EXPLANATORY STATEMENT

Issued by the authority of the Minister for Finance and Administration

Financial Management and Accountability Act 1997

Determination 2006/53 to establish a Special Account

Purposes of Determination 2006/53

The attached instrument makes a determination under subsection 20 (1) of the Financial Management and Accountability Act 1997 (FMA Act) to establish a Special Account entitled, Safety and Quality in Health Care Special Account.  It also specifies the nature of amounts that may be credited to, and the purposes for which amounts may be debited from, the Safety and Quality in Health Care Special Account.

Special Accounts generally

In accordance with the Constitution, all revenues or moneys raised or received by the Government of the Commonwealth form one Consolidated Revenue Fund (CRF) and may not be spent unless under an appropriation by the Parliament for the purposes of the Commonwealth.  A Special Account is established by a determination that sets out the amounts that may be credited and the purposes for which it may be debited.                   Special Accounts established by determination are supported by an appropriation under section 20 of the FMA Act.  In effect, Special Accounts allow amounts from the CRF to be spent on a purpose specified in the determination.

Determinations that establish Special Accounts, or vary determinations that establish Special Accounts, are subject to section 22 of the FMA Act. Section 22 of the FMA Act requires the Finance Minister to table a copy of the establishing or varying determination in each House of Parliament. Either House may disallow a determination within five sitting days of tabling.  If the determination is not disallowed, it comes into effect on the calendar day after the last day on which it could have been disallowed.

Regulation 10 of the Legislative Instruments Regulations 2004 preserves the disallowance provisions under section 22 of the FMA Act by exempting Special Account determinations from subsections 57(2) and 57(5) of the Legislative Instruments Act 2003.

Special Accounts can be abolished by a determination of the Finance Minister.  However, there is no requirement to table such a determination.

Operation of Determination 2006/53

Purpose of the Safety and Quality in Health Care Special Account

This Determination is required in order to establish a Special Account to provide for the activities of the new Australian Commission on Safety and Quality in Health Care.  The Commission replaced the Australian Council for Safety and Quality in Health Care with effect from 1 January 2006. 

The Commission is funded by the Commonwealth, State and Territory Governments to develop a national strategic framework and associated work program that will guide its efforts in improving safety and quality across the health care system in Australia.

The Commission will:

• lead and coordinate improvements in safety and quality in health care in Australia by identifying issues and policy directions, and recommending priorities for action;
• disseminate knowledge and advocate for safety and quality;
• report publicly on the state of safety and quality including performance against national standards;
• recommend national data sets for safety and quality, working within current multilateral governmental arrangements for data development, standards, collection and reporting;
• provide strategic advice to Health Ministers on best practice thinking to drive quality improvement, including implementation of strategies; and
• recommend nationally agreed standards for safety and quality improvement.  

Reasons for establishing a new Special Account

The Safety and Quality in Health Care Special Account is required in order to give effect to changes that are required to the existing Australian Council for Safety and Quality in Health Care Account (‘the old Account’), but which are not practical to make by variation to the old Account, due to the way in which its establishing Determination was structured.  The old Account was established by a delegate of the Minister for Finance and Administration on 4 February 2000.

The current purpose of the old Account is:

• for expenditure relating to the administration of the Australian Council for Safety and Quality in Health Care and national programs to improve quality and safety in health care.

Changes required

The changes required to the old account are set out below:

• the purpose clause of the Special Account has been changed to reflect the activities undertaken by the Australian Commission on Safety and Quality in Health Care; and
• the addition of an expenditure purpose that allows residual balances to be returned to the original payee.

As part of a programme to enhance the clarity of Special Account determinations and to remove any areas of doubt over the scope of the purposes of Special Accounts, the following changes are being incorporated within the determinations of all Special Accounts, where appropriate, and where the need for other variations arise:

• a provision to debit amounts relating to incidental activities.  This allows administration costs, including such items as auditing, reporting, budgeting, accounting and information technology services incurred in the course of operating the Special Account, to be debited from the Special Account.  The existing purpose clause would often allow the debiting of the Special Account for these costs, depending on the degree of directness of connection of the costs with other purposes of the Special Account.  The inclusion of the new incidental clause removes the need to obtain legal advice on the degree of directness of connection for individual transactions;
• a capacity to return excess amounts to the Budget (that is, reduce the balance of the Special Account without a real or notional payment).  This provision does not allow amounts to be transferred to another Special Account, or to be allocated for any other purpose, that is not consistent with the purposes of the Special Account;
• a clause to allow for amounts to be repaid when another Act or law allows it.  This has always been permitted by section 28 of the FMA Act, but is now included in determinations to simplify accounting for these transactions; and
• notes that identify general credits and debits that can be made to Special Accounts, for information purposes, in reliance on other laws.

Limitations in the structure of the original determination

It is not practical to vary the original determination signed by the delegate of the Minister for Finance and Administration on 4 February 2000, which established the Australian Council for Safety and Quality in Health Care Account.  This is because the format of the determination constrains the amount of information that can be included.  Accordingly, a new Account is being established (Determination 2006/53) to provide for the continuation of the activities of the Australian Council for Safety and Quality in Health Care Account, the incorporation of the necessary changes, and to ensure that the determination is as clear and informative as possible.

Consultation

The Department of Health and Ageing is the agency affected by this instrument. The agency was provided with drafts of the instrument and agrees with the form of the instrument. As the instrument is for internal machinery of government purposes only, no consultation was considered necessary with other persons (see sections 17 and 18 of the Legislative Instruments Act 2003).

Estimates of transactions on the Safety and Quality in Health Care Special Account

1. Includes balance debited from the old Account and credited to the new Safety and Quality in Health Care Special Account.