PUBLIC HEALTH ADMINISTRATION: ADEQUACY OF CONTROLS TO MITIGATE RISK: AUDIT COMMENTS
WHY THIS MATTER IS IMPORTANT
The administrative, reporting, and enforcement controls of the major legislative provisions in this State regarding the matter of food for consumption by members of the community, should, in my opinion, for the reasons stated in this section, be reviewed as a matter of priority. Under the existing arrangements there is, an exposure of financial risk to the Crown. The warnings by the Coroner arising out of incidents in this State for the need of closer and more effective coordination of regulatory arrangements in this matter should, in my opinion, be revisited
44.INTRODUCTION
An important component of the public sector audit mandate involves the review of systems and practices adopted by public sector agencies in the conduct of their operations. Those operations may be directed to meet specific statutory obligations or the achievement of various operating performance objectives of a commercial or community service nature.
With particular reference to statutory obligations, certain Ministers and public sector agencies exercise responsibilities for the administration of various Acts designed to ensure the health and well being of the public.
During 1997-98, Audit reviewed certain matters associated with the current administration and enforcement of the statutory provisions of two such acts, ie the Food Act 1985 and Meat Hygiene Act 1994. Although the administration of each of these Acts is committed to a separate Minister and public sector agency, both Acts are concerned with the administration and enforcement of legislation directed at maintaining appropriate food standards and reducing the likelihood of adverse public health events.
This section of the Report comments on certain legislative requirements of the two Acts including the respective schemes of administration and enforcement.
THE AUDIT ROLE
A failure to ensure reasonable care in the discharge of the administrative and enforcement arrangements of the two abovementioned Acts can result, not only in serious consequences for the health of some members of the community but also exposes the Crown to financial risk. The management of this risk is an important 'control element' in the administrative arrangements of those public authorities with a responsibility in these matters. As discussed in several other parts of this Report, the matter of adequacy of controls where financial implications arise is a mandated audit responsibility.
FOOD AND MEAT HYGIENE LEGISLATION
Food Act 1985
Nature and Purpose
In Australia each State and Territory is responsible for developing and enforcing its own food legislation. A Model Food Act was agreed to by Ministers for Health in 1980 as the basis of State and Territory food law.
The Food Act 1985 and associated regulations, which were based on the Model Act, are aimed at ensuring a safe and wholesome food supply is available to South Australians. The Act placed responsibility for enforcement of food standards with the South Australian Health Commission (SAHC) to achieve consistency, coordination, and rationality in food sampling activities on a state wide basis. The governmental administrative responsibility for ensuring observance of proper standards of hygiene in food premises and that food sold is fit for human consumption was placed with local government councils. The administrative responsibility of councils is limited to matters within their respective geographical jurisdictions.
In recognition of major changes that have occurred to the Australian food regulatory system since 1986 (including the establishment of the National Food Authority in 1991), the SAHC undertook in 1995-96, a comprehensive review of this State's food legislation. That review took into account ten years of operation of the Food Act 1985 and associated regulations and culminated in the release of a public discussion paper in August 1996.
The discussion paper had as a primary focus, the reform of the Food Act regulatory system. This involved, inter alia, the introduction of accreditation of food businesses/premises based on the implementation of quality assurance systems and audits of those systems. This approach would reflect common core characteristics of the regulatory framework applying to meat processing businesses/premises which was brought into effect with the passing of the Meat Hygiene Act 1994.
A summary report of submissions received in respect of that discussion paper was released in June 1997. Since release of the discussion paper in South Australia, the Australian New Zealand Food Authority (formerly the National Food Authority) has initiated a process for the introduction of national uniform hygiene regulations and has also commenced a review of food acts in all states and territories. The South Australian review is forming the basis for SAHC input to these two reviews and implementation of outcomes.
Administration
The SAHC, subject to the control and direction of the Minister for Human Services, is responsible for the administration and enforcement of the Food Act1985 throughout the State. As mentioned earlier, the administration encompasses a two tier system of responsibilities involving the SAHC and local government councils.
The Food Act 1985 provides for the SAHC and local councils to appoint 'authorised officers' for the proper administration and enforcement of the Act. The key responsibilities of SAHC authorised officers include legislation review, sampling of foods for compliance with the Food Standards Code, investigation of food poisoning outbreaks and liaising with local councils with respect to food hygiene matters. The main responsibilities of authorised officers employed by local councils include inspection of food premises for compliance with hygiene requirements and investigation of complaints regarding suitability of food and food poisoning incidents.
The Act requires the SAHC to submit an annual Report to the Minister on the administration of the Act and for that Report to be presented to Parliament. It should be mentioned that the Act does not include a specific requirement for local government councils to provide the SAHC with information on their responsibilities and activities under the Act. For the purpose of compilation of the Report the SAHC annually circulates a request for information to all councils.
Meat Hygiene Act 1994
Nature and Purpose
The Meat Hygiene Act 1994 replaced the Meat Hygiene Act 1980 and the Poultry Meat Hygiene Act 1986 and provides a framework for the hygienic processing of livestock, poultry and game meat in South Australia.
The introduction of the Act followed consultation with industry and government at the Federal, State and Local levels and reflected the need to bring the regulation of meat processing into harmony with national and trans-Tasman reforms and developments in food standards.
The Act is designed to allow all major sections of the domestic meat industry to operate within a framework of quality assurance with levels of control directly related to product safety standards and company run quality assurance systems.
In effect, the Act requires meat processors to be accredited before they can engage in meat processing activities. Accredited operators may either implement a quality assurance system which is then subject to audit or pass regular external inspections.
The Act is also designed to complement the provisions of the Food Act 1985 by taking up control of all meat processing occurring before retail sale and excluding processing operations directly associated with retail operations. Retail operations come under the regulatory controls enforced by the South Australian Health Commission and local government councils.
Administration
The Meat Hygiene Act 1994 is committed to the Minister for Primary Industries, Natural Resources and Regional Development. It establishes a regulatory and administrative structure comprising:
The employees of the Department are appointed as 'Meat Hygiene Officers' and their key responsibilities are to administer and enforce the Meat Hygiene Act 1994 with assistance from an external third party audit/inspection service provider contracted to the Minister.
CORONER'S FINDING OF INQUEST
The Coroner, in his Finding of Inquest of September 1995 into the death of Nikki Dearne Robinson, made a number of comments concerning the system of enforcement of the Food and Meat Hygiene Acts.
With particular reference to the Food Act, he indicated that the system of enforcement was a complicated one involving both Local and State Government and that it owed more to history and politics than it did to efficiency and clarity. He concluded by indicating that the recent amendments to the Food Standards Code and the introduction of the Meat Hygiene Act represented positive developments to the issues which had arisen from the inquest. However, he also stated that all these developments would be useless unless they were thoroughly and rigorously enforced
45.To this end, one of the key recommendations made by the Coroner was:
That the Minister of Health, in consultation with the Minister for Primary Industry, and with the relevant departments, and with Local Government, conduct a review of the resources available in the area of enforcement of food legislation (the term resources extending to human resources, training, development, and physical resources) to the intent that the legislation presently in place can be rigorously and effectively enforced
46.It is noted that in February 1996, the then Minister for Health, in response to a question on notice, advised Parliament that in respect to the above mentioned Coroner's recommendation, there were a:
· series of 'reviews
AUDIT OBSERVATIONS
As indicated earlier in this section of the Report, each State and Territory is responsible for developing and enforcing its own food legislation, resulting in significant variation across Australia. Since the early 1980s, there has been a policy intent to have nationally consistent if not uniform food laws and food standards. This policy has resulted in various developments at both the Federal and State levels of government.
Notwithstanding these various developments at both the Federal and State levels, there are a number of issues which Audit has observed that are impacting on the administration and enforcement of the legislation directed at maintaining appropriate food standards and reducing the likelihood of adverse public health events.
State of Legislation
As commented earlier with respect to meat processing, the South Australian Government took action to bring the regulation of meat processing into harmony with national and trans-Tasman reforms and developments in food standards, with the introduction of the Meat Hygiene Act 1994.
Regarding the Food Act 1985 as noted above, the SAHC conducted a comprehensive review in 1995-96 of that legislation. The discussion paper
'Protecting the Safety of the Food Supply in South Australia' proposed significant reforms to the legislation. Some notable proposals were:The proposals for reform outlined in the discussion paper complements the general national review reform direction proposed by the Australian New Zealand Food Authority (ANZFA).
The South Australian review proposals have not been translated into amended Food Act legislation in this State in consideration of the outcomes yet to be finalised from the ANZFA approach.
It is to be noted that the Victorian Government decided not to wait for the outcome of the national review and, instead introduced amended legislation in 1997. This legislation represented a move away from the former prescriptive regulatory approach to managing food safety, towards one of co-regulation focusing on prevention based upon quality assurance systems and audit of those systems
48.Synergy between Regulatory Bodies
The introduction of the Meat Hygiene Act 1994 resulted in a shift in responsibility for hygiene regulation in major sectors of the meat processing industry from the SAHC and local government to the Department for Primary Industries and Resources. The movement of the Department for Primary Industries and Resources into hygiene controls in meat processing did not mean complete withdrawal of the SAHC and local government from carriage of their principal responsibilities of enforcement of food standards and food hygiene.
The Meat Hygiene Act 1994 recognises some inter-relationship of the roles of the various regulatory bodies in relation to meat hygiene. The Act established the South Australian Meat Hygiene Advisory Council to advise and report to the Minister directly on meat hygiene matters. The Council
's membership includes representation from the SAHC and local government.The outbreak of Haemolytic Uraemic Syndrome in Adelaide in January 1995 evidenced the need for more formal links and mechanisms to be established between the food and meat regulatory bodies for effective investigation of food poisoning incidents traced to meat processing. Indeed the Coroner
's Finding of Inquest into the death of Nikki Dearne Robinson recommended consultation between the various regulatory bodies.The common objectives of meat hygiene and food legislation and the concern of the various regulatory bodies to effectively address their respective responsibilities requires that the roles and responsibilities of the bodies in both policy and operational matters are well defined and understood and that there exists adequate communication protocols between the bodies.
To this end in July 1995, a working group of the South Australian Meat Hygiene Advisory Council prepared a draft memorandum of understanding to address areas of potential confusion between the various regulatory bodies in South Australia in the implementation of hygiene control programs in the meat processing industry. That working group comprised representation from the various regulatory bodies.
The document clearly states its importance and intent as providing
'guidelines on which strong co-operative and synergistic regulation can be implemented for the mutual benefit of the industry and the State'49.The memorandum of understanding has remained in the draft mode, initially because of the release of the discussion paper
'Protecting the Safety of the Food Supply in South Australia' relating to the review and administration of food legislation in South Australia and more recently the development and pending implementation of national food hygiene standards.Surveillance of Food
Meat Hygiene Act 1994
The Department for Primary Industries and Resources is the responsible government agency for administering surveillance activity undertaken with respect to meat processing operations within the State. The Department has established a formalised surveillance regime to apply to all accredited meat processing operators.
Primary surveillance is carried out by an approved third party inspection/audit agency, appointed on contract to the Minister. The surveillance program developed by the Department in conjunction with the external contractor provides for regular inspections/audits on the quality assurance systems of the accredited meat processors.
In addition to this primary surveillance program, the Department undertakes a series of meat safety audits for the purposes of independent confirmation of the suitability of quality assurance systems and the performance of the external contractor in performing the primary surveillance program.
The Department maintains an information data base and reporting system in relation to the performance and outcomes of all inspections and audits.
Food Act 1985
Under the Food Act 1985, surveillance activity associated with food premises/businesses encompasses a two tier system of responsibilities involving the SAHC and local government councils. This contrasts with the surveillance regime that applies under the Meat Hygiene Act 1994 which places sole responsibility with one government agency, ie Department for Primary Industries and Resources.
Both the SAHC and local government councils appoint
'authorised officers' to undertake, amongst other duties, surveillance activities associated with food premises/businesses.The SAHC surveillance activity is principally directed to the sampling of foods on a State-wide basis to asses compliance with food standards as well as administering labelling requirements of the Foods Standards Code.
Surveillance activities by authorised officers of local government councils are principally directed to the inspection of food premises/businesses within their geographical jurisdiction for compliance with food hygiene requirements and ensuring that food offered for sale is fit for human consumption.
Authorised Officers
Audit made enquiry of the SAHC regarding the number of authorised officers employed by the SAHC and each local government council over the three financial years ending 30June1995, 1996 and 1997. The SAHC provided details with respect to their employee numbers for the three year period, but was only able to provide authorised officers
' details for councils as at April1998.In providing the information, the SAHC advised that authorised officer details in respect of local government councils were not routinely kept. Details at April 1998 were available following enquiry of councils by the SAHC in response to concerns raised by a council about the effect that local government restructuring was having on the administration of both the Food Act1985 and the Public and Environmental Health Act 1987
50.It is the view of Audit that only routinely requested and analysed information relating to authorised officers of local councils will provide some basis for determination as to the appropriateness of the level of resources committed by local government to the administration of their respective responsibilities under the Food Act 1985. This matter is further commented on hereunder.
Surveillance Coverage
The Food Act 1985 requires the SAHC to submit an annual report to the Minister on the administration of the Act and for that Report to be presented to Parliament.
As mentioned previously, the Act does not include a specific statutory provision requiring local government councils to provide the SAHC with information on their responsibilities and activities under the Act. This contrasts with the Public and Environmental Health Act 1987 which contains a specific provision requiring local councils to submit reports on their respective work under that Act.
With regard to the Food Act 1985, in the absence of a specific statutory provision for councils to provide the SAHC with information, the SAHC annually circulates a request for information to councils, to obtain certain information that will enable it to submit a Report to Parliament on the activities of the SAHC and councils under the Act. A review of annual reports for 1996 and 1997 indicate that not all councils respond to the request for information from the SAHC.
As conveyed above, information pertaining to authorised officers of local councils has not been routinely kept. Audit notes that the 1998 annual request for information circulated to councils in June 1998, includes, as a focus for the first time, the collection of information concerning authorised officer numbers and details relating to surveillance work activity. Information that has been requested of local councils includes:
The regular collection and analysis of this type of information is considered most relevant to the SAHC gaining some insight into the level of resource commitment being directed by local councils to surveillance work activity and the type of surveillance activity being undertaken. It should, however, be again mentioned that councils are not obliged to respond to such requests for information. This can lessen the effectiveness of interpretation of the overall information obtained and subsequent value of reporting to Parliament on the administration of the Food Act 1985.
CONCLUDING COMMENTS
The introduction of the Meat Hygiene Act 1994 brought the regulation of meat processing into harmony with national reforms and developments in food standards.
In respect of the Food Act 1985, the SAHC undertook a comprehensive review of the Act in 1995-96. This review was in response to the recognition that major developments had occurred in the Australian food regulatory system since 1985 and was considered a matter of priority following the HUS outbreak early in 1995 and the subsequent findings of a coronial inquest into a death arising from the HUS outbreak.
The review findings demonstrated the need for updated legislation which would provide an updated framework for protecting and enforcing food safety and minimising potential risks to public health by:
The review findings have not been translated into amended Food Act legislation in this State in consideration of the outcomes yet to be finalised from the national review by the Australian New Zealand Food Authority.
In contrast, the Victorian Government decided not to wait for the outcome of the national review and introduced amended food legislation in 1997.
Audit has observed that information is not readily available to ascertain the level of resource commitment being directed by local councils towards surveillance activities and the type of surveillance activities being undertaken.
The SAHC does not routinely keep information on resource level and activity of local councils. As such the overall effectiveness of regulatory controls exercised by local councils, separately and collectively, in conjunction with the SAHC, in discharging their joint food safety responsibilities under the Food Act 1985 cannot be determined.
The significant restructuring of local councils during the last two years has, in Audit
's opinion, heightened the need for information concerning the level of resources committed by local councils to the administration of their respective responsibilities under the Food Act 1985 to be obtained and analysed.RECOMMENDATION
It is recommended that as a matter of priority, a review be carried out to determine whether an appropriate level of resources is being applied in the area of enforcement of food legislation and such reviews be undertaken on a regular basis.
44 The Coroner's 'Finding of Inquest of September 1995 into the death of Nikki Dearne Robinson' included comments on the operation and inter-relationship of these two Acts and the levels of government (State and Local Governments) involved in the administration of the Acts.back
45 'Finding of Inquest: Inquest into the death of Nikki Dearne Robinson'; 28 September 1995; pp. 131-135.back
47 SA 'Parliamentary Debates (Hansard) House of Assembly'; February 1996; p. 974.back
48 The 'Victorian Parliamentary Hansard'; 2 December 1997 Council; Food (Amendment) Bill; Hon R I Knowles (Minister for Health).back
49 'Memorandum of Understanding: For Regulation of Meat Processing Operations in South Australia'; July 1995.back
50 The Public and Environmental Act 1987 is also an Act committed to the Minister for Human Services and administered by the SAHC. This Act, common with the Food Act 1985, also provides for local council's to appoint authorised officers to administer proper standards of public and environmental health within their respective local council geographical area.back