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Report on the circumstances leading to the 1996 outbreak of infection with E.coli 0157 in Central Scotland, the implications for food safety and the lessons to be learned.
 
Chapter 9 Enforcement Issues
 
9.1 With the exception of licensed fresh meat premises such as slaughter-houses and cutting premises, where enforcement rests with the MHS, responsibility for food safety enforcement lies with local authority Environmental Health Officers (EHOs). There are approximately 600 qualified EHOs employed by the 32 unitary authorities in Scotland. Their responsibilities cover a wider range of statutory and non-statutory functions including, in addition, health and safety, noise and air pollution enforcement; unfit housing, communicable disease and public health control; animal welfare and public health licensing; and waste management delivery.
 
9.2 Since 1974, in order to practice, EHOs in Scotland have been required to obtain honours graduate level academic qualifications, undertake practical training and pass the Diploma Examination of the Royal Environmental Health Institute of Scotland (REHIS). Additional post-graduate qualifications can be obtained, including in relation to food safety, and REHIS has also implemented a programme of continuing professional development for EHOs to maintain professional knowledge and competence.
 
9.3 Food safety is a major priority for EHOs and many are acknowledged specialists. Not all, however, deal solely with food safety. For example, out of 68 EHOs employed in Glasgow, 15 full time equivalents are engaged solely in food safety and related issues (with others doubtless involved periodically). In Edinburgh, 7 out of 45 EHOs and in Moray 2.5 out of 9 EHOs are so employed.
 
9.4 In addition to EHOs, Food Inspectors are engaged in food safety inspections and are required to meet the qualification criteria laid down by the Food Safety Officers' Registration Board. For high risk premises, this is the Higher Certificate in Food Premises Inspection and there are currently 20 inspectors in this category in Scottish local authorities.
 
9.5 The Food Safety Act 1990 places a duty on food authorities to enforce and execute the provisions of the Act. Section 40 of the Act authorises Ministers to issue "Codes of Recommended Practice" to food authorities to guide them in the execution and enforcement of domestic legislation. Food authorities are obliged to have regard to such codes and to comply with directions from Ministers specifying steps required to comply with them. These directions can be enforced by court order.
 
9.6 Code of Practice No 9 requires food authorities to determine the relative extent of risk inherent in particular premises/operations. Once that has been determined the Code sets minimum frequencies for EHO inspections: high risk premises (Categories A and B as defined in the Code), for example, require inspection visits at least every 6 months or 12 months respectively. Inspections may, of course, give rise to the need for enforcement action - ranging from informal action to improvement notices or prohibition or emergency prohibition action.
 
Issues
 
9.7 A number of issues were raised with the Group in discussion of enforcement matters. There has been some inevitable disruption of local authorities' environmental health activities as a result of local government re-organisation in Scotland. Although since the mid 1970s food safety has been the responsibility of district councils, the move to unitary status has meant that, in many authorities, environmental health has been amalgamated into multi-functional departments, not necessarily headed by a senior manager with training and expertise in environmental health or food safety. Environmental health departments also have to compete for funding and resources, in a time of public expenditure restraint, with other high profile/high spending local authority functions. No resources are currently earmarked by central government specifically for environmental health or food safety purposes.
 
9.8 Since 1990 there have been significant changes to Government policy on food safety enforcement as a result of implementing EU single market measures and the deregulation initiatives. This has created uncertainty amongst EHOs about the overall policy approach to enforcement. Much is clearly expected of industry in terms of the adoption and implementation of HACCP principles. On the other hand the apparent desire on the part of the Government for a light touch to enforcement has left EHOs uncertain about the policy imperatives and their expected roles. This uncertainty has been exacerbated by the impact of, for example, the Lanark Blue cheese court cases10 and the problems, discussed earlier in this report, about enforcing some of the HACCP principles under current regulations and the application of the health risk condition in the Food Safety Act 1990.
 
9.9 We feel that a number of these issues should be addressed. In doing so, it seems sensible to differentiate between issues relating to regulatory enforcement and the broader issues of awareness and education related to the implementation of HACCP.
 
Enforcement
 
9.10 It seems to us unacceptable, particularly in current circumstances, that EHOs should be in any doubt about the need for anything other than rigorous enforcement of food safety standards, which should be clear and unabiguous. A number of the recommendations set out in our interim report and also earlier in this report, are designed to tackle lacunae in existing regulations and strengthen the position on enforcement, particularly in relation to high risk premises. These include:-
  • accelerated implementation of HACCP for high risk premises;
  • the proposed selective licensing arrangements;
  • the proposed introduction, into Code of Practice 16, of a special section on Risk Assessment;
  • the recommendation for amendment to Code of Practice No 9 so as to ensure EHOs' efforts and resources are targeted particularly at high risk premises; and
  • a review of the health risk condition set out in Section 11(2) of the Food Safety Act 1990.
 
9.11 The case for selective licensing has been set out in Chapter 7. We are aware that work is under way on the proposed amendments to Codes of Practice. The aim of the review of Code of Practice No 9 is to encourage more frequent inspections by EHOs of high risk premises, thereby helping to ensure that potential hazards are identified and tackled earlier and that operators conform to the required standards. Two further points need to be made in that context, however. First, there will be costs (including opportunity costs) associated with that: the inevitable implication is that, without additional resources, EHO efforts will be diverted away from other, albeit hopefully less risky, operations. Secondly, the duration and quality of inspection visits is as important as their frequency. Increasing the number of visits should not mean simply that the length of visits should be correspondingly decreased or that there is a need to examine in any less depth premises or operations carried out by businesses.
 
9.12 In relation to the proposed amendment of the health risk condition, we set out in our interim report concerns a) that the courts may apply criminal standards of proof (ie a need to prove "beyond reasonable doubt") rather than civil standards ("balance of probability") when determining cases; and b) that the standard of proof required may not be available to EHOs at the time of taking decisions on the need for action - amongst other things because of inevitable delays in microbiological testing of food samples or in identifying the likely source of infection. Consultation is underway, in Scotland, on the application of the emergency powers available to EHOs and the health risk conditions in the 1990 Act.
 
9.13 In that context, there has been some debate about whether our interpretation and articulation of the law in relation to the health risk condition was correct. Further legal advice suggests that the courts may apply civil rather than criminal standards of proof (but the standard of proof is for the court to determine) and that it is the potential absence of hard (rather than circumstantial) evidence rather than the standard of proof which may be the determining factor. We acknowledge that our interim views, which were produced to a very tight timetable, could perhaps have been expressed more appropriately. Nonetheless, we think the principle of our concerns, relating to the uncertainties which enforcement authorities apparently have about their ability to fulfil the health risk condition, remain. We therefore welcome the fact that a consultation exercise is underway and that further consideration is to be given to reviewing the health risk condition in the light of responses to that.
 
Implementation of HACCP
 
9.14 We have endorsed HACCP as the overarching policy and practical approach to ensuring food safety and have recommended incremental steps to advance its implementation. It would be unreasonable to expect EHOs to be the sole, or indeed the main, contributors towards taking forward education and awareness of HACCP principles and their implementation. Responsibility for that rests primarily with business. Nonetheless, EHOs have an important role to play. Not only have they substantial experience and expertise to offer, but they will also be expected to make judgements about the appropriateness or otherwise of HACCPs which are prepared and implemented by individual businesses within their area. This needs to be reflected in the allocation of resources to environmental health departments.
 
9.15 We recommended in our interim report better targeting of EHO resources to help tackle the challenges that E.coli O157 represents, perceived deficiencies in the regulatory framework and the need to contribute towards the implementation of HACCP. As the Codes of Practice make clear, local authorities must ensure that they have in place adequate staff with the skills and resources needed to address these issues. Central Government will also wish to ensure the adequacy of resources available to local authorities in this area.
 
Recommendations
 
9.16 In relation to enforcement issues, we welcome the work that is underway to review Codes of Practice and, in Scotland, the consultation on the emergency powers available to enforcement authorities and the health risk condition. We re-iterate our recommendations to accelerate the implementation of HACCP principles for high risk premises and the need to target EHO effort and resources on them. Our deliberations on enforcement issues have re-affirmed our view on the need for selective licensing. We recommend, in addition, that:-

a. the Government should give a clear policy lead on the need for the enforcement of food safety measures and the accelerated implementation of HACCP;

b. the Government and local authorities should ensure that there are available suitable and adequate EHO skills and resources to address enforcement and education/awareness issues;

c. the Government should consider earmarking local authority funds for these purposes; and

d. local authorities should designate an environmental health officer, with appropriate training, experience and expertise, to head food safety within the authority.

 
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