National Health Reform
Public hospital funding
Local hospital network report
Northern Sydney Local Health District
Issued by the Administrator of the National Health Funding Pool
under section 240 of the National Health Reform Act 2011
Available from the Public Hospital Funding website
Northern Sydney Local Health District report, June 2019
In this report
This report includes the following tables:
- NHR payments to the Northern Sydney Local Health District
- Estimated monthly, YTD and annual NWAU
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 the National Health Reform (NHR) payments made by the Commonwealth and New South Wales to the Northern Sydney Local Health District for June 2019 as part of the National Health Reform Agreement.
The Northern Sydney Local Health District is the local hospital network covering the northern suburbs of central Sydney. See Northern Sydney Local Health District 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). 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 an 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 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 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 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 local hospital network.
The data in this report can be viewed in conjunction with information shown on the MyHospitals website (www.myhospitals.gov.au) (external link, opens in a new window) [http://www.myhospitals.gov.au] which provides information on hospitals throughout Australia.
The financial information outlined in this report represents NHR payments. NHR payments are 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.
NHR payments to the Northern Sydney Local Health District
Table 1a – NHR payments – Northern Sydney Local Health District, June 2019
This table shows the NHR payments made by the Commonwealth and New South Wales to the Northern Sydney Local Health District by service category and contribution for June 2019.
The table shows for each service category, payments to the LHN and the Commonwealth and state or territory contributions for each service category. 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.
|Service category||Total NHR payments
|Admitted mental health||3,479,822||0||2,322,754||1,157,068|
|Total ABF payments (Pool)||67,991,948||0||45,384,098||22,607,850|
|Small rural hospitals||0||0|
|Teaching, training & research||0||0|
|Non-admitted mental health||0||0|
|Other non-admitted services||0||0|
|Total Block payments (SMF)||0||0|
|Total NHR Payments||67,991,948||0|
See explanatory notes following table 1b.
Table 1b – NHR payments YTD – Northern Sydney Local Health District, June 2019
Following on from table 1a, this table shows year-to-date (YTD) NHR payments to the Northern Sydney Local Health District by service category, and contributions made by the Commonwealth and New South Wales by service category as at June 2019
|Service category||Total NHR payments YTD
NHR payments YTD
NHR payments YTD
|Admitted mental health||49,078,870||0||26,804,959||22,273,911|
|Total ABF payments (Pool)||952,634,129||0||520,406,238||432,227,891|
|Small rural hospitals||36,492,725||0|
|Teaching, training & research||44,464,325||0|
|Non-admitted mental health||61,400,068||0|
|Other non-admitted services||0||0|
|Total Block payments (SMF)||142,357,117||0|
|Total NHR Payments||1,094,991,246||0|
Total ABF payments (Pool) represents NHR payments made by the Administrator from the state pool account to the LHN.
Total Block payments (SMF) represents NHR payments made by the state or territory from the state managed fund (SMF) to the LHN.
Note: The grey shaded areas in the table above reflect that block payments made to LHNs 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 LHNs 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.
Estimated monthly, YTD and annual NWAU
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).
New South Wales provided estimated annual NWAU for the the Northern Sydney Local Health District 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 2 – Estimated monthly, YTD and annual NWAU – Northern Sydney Local Health District, June 2019
This table shows the estimated activity for activity-based funding services expressed as NWAU for June 2019, the associated year-to-date (YTD) NWAU, and total estimated annual NWAU for the Northern Sydney Local Health District.
|Activity based funding
(ABF) service category
|Estimated NWAU delivered in current month||Estimated NWAU delivered YTD||Estimated annual
|Admitted mental health||943||11,310||11,311|
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.
Northern Sydney Local Health District public hospitals and service providers
The Northern Sydney Local Health District is the local hospital network covering the northern suburbs of central Sydney.
For the purposes of NHR public hospital funding arrangements, this LHN is made up of the following public hospitals and service providers:
- Coral Tree Family Service
- Greenwich Hospital
- Hornsby Ku-ring-gai Hospital
- Macquarie Hospital
- Manly Hospital
- Mona Vale Hospital
- Neringah Hospital
- Royal North Shore Hospital
- Royal Rehabilitation Hospital
- Ryde Hospital