The ANAO today released a report into Primary Healthcare Grants under the Indigenous Australians’ Health
Program (link
here).
The report identified a range of shortcomings, more misdemeanors
than major issues. I don’t propose to provide a summary or detailed analysis as
the report largely speaks for itself. I particularly commend it to readers
interested in Indigenous health administration issues.
Notwithstanding its critical content, I confidently predict
that the various issues identified, the ANAO report will garner very little
media coverage or even Senate scrutiny.
In reading the report, however, one particular issue caught
my attention, and it sparked an observation which is perhaps worth noting since
it opens a window on to a much larger dynamic which can operate in the APS.
This dynamic is where Ministers push the boundaries, public servants don’t see
a way to hold the line, and ultimately it is Departments which are exposed as
not meeting appropriate accountability norms.
Amongst its various findings, the ANAO uncovered the
following issue. Included in comments on the lack of value for money
assessments on a billion dollar round of funding, the ANAO also noted at para
16:
The
department was also unable to provide evidence it had undertaken a value for
money assessment regarding the $114 million grant to the Northern Territory
Government. In virtually all cases, risk assessments formed part of the
assessment process.
Later in the report, the ANAO provided more information:
2015 Northern Territory
government grant
3.13
The Northern Territory government had been funded under pre-IAHP grant programs
for the provision of primary healthcare to Indigenous Australians, mostly
through clinics in remote areas. As part of seeking Ministerial approval about
the funding process under the IAHP, the department advised the Minister that it
would only make a formal offer of a grant following receipt of a specific grant
proposal and undertaking a value for money assessment against the
‘deliverables’ in the proposal. The Minister approved this approach in mid May
2015.
3.14
No specific departmental assessment plan or selection criteria was developed
for the Northern Territory grant. The department contacted the Northern
Territory Department of Health on 26 June 2015 to request that it provide a
proposal. Departmental records indicate that a formal offer of a $114 million
funding agreement to the Northern Territory Government was made on 6 August
2015, before the proposal was received on 15 August 2015. A funding agreement
was signed in October 2015. The department was unable to supply the ANAO with
evidence that it had undertaken value for money or risk assessments of the
proposal.
The ANAO, whose remit is the operations of Departments and
not Ministers, leaves the impression that this was largely an oversight on the
part of the Department.
My own experience working within Government tells me that Departments
rarely take decisions on these sorts of matters without clear authority from Ministers.
There may or may not have been evidence on the file, but it would be a severely
career limiting move for a public servant to act without ministerial authority
on a grant to a subsidiary jurisdiction such as the NT. Instead, what we have
is a ‘mistake’ by the Department, and when caught out by the ANAO, the Department
expresses contrition, agrees with the ANAO recommendations, and resolves to do
better in the future.
If my supposition is correct, (and I emphasise, it is
merely supposition), this would tell us a number of things.
First that the NT Government of the day was apparently so
incompetent that they could not develop a timely funding proposal making the
case for Commonwealth funding.
Second that there may have been formal or informal signals
from ministers to ‘just get on with it’.
Third, that in such circumstances the senior bureaucrats in
the Health Department at that time may have felt unable to stand up to the Minister.
The provision of frank and fearless advice seems increasingly rare in the highly
politicised (with a small p) world of public policy administration in Australia,
and this may well have been another instance.
Fourth, that there may have been electoral considerations
in play as the timing of the decision to grant the funds to the NT was in the
year before an NT election. The then CLP Government, headed by Chief Minister Adam
Giles, was closely aligned with the Nationals. The Federal Health Minister at
the time was Peter Dutton; the Assistant Health Minister was Nationals Senator Fiona
Nash.
Fifth, that if the Senate Estimates Committees are doing their
job, we could expect that there would be direct questions at the next hearings
directed to determining whether there was ministerial involvement in the Department’s
decision to prematurely offer the funds to the NT Government. And if not, what
action was taken to counsel the officers involved in making the premature offer
without a value for money assessment.
To sum up, what we appear to have with this audit is a good
degree of transparency, courtesy of the efforts of the ANAO, but limited or
non-existent accountability. There was merit in the traditional Westminster
notion that Ministers are responsible for the actions of their Departments. Ever
since that notion lost effective traction, accountability standards within Government
have gone downhill. And the voting public and taxpayers are the losers. In
theory we have accountability, in practice we don’t.
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