IV. SUMMARY OF CONCLUSIONS AND RECOMMENDATIONS
123. Our principal conclusions and recommendations
are as follows:
Pre-legislative scrutiny
(a) We would welcome any comments, from
Members and others, as to how we might best undertake scrutiny
of the draft Food Standards Agency bill (paragraph 9).
The FSA's credibility
(b) In our view, the main challenge which
the FSA will face is in establishing its credibility with the
public, as swiftly as possible. The Agency must not only make
our food safer, but be seen to do so. It must also ensure the
correct balance between advice and enforcement This will require
it to set clear priorities for its actions in its first years
of existence. The onus on the Government will be to ensure that
the FSA will be properly financed, well managed and effectively
led (paragraph 11).
The incidence of food poisoning
(c) We recommend that the Government explore
means of devising research projects to provide a fuller understanding
of the different rates of food poisoning in the constituent parts
of the UK. The absence of clear conclusions on these discrepancies
is inexcusable, and must be remedied if the Agency's work is to
be underpinned by a real understanding of the incidence and causes
of food poisoning in the UK (paragraph 18).
(d) Under-notification by GPs is only
one part of the wider jigsaw of under-ascertainment of infectious
intestinal disease in the UK, but it is an important part, and
the Government must both ensure that GPs are advised of developments
in foodborne illnesses and their symptoms, and continue to press
GPs to meet their responsibilities in respect of notification.
This task will be a crucial one if the Agency's work is to be
informed by accurate statistical information and not just by hunches
and guesswork (paragraph 19).
(e) Professor Brian Duerden, Deputy Director
of the PHLS, argued that "laboratory notifications should
become a statutory responsibility". We agree. Such measures
are essential in improving public health and food safety policy
(paragraph 20).
(f) The publication of the DoH's infectious
intestinal disease report should be extremely important in understanding
the true prevalence of food poisoning in the UK (paragraph 22).
Microbiological hazards
(g) UK food safety policy must aim, as
far as is reasonably achievable, at the elimination of pathogenic
bacteria from the food supply chain (paragraph 28).
(h) We would propose that the Government,
through the Food Standards Agency when it is established, should
effectively apply the HACCP principle to the food-chain in its
entirety, identifying the most appropriate points of intervention
and control in the context of the methods of production and the
characteristics of particular dangerous pathogens. The resources
which the Agency allocates in this area should be distributed
on the basis of that analysis (paragraph ?).
(i) The Government has proposed the establishment
of an Advisory Committee on Animal Feedingstuffs to support the
work of the Food Standards Agency. We warmly welcome this decision,
which should provide the necessary impetus to achieve wholly Salmonella-free
feed in the future (paragraph 35).
(j) In its response to this Report, the
Government should address the problem of formulating strategies
against specific bacteriological hazards, as well as the detailed
elements of those strategies which we have proposed (paragraph
35).
(k) The establishment of a rigorous, scientific
and statistically reliable national food surveillance system will
be an essential component of an effective food safety policy in
the future. Ideally these surveys should discriminate between
foods produced according to different methods (one example amongst
many would be battery and free-range eggs) to provide information
which can be used to better effect in influencing policy further
down the food chain: they should also discriminate between UK-produced
and imported foodstuffs. The results of such surveys must be published
regularly (paragraph 36).
Emergent threats
(l) No one can predict when or if new
micro-organisms, or new virulent strains of known bacteria, will
emerge. A major food poisoning incident, resulting from such an
emergent threat, in the early years of the Agency's existence
could hardly be blamed on the Agency (paragraph 37).
(m) We consider the evidence of transfer
of antibiotic-resistant micro-organisms from animals to humans
through food to be approaching conclusiveness, and with the consequences
of this potentially so serious, we favour a ban on the use of
antibiotics in farming as growth promoters, and tighter restrictions
on their use for subtherapeutic or prophylactic purposes. Every
effort should be made to develop vaccines as alternatives to antibiotics
for therapeutic purposes (paragraph 40).
(n) We see no proof yet of problems in
respect of food safety in relation to the practices of disposal
of sewage sludge and other organic waste on to agricultural land,
but these practices must be kept under close and continuous review
in the light of the ACMSF's findings (paragraph 42).
Imported food
(o) We have no evidence to suggest that
imported food in general is now, or is likely to become in the
future, any less wholesome and safe than UK produce. Multiple
retailers, for example, audit and inspect their foreign suppliers
on the same basis as their UK suppliers. We do consider, however,
that the arrangements for surveillance of food imports, and for
ensuring their traceability on an absolutely equal basis with
domestically-produced food, will be important issues for the new
Food Standards Agency to address, both at the EU level and with
local port health authorities. The Agency cannot afford to have
domestic producers feeling that the "playing field"
is not level. Nor can it rest content with any inspection regimes
in other countries which are not as thorough as in the UK (paragraph
44).
Economy products
(p) The British Meat Manufacturers' Association
called for greater regulation and enforcement of hygiene at the
lower price end of the meat manufacturing industry. We agree with
the BMMA, and others who gave evidence to us, that all consumers
have a right to expect their food to be safe from contamination,
irrespective of price. It will be a major test of the Food Standards
Agency to raise the safety standards of lower-priced food, meat
and non-meat products alike, to those of more expensive and controlled
foodstuffs (paragraph 46).
Pesticides
(q) We consider that public confidence
in the safety of food in respect of pesticides and veterinary
medicines residues would be enhanced if the surveillance programmes
were carried out by the FSA wholly independently of the authorities
responsible for product approvals. We further consider that the
Agency should actively promote the results of its surveys in the
consumer media (paragraph 49).
Genetically-modified organisms
(r) It is our view that consumers have
a right to know if foods contain genetically-modified organisms,
or if there is a possibility that they may contain them, and we
fully support the Government's labelling policy for such foods.
GMOs also have potential environmental consequences, but these
matters lie outside the scope of this Report. We strongly support
Dr Cunningham's call for continued vigilance both on the food
safety and environmental consequences of GMOs. These are issues
to which we may return in a later inquiry (paragraph 51).
The food chain
(s) The Food Standards Agency will need
to secure hygiene improvements throughout the food chain by a
variety of methods, including a strategic review of the different
sectors in the food chain to identify research priorities with
clear targets and objectives to bring about the desired improvements
in pathogen reduction and control. At the same time, it must not
shrink from re-appraising the hygiene control strategies which
are already in place when it begins its operations. The Agency
must come to its own judgements about the hierarchy of risk within
the food chain and may choose to adapt the existing regulatory
framework to reflect that risk, balancing the need for regulation
against producers' legal responsibilities to exercise "due
diligence", under the Food Safety Act, in ensuring the safety
of their produce and consumers' reasonable obligations. The Agency
should also commission research on the practicability and desirability
of simplifying and shortening the food chain with the aim of reducing
risk (paragraph 54).
(t) Full observance of basic and well-established
hygiene rules by caterers and domestic consumers would slash the
incidence of food poisoning in this country. However, particularly
bearing in mind the fact that many food products are eaten raw
or purchased already cooked the onus to prevent incidents of food
poisoning must not be placed solely upon the consumer. As the
Chairman of the ACMSF has said: "ordinary household and small
caterer hygiene cannot be expected to deal on all occasions with
the unacceptable incidence of food pathogens found in the output
of animal production and spread further in slaughter and primary
butchery of carcasses" (paragraph 55).
HACCP
(u) The full implementation of HACCP will
not, of itself, rid the food chain of microbiological hazards,
but it will make a significant contribution to food safety, in
conjunction with adequate training of food business managers and
food handlers. We also consider that the sixth and seventh stages
of HACCP should be made mandatory legal requirements. Nevertheless,
the focus of HACCP on the processes adopted by individual
businesses does not obviate the need for measurement of levels
of microbiological contamination of businesses' raw material inputs
and processed outputs, and for a co-ordinated approach to the
reduction of pathogens throughout the food chain as a whole (paragraph
59).
Agricultural and farming practice
(v) Definitive information is needed on
what the current pathogen levels are in animals destined for food
production and the potential for reduction associated with different
intervention strategies. This is a task which the Food Standards
Agency will need to address urgently (paragraph 60).
(w) We believe that MAFF, together with
the Food Standards Agency, will need to review the relationship
between modern farming practices and food safety, once the basic
research on carriage of pathogens in livestock has been carried
out. While we do not consider the licensing of livestock producers
to be necessary, we are in favour of the promotion of HACCP principles
within the farming industry. It is important to remember that
extensive and intensive livestock production methods, in food
safety terms, both raise their own specific problems which the
FSA and MAFF must address on their merits (paragraph 61).
Slaughter and primary processing
(x) It is essential to have sound objective
measurements of the value of the meat hygiene inspection process,
so that judgements can be made about the proportionality of the
slaughterhouse inspection regime to the food safety risks involved.
In the context of this and other inquiries, we are particularly
concerned about the poor-quality "tail" of slaughterhouses
with low HAS scores which exists in this country. We recommend
changes to the licensing system for slaughterhouses to make it
far more difficult for slaughterhouses with unsatisfactory hygiene
levels to operate, by banning individuals with a record of running
unhygienic establishments from gaining or retaining licences.
This should punish the guilty without imposing undue regulation
on well-run smaller slaughterhouses (paragraph 63).
Processing, distribution, retail and catering
(y) We are concerned that the admirable
principles which are espoused by the Joint Hospitality Industry
Congress and other industry associations in relation to food hygiene
training are not being implemented in practice throughout all
food businesses. The withdrawal of mandatory funding of food hygiene
courses by the Further Education Funding Council is a retrograde
step. The effective implementation of HACCP depends crucially
on well-trained managers and employees in food businesses. The
FSA should be encouraged to comment publicly on the adequacy of
such training (paragraph 65).
(z) All the authorities involved in food
hygiene run public information campaigns, although the impact
of these initiatives is questionable. As the ACMSF has noted,
recipes using raw eggs are routinely presented in cooking magazines
and programmes despite the Chief Medical Officer's warnings about
the dangers of raw eggs for vulnerable groups. Public informaiton
is one area where we believe that the Food Standards Agency must
devote sufficient resources, assessing the problems by opinion
surveys and using the information to increase public awareness
of food hygiene issues, to inform consumers about changes in best
practice and bring about a substantial reduction in food poisoning
cases. We welcome moves currently under way to raise the profile
of the subject of food hygiene in school curricula (paragraph
68).
The consumer
(aa) The Food Standards Agency must have
an important role to play in encouraging manufacturers to achieve
higher and more uniform standards in domestic kitchen equipment,
particularly fridges and microwaves, to assist the public in maintaining
the safety of food (paragraph 69).
Traceability and labelling
(bb) We feel that a radical overhaul of
the labelling of food on sale in the UK is long overdue. Food
imported into the UK must be subject to the same traceability
and labelling requirements as domestically-produced food (paragraph
71).
The Government's White Paper
(cc) We welcome the leading role to be
played by the FSA in developing an integrated preventative strategy
for the control of human zoonoses as described in the Government's
White Paper (paragraph 82).
(dd) We are satisfied that the arrangement
proposed by the Government, whereby the Pesticides Safety Directorate
and Veterinary Medicines Directorate remain the lead authorities
in approving new products whilst the FSA has an effective veto
over both the approvals (PSD) and licensing (VMD) processes, represents
an effective and workable compromise preserving the administrative
efficiency of the existing systems whilst ensuring high standards
of food safety. We would however like to see the FSA assuming
complete control of the surveillance schemes for pesticides and
veterinary medicines, so that approvals and monitoring processes
are carried out by different organisations (paragraph 85).
(ee) We believe that the FSA should establish
an emergency unit, to develop contingency plans to deal with food
safety hazards, and that the proposed mechanisms for coordinating
FSA and local authority emergency responses should be clarified
as soon as possible and integrated with the food industry's own
responsibility to manage food safety emergencies (paragraph 86).
Nutrition
(ff) We favour the inclusion of aspects
of nutrition policy within the remit of the FSA, although we are
concerned about the lack of clarity within the White Paper about
the division of responsibilities between the Agency and the Department
of Health. Nutrition is not a second-order issue: poorly-balanced
diets cause much greater damage to health than food poisoning,
and over the long-term the Agency could achieve significantly
more in its nutritional activities than in its food safety role
(paragraph 89).
Structure
(gg) While we agree wholeheartedly with
the notion of impartial and objective Commissioners, we find it
highly unlikely that persons of the calibre required will be found
without some 'specific affiliation' - whether it be derived from
experience in local government, academic, corporate or other non-Governmental
sectors. Indeed, the Commission's utilisation of collective experience
gained in these different fields by individual Commissioners should
be viewed as a strength rather than a weakness, providing the
basis for the informed decisions which must be taken by a truly
independent FSA (paragraph 90).
Financing
(hh) We are not in favour of the Government's
proposed licensing fee as a mechanism for raising revenue for
the Agency. It would, in effect, be a regressive tax as food is
proportionately a larger item in the budgets of low-income households,
and the costs would be passed on to consumers by industry. We
believe that licensing should not be the subject of charges and
should be selective, not universal. Where there is a recognized
scientific need to control the risk of food contamination in particular
retail and catering outlets, such as butchers' premises, licensing
should be made obligatory, but other outlets should be exempted
from this requirement. In our judgement, individual food businesses
should only be charged for specific, identifiable activities or
services, such as inspections, carried out by the FSA or local
authority officers on the public's behalf. All other operating
costs accruing to the Agency should be borne by the Government,
as should the Agency's start-up costs. Food safety is a matter
of public responsibility and should, therefore, be publicly-financed.
Our approach has significant advantages over the Government's
proposals, not least in ensuring tighter overall control of the
FSA's expenditure, and more exacting supervision of the public
service it offers, consequent on the Treasury's interest in accounting
for public finances. There is a danger that any charging regime
will discriminate against domestically produced foods and in favour
of imports, damaging the competitiveness of the UK industry. Consideration
should be given, consistent with EU legislation, to charging importers
of food for the actual cost of food safety checks carried out
at ports of entry (paragraph 93).
The FSA's communication techniques
(ii) It is essential that the FSA should
utilize modern communication and information techniques. It should
also survey public opinion regularly to ensure its messages on
food hygiene are getting across. Merely relying on low-key public
information techniques, however well-informed and well-intentioned,
will not be sufficient (paragraph 99).
International comparisons
(jj) Collecting comparative international
data on food safety issues will be an essential component of the
Food Standards Agency's work in constructing and furthering best
practice in this country (paragraph 100).
Risk assessment
(kk) Dr Cunningham told us that the Agency
will proceed on the basis of the precautionary principle. If so,
we believe it should be explicitly stated in the Agency's guiding
principles, which is not the case in the White Paper (paragraph
103).
(ll) One of the first tasks for the Food
Standards Agency will be to draw up and publish the risk assessment
criteria under which it will operate. We recommend that it consults
widely on these criteria before they are adopted. A clear definition
of the respective responsibilities of the Government, the food
industry and the individual consumer in addressing risk is also
required (paragraph 104).
Priorities
(mm) In order to prevent inundating the
Agency with enforcement and policy responsibilities at a very
early stage, we consider some form of prioritisation of Agency
duties to be not only helpful, but essential. The Agency will
need to draw up a clear work programme, prioritising its various
areas of responsibility, in response to particular public concerns,
scientific priorities, risk assessments, and its capacity actually
to effect improvements in food safety, standards and nutrition
(paragraph 105).
Targets
(nn) Failure to meet targets on the part
of the Agency should not necessarily be met by an increase in
financial resources available to it. Indeed, we are concerned
to make sure that the creation of the Agency does not lead to
a large increase in public expenditure, and would on the contrary
hope that the Agency would be able to generate efficiency savings
in existing programmes over time (paragraph 106).
(oo) Some of the FSA's initial targets
must relate to improving the reporting of foodborne pathogen outbreaks
and reducing levels of microbiological contamination of foodstuffs.
Once the full extent of the national food poisoning problem is
known, the FSA can than initiate concerted action, with other
Government Departments as appropriate, to monitor and reduce the
levels of incidence of human food poisoning across the UK, but
it would be wrong to judge the success or failure of the Agency
by trends in reported foodborne illnesses, during its first three
years. Targets relating to nutrition and health will inevitably
be more long-term and imprecise, given the range of other factors,
apart from food, affecting public health, the lack of clear causal
links between diet and health in many instances, and the policy
responsibilities of other bodies apart from the FSA, including
the Department of Health itself, in these matters (paragraph 108).
(pp) The FSA should verify its success
in achieving 'soft' targets, such as increasing public awareness
of and confidence in food hygiene, through regular surveying and
monitoring of public attitudes. Such surveys could also be used
to assess the public's opinion of the administration and delivery
of the FSA's new food hygiene policies (paragraph 109).
Political accountability
(qq) We agree with the proposals in the
White Paper that the Agency should be accountable to Parliament
through the Secretary of State for Health, and that it should
"produce an Annual Report, Corporate Plan and Business Plan"
and "be subject to an annual accountability review and a
more fundamental quinquennial review" (paragraph 112).
(rr) We consider Professor James' proposal
of joint meetings of existing select committees to take evidence
from the Agency on its activities to be more appropriate than
the creation of a new Food Select Committee. The Agency would
then also be accountable to individual select committees, principally
ourselves and the Health Committee (paragraph 112).
(ss) We recommend that a full day's debate
should take place each year on the floor of the House on a motion
to take note of the Agency's Report and Accounts, and any related
reports by departmental select committees and the Committee of
Public Accounts. Taking evidence from the Chairperson of the Commission
on his or her appointment is also something which we would wish
to consider seriously, in consultation with our colleagues on
the Health Committee (paragraph 112).
Enforcement and inspection powers
(tt) We recommend that the Government
explore the possibility of the Agency having contracts with local
agencies for the delivery of food hygiene enforcement functions.
These contracts would include detailed specifications and targets
for work to encourage standardisation of enforcement across the
country and to ensure that there were adequate resources for the
work. They would normally be placed with local authorities, for
delivery through their Environmental Health Departments. However,
in some instances, the contracts might be placed with other agencies.
Whilst the FSA headquarters would be responsible for drawing up
and awarding the contracts, it is possible that the monitoring
of the contracts would be better done at local or regional level
to achieve the level of co-operation and partnership needed to
both deliver the service and drive up standards. With this in
mind we recommend that at least one member of the FSA's Commission
should have extensive knowledge of local authority enforcement
of food legislation; and that a specialist division be set up
within the FSA's Executive to oversee the contractual process,
staffed by personnel with extensive knowledge of local authority
food safety functions and procedures. This division should also
ensure that the FSA has the capacity, in cases of emergency, to
assume direct control over enforcement acitivities (paragraph
116).
The dangers of over-regulation
(uu) We believe the Government, and subsequently
the Agency, should give sympathetic consideration to the possibility
of introducing derogations from certain legislative requirements
for specific types of small producers and retailers offering exemplary
levels of food safety, but whose business livelihoods may be threatened
by increased administrative costs consequent on greater regulation
(paragraph 117).
Leadership
(vv) Public advertisement of key posts
in the Agency is essential, and the Chairperson of the Commission
and the Chief Executive must be able to command the confidence
of consumers without alienating producers. They will both need
to be outstanding communicators. In particular, they will need
to demonstrate considerable experience of serving and working
for consumers; a rigorous target-driven approach to the solution
of complex problems; and experience of managing a high-profile
national organisation. These "paragons of virtue", in
Dr Cunningham's phrase, will also need to carry authority within
the scientific community (though they would not need to be scientists
themselves). If it is not possible to identify individuals of
sufficient calibre, the formal launch of this Agency should be
delayed. A poorly-led Agency would be worse than no Agency at
all (paragraph 118).
Crisis management
(ww) The Agency must clearly demonstrate
that it is more effective at dealing with crises than MAFF has
been in the past (paragraph 119).
Openness
(xx) The activities of the Agency and
its advisory committees must take place in the open sunshine of
public scrutiny and accountability. We look to the Agency to reach
its decisions by open processes and to develop imaginative ways
of ensuring its accountability and openness to the general public
at both national and local level (paragraph 120).
Consumer representation and imput
(yy) We recommend that a Consumer's Committee,
representative of the broad range of consumer interests, be established
to advise the FSA's Executive and Commission on general issues;
that a specialist Consumer Commissioner be appointed to the FSA
to represent the consumer's interests directly in a similar way
to the three Territorial Commissioners representing Northern Irish,
Scottish, and Welsh interests; and that local or regional consumer
panels, run by local authorities, should be established to provide
a consumer viewpoint on local and regional issues relating to
food safety and standards. We consider that the FSA should itself
finance this consumer role to allow consumer panels to conduct
their own research on the effectiveness of the Agency and its
staff (paragraph 121).
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