National report - September 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 September 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 September 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 – September 2013

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,034,179,676 849,676,146 2,978,332,040 2,773,763,537
VIC 751,589,644 751,589,644 2,591,979,031 2,591,979,032
QLD 844,617,339 647,675,931 2,127,857,762 1,930,544,088
WA 390,828,106 390,828,106 1,373,718,317 1,373,718,317
SA 278,772,163 306,663,592 833,600,884 789,990,776
TAS 75,545,467 75,545,465 236,384,726 236,383,944
ACT 44,975,314 44,975,314 181,709,518 181,709,517
NT 57,701,768 57,700,127 173,105,737 173,100,382
Total 3,478,209,477 3,124,654,326 10,496,688,015 10,051,189,593

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 – September 2013

This table shows NHR funding by the source of funds for each state and territory for September 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 368,170,581 666,009,096 0 1,034,179,676
VIC 292,586,953 459,002,691 0 751,589,644
QLD 237,265,312 607,352,027 0 844,617,339
WA 127,928,106 262,900,000 0 390,828,106
SA 85,421,157 193,351,006 0 278,772,163
TAS 25,331,803 50,213,664 0 75,545,467
ACT 22,024,314 22,951,000 0 44,975,314
NT 11,273,000 46,428,767 0 57,701,768
Total 1,170,001,227 2,308,208,250 0 3,478,209,477

* See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – September 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 September 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 1,104,640,539 1,873,691,501 0 2,978,332,040
VIC 877,713,666 1,714,265,365 0 2,591,979,031
QLD 711,727,066 1,416,130,696 0 2,127,857,762
WA 383,784,317 989,934,000 0 1,373,718,317
SA 256,259,663 577,341,221 0 833,600,884
TAS 76,008,824 160,375,903 0 236,384,726
ACT 66,050,518 115,659,000 0 181,709,518
NT 33,819,088 139,286,648 0 173,105,737
Total 3,510,003,681 6,986,684,333 0 10,496,688,015

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 – September 2013

This table shows NHR funding for each state and territory by funding type and source for September 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 300,263,256 557,887,215 0 858,150,471
Block 59,221,805 108,121,881 0 167,343,686
Other 8,685,520 0 0 8,685,520
Total 368,170,581 666,009,096 0 1,034,179,676
VIC ABF 255,610,373 301,525,730 0 557,136,103
Block 30,224,867 157,476,961 0 187,701,828
Other 6,751,713 0 0 6,751,713
Total 292,586,953 459,002,691 0 751,589,644
QLD ABF 200,651,428 537,140,069 0 737,791,497
Block 31,131,216 70,211,958 0 101,343,174
Other 5,482,668 0 0 5,482,668
Total 237,265,312 607,352,027 0 844,617,339
WA ABF 103,194,446 232,200,000 0 335,394,446
Block 21,761,547 30,700,000 0 52,461,547
Other 2,972,113 0 0 2,972,113
Total 127,928,106 262,900,000 0 390,828,106
SA ABF 71,337,458 170,153,912 0 241,491,370
Block 12,120,107 23,197,093 0 35,317,200
Other 1,963,592 0 0 1,963,592
Total 85,421,157 193,351,006 0 278,772,163
TAS ABF 20,452,807 23,897,680 0 44,350,487
Block 4,277,742 26,315,984 0 30,593,726
Other 601,254 0 0 601,254
Total 25,331,803 50,213,664 0 75,545,467
ACT ABF 20,180,063 21,112,000 0 41,292,063
Block 1,392,989 1,839,000 0 3,231,989
Other 451,262 0 0 451,262
Total 22,024,314 22,951,000 0 44,975,314
NT ABF 9,777,369 22,654,184 0 32,431,553
Block 1,216,014 23,774,583 0 24,990,598
Other 279,617 0 0 279,617
Total 11,273,000 46,428,767 0 57,701,768
Total ABF funding 981,467,200 1,866,570,790 0 2,848,037,990
Total Block funding 161,346,287 441,637,460 0 602,983,748
Total Other funding 27,187,739 0 0 27,187,739
Grand Total 1,170,001,227 2,308,208,250 0 3,478,209,477

* See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – September 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 September 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 919,222,479 1,427,551,658 0 2,346,774,138
Block 159,361,501 446,139,842 0 605,501,343
Other 26,056,559 0 0 26,056,559
Total 1,104,640,539 1,873,691,501 0 2,978,332,040
VIC ABF 766,788,915 1,479,062,098 0 2,245,851,013
Block 90,669,611 235,203,267 0 325,872,878
Other 20,255,140 0 0 20,255,140
Total 877,713,666 1,714,265,365 0 2,591,979,031
QLD ABF 601,894,664 1,249,047,968 0 1,850,942,632
Block 93,384,399 167,082,728 0 260,467,126
Other 16,448,004 0 0 16,448,004
Total 711,727,066 1,416,130,696 0 2,127,857,762
WA ABF 309,583,338 611,450,000 0 921,033,338
Block 65,284,641 378,484,000 0 443,768,641
Other 8,916,338 0 0 8,916,338
Total 383,784,317 989,934,000 0 1,373,718,317
SA ABF 214,009,119 520,463,001 0 734,472,119
Block 36,359,768 56,878,220 0 93,237,988
Other 5,890,776 0 0 5,890,776
Total 256,259,663 577,341,221 0 833,600,884
TAS ABF 65,460,915 71,693,817 0 137,154,733
Block 8,744,145 88,682,086 0 97,426,231
Other 1,803,763 0 0 1,803,763
Total 76,008,824 160,375,903 0 236,384,726
ACT ABF 60,534,157 105,465,000 0 165,999,157
Block 4,162,576 10,194,000 0 14,356,576
Other 1,353,785 0 0 1,353,785
Total 66,050,518 115,659,000 0 181,709,518
NT ABF 29,332,184 67,962,898 0 97,295,083
Block 3,648,052 71,323,750 0 74,971,802
Other 838,852 0 0 838,852
Total 33,819,088 139,286,648 0 173,105,737
Total ABF funding 2,966,825,771 5,532,696,440 0 8,499,522,212
Total Block funding 461,614,693 1,453,987,893 0 1,915,602,586
Total Other funding 81,563,217 0 0 81,563,217
Grand Total 3,510,003,681 6,986,684,333 0 10,496,688,015

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 – September 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 177,429 532,287 2,151,933
VIC 139,191 415,029 1,670,282
QLD 104,199 317,242 1,278,262
WA 56,600 170,050 674,293
SA 53,641 137,567 538,164
TAS 9,242 28,983 114,078
ACT 8,154 27,683 163,911
NT 10,325 30,975 123,900
Total 558,780 1,659,817 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.