172,870 590,456,127 0 786,628,997
Block 75,803,415 103,376,452 0 179,179,867
Other 6,434,376 0 0 6,434,376
Total 278,410,661 693,832,579 0 972,243,240
QLD ABF 180,799,654 462,131,086 0 642,930,740
Block 41,905,571 126,191,023 0 168,096,595
Other 5,275,343 48,536 0 5,323,879
Total 227,980,568 588,370,645 0 816,351,213
WA ABF 85,862,786 214,225,338 0 300,088,124
Block 28,612,625 121,841,000 0 150,453,625
Other 2,725,189 0 0 2,725,189
Total 117,200,601 336,066,338 0 453,266,939
SA ABF 68,478,460 96,452,980 0 164,931,440
Block 16,072,645 21,674,169 0 37,746,814
Other 1,991,713 0 0 1,991,713
Total 86,542,818 118,127,149 0 204,669,967
TAS ABF 19,866,288 19,851,758 0 39,718,046
Block 4,420,128 21,325,881 0 25,746,008
Other 577,835 7 0 577,842
Total 24,864,251 41,177,646 0 66,041,897
ACT ABF 20,364,411 50,355,435 0 70,719,845
Block 347,893 7,221,107 0 7,569,000
Other 394,155 0 0 394,155
Total 21,106,458 57,576,542 0 78,683,000
NT ABF 8,071,398 4,292,724 0 12,364,122
Block 3,800,630 5,707,276 0 9,507,906
Other 296,393 0 0 296,393
Total 12,168,420 10,000,000 0 22,168,420
Total ABF funding 817,652,963 1,901,782,204 0 2,719,435,167
Total Block funding 282,683,703 589,236,892 0 871,920,595
Total Other funding 26,179,800 142,423 0 26,322,223
Grand Total 1,126,516,466 2,491,161,519 0 3,617,677,985

* 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 September 2012.

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

Table 3b – NHR funding by funding type YTD: September 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 714,111,290 1,251,639,498 0 1,965,750,789
Block 335,162,389 596,206,896 0 931,369,284
Other 25,454,386 234,132 0 25,688,518
Total 1,074,728,065 1,848,080,526 0 2,922,808,591
VIC ABF 588,518,610 1,251,181,326 0 1,839,699,936
Block 227,410,245 294,112,544 0 521,522,789
Other 19,303,127 0 0 19,303,127
Total 835,231,982 1,545,293,869 0 2,380,525,852
QLD ABF 542,398,961 1,101,178,081 0 1,643,577,043
Block 125,716,714 295,012,158 0 420,728,872
Other 15,826,029 48,536 0 15,874,565
Total 683,941,704 1,396,238,775 0 2,080,180,480
WA ABF 257,588,359 672,445,954 0 930,034,312
Block 85,837,876 267,173,000 0 353,010,876
Other 8,175,568 0 0 8,175,568
Total 351,601,802 939,618,954 0 1,291,220,756
SA ABF 205,435,380 318,989,326 0 524,424,706
Block 48,217,934 70,866,980 0 119,084,913
Other 5,975,140 0 0 5,975,140
Total 259,628,454 389,856,305 0 649,484,759
TAS ABF 59,598,865 59,555,275 0 119,154,139
Block 13,260,383 63,977,642 0 77,238,025
Other 1,733,506 2,323 0 1,735,829
Total 74,592,754 123,535,239 0 198,127,993
ACT ABF 61,093,232 82,690,411 0 143,783,643
Block 1,043,678 14,850,215 0 15,893,893
Other 1,182,464 0 0 1,182,464
Total 63,319,374 97,540,626 0 160,860,000
NT ABF 24,214,193 50,229,843 0 74,444,036
Block 11,401,889 51,770,157 0 63,172,046
Other 889,179 0 0 889,179
Total 36,505,261 102,000,000 0 138,505,261
Total ABF funding 2,452,958,890 4,787,909,715 0 7,240,868,604
Total Block funding 848,051,108 1,653,969,590 0 2,502,020,698
Total Other funding 78,539,399 284,991 0 78,824,390
Grand Total 3,379,549,397 6,442,164,295 0 9,821,713,692

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: September 2012

State/territory Estimated NWAU
delivered/funded in
current month
Estimated NWAU
delivered/funded YTD
Estimated annual
NWAU 2012-13
NSW 133,197 432,891 1,731,562
VIC 109,503 328,510 1,314,041
QLD 105,155 315,464 1,261,855
WA 51,863 156,670 618,967
SA 32,960 105,046 486,690
TAS 9,402 28,450 108,968
ACT 9,220 28,316 115,604
NT 9,598 44,112 93,194
Total 460,897 1,439,458 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.