National report - September 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 September 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 September 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 – September 2015

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

State/territory NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
NSW 1,163,899,352 1,163,899,352 2,920,985,593 2,920,985,593
VIC 804,255,809 804,255,809 2,818,267,371 2,818,267,371
QLD 808,979,423 1,031,201,170 2,490,101,660 2,489,961,564
WA 473,062,647 482,060,373 1,051,292,944 1,051,292,925
SA 283,098,086 269,254,515 972,620,840 831,263,546
TAS 96,947,641 96,947,641 260,057,517 260,057,517
ACT 83,357,463 83,357,463 247,052,461 247,052,461
NT 76,560,443 76,559,104 228,831,892 228,827,925
Total 3,790,160,864 4,007,535,427 10,989,210,278 10,847,708,901

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 2015

This table shows NHR funding by the source of funds for each state and territory for September 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 462,679,573 700,119,779 1,100,000 1,163,899,352
VIC 354,047,178 450,208,631 0 804,255,809
QLD 289,228,055 519,751,368 0 808,979,423
WA 137,930,276 335,132,371 0 473,062,647
SA 108,297,010 174,801,076 0 283,098,086
TAS 33,603,085 63,344,556 0 96,947,641
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 1,430,054,911 2,352,005,953 8,100,000 3,790,160,864

See explanatory notes following table 2b.

Table 2b – NHR funding by funding source for each state and territory YTD – September 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 September 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 1,361,934,165 1,555,151,427 3,900,000 2,920,985,593
VIC 1,052,628,415 1,765,638,956 0 2,818,267,371
QLD 849,937,370 1,640,164,290 0 2,490,101,660
WA 428,528,182 622,764,761 0 1,051,292,944
SA 315,604,757 657,016,082 0 972,620,840
TAS 96,299,261 163,758,255 0 260,057,517
ACT 86,396,461 139,656,000 21,000,000 247,052,461
NT 43,463,425 185,368,467 0 228,831,892
Total 4,234,792,037 6,729,518,240 24,900,000 10,989,210,278

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 2015

This table shows NHR funding for each state and territory by funding type and source for September 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 401,654,903 660,318,423 0 1,061,973,326
Block 51,539,741 39,582,511 0 91,122,252
Other 9,484,929 218,845 1,100,000 10,803,774
Total 462,679,573 700,119,779 1,100,000 1,163,899,352
VIC ABF 306,919,698 386,297,455 0 693,217,153
Block 39,717,484 63,824,316 0 103,541,800
Other 7,409,997 86,860 0 7,496,856
Total 354,047,178 450,208,631 0 804,255,809
QLD ABF 251,043,812 442,399,958 0 693,443,770
Block 32,198,861 77,282,853 0 109,481,713
Other 5,985,382 68,558 0 6,053,940
Total 289,228,055 519,751,368 0 808,979,423
WA ABF 112,449,866 292,263,474 0 404,713,340
Block 22,163,877 42,868,897 0 65,032,774
Other 3,316,533 0 0 3,316,533
Total 137,930,276 335,132,371 0 473,062,647
SA ABF 92,639,875 160,000,000 0 252,639,875
Block 13,547,510 14,500,000 0 28,047,510
Other 2,109,625 301,076 0 2,410,701
Total 108,297,010 174,801,076 0 283,098,086
TAS ABF 28,391,615 16,371,411 0 44,763,026
Block 4,572,970 46,973,145 0 51,546,116
Other 638,500 0 0 638,500
Total 33,603,085 63,344,556 0 96,947,641
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 1,233,383,171 2,025,405,304 0 3,258,788,475
Total Block funding 166,928,171 325,923,972 0 492,852,143
Total Other funding 29,743,568 676,678 8,100,000 38,520,246
Grand Total 1,430,054,911 2,352,005,953 8,100,000 3,790,160,864

See explanatory notes following table 3b.

Table 3b – NHR funding by funding type for each state and territory YTD – September 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 September 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 1,178,860,155 1,482,895,178 0 2,661,755,333
Block 154,619,224 71,891,951 0 226,511,175
Other 28,454,786 364,298 3,900,000 32,719,084
Total 1,361,934,165 1,555,151,427 3,900,000 2,920,985,593
VIC ABF 911,245,972 1,549,093,009 0 2,460,338,981
Block 119,152,452 216,160,448 0 335,312,900
Other 22,229,990 385,499 0 22,615,490
Total 1,052,628,415 1,765,638,956 0 2,818,267,371
QLD ABF 735,384,642 1,381,424,630 0 2,116,809,272
Block 96,596,582 258,599,564 0 355,196,145
Other 17,956,147 140,097 0 18,096,243
Total 849,937,370 1,640,164,290 0 2,490,101,660
WA ABF 352,086,952 540,526,948 0 892,613,901
Block 66,491,631 82,237,794 0 148,729,425
Other 9,949,599 18 0 9,949,618
Total 428,528,182 622,764,761 0 1,051,292,944
SA ABF 268,633,354 605,000,000 0 873,633,354
Block 40,642,529 51,300,000 0 91,942,529
Other 6,328,875 716,082 0 7,044,957
Total 315,604,757 657,016,082 0 972,620,840
TAS ABF 80,664,852 56,238,819 0 136,903,671
Block 13,718,911 107,519,436 0 121,238,347
Other 1,915,499 0 0 1,915,499
Total 96,299,261 163,758,255 0 260,057,517
ACT ABF 78,788,645 129,684,000 0 208,472,645
Block 6,145,161 9,972,000 0 16,117,161
Other 1,462,656 0 21,000,000 22,462,656
Total 86,396,461 139,656,000 21,000,000 247,052,461
NT ABF 39,112,247 73,579,750 0 112,691,997
Block 3,418,024 111,784,750 0 115,202,774
Other 933,154 3,967 0 937,121
Total 43,463,425 185,368,467 0 228,831,892
Total ABF funding 3,644,776,820 5,818,442,334 0 9,463,219,154
Total Block funding 500,784,513 909,465,944 0 1,410,250,456
Total Other funding 89,230,705 1,609,962 24,900,000 115,740,667
Grand Total 4,234,792,037 6,729,518,240 24,900,000 10,989,210,278

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 – September 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 207,288 621,863 2,487,446
VIC 156,941 470,821 1,883,280
QLD 118,027 354,081 1,404,501
WA 67,578 203,246 767,841
SA 47,781 146,481 578,208
TAS 11,649 34,552 129,113
ACT 11,376 32,886 136,447
NT 10,175 30,525 120,717
Total 630,816 1,894,456 7,507,552

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.