Queensland report, January 2013

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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 is prepared on a cash basis. It shows monthly and year-to-date (YTD) National Health Reform (NHR) funding and payments for Queensland for January 2013 as part of the National Health Reform Agreement.

Participation in the National Health Funding Pool

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.

However, not all states and territories had their legislation in place by that date. As part of the transition to National Health Reform funding, arrangements were put in place whereby those states and territories received equivalent funding directly from the Commonwealth Treasury, and made payments directly from departmental bank accounts to local hospital networks (LHNs). Although these transactions were not made through state pool accounts and state managed funds, they have been included in this report (and designated as ‘notional payments’ into and out of state pool accounts and state managed funds) to enable national comparibility for month and year-to-date reporting periods.

Queensland has participated in the National Health Funding Pool since 1 August 2012.

Local hospital networks and National Health Reform

Under the Agreement, local hospital networks receive funding 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 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 Queensland Department of Health to view the service agreement for that local hospital network.

Basis for National Health Reform payments

For the basis of the Commonwealth contribution to NHR funding, see Basis of Commonwealth funding 2012-13.

The basis used to determine NHR payments to local hospital networks (LHNs) in Queensland for January 2013 was advised by Queensland to be as follows:

In determining the annual funding allocation for hospital and health services in Queensland, the budget has been based on the Queensland activity based funding (ABF) model adjusted for agreed transition paths. Activity levels are based on purchased levels in 2011-12 and increased where an assessment of health need demonstrates that additional activity should be purchased, and it is within available funding. With regards to services not covered by activity based funding, block funding has been provided based on funding levels received in 2011-12 increased for Enterprise Bargaining agreements and non-labour escalation. In addition, efficiency requirements have been levied on all hospital and health services to ensure improved productivity and a closer alignment between costs incurred and the national efficient price.

On a monthly basis, the System Manager makes payments to the Hospital and Health Services as related funding is received. The funding received is from a variety of sources with variable timing of receipt. As such there is variability in relation to the amount paid to Hospital and Health Services on a monthly basis. The major factor relating to payment variability is the timing of state appropriation payments.

The Commonwealth and state year-to-date payments shown in table 1b and 2b have been amended to reflect Queensland's GST payments in both the state pool account and state managed fund. Previous reports included GST payments as Commonwealth payments, however as Queensland provides the funds to meet any GST liabilities, the January 2013 report has been corrected to reflect such payments as being state payments.

The January 2013 block funding for the Mater Misericordiae Health Service Brisbane shows negative payment for small rural and metropolitan hospitals. This results from reapportionment of funding between block service categories.

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. Notional payments are included in 2012-13 reporting to enable national comparability for month and year-to-date reporting periods.

Transactions on the state pool account

This table shows funding paid into the Queensland state pool account by the Commonwealth and Queensland, and payments out of the state pool account to local hospital networks, the state managed fund, and the state health department for January 2013.

Table 1a – State pool account transactions – Queensland, January 2013

NHR funding by source Paid into state pool account Paid out of state pool account
To local hospital networks To state
managed
fund
To state
health department
Total paid out
($) ($) ($) ($) ($)
Commonwealth
ABF funding
168,916,595 173,740,766 173,740,766
Commonwealth
Block funding
39,152,823 39,187,096 39,187,096
Commonwealth
Other funding
5,064,408 5,064,408 5,064,408
Total Commonwealth
funding
213,133,825 173,740,766 39,187,096 5,064,408 217,992,270
Total state/territory
funding
311,968,401 310,635,702 0 310,635,702
Grand Total 525,102,227 484,376,468 39,187,096 5,064,408 528,627,972

See definitions and explanatory notes following table 1b.

Following on from table 1a, this table shows the year-to-date (YTD) funding paid into the Queensland state pool account by the Commonwealth and Queensland, and payments out of the state pool account to local hospital networks, the state managed fund, and the state health department as at January 2013. These amounts include notional payments for July 2012.

Table 1b – State pool account transactions YTD – Queensland, January 2013

NHR funding by source Paid into state pool account YTD Paid out of state pool account YTD
To local hospital networks To state managed
fund
To state health department Total paid out
YTD
($) ($) ($) ($) ($)
Commonwealth
ABF funding
1,241,831,459 1,241,831,459 1,241,831,459
Commonwealth
Block funding
287,833,502 287,833,502 287,833,502
Commonwealth
Other funding
36,505,530 36,505,530 36,505,530
Total Commonwealth
funding
1,566,170,492 1,241,831,459 287,833,502 36,505,530 1,566,170,491
Total state/territory
funding
2,332,905,493 2,332,526,222 0 2,332,526,222
Grand Total 3,899,075,985 3,574,357,681 287,833,502 36,505,530 3,898,696,714

Note: Of the total year-to-date amount of $3,899,075,985 shown in Table 1b as paid into the Queensland state pool account, $567,126,486 was notional year-to-date payments.

Note: Of the total year-to-date amount of $3,898,696,714 shown in Table 1b as paid out of the Queensland state pool account, $567,126,486 was notional year-to-date payments.

No payments were made from the Queensland state pool account in July 2012, with payments made directly from departmental bank accounts to local hospital networks.

Commonwealth ABF funding represents Acute admitted public, Acute admitted private, Non-admitted, and Emergency department service categories, which are funded by the Commonwealth through the state pool account and subsequently paid to local hospital networks.

Commonwealth Block funding represents Mental health, Small rural and metropolitan hospitals, Sub-acute, Teaching, training and research, and Other categories, which are funded by the Commonwealth and paid to the state managed fund.

Commonwealth Other funding represents other amounts funded by the Commonwealth, transacted through the state pool account and subsequently paid to state or territory health departments. This currently represents the Commonwealth contribution to public health.

State/territory funding represents funding contributions paid in by Queensland into its own state pool account, and subsequently paid to local hospital networks within the state or territory and/or to state or territory health departments.

Note: The grey shaded areas in these tables reflect that these amounts are not applicable for a particular 'paid out' column. For example, Commonwealth block funding is only paid to state managed funds and is not applicable for local hospital networks or state or territory health departments.

NHR funding and payments shown in these tables include GST where applicable.

For more information on NHR funding and payments, see National Health Reform funding and payments.

Transactions on the state managed fund

This table shows funding paid into the Queensland state managed fund by the Commonwealth and Queensland and payments out of the state managed fund for January 2013.

Table 2a – State managed fund transactions – Queensland, January 2013

NHR funding by source Paid into state managed fund Paid out of state managed fund
To local hospital networks To Other Total paid out
($) ($) ($) ($)
Commonwealth Block funding 39,187,096 39,204,479
State/territory Block funding 87,155,079 87,103,422
Total 126,342,175 126,307,902 0 126,307,902

See explanatory notes following table 2b.

Following on from table 2a, this table shows the year-to-date (YTD) funding paid into the Queensland state managed fund by the Commonwealth and Queensland and payments out of the state managed fund as at January 2013. These amounts include notional payments for July 2012.

Table 2b – State managed fund transactions YTD – Queensland, January 2013

NHR funding by source Paid into state managed fund YTD Paid out of state managed fund YTD
To local hospital networks To Other Total paid out
YTD
($) ($) ($) ($)
Commonwealth Block funding 287,833,502 287,833,502
State/territory Block funding 638,486,539 638,425,518
Total 926,320,041 926,259,021 0 926,259,021

Block funding represents Mental health, Small rural and metropolitan hospitals, Sub-acute, Teaching, training and research, and Other categories.

Commonwealth Block funding represents Commonwealth block funding contributions paid into the state managed fund from the state pool account, and block payments out of the state managed fund to local hospital networks and other provider organisations.

State/territory Block funding represents Queensland block funding contributions into the state managed fund, and block payments out of the state managed fund to local hospital networks and other provider organisations.

Note: The grey shaded areas in these tables reflect that these block payments cannot at this stage be identified by source of funding (state, territory or Commonwealth contribution).

NHR funding and payments shown in these tables include GST where applicable. For more information on NHR funding and payments, see National Health Reform funding and payments.

NHR funding and payments by service category

This table shows the NHR funding and payments by service category on both a monthly and year-to-date (YTD) basis for Queensland for January 2013.

NHR funding and payments are separated into an activity based funding (ABF) component, block component, and other components.

Table 3 – NHR funding and payments by service category – Queensland, January 2013

Service category NHR funding NHR payments NHR funding
YTD
NHR payments
YTD
($) ($) ($) ($)
ABF
Acute admitted - public 323,813,113 326,344,597 2,405,443,470 2,405,526,821
Acute admitted - private 25,369,316 25,456,273 187,744,856 187,680,894
Non-admitted 74,842,238 75,403,557 558,199,934 558,352,298
Emergency department 56,769,853 57,172,041 422,969,451 422,797,668
Total ABF (Pool) 480,794,520 484,376,468 3,574,357,712 3,574,357,681
Block
Mental health 18,049,482 17,762,343 131,540,709 129,599,858
Small rural & metro hospitals 57,984,641 56,053,010 399,397,909 375,821,838
Sub-acute 26,828,172 26,064,594 220,064,440 223,410,457
Teaching, training & research 23,445,608 26,427,955 175,316,983 197,426,867
Other 0 0 0 0
Total Block (SMF) 126,307,902 126,307,902 926,320,041 926,259,021
Other
Public health funding 5,064,408 5,064,408 36,505,530 36,505,530
Overdeposit 0 0 0 0
Cross border 0 0 0 0
Interest 90,476 0 379,241 0
Total Other (Pool) 5,154,884 5,064,408 36,884,771 36,505,530
Grand Total 612,257,306 615,748,777 4,537,562,523 4,537,122,232

Total ABF (Pool) is an aggregate of both Commonwealth and state or territory NHR funding and payments for activity based funding (ABF) which is transacted through the state pool account.

Total Block (SMF) is an aggregate of both Commonwealth and state or territory NHR funding and payments for block funding which is transacted through the state managed fund (SMF).

Total Other (Pool) represents other funding and payments, which are transacted through the state pool account, including public health funding, overdeposits, cross border funding and payments, and interest.

State and territory cross border payments can either be:

  • Paid to the relevant state or territory's local hospital networks - included within ABF and/or block payments in the above table, or
  • Reimbursed to the relevant state or territory where the state or territory's local hospital networks are already being funded for the cost of treating cross-border patients - shown in the Cross border payment row under Other in the above table.

Cross border funding arrangements between states and territories are yet to be put in place for state and territory contributions.

NHR funding and payments shown in these tables include GST where applicable.

For more information on NHR funding and payments, see National Health Reform funding and payments.

NHR payment distribution by LHN

This table shows NHR payments (from state, territory and Commonwealth sources) made to each local hospital network (LHN) in Queensland during January 2013.

NHR payments are separated into an activity based funding (ABF) component and a block component.

Table 4 – NHR payment distribution by LHN – Queensland, January 2013

Local hospital network (LHN) ABF component
(ex GST)
Block component
(ex GST)
Total NHR payments
(ex GST)
($) ($) ($)
Cairns and Hinterland Hospital and Health Service 29,146,984 7,003,517 36,150,501
Cape York Hospital and Health Service 0 3,185,195 3,185,195
Central Queensland Hospital and Health Service 15,581,614 8,590,297 24,171,911
Central West Hospital and Health Service 0 2,475,303 2,475,303
Children's Health Queensland Hospital and Health Service 15,753,631 2,466,925 18,220,556
Darling Downs Hospital and Health Service 15,082,743 16,384,042 31,466,785
Gold Coast Hospital and Health Service 44,725,449 7,192,095 51,917,544
Mackay Hospital and Health Service 12,298,543 6,018,220 18,316,763
Mater Misericordiae Health Service Brisbane 31,600,590 1,439,698 33,040,288
Metro North Hospital and Health Service 115,850,831 15,510,000 131,360,831
Metro South Hospital and Health Service 92,342,849 15,078,144 107,420,993
North West Hospital and Health Service 4,560,230 2,380,206 6,940,436
South West Hospital and Health Service 0 4,643,766 4,643,766
Sunshine Coast Hospital and Health Service 31,445,247 4,605,627 36,050,874
Torres Strait - Northern Peninsula Hospital and Health Service 0 4,916,468 4,916,468
Townsville Hospital and Health Service 33,906,868 10,299,359 44,206,227
West Moreton Hospital and Health Service 16,038,093 8,763,285 24,801,378
Wide Bay Hospital and Health Service 22,882,737 5,211,785 28,094,522
Total 481,216,409 126,163,932 607,380,341

A local hospital network (LHN) is an organisation that provides public hospital services in accordance with the National Health Reform Agreement. A local hospital network 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 local hospital network.

NHR payments in this table are GST exclusive to enable comparability of NHR payments in each local hospital network report.

Note: This table excludes GST and payments to other provider organisations (non-local hospital networks).

Note: The majority of government funding to local hospital networks is not subject to GST. However in some cases hospital funding to non-government entities does attract GST, for example, denominational hospitals, privately and commercially owned health facilities, or any other non-government third party provider of health services or related supplies.

For more information on NHR funding and payments, see National Health Reform funding and payments.

Estimated monthly, YTD and annual NWAU by LHN

This table shows estimated state or territory hospital activity for activity based funding services expressed as National Weighted Activity Units (NWAU) for January 2013, the associated cumulative year-to-date (YTD) and total annual estimated NWAU for each local hospital network in Queensland.

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 for each local hospital network (LHN) was provided to the Administrator as a basis for determining the Commonwealth NHR activity based funding. Current month NWAU estimates accumulate through the year-to-date NWAU to equal the annual NWAU at the end of the financial year.

Table 5 – Estimated monthly, YTD and annual NWAU by LHN – Queensland, January 2013

Local hospital network (LHN) Estimated NWAU delivered in current month Estimated NWAU delivered YTD Estimated annual NWAU 2012-13
Cairns and Hinterland Hospital and Health Service 6,407 44,849 76,884
Central Queensland Hospital and Health Service 3,477 24,336 41,719
Children's Health Queensland Hospital and Health Service 3,470 23,883 40,610
Darling Downs Hospital and Health Service 3,318 23,228 39,819
Gold Coast Hospital and Health Service 9,625 67,373 115,494
Mackay Hospital and Health Service 2,726 19,082 32,712
Mater Misericordiae Health Service Brisbane 6,454 45,181 77,454
Metro North Hospital and Health Service 25,534 178,685 306,297
Metro South Hospital and Health Service 20,471 142,835 244,483
North West Hospital and Health Service 1,003 7,019 12,033
Sunshine Coast Hospital and Health Service 6,873 48,161 82,602
Townsville Hospital and Health Service 7,455 52,183 89,457
West Moreton Hospital and Health Service 3,512 24,583 42,142
Wide Bay Hospital and Health Service 5,023 35,111 60,150
Total 105,349 736,509 1,261,855

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, by weighting them for their 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 to be 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.