|  
                            
                             Prior to publishing its November 
                            2003 policy (now revised) in 2001 and 2002, the HSE 
                            produced two papers for the HSC 
                             
                            To download these papers in full, Click Below: 
                            HSE Paper 
                            to the Board: November 2001 (word) 
                            HSE Paper 
                            to the Board: October 2002 (PDF) 
                             
                            November 2001 Paper 
                            The November 2001 paper sets out why the HSE considers 
                            a review is necessary: 
                             
                          
                             
                              | 8 | 
                              There 
                                has been a developing appreciation of the broad 
                                scope of section 3 over time. HSE are now actively 
                                involved in regulating risks under section 3 which, 
                                some years ago, would not have attracted the attention 
                                of HSE e.g. patient issues in hospitals. There 
                                are a variety of reasons for this:  
                                 
                                
                                   
                                    |  | 
                                    A 
                                      growing perception by the public of s.3 
                                      HSWAs potentially infinite application 
                                      and increasing pressure on HSE to use section 
                                      3 for "public safety" issues which 
                                      may only have a tenuous link to work activities 
                                      and which may not be central to HSCs 
                                      strategic direction for health and safety; | 
                                   
                                   
                                    |  | 
                                    The 
                                      absence of more specific legislation or 
                                      the lack of suitable enforcement powers 
                                      leaving gaps which HSE finds itself under 
                                      increasing pressure to pick up using section 
                                      3; | 
                                   
                                   
                                    |  | 
                                    A 
                                      reluctance by other enforcement bodies and 
                                      authorities to take on section responsibilities, 
                                      even though they may have the necessary 
                                      expertise, and which might obviate the need 
                                      for HSE to enforce section 3; | 
                                   
                                 
                               | 
                             
                             
                              | 9 | 
                               
                                
                                   
                                    |  | 
                                    Increasing 
                                      demands for criminal prosecutions when incidents 
                                      involving public safety occur; | 
                                   
                                   
                                    |  | 
                                    A 
                                      need to act where there is serious and imminent 
                                      danger or risk of serious or imminent danger 
                                      and where its not possible to contact 
                                      the other authority in time or theres 
                                      a gap in others legislation/enforcement 
                                      powers; | 
                                   
                                   
                                    |  | 
                                    Complaints 
                                      about other enforcing authorities. | 
                                   
                                 
                               | 
                             
                             
                              | 10 | 
                              The 
                                additional pressures placed on HSE by the demands 
                                of section 3 in these circumstances give rise 
                                to certain dangers:  
                                 
                                
                                   
                                    |  | 
                                    Given 
                                      HSEs resource constraints, the danger 
                                      of resources being skewed away from Revitalising 
                                      targets and other activities eg investigation 
                                      of workplace accidents and prosecutions; | 
                                   
                                   
                                    |  | 
                                    The 
                                      danger of judicial review should adequate 
                                      arrangements not be in place to deal with 
                                      the enforcement of section 3 and ensuring 
                                      public safety is adequately guaranteed; | 
                                   
                                   
                                    |  | 
                                    A 
                                      growing demand on HSE to act and enforce 
                                      under section 3 even where more relevant 
                                      legislation exists, particularly if there 
                                      is no scope for criminal sanctions under 
                                      that legislation. | 
                                   
                                 
                               | 
                             
                             
                              | 11 | 
                              These 
                                pressures to intervene are likely to increase 
                                and there is a need, given resource constraints, 
                                for HSE to address prioritisation of section 3 
                                work. There are currently several significant 
                                section 3 boundary issues, some of which are proving 
                                resource intensive, including work on framing 
                                or amending demarcation agreements. In particular, 
                                HSEs Field Operations Directorate has expressed 
                                some concern over the potential extent of HSEs 
                                section 3 responsibilities. There is also concern 
                                from Policy Directorates because of pressure for 
                                the production of guidance etc and public involvement 
                                in "consumer" focussed safety issues 
                                e.g. safety of swimming pool users, participants 
                                of adventure activities, fairgrounds. | 
                             
                             
                              | 12 | 
                              The 
                                section 3 review will consider the current situation 
                                and the potential for further HSE involvement 
                                e.g. the size of the problem and the amount of 
                                resources that are devoted to this work. As part 
                                of the review, and to aid possible decision making 
                                on prioritisation, HSE will consider cases where: 
                                 
                                 
                                
                                   
                                    |  | 
                                    there 
                                      are other authorities with enforcement powers 
                                      eg air transport; | 
                                   
                                   
                                    |  | 
                                    there 
                                      are other bodies with responsibilities for 
                                      ensuring safety but they have no enforcement 
                                      powers e.g. Commission for Health Improvement, 
                                      prison service; | 
                                   
                                   
                                    |  | 
                                    there 
                                      are no other authorities eg fairgrounds. | 
                                   
                                 
                               | 
                             
                             
                              | 13 | 
                              HSE 
                                will also investigate how much proactive and reactive 
                                resource is being put into this section 3 work. | 
                             
                             
                              | 14 | 
                              HSE 
                                will also revisit the principles of the "Foot 
                                letter" and, in particular, the benefits 
                                that may attach to using consumer protection legislation, 
                                rather than section 3, to address the risks posed. | 
                             
                           
                          October 
                            2002 Paper 
                            The October 2002 paper summarised the problem for 
                            the HSE in the following manner: 
                           
                            "The 
                              broad scope of s.3 and uncertainties about our role 
                              mean that the demands on resources could become 
                              even greater particularly if HSE is seen as providing 
                              a stop-gap to fill either deficiencies in others 
                              legislation or the inability/failure of other authorities 
                              to address issues that we regard to be more properly 
                              their concern. In particular, there is a threat 
                              to Revitalising priorities, and/or of judicial review, 
                              if the current approach is unchanged." 
                           
                          It 
                            says that the current pressures on HSEs enforcement 
                            of section 3 include: 
                             
                          
                             
                              |  | 
                              The 
                                potential for HSE to be drawn into areas increasingly 
                                close to "clinical judgement" issues 
                                in patient care because of the lack of enforcement 
                                powers by others eg the Commission for Health 
                                Improvement (CHI) - and its intended replacement 
                                 the Commission for Healthcare, Audit and 
                                Inspection. | 
                             
                             
                              |  | 
                              The 
                                need for HSE to intervene in circumstances where 
                                the workplace or work activity related element 
                                is rather tenuous or which we reactively enforce 
                                eg domestic electrical safety, risks to students 
                                from meningitis, falling trees, condition of fences 
                                and stiles, proposed siting of a drugs and alcohol 
                                unit next to a school, solid fuel/oil fires in 
                                domestic premises (because of our involvement 
                                in gas safety). | 
                             
                             
                              |  | 
                              An 
                                increasing public desire for HSE to get involved 
                                in areas that previously were regarded as "voluntary 
                                risk" eg hazardous leisure pursuits. | 
                             
                             
                              |  | 
                              An 
                                increasing public expectation that a regime will 
                                exist to punish individuals or bodies when things 
                                go wrong. | 
                             
                             
                              |  | 
                              Our 
                                "fit" with other regulatory regimes 
                                that have a different enforcement rationale in 
                                achieving their aims eg Prisons Inspectorate rely 
                                on influencing the Home Office, CHI operate on 
                                a no blame investigatory approach, the General 
                                Medical Council have limited powers in the action 
                                they can take." | 
                             
                           
                          It 
                            states that in relation to resources: 
                           
                            "HSEs 
                              Field Operations Directorate estimate some 38 staff 
                              years annually (excluding work-related road transport) 
                              were spent dealing with "public safety" 
                              issues and a further 25 staff years for domestic 
                              gas safety. This is, however, likely to be an underestimate 
                              and includes a significant amount of non-priority 
                              reactive topics." 
                           
                          It 
                            is concerned that the pressure from other Government 
                            departments is for the HSE to be increasingly involved 
                            in the regulation of public safety issues. The document 
                            states:  
                           
                            "Government 
                              more generally is not addressing this; rather some 
                              parts of Government are seeking to limit their role 
                              by replying on HSEs enforcement powers (eg 
                              DTI and certain consumer safety issues such as the 
                              addition of radioactive substances to consumer goods). 
                              It is clear that HSE would have great difficulties 
                              in persuading other organisations that they should 
                              do some of the things we currently do under s.3 
                              - the pressure is in the other direction." 
                           
                          The 
                            paper says that the HSE is curently considering the 
                            following options 
                           
                            What 
                              we can do in the immediate future to deal with the 
                              pressures on HSE in theenforcement of s.3. There 
                              is recognition that there is a need for greater 
                              prioritisation and the continued development of 
                              MoUs. However, greater prioritisation is leading 
                              HSE to state that we will only address matters of 
                              serious or imminent risk in certain areas  
                              a position that can be difficult to explain and 
                              justify to members of the public. 
                               
                              What should we be aiming at for our future role 
                              in public safety? Public expectation of HSE is increasingly 
                              at odds with the fundamentals of our intended functions 
                              as envisaged by Robens, which recommended that HSE 
                              should not have all embracing responsibility for 
                              public safety. 
                               
                              There is a need to find ways to manage the mechanisms 
                              for agreeing demarcation issues and alternatives 
                              that HSE are considering include the possibility 
                              that Ministers or the Commission may give "directions" 
                              to HSC/E not to get involved in certain areas, or 
                              in setting priorities, further MoUs, etc. 
                           
                          Back 
                            to the Top 
                           |