Top End Health Service report, October 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 the National Health Reform (NHR) payments made by the Commonwealth and the Northern Territory to the Top End Health Service for October 2012 as part of the National Health Reform Agreement.

The Top End Health Service is the local hospital network covering Darwin and the northern regions of the Northern Territory. See Top End Health Service public hospitals and service providers.

Local hospital networks and National Health Reform

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

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, local hospital networks receive NHR 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 Department of Health in the relevant state or territory to view the service agreement for that local hospital network.

Reference information

The data in this report can be viewed in conjunction with information shown on the website: MyHospitals (external link, opens in a new window) [http://www.myhospitals.gov.au] which provides information on hospitals throughout Australia.

The financial information outlined in the following report represents NHR payments. NHR payments are when NHR funding is deposited into a state pool account or state managed fund and is paid out of the state pool account by the Administrator, or is paid out of state managed fund by the state or territory.

For the basis of NHR payments, see the Basis for National Health Reform payments explanation in the Northern Territory report for October 2012, see Northern Territory report, October 2012.

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

Commonwealth and Northern Territory NHR payments

This table shows the NHR payments made by the Commonwealth and the Northern Territory to the Top End Health Service by service category and contribution for October 2012.

The data is divided into service category and associated Commonwealth and state or territory contribution for each amount. 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.

Table 1a – NHR payments: Top End Health Service, October 2012

Service category Total NHR payments
(ex GST)
GST Commonwealth
NHR payments
(ex GST)
State/territory
NHR payments
(ex GST)
($) ($) ($) ($)
Acute admitted - public 10,703,405 0 3,936,769 6,766,636
Acute admitted - private 712,640 0 278,196 434,444
Non-admitted 440,889 0 166,926 273,963
Emergency department 1,696,077 0 585,672 1,110,406
Total ABF payments (Pool) 13,553,011 0 4,967,563 8,585,448
Mental health 584,275 0
Small rural & metro hospitals 1,788,237 0
Sub-acute 1,381,978 0
Teaching, training & research 767,819 0
Other 9,746,331 0
Total Block payments (SMF) 14,268,640 0
Total 27,821,651 0

See explanatory notes following table 1b.

Following on from table 1a, this table shows the year-to-date (YTD) NHR payments made by the Commonwealth and the Northern Territory to the Top End Health Service as at October 2012.

Table 1b – NHR payments YTD: Top End Health Service, October 2012

Service category Total NHR payments YTD
(ex GST)
GST YTD Commonwealth
NHR payments YTD
(ex GST)
State/territory
NHR payments YTD
(ex GST)
($) ($) ($) ($)
Acute admitted - public 46,873,601 0 15,747,076 31,126,524
Acute admitted - private 3,111,225 0 1,112,784 1,998,441
Non-admitted 1,927,934 0 667,705 1,260,229
Emergency department 7,450,552 0 2,342,686 5,107,866
Total ABF payments (Pool) 59,363,312 0 19,870,252 39,493,060
Mental health 2,544,093 0
Small rural & metro hospitals 7,279,250 0
Sub-acute 6,018,352 0
Teaching, training & research 3,248,473 0
Other 44,833,123 0
Total Block payments (SMF) 63,923,291 0
Total 123,286,603 0

Total ABF payments (Pool) represents NHR payments made by the Administrator from the state pool account to the local hospital network (LHN).

Total Block payments (SMF) represents NHR payments made by the state or territory from the state managed fund (SMF) to the local hospital network.

Note: The grey shaded areas in the table above reflect that block payments made to local hospital networks cannot at this stage be identified by source of funding (state, territory or Commonwealth) when paid from state managed funds.

Payments in these tables are GST exclusive. 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 the basis of NHR payments, see the Basis for National Health Reform payments explanation in the Northern Territory report for October 2012, see Northern Territory report, October 2012.

Estimated monthly, YTD and annual NWAU

This table shows the estimated activity for activity based funding services expressed as National Weighted Activity Units (NWAU) for October 2012, the associated cumulative year-to-date (YTD) NWAU, and the total estimated annual NWAU for the Top End Health Service.

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 the Top End Health Service was provided to the Administrator as a basis for determining Commonwealth NHR activity based funding. Current month NWAU estimates accumulate through the year-to-date (YTD) NWAU to equal the annual NWAU at the end of the financial year.

Table 2 – Estimated monthly, YTD and annual NWAU: Top End Health Service, October 2012

Activity based funding
(ABF) service category
Estimated NWAU delivered in current month Estimated NWAU delivered YTD Estimated annual
NWAU 2012-13
Acute admitted - public 6,603 28,099 45,455
Acute admitted - private 448 1,902 3,212
Non-admitted 275 1,167 1,927
Emergency department 1,025 4,379 6,762
Total 8,351 35,547 57,357

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 the NWAU explanation and basis, see National Health Reform Reporting.

For the basis of NHR payments, see the Basis for National Health Reform payments explanation in the Northern Territory report for October 2012, see Northern Territory report, October 2012

Top End Health Service public hospitals and service providers

The Top End Health Service is the local hospital network covering Darwin and the northern regions of the Northern Territory.

For the purposes of National Health Reform public hospital funding arrangements, this network is made up of the following public hospitals and service providers:

  • Gove District Hospital
  • Katherine Hospital
  • Royal Darwin Hospital