Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes Final Report July 2014 Commonwealth Consumer Affairs Advisory Council © Commonwealth of Australia 2014 ISBN 978-1-925220-27-8 This publication is available for your use under a Creative Commons BY Attribution 3.0 Australia licence, with the exception of the Commonwealth Coat of Arms, the Treasury logo, photographs, images, signatures and where otherwise stated. The full licence terms are available from http://creativecommons.org/licenses/by/3.0/au/legalcode. Use of Treasury material under a Creative Commons BY Attribution 3.0 Australia licence requires you to attribute the work (but not in any way that suggests that the Treasury endorses you or your use of the work). Treasury material used ‘as supplied’. 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Other Uses Inquiries regarding this licence and any other use of this document are welcome at: Manager Communications The Treasury Langton Crescent Parkes ACT 2600 Email: medialiaison@treasury.gov.au Mr Colin Neave AM Chair of CCAAC 2014 Dear Minister, The Commonwealth Consumer Affairs Advisory Council (CCAAC) is pleased to provide you with the review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes document (the CDR Benchmarks). Industry-based customer dispute resolution schemes deliver significant benefits to both business and their customers, as they provide an alternative to litigation. This is the first review of the CDR Benchmarks since their establishment in 1997. CCAAC would like to express its appreciation to the stakeholders that took the time to provide submissions and engage in consultations. This assisted in clarifying dispute resolution processes and addressing issues raised by stakeholders. Overwhelmingly, stakeholders considered the CDR Benchmarks to be a valuable resource for industry and customers in Australia. The CDR Benchmarks remain highly relevant, and the principles are described as ‘immutable’ by a number of stakeholders. CCAAC suggests minor revisions to the CDR Benchmarks Principles, based on stakeholder feedback and consultation. CCAAC supports the revision and augmentation of the Key Practices to assist dispute resolution services to implement the Principles. Given the aspirational nature of the CDR Benchmarks, CCAAC considers that the CDR Benchmarks will not require further review for some time. However, the Key Practices supporting the CDR Benchmarks, if separated from the Principles, would allow revisions and updates as necessary. I offer my thanks to, and acknowledge the expertise and commitment of, the CCAAC members contributing to this study. Mr Gordon Renouf led work on this inquiry, with support from the CCAAC Secretariat and contributions from other colleagues. Yours sincerely, Colin Neave Chairman, Commonwealth Consumer Affairs Advisory Council CCAAC Secretariat Consumer Policy Framework Unit The Treasury PARKES ACT 2600 Telephone: Facsimile: 02 6263 2111 02 6273 2614 EXECUTIVE SUMMARY The Benchmarks for Industry-based Customer Dispute Resolution Schemes document (CDR Benchmarks) was developed with the assistance of industry sector dispute resolution schemes, consumer groups, government and regulatory authorities in 1997. The CDR Benchmarks were produced in order to encourage and support the development of customer dispute resolution schemes, recognising that industry-based dispute resolution is an effective self-regulatory measure. Dispute resolution saves time and money for businesses and customers, and is an accessible and cost-effective alternative to the court system. The CDR Benchmarks set out six benchmarks: Accessibility, Independence, Fairness, Accountability, Efficiency and Effectiveness. They outline a principle, purpose and list of key practices that support each benchmark. The CDR Benchmarks therefore serve as a guide to effective practice for the industry sectors that have established schemes to resolve disputes between their industry members and individual customers. The CDR Benchmarks guide customers as to what they should expect from industry-based, external dispute resolution (EDR) schemes. Since their inception, regulators in both Australia and New Zealand have referenced the CDR Benchmarks. In some industry sectors, providers are required to participate in a dispute resolution scheme. They are incorporated into the Australian Securities and Investments Commission (ASIC) Regulatory Guide 139 for the financial sector, Approval and oversight of external dispute resolution schemes (ASIC RG 139).1 The CDR Benchmarks are also referenced in telecommunications legislation2 and are used by several industry-based EDR schemes including the Financial Ombudsman Service and the Telecommunication Industry Ombudsman. The Australian and New Zealand Ombudsman Association requires its members to observe the benchmarks. The Commonwealth Consumer Affairs Advisory Council (CCAAC) was asked to review the CDR Benchmark’s document. CCAAC invited submissions and undertook consultations with relevant stakeholders. CCAAC considered the ongoing relevance and usefulness of the underlying principles, purposes and key practices for each benchmark; assessed whether the CDR Benchmarks act as a guide to effective practice for industry-based customer dispute resolution schemes; and considered whether the CDR Benchmarks could be modernised or enhanced, including through the development of further implementation guidance. CCAAC considers that the CDR Benchmarks retain ongoing relevance for industry dispute resolution schemes across the economy. Overwhelmingly, stakeholders supported the CDR Benchmarks, considering them a valuable resource in customer dispute resolution and, therefore, in consumer policy more generally. The CDR Benchmarks were described as ‘immutable’ by a number of stakeholders, reflecting the usefulness of the standards. Further, the CDR Benchmarks have been an influential reference point for dispute resolution schemes, industry associations and governments. Appendix 1 provides an overview of the consultation process. On the issue of sponsorship for the benchmarks, CCAAC proposes that the Commonwealth Minister with responsibility for competition and consumer policy should continue to sponsor the CDR Benchmarks. CCAAC is of the view that this will assist in ensuring that all 1 2 Available at http://www.asic.gov.au/asic/pdflib.nsf/LookupByFileName/rg139-published13-June-2013.pdf/$file/rg139-published-13-June-2013.pdf, accessed 1 March 2014. Telecommunications Legislation Amendment (Consumer Protection) Act 2014. Page v Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes Australian governments remain aware of the CDR Benchmarks, and that the CDR Benchmarks remain visible and useful to consumers. CCAAC considers that the wording of the six benchmarks and their respective Principles and Purposes continue to capture the key standards for industry-based, external dispute resolution. However, CCAAC finds that the CDR Benchmarks would benefit from some modernisation. Consequently, CCAAC suggests some minor revisions and updates to some of the terminology, based on stakeholder comments, such as the change from ‘scheme’ to ‘office’, and ‘member’ to ‘participating organisation’. CCAAC recommends reconfiguring the CDR Benchmarks by separating the Principles and Purposes from the Key Practices. The Principles and Purposes should be retained (with the minor changes recommended in this Report) as a stand-alone document. They are unlikely to require further review in the medium term. The Key Practices will become a separate document. They should be monitored and updated from time-to-time in line with changes in the community and technology as they emerge at the direction of the responsible Minister. CCAAC is of the view that stakeholder input and consultation is essential to such a process. This separation would more easily allow ASIC RG 139 to play a guidance role in the financial service industry and the new Key Practices document to apply more generally to other industries. CCAAC considered whether further guidance material should be developed to support the Principles and Purposes and Key Practices documents. CCAAC notes that stakeholders find the ASIC RG 139 to be an excellent resource, and that its use of examples showing the practical application of the principles is beneficial for financial dispute resolution schemes. CCAAC recommends that schemes that are considering developing their own guidance material should similarly use examples to demonstrate the application of the CDR Benchmarks. CCAAC considers that these actions will raise the profile of the CDR Benchmarks and affirm their role in national consumer policy. A summary of the findings is at Appendix 2. Page vi Executive Summary KEY FINDINGS 1. The Principles and Purposes are strongly supported by stakeholders. They are an important set of standards for customer dispute resolution, and have achieved their original objectives. CCAAC is convinced of their ongoing relevance. 2. There is a need for some minor revisions to the CDR Benchmarks, in particular to reflect current community values such as ensuring access to customers with special needs and utilising advances in information and communication technology. See Appendix 3 for a copy of the revised Principles and Purposes, taking into account the recommendations made in this report. – CCAAC finds that with these changes there will be no need to review the benchmarks themselves for some time. – The benchmarks are currently supplemented by Key Practices. A considerable number of suggestions were made for amended or additional key practices. 3. CCAAC finds that a number of key practices should be updated and a number of new key practices should be added. Recommended revisions and additional practices are identified under the relevant benchmark discussions below. A copy of the revised Key Practices, taking into account the recommendations, is at Appendix 4. 4. CCAAC finds that once these changes are made, the Key Practices should be separated from the CDR Benchmarks Principles and Purposes to become a living document that is amended from time-to-time to ensure that it is responsive to the community’s changing needs in relation to dispute resolution. 5. – The Key Practices could be revised and augmented from time-to-time in response to stakeholder feedback, at the discretion of the Minister. – Stakeholders should be encouraged to write to CCAAC (CCAAC@treasury.gov.au), which will then report to the Commonwealth Minister responsible for competition and consumer affairs, to suggest revisions and updates to the Key Practices. Active sponsorship would assist in further promotion of the benchmarks. The Commonwealth Minister responsible for competition and consumer policy should be the Minister responsible for the CDR Benchmarks. – This could be leveraged by ensuring all governments in the consumer protection policy environment are aware of, and are connected to, the CDR Benchmarks. Page vii THE COMMONWEALTH CONSUMER AFFAIRS ADVISORY COUNCIL CCAAC Terms of Reference CCAAC is an expert advisory panel, which provides advice to the Commonwealth Minister responsible for competition and consumer policy. CCAAC’s terms of reference are to: • consider issues, reports and papers referred to it by the Minister and report to the Minister on their consumer policy implications, and in doing so take account of the need for well-functioning markets with confident consumers; • identify emerging issues affecting Australian markets and consumers and draw these to the attention of the Minister; and • when considering consumer policy issues, take account of their competition and other relevant economic implications. Membership The membership of CCAAC consists of: • Mr Colin Neave AM (Chair); • Ms Carolyn Bond AO; • Professor Stephen Corones; • Ms Lynda Edwards; • Ms Deborah Healey; • Mr Peter Kell; • Mr Gordon Renouf; • Dr Rhonda Smith; and • Mr Ray Steinwall. Page ix REVIEW TERMS OF REFERENCE CCAAC was requested to review the Benchmarks for Industry-based Customer Dispute Resolution Schemes document (the Benchmarks Document). For the review, CCAAC was requested to: • review the current function and use of the Benchmarks Document; • consider for each benchmark, the ongoing relevance and usefulness of the underlying principles, purposes and key practices; • assess whether the Benchmarks Document is meeting the objective of acting as a guide to effective practice for the industry sectors with customer dispute resolution schemes; and • consider how the Benchmarks Document could be modernised or enhanced, including through the development of implementation guidance. CCAAC was requested to consider the views of interested stakeholders. Page xi CONTENTS EXECUTIVE SUMMARY .............................................................................................................. V Key Findings ........................................................................................................................ vii THE COMMONWEALTH CONSUMER AFFAIRS ADVISORY COUNCIL .............................................. IX REVIEW TERMS OF REFERENCE ............................................................................................... XI GLOSSARY ............................................................................................................................ XV INTRODUCTION ........................................................................................................................ 1 Overview of the CDR Benchmarks ......................................................................................... 1 Responsibility for the CDR Benchmarks ............................................................................ 2 Industry-based customer dispute resolution schemes ........................................................ 2 Benefits and ongoing relevance of the CDR Benchmarks .................................................. 3 Note on the scope of this review ............................................................................................. 5 Structure of this report ............................................................................................................ 5 REVIEW OF THE CDR BENCHMARKS ......................................................................................... 7 Broad comments .................................................................................................................... 7 Key themes ............................................................................................................................ 8 Key areas of improvement ...................................................................................................... 8 The Benchmarks .................................................................................................................. 10 Accessibility ..................................................................................................................... 10 Independence .................................................................................................................. 16 Fairness ........................................................................................................................... 19 Accountability .................................................................................................................. 23 Efficiency ......................................................................................................................... 27 Effectiveness ................................................................................................................... 30 CONCLUSION ......................................................................................................................... 35 REFERENCES ......................................................................................................................... 37 Publications .......................................................................................................................... 37 Appendix 1 — Overview of the Consultation Process ........................................................... 38 Appendix 2 — Summary of Findings .................................................................................... 40 Appendix 3 — Principles and Purposes................................................................................ 43 Appendix 4 — Key Practices ................................................................................................ 44 Page xiii GLOSSARY ABA Australian Bankers’ Association ACA Airline Consumer Advocate ACL Australian Consumer Law The ACL is a cooperative reform of the Australian Government and the States and Territories, through CAF. ADMA Association for Data-driven Marketing and Advertising ADR Alternative Dispute Resolution. An umbrella term for processes, other than judicial determination, in which an impartial person assists those in a dispute to resolve the issues between them. ANZOA Australian and New Zealand Ombudsman Association. The peak body for ombudsmen in Australia and New Zealand. ASIC Australian Securities and Investments Commission. ASIC is Australia’s corporate, markets and financial services regulator, which administers the Australian Securities and Investments Commission Act (ASIC Act), and works to enforce the Corporations Act. CAF Consumer Affairs Forum, officially titled the Legislative and Governance Forum on Consumer Affairs. CAF's role is to consider consumer affairs and fair trading matters of national significance and, where possible, develop a consistent approach to those issues. CALC Consumer Action Law Centre CCAAC Commonwealth Consumer Affairs Advisory Council CCLC Consumer Credit Legal Centre (NSW) CDR Benchmarks The Benchmarks for Industry-based Customer Dispute Resolution Schemes (as published in 1997). COSL Credit Ombudsman Service Limited EDR External Dispute Resolution. Dispute resolution processes that are external to the business or organisation for which the complaint relates. FOS Financial Ombudsman Service FPA Financial Planning Association of Australia Industry scheme Any entity established by an industry to consider complaints made by that industry’s customers, including those that do not apply the Benchmarks’ principles and key practices. ICA Insurance Council of Australia NFSF National Financial Services Federation QCA Queensland Consumers Association TIO Telecommunications Industry Ombudsman Page xv INTRODUCTION At the 6 July 2012 meeting of the Legislative and Governance Forum on Consumer Affairs (CAF)3, Ministers agreed with the Commonwealth Minister for Competition and Consumer Policy that it was timely to review the Benchmarks for Industry-based Customer Dispute Resolution Schemes (CDR Benchmarks). Consultation was undertaken with key stakeholders in industry-based consumer dispute resolution schemes. The Commonwealth Consumer Affairs Advisory Council (CCAAC) was subsequently issued with Terms of Reference to review the CDR Benchmarks. On 24 April 2013, CCAAC released an issues paper that invited responses from the public and stakeholders. Twenty-nine submissions were received, with 27 non-confidential submissions published on the CCAAC website.4 OVERVIEW OF THE CDR BENCHMARKS The CDR Benchmarks were first published in 1997. They were developed with the assistance of industry sector dispute resolution schemes, consumer groups, government and regulatory authorities. The purposes of the CDR Benchmarks were threefold: 1. To guide industry sectors seeking to set up a dispute resolution scheme for disputes that arise between their members and consumers; 2. For existing dispute resolution schemes, to provide objective guidance on practices to aim for in the operation of these schemes; and 3. To guide the expectations of consumers about the dispute resolution schemes. The CDR Benchmarks were initially designed to apply to national, industry-based customer dispute resolution schemes, including the banking, telecommunications and insurance industries, on an economy-wide basis. However, they can also apply to state or territory based industry or non-industry schemes.5 The CDR Benchmarks apply on a voluntary basis. Since 1997, the CDR Benchmarks have been an important standard in guiding effective practice for consumer dispute resolution. For example, the CDR Benchmarks have proven effective principles for schemes, including the adoption of the CDR Benchmarks in both Australian and New Zealand regulations for the approval of external dispute resolution schemes,6 the significant number of resolved disputes reported by a variety of external dispute resolution (EDR) schemes, and stakeholder feedback received for this review. 3 4 5 6 CAF was formerly known as the Ministerial Council on Consumer Affairs. Non-confidential submissions are available on the CCAAC website at www.ccaac.gov.au. Commonwealth of Australia, Department of Industry, Science and Tourism, Benchmarks for Industry-Based Customer Dispute Resolution Schemes (Canberra: Commonwealth of Australia, 1997) p.1. Industry dispute resolution schemes first began appearing in Australia in 1990. National Alternative Dispute Resolution Advisory Council, A Framework for ADR Standards: Report to the Commonwealth Attorney-General (Canberra: Commonwealth of Australia, 2001) p.21. For example, their appropriation in Australian Securities and Investments Commission (ASIC) regulation. Page 1 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes Responsibility for the CDR Benchmarks The CDR Benchmarks were first developed by the then Department of Industry, Science and Tourism. Existing dispute resolution schemes, consumer groups, governments and regulatory agencies informed their development. A number of the stakeholder submissions reflected concerns about the current ambiguity on where responsibility for the CDR Benchmarks lies and conflicting views about where responsibility for them should rest. Some stakeholders advocated for the CDR Benchmarks to become an Australian Standard, akin to the Australian Standard on Complaints Handling7, which is now an International Standard. However, others were concerned that a dispute resolution standard would be too prescriptive and lack flexibility – particularly as updates would become more bureaucratic and complicated. In addition, access to such a standard would entail a cost that is likely to be prohibitive to consumers. Another view was that a peak body for dispute resolution, such as the Australian New Zealand Ombudsman Association (ANZOA) should assume responsibility for the CDR Benchmarks. This also posed problems given that ANZOA does not have statutory authority. Moreover, having practitioners of dispute resolution responsible for the CDR Benchmarks could prompt a perception of a conflict of interest. A clear status and location of responsibility for the CDR Benchmarks is necessary to ensure the CDR Benchmarks receive attention and promotion in the consumer policy arena. CCAAC is of the view that the CDR Benchmarks are most appropriately sponsored by the Commonwealth Minister for competition and consumer policy. The profile of the CDR Benchmarks could be raised by relaunching the CDR Benchmarks, including in the wider consumer policy governance arrangements. This would maximise awareness of the CDR Benchmarks for customers and industry sectors. Industry-based customer dispute resolution schemes For businesses, there is a clear benefit to avoiding disputes as they can lead to reputational damage and monetary loss. However, disputes may arise when businesses and customers disagree about their rights, responsibilities and obligations. A variety of mechanisms exist to resolve these disputes, including internal dispute resolution and court processes. However, not all dispute resolution processes are suitable or effective in all circumstances. For example, the courts are not always accessible to consumers and internal dispute resolution processes are not always appropriate to resolve a dispute. Alternative dispute resolution (ADR) and industry-based customer dispute resolution schemes provide a further option for customers and businesses to resolve disputes. An impartial person assists parties to resolve the situation, without requiring resolution through court action or tribunal involvement. For both customers and businesses, ADR is also usually more flexible, less expensive and easier to access than a judicial course of action. Consequently, a number of industry dispute resolution schemes were developed to service industry participants and their customers, with specialist knowledge of their sector and any applicable regulatory or quasi-regulatory frameworks. Complementing other standards for complaint handling and principles for dispute resolution, the CDR Benchmarks promote best practice for industry dispute resolution schemes in relation to design, continuous improvement, and evaluation of operations. 7 Standards Australia, Australian Standard on Complaints Handling, AS 4269 – 1995 (Canberra: Standards Australia), 1995. Page 2 Introduction Benefits and ongoing relevance of the CDR Benchmarks The CDR Benchmarks are not mandated by law or regulation, but a number of industrybased schemes have committed to them.8 In addition, for some industry sectors in Australia and New Zealand where membership of a dispute resolution scheme is required, adherence to the CDR Benchmarks is one of the criteria used to approve these schemes. In such sectors, the CDR Benchmarks are formally applied through regulatory arrangements. For example, in Australia, the Australian Securities and Investments Commission (ASIC) employs the CDR Benchmarks in its guidance for the financial and credit industry sectors.9 In New Zealand, the CDR Benchmarks are a mandatory consideration for Ministers in relation to financial service provision, and the CDR Benchmarks are employed in relation to dispute resolution in the electricity and gas industries.10 The issues paper sought comment from stakeholders on whether the CDR Benchmarks were used by industry schemes, examples of how they were employed, and their utility. Suggestions for improvement were also canvassed. Information was also sought on other standards and guidelines commonly in use; how these were also applied in conjunction with or as an alternative to the CDR Benchmarks; and any inconsistencies. The CDR Benchmarks are comprised of six attributes and their underlying principles: • Accessibility – the scheme makes itself available to customers by promoting knowledge of its existence, being easy to use and having no cost barriers; • Independence – the decision-making process and administration of the scheme are independent from scheme members; • Fairness – the scheme produces decisions which are fair and seen to be fair by observing the principles of procedural fairness, by making decisions on the information before it and by having specific criteria upon which its decisions are based; • Accountability – the scheme publicly accounts for its operations by publishing its determinations and information about complaints and highlighting any systemic industry problems. 8 For example, the Telecommunications Industry Ombudsman (TIO) has an explicit commitment to the CDR Benchmarks, and the Airline Consumer Advocate (ACA) has stated that the CDR Benchmarks ‘pervade all [it] does, and how it does it.’ TIO, p.1; ACA, p.2. ASIC Regulatory Guidance 139 (RG 139). The Financial Service Providers (Registration and Dispute Resolution) Act 2008 (NZ), the Electricity Industry Act 2010 (NZ) and the Gas Act 1992 (NZ) (the Acts) require all financial service providers who offer financial services to retail clients, electricity distributors and retailers, and gas distributors and retailers to be a member of a dispute resolution scheme. Those dispute resolution schemes need to be approved by the responsible New Zealand Minister under the relevant Act. The Acts reference the CDR Benchmarks Principles when providing for the purpose of dispute resolution schemes, for example in the Electricity Industry Act 2010 (NZ) the purpose of the dispute resolution scheme is to ensure that: a) any person…who has a complaint about a member has access to a scheme for resolving the complaint; and b) the scheme is accessible, independent, fair, accountable, efficient, and effective. The Acts also refer to the CDR Benchmarks Principles in the mandatory considerations the Minister must have regard to when considering an application to become an approved scheme under the legislation. For example, the Financial Service Providers (Registration and Dispute Resolution) Act 2008 (NZ) states that the Minister must consider an application in light of the principles of accessibility, independence, fairness, accountability, efficiency, and effectiveness. 9 10 Page 3 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes • Efficiency – the scheme operates efficiently by keeping track of complaints, ensuring complaints are dealt with by the appropriate process or forum and regularly reviewing its performance. • Effectiveness – the scheme is effective by having appropriate and comprehensive terms of reference and periodic independent reviews of its performance. In consultations, a number of the stakeholders described the CDR Benchmarks as ‘immutable’. CHOICE affirmed the relevance of the CDR Benchmarks, and supported ensuring that they continue to be able to be applied to new forms of dispute resolution.11 The Credit Ombudsman Service Limited (COSL) also noted that the CDR Benchmarks should be technology and media neutral.12 CCAAC supports this view; the CDR Benchmarks have proven to be universal, and should continue to be so. Part of this success is the flexibility of the CDR Benchmarks in their application. The Association for Data-driven Marketing and Advertising (ADMA) argues that the CDR Benchmarks should remain flexible because of the variance in size, purpose and maturity of industry schemes.13 The Corporations Regulations and National Credit Regulations note that ASIC must take into account the CDR Benchmarks when considering whether to approve an EDR scheme.14 In addition, the ASIC Regulatory Guide 139 (ASIC RG 139), Approval and oversight of external dispute resolution schemes, explains how EDR schemes can obtain initial approval from ASIC to operate in the Australian financial system and/or Australian credit system, and once approved, their ongoing requirements to maintain approval.15 In at least one instance, the CDR Benchmarks Principles were built into the performance agreements of scheme staff, in order to provide visibility for how their roles contribute to the schemes broader organisational commitment. In addition, the CDR Benchmarks inform instructional materials for some schemes.16 Such adoption into dispute resolution practices and regulation confirms the ongoing relevance of the CDR Benchmarks. While submissions universally supported the CDR Benchmarks, many stakeholders suggested enhancements for one or more of the benchmarks, as informed by their experience. The next section reviews each benchmark in turn, with suggestions for improvement drawn from submissions and aggregated where more than one stakeholder suggested similar changes. 11 12 13 14 15 16 CHOICE, p.5. Credit Ombudsman Service Limited (COSL), p.4. Association for Data-driven Marketing and Advertising (ADMA), p.2. For example, ADMA noted that the CDR Benchmarks were used by ACL regulators’ National Group Buying Work Group to assess changes made to the Australian Group Buying Code of Practice. Although the Code does not precisely align with the CDR Benchmarks, the Work Group’s feedback, based on the CDR Benchmarks assisted in improving incremental changes made to the Code. Such improvements included spot checks, controls over numbers of vouchers sold and improved accessibility and clarity or refund policies, with a measurable reduction in complaints as a result. ASIC RG 139, Approval and oversight of external dispute resolution schemes, p.10; National Consumer Credit Regulations, 10(3), accessed 14 February 2014. The ASIC RG 139 guidance should be read in conjunction with the ASIC Regulatory Guide 165 (RG 165), Licensing: Internal and external dispute resolution explains what Australian Financial Services licensees, unlicensed product issues, unlicensed secondary sellers, credit licensees, credit representatives, unlicensed carried over instrument lenders and securitisation bodies must do to have a dispute resolution system in place that meets ASIC’s requirements. However, ASIC RG 165 does not specifically reference the CDR Benchmarks. TIO, pp.1-2. Page 4 Introduction NOTE ON THE SCOPE OF THIS REVIEW A number of submissions commented on matters that are outside of CCAAC’s role and purpose. Although CCAAC considered all submissions, it cannot comment on some issues raised as they are outside the scope of the Terms of Reference for this review. However, CCAAC expects that its findings will enable both schemes and governments to consider how to improve industry-based dispute resolution to further benefit customers, businesses and the wider economy. CCAAC notes that the findings of its review are complementary to those of the Productivity Commission in the draft report of its Inquiry into Access to Justice Arrangements.17 Further information on the inquiry is available at www.pc.gov.au/projects/inquiry/access-justice. STRUCTURE OF THIS REPORT The following section, Review of the CDR Benchmarks, describes the stakeholder feedback received for each of the benchmarks, and suggests ways in which the benchmarks could be enhanced. The content of this chapter is largely informed by the submissions received in 2013 and consultations undertaken in 2014. The Conclusion considers ways in which the CDR Benchmarks could be updated and modernised. It also discusses lifting the profile of the CDR Benchmarks through relaunching the CDR Benchmarks as separate documents after minor revisions to the Principles, and revised and augmented Key Practices. When reading this report, it should be noted that the CDR Benchmarks cannot always be discussed as separate and distinct attributes and principles. While comments from stakeholders are generally categorised under each of the attributes to which they apply, in many cases, the comments apply to more than one attribute. Where this occurs, the report refers to related sections. 17 Productivity Commission, Access to Justice Arrangements, Draft Report, Canberra, 2014. Page 5 REVIEW OF THE CDR BENCHMARKS Feedback from stakeholders relates to three key themes: edits to update the CDR Benchmarks; minimum standards or requirements for schemes; and the need for practical implementation. The three key themes in the CDR Benchmarks that should be the primary focus of improvement are: • Accessibility – being readily available to a variety of customers by promoting awareness of the scheme, being easy to use and having no cost or other barriers; • Accountability – publicly accounting for scheme operations by publishing complaint information, determinations and other outcomes, and systemic industry problems; and • Effectiveness – dispute resolution schemes having appropriate and comprehensive terms of reference and periodic independent review of performance, informed by stakeholder feedback. Generally, there were three main approaches to reviewing the CDR Benchmarks: making changes to modernise the CDR Benchmarks; including supplementary key practice elements; and including additional key practices. Stakeholders strongly supported CCAAC’s suggestion to include augmented Key Practices in a separate document which could be revised as necessary. As mentioned in the previous section, revisions of the Key Practices could occur as needed and in a less formal manner than a review, but would still be undertaken in consultation with key stakeholders. BROAD COMMENTS The broad comments on the CDR Benchmarks addressed in this section include the flexibility of the CDR Benchmarks, suggestions to reorder or add to the CDR Benchmarks, and the CDR Benchmarks as a minimum standard. Cameronralph Navigator suggested improvements to the Preface, suggesting that it should include discussion of the importance of schemes endeavouring to achieve an appropriate balance between the interests of customers and businesses, and between different benchmarks.18 In addition, this consultant contended that the Principles and Purposes should be cast more broadly to reflect schemes today, and identified gaps in the discussion of key practices in most of the benchmarks.19 The Queensland Consumers Association (QCA) considered that the CDR Benchmarks should refer to ‘community standards’ as well as ‘good industry practice’.20 While some submissions raised the issues of dispute resolution in the building industry, this is primarily an issue for the states and territories and beyond the scope of this review, which was designed to assess the ongoing relevance of the CDR Benchmarks and suggest improvements. Stakeholders also suggested that consumer financial hardship could be 18 19 20 Cameronralph Navigator, p.6. Cameronralph Navigator particularly identified gaps in the discussion of key practices in the Accessibility, Fairness and Accountability Benchmarks, sections C to G and B, D and G, pp.6-9. Queensland Consumers Association (QCA), p.2. Page 7 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes acknowledged in the CDR Benchmarks, with the observation that financial hardship requires a more consistent approach.21 This point is addressed below, under Fairness. The Consumer Credit Legal Centre (CCLC) submitted that the CDR Benchmarks should ensure all dispute resolution schemes meet a minimum standard.22 The Australian Bankers’ Association (ABA) argued that non-adherence to the CDR Benchmarks should have consequences for schemes that are not able to meet critical operational requirements.23 The financial sector in general has different obligations to the CDR Benchmarks, provided in ASIC RG 139.24 The ABA made the point that in order for schemes to maintain conformity to the CDR Benchmarks, additional resourcing and funding is likely to be required to avoid a decrease in services to customers and industry. Currently, there is no government financial support for some of the dispute resolution schemes. The ABA argues that industry-funded EDR schemes provide an alternative and cost-effective route for access to justice, rather than legal action that can have considerable costs for governments, and therefore deserve some government support.25 CCAAC is of the view that responsibility for customer dispute resolution rests with relevant industry sectors and that there is an important reputational imperative for such dispute resolution schemes. KEY THEMES Across the CDR Benchmarks, there were three key themes that arose during stakeholder consultation: the existing CDR Benchmarks should be revised for clarity and modernised; there should be minimum standards or requirements for EDR schemes to meet; and the need for additional key practices and guidance to support the EDR schemes. A number of stakeholders were of the view that the CDR Benchmarks should require the stipulation of additional key practices, or minimum requirements or standards. These suggestions are discussed under the Accountability section. CCAAC considers that a revision of the Key Practices may provide a non-regulatory means of responding to these views. Overwhelmingly, stakeholders sought additions and revisions to the key practices, or improved guidance material. It is clear from all of the submissions that the key practices are already a necessary resource for schemes. Expanded practices would increase the value of the resource for CDR schemes. KEY AREAS OF IMPROVEMENT Apart from a few broad comments, stakeholders commonly responded to each of the CDR Benchmarks in turn, with suggestions for improvement. Many of these suggestions related to enhancing the Key Practices. The CDR Benchmarks receiving the most feedback related to Accessibility, Accountability and Effectiveness. 21 22 23 24 25 Insurance Council of Australia (ICA), p.4; Australian Bankers’ Association (ABA), p.5. Consumer Credit Legal Centre (CALC), p.3. ABA, p.3. Available at http://www.asic.gov.au/asic/pdflib.nsf/LookupByFileName/rg139-published13-June-2013.pdf/$file/rg139-published-13-June-2013.pdf, accessed 1 March 2014. ABA, p.4. For example, the Financial Ombudsman Service (FOS) is not supported by government funding. Page 8 Review of the CDR Benchmarks Accessibility issues include referral to schemes; scheme awareness; particular consideration of special needs, cost and other barriers; and the issue of representation. For example, access to schemes needs to be balanced with application of the scheme’s terms of reference to exclude disputes not within a schemes’ purview, and should include information on other referral points.26 A number of stakeholders noted that the promotion of schemes should be sensitive to customers with special needs, and should focus on customers who are underrepresented in customer dispute resolution schemes – but also, that the CDR Benchmarks should itemise ways in which this could be achieved.27 Stakeholders were also particularly concerned about legal representation, particularly in relation to ‘credit repair’, where customers pay considerable fees for legal representation that in many cases is not required.28 Accountability matters include transparency in decision-making, addressing noncompliance, obtaining member and customer feedback on the EDR scheme’s operation and experience of dispute resolution; reporting; and independent review. A number of stakeholders expressed the view that reporting requirements should be enhanced, and in addition, that determinations, decisions and other outcomes be published where possible.29 The obligation on scheme members to follow the decisions of the EDR scheme is a matter of paramount importance. Without powers to enforce binding decisions, or consequences for non-compliant scheme members, dispute resolution schemes cannot be a viable alternative to court action. This was a particular concern for dispute resolution experts.30 The next section considers each of the benchmarks in turn with reference to stakeholder views. The findings for each benchmark discern the core issues, and where possible, suggest a remedy or approach that is designed to advance the operation of the benchmarks. 26 27 28 29 30 ABA, p.3; Cameronralph Navigator, pp.6-7. For example, Australian and New Zealand Ombudsman Association (ANZOA), p.6; ABA, p.3; Baljurda Comprehensive Consulting, p.4; CHOICE, pp.7-8. ABA, p.4. ANZOA, p.9; Baljurda Comprehensive Consulting, pp.8-9; Cameronralph Navigator, p.8; CHOICE, p.9; Consumer Credit Legal Centre (CCLC), p.11; COSL, p.8; National Financial Services Federation (NFSF), p.4. ANZOA, pp.8-9, 11; Cameronralph Navigator, p.9; CHOICE, pp.11-12; FOS, p.2. Page 9 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes THE BENCHMARKS Accessibility Underlying principle: The scheme makes itself readily available to customers by promoting knowledge of its existence, being easy to use and having no cost barriers. Purpose: To promote customer access to the scheme on an equitable basis. While most submissions did not mention revising this principle, the ANZOA suggested that the accessibility principle statement could be reworded for the purposes of improving clarity and modernisation.31 While one stakeholder suggested that the term ‘special needs’ was outdated,32 it is CCAAC’s view that special needs encompasses a diversity of needs, and is not simply related to people with disability or who are experiencing difficulties with print literacy. These and a number of other issues that were also raised in relation to the Accessibility Benchmark are detailed below. Referral to schemes Some stakeholders noted difficulties of referring to an EDR scheme after making a complaint to an industry member. ANZOA argued that the CDR Benchmarks should include a new provision requiring ‘deadlock procedures’ to be reasonable, so members do not stymie attempts for resolution before referral to EDR.33 For some businesses, internal complaint handling practices require a ‘deadlock’ before a dispute is referred to or can be dealt with by a dispute resolution scheme. ‘Reasonable deadlock procedures’ means that provisions in the internal dispute resolution mechanisms of a participating organisation must be just, and must allow the office to deal with a complaint where it is clear that it was not resolved to the satisfaction of the person making the complaint in a reasonable time.34 Similarly, the ABA pointed out that accessibility needs to be balanced with a clear and quick application of the scheme’s terms of reference to exclude disputes not within the scheme’s scope. If a dispute is deemed to be outside of the scheme’s terms of reference and a consumer appeals that decision within 30 days, schemes should exercise further judgement.35 CCAAC considers that additional key practices could include routines to assist schemes to ‘triage’ complaints received, in order to quickly assess disputes and refer them to a more appropriate forum if necessary. Complaints could be referred to an alternative forum for access to justice or resolution (such as a regulator); considered alongside another dispute resolution process where there may be an overlap of jurisdiction; or accepted for investigation and resolution. This would reduce time and duplication, and serve customers more efficiently and effectively. 31 32 33 34 35 ANZOA, p.5. It should be noted that the ANZOA submission was supported in its entirety by submissions from the Banking Ombudsman Service; the Electricity and Gas Complaints Commissioner; the Energy and Water Ombudsman NSW; the Energy and Water Ombudsman Queensland; the Energy and Water Ombudsman Victoria; the Financial Ombudsman Service; the Public Transport Ombudsman Ltd; and the TIO. The TIO submission was in turn supported by the Australian Communications Consumer Action Network. COSL, p.3. ANZOA, p.10. ANZOA, p.10. ABA, p.3. Page 10 Review of the CDR Benchmarks Promotion of schemes Many stakeholders noted the importance of dispute resolution schemes promoting their own existence to the community. The Insurance Council of Australia (ICA) noted that the significant increase in the number of customers accessing dispute resolution schemes over the last decade indicates that efforts of schemes to increase consumer awareness have been effective.36 CCAAC notes that this correlation does not necessarily mean there is a causal relationship; the increase in awareness of dispute resolution schemes could also indicate non-compliance with relevant laws or regulation by scheme members, or inadequate internal complaints handling. CHOICE proposed that an additional benchmark of ‘Awareness’ be included, arguing that ‘Accessibility’ is generally associated with issues of equity in access, but the principles and practices supporting scheme awareness are different and should be afforded separate treatment. CHOICE argues that increasing awareness of dispute resolution schemes has ancillary benefits of increased awareness of other regulation applying to a dispute, and suggests that a scheme’s key practices should include making themselves known to community organisations and (financial) counsellors.37 Consultations with stakeholders did not indicate support to expand the CDR Benchmarks, particularly given their current presence in legislation. CCAAC considers that this could be addressed in revised Key Practices or a scheme’s own guidance material. While other stakeholders overwhelmingly considered that the existing principles should remain, a number of stakeholders support enhancing awareness practices. For example, a submission from Baljurda Comprehensive Consulting suggested that Accessibility should include itemising ways in which scheme members inform customers about their scheme.38 Similarly, another submission argued that the CDR Benchmarks should acknowledge the importance of schemes identifying key referral contact points and promoting awareness of existence, services and details. In working with industry dispute resolution schemes, Cameronralph Navigator found promotional efforts to be more effective than media promotion and suggests this be included as a key practice.39 It is CCAAC’s view that these suggestions could also be accomplished through revised key practices, which could include promoting dispute resolution schemes on the websites of consumer agencies and advocacy services, as well as on the websites of participating scheme members.40 Cameronralph Navigator noted that key practices relating to ‘appropriate techniques to settle complaints’ under the Accessibility Benchmark would be more appropriately located under the Fairness Benchmark.41 Of course, it is important that people with particular needs who access the scheme are considered in all aspects of the key practices. This will be discussed further in the next section. CCAAC considers that government agencies could also play a role in increasing awareness of EDR schemes. The Australian Consumer Law (ACL) applies nationally and in all states and territories, and to all Australian businesses, and provides important protections to consumers including in relation to unfair contract terms, consumer guarantees, product safety and a range of consumer redress options. Given that customers are likely to search for information on the ACL in the event of an unfavourable consumer transaction, CCAAC 36 37 38 39 40 41 ICA, p.3. CHOICE, pp.4,7-8. Baljurda Comprehensive Consulting, p.4. Cameronralph Navigator, pp.6-7. ICA, p.2; CCLC, pp.2-3; CALC, pp.1-3. Cameronralph Navigator, p.7. Page 11 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes suggests that state and territory consumer agencies link to the ACL website, information on EDR schemes and the CDR Benchmarks. On balance, CCAAC considers that scheme awareness is positioned appropriately under the Accessibility Benchmark and does not see a need for an additional benchmark. CCAAC is of the view that additional key practices about the promotion of schemes would be beneficial to assist EDR schemes and in turn, the broader community. CCAAC considers that promotion efforts should focus on areas where a customer is likely to seek information in the event of a dispute. Consideration of special needs Some stakeholders stated that the Accessibility Benchmark did not adequately address the consideration of the special needs of some customers. The ICA argued that accessibility for customers with special needs could be clarified further in the Accessibility Benchmark, with minimum requirements established – perhaps also explicitly identifying members of the community who are experiencing disadvantage or who have special needs.42 CHOICE considered that the Accessibility Benchmark should more explicitly address the potential exclusion of customers who may be experiencing disadvantage or with other particular requirements.43 For example, ANZOA and the Consumer Action Law Centre (CALC) argue that the CDR Benchmarks should not require complaints to be made in writing.44 If applied legalistically, this could render some customers unable to make a complaint, particularly people with physical or intellectual disability; of culturally and linguistically diverse backgrounds; or experiencing difficulties with print literacy. CHOICE noted the potential for customers experiencing disadvantage or with special needs to be excluded from EDR.45 Further, ANZOA considers that the CDR Benchmarks should specify appropriate facilities to maximise participation of all persons making complaints.46 Accessibility is an area affected by technological change, so EDR processes should be available in a variety of formats. The CCLC proposed that the CDR Benchmarks should require minimum standards for accessibility in order to meet and recognise diversity, to prevent the exclusion access to the service. The CCLC notes that teletypewriter and language interpreting services should be available, that standard letters should be translated into languages other than English, and that provision should be made for customers with vision impairment or difficulty reading.47 In addition, some stakeholders observed that further promotion of schemes should focus on demographically under-represented customers and customers with special needs, and that the CDR Benchmarks should specify how schemes promote their existence in ways sensitive to them.48 The CALC also submitted that EDR schemes should be required to review the way industry members inform customers about the schemes.49 CCAAC considers that there would be considerable merit in providing extra key practices for EDR schemes in relation to the consideration of customers with special needs. Changes in technology in recent years mean that many people who previously may have been prevented from making complaints are now more easily able to do so. Additional key practices and 42 43 44 45 46 47 48 49 ICA, p.3. CHOICE, pp.7-8. CALC, pp.1,3; see also CCLC, p.4. CHOICE, p.13. ANZOA, p.6. CCLC, p.4. ABA, p.3; ANZOA, p.6. CALC, p.3. Page 12 Review of the CDR Benchmarks procedures to assist schemes to welcome customers with special needs, such as disability or cultural diversity, would help raise dispute resolution services as an option. Schemes could also consider linking with advocacy services to enhance their promotion efforts to the extent that they do not already. No-cost to consumers Several stakeholders argued strongly that a key priority for scheme accessibility is that they require no fees or charges to customers.50 The Financial Planning Association of Australia (FPA) was of the view that no monetary cost for the complainant should remain a key practice of accessibility in order to cater for customers with legitimate disputes and limited resources.51 However, FPA raised concerns with a loophole that allows vexatious claims to progress and divert resources away from valid claims.52 FPA suggested that a possible process could include an initial investigation, after which claims that have no basis for complaint are not permitted to continue, unless there is cost sharing between the customer and the provider.53 In CCAAC’s view, no-cost dispute resolution is an essential component of accessibility for consumers, so that customers are not prevented from accessing dispute resolution because of their financial situation. However, CCAAC also understands some of the resourcing difficulties faced by EDR schemes, and the need to ensure that time is not consumed unnecessarily by ‘vexatious’ or ‘frivolous’ claims. One solution may be the ‘triage’ option mentioned previously. Additional key practices to support the appropriate use of a scheme’s resources and minimise the risk of unreasonable costs to scheme members directly, as well as the schemes themselves, and in turn support the sustainability of no-cost dispute resolution would be useful. Representation CHOICE was of the view that legal representation should not be required in dispute resolution.54 The CCLC argued the benchmark standard should be that paid representatives are banned from dispute resolution processes.55 The CCLC raised concern about paid consumer representatives in dispute resolution, contending that no party should be able to claim costs of representation as part of the dispute.56 As a provider of free legal advice and representation to EDR consumers, the CCLC notes the benefits of their service for customers and schemes. Disputes are more focused, the process is more clearly explained, expectations are managed and settlements suggested. CCLC provides representation where the matter is complex or the consumer is disadvantaged.57 The COSL noted that legal representation under their scheme is discretionary and mostly exercised for the benefit of the complainant. COSL noted that as their members become more experienced at responding to complaints, their need for legal representation is reduced, which amplifies the power imbalance faced by the consumer complainant. COSL suggests 50 51 52 53 54 55 56 57 CHOICE, p.8, Energy and Water Ombudsman NSW, p.1; COSL, p.4; QCA, p.1; CCLC, p.4. Financial Planning Association of Australia (FPA), pp.2-3. FPA, pp.1-2. FPA, pp.1-2. CHOICE, p.6. CCLC, p.8. CCLC, p.7. CCLC, p.6. Page 13 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes amending clauses to be more positive about the capacity of customers to access dispute resolution without legal representation, whilst not restricting their right to do so.58 ANZOA suggested reframing legal representation to require permission of the scheme, and stipulating that legal proceedings should not have commenced prior to EDR unless there are special circumstances.59 Similarly, the Financial Ombudsman Service (FOS) discourages legal representation in practice but parties are free to use legal representation, in which case internal legal resources are used.60 The QCA argued that while non-legalistic and nonadversarial approaches should be retained by schemes, the CDR Benchmarks should better recognise that someone with legal qualifications might be able to assist some customers in some situations.61 CCAAC is also aware of the increased operation of paid representatives in dispute resolution, particularly ‘credit repair’ agents who charge significant fees for services, which in many cases may be unnecessary. In supplementary information provided to this review, the Energy and Water Ombudsman NSW (EWON) detailed a survey of credit repair agents, to understand why customers engaged commercial advocates unnecessarily. In response to queries regarding options for assistance available, EWON found credit agents typically replied that the only alternative to payment for their service was to wait out a five-year credit default listing.62 Such circumstances are disturbing, particularly when such agents charge fees for services that ombudsman schemes provide free of charge. Even so, CCAAC does not agree with a blanket ban on paid representation. CCAAC considers that each scheme should allow parties to use a support person, which may in some cases include a paid legal representative. Virtual barriers Apart from awareness of EDR schemes, customers need to be informed about other aspects of dispute resolution. Inadequate or no information about complaint processes, what action to undertake if a dispute is urgent (and there is significant detriment from delay in resolution), the process of EDR, or on obtaining advice and support can also act as virtual barriers.63 ANZOA suggested requiring participating organisations to provide information to customers, once a reasonable time has passed for the organisation to resolve the complaint.64 Technological change means that some of the other ‘virtual barriers’ that customers may encounter when trying to access EDR schemes can be overcome. For example, schemes should be contactable outside of traditional office or call centre hours, and this should be reflected in the CDR Benchmarks. In addition, Cameronralph Navigator suggests including some new key practices regarding the acceptance of complaints from the customers who have made ‘reasonable efforts’ to resolve the situation with the scheme member. It is also important to note that it is appropriate for schemes to require complainants to at least attempt to resolve their complaint internally prior to consulting an external dispute 58 59 60 61 62 63 64 COSL, p.4. ANZOA, pp.6-7. FOS, p.2. QCA, p.2. For further discussion of this issue, refer to the discussion under Fairness - Procedural fairness. Energy and Water Ombudsman NSW, Supplementary Submission, p.3. See CCLC, p.5. ANZOA, p.6. Page 14 Review of the CDR Benchmarks resolution scheme. However, unduly lengthy internal complaints handling schemes can operate as a barrier to access to dispute resolution schemes.65 CCAAC considers that revised and updated key practices would assist EDR schemes to minimise any ‘virtual barriers.’ This includes addressing with scheme members, any difficulties that customers may have encountered in internal complaints handling procedures. In addition, revised key practices could help schemes ensure that they have a range of contact options for consumers. Findings – Accessibility • The key practice of Awareness/Promotion should include an element encouraging a scheme’s promotion efforts to focus on areas where a customer is likely to seek information in the event of a dispute, such as the websites of consumer agencies and advocacy services. • Additional key practices on Awareness/Promotion should be developed to assist schemes to promote their schemes to customers with special needs, such as customers with a disability or with a culturally and linguistically diverse background. • The key practice of Access should include an element to minimise any ‘virtual barriers’ to contacting a dispute resolution service; for example, that schemes can be contacted online, and not limited to office openings or telephone contact hours. • Additional key practices on Legal Representation would assist schemes to determine when paid representatives who act for customers in dispute resolution may be appropriate. • A new key practice of Acceptance should recognise no-fee dispute resolution as an essential component of accessibility for consumers, so that customers are not prevented from accessing dispute resolution because of their financial situation. 65 – This key practice should include information for schemes on ways of dealing with potentially vexatious and frivolous complaints. This would support the appropriate use of a scheme’s resources and minimise the risk of unreasonable costs. In turn, this would support the sustainability of no-cost dispute resolution. – Dispute resolution services should outline how they will manage delays and include possible ways to ‘triage’ complaints for action. Complaints could be referred: to an alternative avenue for justice, or to a regulator; for liaison where there may be an overlap in jurisdiction; or for acceptance as a case. Cameronralph Navigator, p.7. One issue that is not easily addressed is the inefficacy of dispute resolution without a willingness of industry members to participate in schemes; for example, the building industry. See submission from Building Compliance Reform Association. Page 15 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes Independence Underlying principle: The decision-making process and administration of the scheme are independent from scheme members. Purpose: To ensure that the processes and decisions of the scheme are objective and unbiased and are seen to be objective and unbiased. Systemic issues are particularly problematic for EDR schemes. Even if a scheme attempts to resolve a systemic issue, it is not clear whether the resolution of the issue was fair unless there are transparency and oversight mechanisms.66 However, most submissions first raised concern about a scheme’s profit objective status. Most submissions addressed the Independence Benchmark. ANZOA suggested that the independence principle statement be reworded. Cameronralph Navigator argued that the statement of principle and the statement of purpose could both be broadened.67 The CCLC reported consumer concern that EDR is not independent, arguing that the CDR Benchmarks should be formulated to ensure that EDR is also seen to be independent.68 Not-for-profit status Many submissions argued that the CDR Benchmarks should require schemes to be not-forprofit.69 CHOICE argued that for-profit schemes create perverse incentives that encourage schemes to avoid complex disputes, because cost minimisation is likely to be prioritised at the expense of correcting cases of consumer harm. CHOICE therefore considered that cost minimisation is in conflict with the objectives and the purpose of CDR dispute resolution schemes.70 Similarly, Baljurda Comprehensive Consulting suggested that the CDR Benchmarks include a point stating that the object of the scheme should be to operate for a public purpose and on a not-for-profit basis.71 While there were mixed views expressed in New Zealand about for-profit status, there is no clear-cut evidence that for-profit status in itself hinders effective dispute resolution. CCAAC remains to be convinced that for-profit status in itself would necessarily hinder effective dispute resolution, as it did not receive any compelling evidence that this would be the case. During consultation, CCAAC became aware of only one submission originating from a for-profit dispute resolution scheme, based in New Zealand. Even so, CCAAC is mindful of some perverse incentives that may arise from a for-profit scheme. Disputes that are more complex or require more time may be avoided or treated superficially in order to minimise costs. However, CCAAC considers that Accountability and Effectiveness key practices may address concerns that could arise in relation to for-profit schemes. For example, Accountability key practices encourage schemes to provide written reports of determinations, and publish a detailed and informative annual report containing specific 66 67 68 69 70 71 CCLC, p.11. ANZOA suggested that the statement be reworded to ‘The decision-making process and administration of the office must be independent from participating organisations.’ ANZOA, p.7; Cameronralph Navigator, p.7. CCLC, p.8. QCA, p.1; ANZOA, p.8; CCLC, p.8; Australian Communications Consumer Action Network, p.1. In the Credit Ombudsman Service’s view, requirement that any EDR scheme not return a profit to its members is a ‘key omission’ from the existing CDR Benchmarks. They proposed that this be a new key practice (see COSL, p.5). CHOICE, pp.8-9. This issue is discussed in more detail in Accountability – Transparency and reasons for decision and in Effectiveness – Systemic problems. Baljurda Comprehensive Consulting, p.6. Page 16 Review of the CDR Benchmarks statistical and other data about the performance of the scheme. In addition, Effectiveness key practices include supporting compliance. Conflicts of interest, bias and transparency A number of stakeholders pointed to potential conflicts of interest, and ways to minimise bias and enhance transparency. A confidential submission raised a concern about EDR scheme staff assisting complainants to draft their complaint. The ‘separation of power’ between staff assisting complainants and those making the decisions should alleviate this concern. In any case, greater accessibility should curtail the need for scheme staff to be involved in complaint drafting on behalf of customers.72 Other stakeholders raised concerns about other possible conflicts of interest, such as regulatory backgrounds of decision-makers, or the advocacy role assumed by some dispute resolution services. It is CCAAC’s view that a regulatory background may enhance, rather than detract from, an ombudsman’s ability to make a fair decision, and an advocacy role complements the decision-making role of an ombudsman. CCAAC is not inclined to support key practices that prevent former regulators from holding positions in a dispute resolution scheme, nor that greater accessibility would reduce the need for scheme staff to be involved in complaint drafting on behalf of customers. However, CCAAC is of the view that additional key practices to assist schemes to ensure conflicts of interest and bias are transparently managed, particularly where schemes may have multiple functions/roles that can conflict, may be helpful. Governance Governance should focus on oversight of policy development, to ensure stakeholders in EDR processes are consulted and accommodated. An overseeing body should be comprised of independent members. This should include ensuring EDR has a balance of stakeholders from member organisations, relevant regulators, consumer bodies, legal expertise and other dispute resolution experts. CALC was firmly of the view that EDR schemes should not be answerable to or selected by scheme members.73 In addition, schemes should have sufficient powers to deal with systemic issues and provide information on statistics of complaints handling performance in the sector.74 CCAAC notes some of the tensions that can be involved in determining the governance arrangements of schemes. CCAAC considers that the existing ‘balance’ of stakeholders, detailed in the Key Practices, adequately address concerns that scheme members may wield disproportional influence in governance arrangements. Additional key practices would assist schemes to ensure an appropriate balance of stakeholders. CCAAC is of the view that some of the key practices detailed in other benchmarks, such as Effectiveness, could also play a part in addressing governance concerns. Scheme competition Stakeholders consider it undesirable to have more than one dispute resolution service operating in a single industry, arguing that this kind of ‘competition’ does not operate in the interests of consumers. In a competitive environment, EDR schemes would vie for business of industry members, reducing fees and in turn lowering resources available for complainants to EDR schemes. Therefore, a competitive environment provides no incentive 72 73 74 Refer to the section on Accessibility. CALC, p.7. CHOICE, p.10. Page 17 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes for schemes to provide better service for consumers.75 Conversely, the COS argued that where a choice of EDR exists, there is some pressure on schemes to run efficiently and strive to improve service levels, and that the diversity of approaches to different issues can only produce better outcomes.76 Such an assertion is difficult to quantify. In New Zealand, it is not clear that scheme competition in itself is a problem, provided schemes are operating well and delivering outcomes for consumers. However, it may be useful to have a mechanism for addressing potential inconsistencies that may arise between rules of different schemes in a sector. In this regard, recent changes to the Financial Service Providers (Registration and Dispute Resolution) Act 2008 allow regulations to be made which will enable better alignment of scheme rules where appropriate, to ensure the sector is operating well to deliver outcomes for consumers. Following targeted stakeholder consultations, CCAAC appreciates some stakeholders concerns about scheme competition. CCAAC is of the view that scheme competition is not in itself problematic, provided schemes are operating well, and delivering outcomes for customers and industry. Findings – Independence • New and improved key practices across the CDR Benchmarks should be developed to address concerns in relation to for-profit schemes. CCAAC notes some of the risks and perverse incentives that may arise from for-profit schemes. • Additional key practices for the Overseeing entity would be useful to assist schemes to ensure an appropriate balance of stakeholders is involved in scheme governance. • Additional key practices on the Decision-maker, Staff and Overseeing Entity would assist schemes to ensure that any actual or perceived conflicts of interest and bias are managed in a transparent way. 75 76 ANZOA, p.4; CALC, p.7. COSL, p.5. Page 18 Review of the CDR Benchmarks Fairness Underlying principle: The scheme produces decisions which are fair and seen to be fair by observing the principles of procedural fairness, by making decisions on the information before it and by having specific criteria upon which its decisions are based. Purpose: To ensure that the decisions of the scheme are fair and are seen to be fair. As mentioned earlier in this report, Fairness was an area on which many stakeholders provided feedback. The ANZOA suggested that the Fairness principle statement be reworded, and Cameronralph Navigator considered that both the statement of principle and the statement of purpose should be broadened.77 The ICA also suggested rewriting the key principle, and suggested that key practices on what is fair and reasonable in decision-making be clarified, as it can be interpreted in more than one way, which is not necessarily equitable to all parties in all instances. In the ICA’s view, schemes should consider determinations on relevant industry codes of practice and the law versus what is fair and reasonable (having regard to good industry practice).78 More generally, the ICA suggested that consumer financial hardship could be acknowledged in the CDR Benchmarks. Moreover, both the ICA and the ABA argued that financial hardship requires a more consistent approach across industry sectors.79 Consistency and review of decisions CALC’s submission argued that the ability to decide disputes should take into account not only the law, but also what is fair and reasonable in the circumstances and good industry practice.80 The CCLC supported the idea that EDR schemes be required to demonstrate that the principles of fairness and good industry practice are applied in decision-making.81 Further, the CCLC submitted that schemes should be required to have procedures to ensure internal consistency.82 Cameronralph Navigator noted that complaints handling staff should have an appropriate range of tools and resources to promote consistency and quality.83 Some schemes grapple with auditing their decision-making, including fairness of processes and accuracy of interpretation and application of good industry practice and law.84 The ADMA notes that there is a need for flexibility in the application of the CDR Benchmarks, as industries and companies consider resourcing commensurate with their size and community.85 77 78 79 80 81 82 83 84 85 ANZOA, p.8; Cameronralph Navigator, p.9. ICA, p.3. ICA, p.4; ABA, p.5. CALC, p.5. CCLC, p.9. CCLC, p.10. Cameronralph Navigator, p.9. CCLC, p.10. ADMA, p.2; this also links with Independence. Page 19 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes Smaller scheme members may be more affected financially by decisions and seek review of decisions. In addition, overall confidence in a scheme can be undermined if discontented members challenge scheme decisions regularly. The CCLC stated that the CDR Benchmarks should require schemes to have systems in place to regularly measure fairness.86 CCAAC is of the view that improved key practices would assist schemes to review their decision-making processes, which in turn is likely to improve consistency of decisions. For example, practices encouraging schemes to contact parties involved in the dispute resolution after a determination to gather comments on the process and the effectiveness of decisions could be used to inform continuous improvement practices. Enforceability The enforceability of schemes decisions and determinations remains a major concern, as decisions made by EDR schemes are non-binding. ANZOA argued that wording should be amended to ensure that ‘A final determination of the decision maker that is not a recommendation is binding on the participating organisation if the complainant accepts the decision.87 Because the CDR Benchmarks are largely external to a regulatory framework, schemes do not make binding decisions.88 CHOICE noted that addressing deliberate non-compliance with scheme determinations justifies more developed guidelines.89 In addition, problems with enforceability arise when a scheme’s members are insolvent, no longer trading or otherwise unable to provide redress.90 Refer to the discussion under Effectiveness – Insolvency. CCAAC is concerned that the lack of enforceability of EDR decisions can undermine the usefulness of the dispute resolution process, and may in the long-term have the potential to damage the reputation of dispute resolution more broadly. Therefore, CCAAC considers that reviews of decision-making processes as part of an independent review could encourage schemes to consider ways to ensure decisions are enforced. The Accountability and Efficiency benchmarks play an important role here as well and recommended changes to these key practices may affect a scheme’s ability to enforce decisions. Enhanced practices providing schemes with advice on reporting non-compliant decisions, highlighting systemic problems and material that should be considered during an independent review, will be of assistance to schemes. Procedural fairness The COSL noted that the Fairness principle and purpose are principally focused on the decisions of a scheme, but that procedural fairness should also be incorporated into the benchmark.91 Cameronralph Navigator supported this view, stating that procedural fairness should recognise that EDR is not a court of law and the necessity of quick informal processes to achieve results. Key practices should therefore note the advantages for both parties of a quick resolution.92 86 87 88 89 90 91 92 CCLC, p.10; see also Accountability – Member and customer feedback. ANZOA, pp.8,11. ACA, p.2. CHOICE, p.10-11. CHOICE, p.11. COSL, p.7-8. The Insurance Council of Australia made a similar point in their submission at p.3. Cameronralph Navigator, pp.7-8. Page 20 Review of the CDR Benchmarks The CCLC argued that one element of procedural fairness is that a preliminary view or assessment of the dispute is provided to both parties at the same time, and expressed dismay at the practice of one EDR scheme providing their preliminary view to the scheme member for comment prior to providing it to the consumer.93 Similarly, CALC argues that the CDR Benchmarks should promote fairness in all EDR processes, not just decision-making. Fairness should be broadened beyond making fair decisions to address power imbalances between complainants and industry.94 Scheme staff should provide information and assistance where the complainant is in a position of disadvantage relative to the scheme member; industry often has access to legal advice and representation, so customers should have this right too.95 Some stakeholders have proposed that guidance should require both scheme members and complainants to provide information relevant to the complaint.96 ANZOA noted the importance of the participating organisation informing affected customers about the ADR mechanisms available.97 However, as the CDR Benchmarks are primarily directed at dispute resolution schemes rather than scheme members, CCAAC is of the view that dispute resolution schemes themselves have primary responsibility for ensuring that information about the scheme is detailed on relevant websites. Communication Communication with stakeholders is a vital practice in any organisation and a crucial element of procedural fairness. The CCLC noted that customers not only need to be informed of EDR, but the EDR process itself. In addition, customers should receive information about obtaining advice and support through the process. The CCLC argued that schemes should be encouraged to publish and otherwise disseminate appropriate information to guide users on how disputes will be handled. Moreover, the CCLC advocated the publication of a bulletin or circular at least quarterly to cover updates, news and the EDR approach to a common complaint. It could include information on particular issues, and the practices and approaches employed to address those issues, as a way of informing both complainants and scheme members.98 In relation to decisions, the ICA proposed that there be a requirement for EDR decisions to be brief and concise, and include a succinct explanation of legal principles applied, to enhance procedural fairness.99 Finally, regarding confidentiality and disclosure, ANZOA recommends that the requirement that parties agree not to disclose information be removed.100 CCAAC notes that Fairness often links with Accountability, as transparency and oversight are aspects of both values, and communication links with reporting obligations. CCAAC considers that improved key practices would assist EDR schemes to further develop other elements of their procedural fairness, including the provision of information to both customers and scheme members and ongoing communication. Appropriate communication about schemes processes and decisions are essential elements of procedural fairness. 93 94 95 96 97 98 CCLC, p.9. CALC, pp.4-5. Cameronralph Navigator, p.8; CCLC, pp.6-7. FPA, p.2; CALC, p.5. ANZOA, p.5. CCLC, pp.10-11. Further information on communication is detailed in the section on Accountability – Reporting. 99 ICA, p.3. 100 ANZOA, p.9; Baljurda Comprehensive Consulting agreed with this recommendation, Baljurda Comprehensive Consulting, p.8. Page 21 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes Findings – Fairness • The key practice of procedural fairness should incorporate additional elements of procedural fairness, including provision of information to both customers and scheme members, and ongoing communication by schemes. • A new key practice should be included on Review of decision-making processes, to encourage schemes to consider ways to ensure decisions are enforced. Consistency of decision-making is also likely to be improved by this addition. • Key practices should be developed in relation to other aspects of procedural fairness, including the timeliness of the provision of information to complainants and scheme members, and ongoing communication on the progress of the investigation and decision. • Enhanced key practices relating to other benchmarks would assist in addressing enforceability. Page 22 Review of the CDR Benchmarks Accountability Underlying principle: The scheme publicly accounts for its operations by publishing its determinations and information about complaints and highlighting any systemic industry problems Purpose: To ensure public confidence in the scheme and allow assessment and improvement of its performance and that of scheme members. The Accountability Benchmark was one of the CDR Benchmarks receiving the most comment from stakeholders. ADMA considers that accountability could be bolstered by measures to encourage and incentivise best practice.101 The COSL argued that this benchmark should also include ‘outcomes which do not involve decisions or determinations.’102 Transparency and reasons for decision Most of the submissions recommended transparency and reasons for a decision be enhanced as part of the Fairness and Accountability Benchmarks and their key practices. There is currently little guidance from issued determinations on how complaints are handled and decisions are made within EDR schemes.103 Moreover, the CCLC submitted that the CDR Benchmarks should include a requirement that findings, case assessments and similar evidence of decision-making are published on the relevant EDR scheme’s website to ensure the parties have some direction on likely EDR outcomes.104 Dispute resolution consultants agreed, suggesting that not only should the Accountability statement of principle be broadened, but that the key practices should require the publication of reasons for decisions (on an anonymous basis) of all determinations. Practice notes or bulletins in relation to common complaint scenarios could be published along with information about complaints as they concern scheme members.105 Some of these concerns around transparency and reasons for decision have already been raised elsewhere in this report, under Fairness.106 Again, CCAAC considers that these issues could be addressed by improved key practices. Addressing non-compliance As mentioned under Fairness, problems with enforceability arise where scheme members are insolvent, no longer trading or otherwise unable to provide redress. CHOICE suggests that compensation arrangements should be established, or it should be a requirement of scheme membership that members hold a security deposit to satisfy claims if they become insolvent. In addition, schemes should be required to address the issue of funding in constitution or other establishment documents, and have a current business plan that addresses contingencies and alternative sources of funding for the scheme.107 101 102 103 104 105 106 107 ADMA, p.2. COSL, p.8. Baljurda Comprehensive Consulting, p.10; CALC, p.6; CCLC, p.10. CCLC, p.11. Cameronralph Navigator, p.8; Baljurda Comprehensive Consulting, p.10. See Consistency and Review of Decisions, p.19, and Procedural Fairness, pp.20-12 and Communication, p.21. CHOICE, pp.10-13. Page 23 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes CHOICE stated that addressing deliberate non-compliance with scheme determinations justifies more developed guidelines. While CHOICE emphasised that flexibility should be maintained in the CDR Benchmarks, it also noted other options such as tying compliance to other regulatory systems. For example, non-compliance with determinations by an EDR scheme may constitute misleading or deceptive conduct, if an industry member indicated that as members of an EDR scheme they will comply with its decisions. In this regard, CHOICE supports requiring scheme members to make a clear public statement that they will comply with scheme determinations.108 As described under Fairness, the lack of enforceability of decisions has the potential to weaken dispute resolution as an alternative route for access to justice. CCAAC reiterates its view in relation to Fairness: revised and enhanced key practices could encourage schemes to consider ways to ensure decisions are enforced, and further, to provide redress where scheme members are deliberately non-compliant. Member and customer feedback The CCLC argued that the CDR Benchmarks should require schemes to have systems in place to regularly measure user satisfaction, fairness and efficiency in dispute resolution process and decision making quality. Where possible, these mechanisms should involve feedback from outside the scheme itself.109 In addition, the National Financial Services Federation (NFSF) argues that EDR schemes should allow members of the schemes to provide effective feedback and discussion, alongside other stakeholders.110 Importantly, the ICA suggests that the Accountability Benchmark require schemes to analyse experience of complaint management to inform ongoing EDR scheme improvements.111 Feedback should be invited regularly, and member feedback should be commented on and addressed in reports and provide measures of efficiency and accountability. The NFSF suggests that a reference to ASIC RG 139 could be used as a basis for this reporting requirement.112 However, it must be emphasised that EDR schemes not in the financial sector may require guidance that is more detailed.113 CCAAC recognises the importance of stakeholder feedback, and is mindful of the benefit that feedback from both customers and scheme members can bring to dispute resolution in a cycle of continuous improvement. CCAAC also appreciates that not all stakeholders will provide feedback without prompting. Therefore, CCAAC considers that revised key practices should encourage schemes to accept and respond appropriately to feedback received, and to elicit feedback from customers and scheme members. The means used to gather feedback on a dispute resolution scheme could be used as a basis for regular public reporting. 108 109 110 111 112 CHOICE, p.12. CCLC, p.13. NFSF, p.2. ICA, p.4. NFSF, p.4. ASIC RG 139 covers implementation processes and guidance for dispute resolution schemes in the finance sector. 113 NFSF, p.4. The NFSF also suggests that providers of EDR schemes may need separate guidance to cover the CDR Benchmarks and how to satisfy accountability. Page 24 Review of the CDR Benchmarks Reporting Most of the submissions received advocated enhanced reporting requirements, consistent with the timeframes expected for corporate financial reporting. Reporting is critical to determine whether there are systemic problems in the industry, and can identify industry members who are performing poorly at resolving disputes.114 Other publications are necessary for accountability, as without a sufficient body of published material, it may be difficult to make settlement decisions.115 CHOICE argued that enhanced reporting requirements should feature in the Accountability Benchmark.116 Annual reports of EDR schemes should include details of numbers and types of complaints against particular industry members, and identified systemic issues.117 In addition, CHOICE argues that the CDR Benchmarks should address the issue of schemes reporting on financial matters in their annual reports to facilitate transparency and accountability in relation to funding.118 Reporting could be improved by requiring reporting of performance by EDR schemes against objectives, and reporting stakeholder feedback.119 Moreover, the ICA suggested that the CDR Benchmarks include guidance on best practice scheme reporting to all stakeholders, to reflect relationships and contracts that underpin the scheme, and best captures the performance experience of the scheme.120 Key practices could stipulate to report against each benchmark in annual reports.121 As described previously, the CCLC considered that the practices should specify that a bulletin or circular be published at least quarterly that covers updates and news, and the scheme’s approach to a common complaint.122 The publications could be directed towards scheme members and consumers, rather than the more official annual report that is required under regulation. CCAAC considers that there would be considerable benefit in enhanced key practices with examples for EDR schemes to assist them to deliver best practice reporting. Feedback received from members and customers could assist schemes in their reporting. Findings – Accountability • The key practice on Determinations should include an additional element to encourage schemes to provide reasons for decision. Additionally, schemes should be encouraged to publish guidance for industry and consumers relating to the application of the law and how determinations will be made for different types of complaints. This would enhance scheme transparency and accountability. • Schemes could consider the inclusion of information to assist in developing appropriate enforcement mechanisms to ensure decisions are enforced, and to provide redress where scheme members are deliberately non-compliant. 114 115 116 117 118 119 120 121 122 CCLC, 11. Cameronralph Navigator, p.8. CHOICE, p.9. CCLC, p.11. CHOICE, p.12. NFSF, pp.2-4. ICA, p.4. NFSF, p.4. CCLC, p.11. Page 25 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes • A new key practice on Responding to feedback could be included for schemes to accept and respond appropriately to feedback received, and to elicit feedback from customers and scheme members. – • Feedback on a dispute resolution scheme from complainants and scheme members could be used for continuous improvement and as a basis for public reporting. Additional key practices on Reporting should be developed, including resources and examples to assist schemes to deliver best practice reporting. Page 26 Review of the CDR Benchmarks Efficiency Underlying principle: The scheme operates efficiently by keeping track of complaints, ensuring complaints are dealt with by the appropriate process or forum and regularly reviewing its performance. Purpose: To give customers and scheme members confidence in the scheme and to ensure the scheme provides value for its funding. There appears to be a lack of clarity in some submissions between the Efficiency and the Effectiveness Benchmarks. Although there can be significant overlap, Efficiency relates to value for money, whereas Effectiveness is whether the scheme achieves results. A number of stakeholders suggested general changes. Cameronralph Navigator considered that the Efficiency statement of principle should be broadened.123 ADMA suggested that the efficiency of dispute resolution schemes would be boosted by the establishment and maintenance of a register of such schemes. ADMA provided the example of the 2012-13 review of the Australian Group Buying Code of Practice, in which the CDR Benchmarks were referenced. The review resulted in the Code becoming more effective in complaints handling contact points, defined response times and defined resolution timeframes.124 Such a register of dispute resolution schemes would be regularly updated, to be of use to other schemes, customers and government agencies. Out-of-scope, unfounded or previously reported claims The NFSF noted that efficiency is about value for funding, so complaints should only be considered when they are in the scheme’s terms of reference. It indicated that feedback from its members indicates that on occasion complaints appear to be outside a scheme’s terms of reference, yet charges are still applied to members.125 Similarly, another stakeholder thought the CDR Benchmarks should require that complaints only be considered when they are within the scheme’s terms of reference, and when the scheme is the most appropriate forum for the complaint to be considered. They provided the example of the FOS, stating that because it has authority to ‘assist complainants’, it regularly structures complaints to fall within its purview.126 The FPA contended that vexatious claims could progress through the EDR system with significant impacts on providers, the EDR scheme and other complainants. It provided the example where some claims found by EDR schemes have had no basis for complaint, so a scheme may recommend that the complaint does not proceed. However, EDR findings are only binding on the members. As such, the complainant can request that it proceed to determination, where it can be denied again, as the complaint is without a foundation. Such situations have little impact on the complainant but divert resources from customers with valid EDR claims. It can also have adverse consequences for the provider, including personal indemnity insurance premiums (even though the scheme found the claim was unfounded). The FPA provided written examples and testimonies, and suggested addressing vexatious claims by improving the CDR Benchmarks and their implementation by regulators and ultimately EDR schemes.127 123 124 125 126 127 Cameronralph Navigator, p.9. ADMA, p.3. NFSF, p.3. Confidential Submission 1; see also the Accessibility section. FPA, pp.1-2. Page 27 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes CCAAC is unclear whether out-of-scope, unfounded or previously reported claims are a significant issue for most schemes. However, CCAAC recognises that resources can be wasted through EDR schemes duplicating the efforts of bodies who have already handled a complaint. CCAAC agrees with the ICA, that efficiency could be improved with practices and procedures on how schemes can avoid or manage an overlap of jurisdiction with another EDR scheme or tribunal.128 Timeliness CHOICE argues that some EDR schemes are inefficient and ineffective because of substantial delays in complaint resolution, adding to existing delays to exhaust the member’s internal dispute resolution before taking it to EDR. CHOICE suggests that the practices require time limits and complaints tracking.129 The Telecommunications Industry Ombudsman (TIO) notes that timeliness is not only an important part of efficiency, but also crucial to be able to effectively combat systemic issues.130 The NFSF notes that there is sometimes inconsistency in the scheme’s response times.131 Therefore, key practices should include tracking and considering complaints within a reasonable timeframe. The ICA suggests the CDR Benchmarks provide direction for service level agreements on timelines for decisions by EDR schemes.132 In CCAAC’s opinion, timeliness is a vital part of dispute resolution. This does not mean that all disputes will be resolved quickly; some disputes require considerable investigation and other processes before decisions are taken. In addition, timeliness can also refer to the referral of issues to regulators, and the communication delivered to complainants and scheme members. CCAAC is acutely aware of the need for schemes to be adequately resourced to enable timely responses to complaints. CCAAC is of the view that improved key practices, including indicative timelines for the resolution of disputes, would assist EDR schemes to consider and act upon the variety of aspects to timeliness. Professionalism The skills and knowledge of EDR scheme staff is an essential element of efficiency. Both ANZOA and Cameronralph Navigator stress the importance of appropriately qualified staff; recruitment and training programs should ensure staff members have a good knowledge of law, industry practices and consumer issues relevant to a scheme’s jurisdiction. In addition, complaints handling staff should have an appropriate range of training, tools and resources to allow them to undertake their functions effectively, to promote consistency and quality, and for continuing development.133 The quality of complaints handling frequently reflects professionalism, so Cameronralph Navigator is of the view that the Efficiency Benchmark should be broadened to encompass aspects of internal management.134 ANZOA recommends modernising and improving the principle statement, as well as ensuring that the practices stipulate keeping track of complaints, ensuring complaints are dealt with appropriately, and regular performance 128 129 130 131 132 133 134 ICA, p.4; see also Accessibility, scheme scope, and Independence, scheme competition. CHOICE, p.10. TIO, p.3. NFSF, p.3. ICA, p.4. ANZOA, p.11; Cameronralph Navigator, p.9; Baljurda Comprehensive Consulting, p.11. Cameronralph Navigator, p.9. Page 28 Review of the CDR Benchmarks review.135 The linked matters of reporting and periodic independent review were already raised under Accountability. CALC suggests that schemes should be required to consider their performance, what drives demand for their scheme, and how that demand could be reduced, particularly in relation to systemic issues.136 The CCAAC notes that key performance indicators could be used by a scheme to assess its efficiency. Further information on systemic issues is provided in the next section on the Effectiveness Benchmark. CCAAC considers that enhanced Accountability key practices to safeguard the professionalism of scheme staff would be helpful. Findings – Efficiency • The key practice of Compliance should include a new element detailing methods to mandate or improve compliance with decisions, and ensure redress for customers when a scheme member is non-compliant with a scheme’s decision or recommendation. • A new key practice of Timeliness would assist schemes to consider and act upon the variety of aspects to the timeliness of processes. This applies to the timeliness of acknowledging and responding to an initial complaint, time taken to investigate a complaint, and time taken to make a decision. • A new key practice on Staff would assist schemes to ensure the professionalism of scheme staff members, including appropriate qualifications and experience. • Resources can be wasted through schemes duplicating the efforts of bodies who have already handled a complaint. Appropriate Process or Forum should include key practices to assist schemes to consider how they can best handle an overlap of jurisdiction with another scheme or tribunal. 135 ANZOA, p.10. 136 CALC, p.6. Page 29 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes Effectiveness Underlying principle: The scheme is effective by having appropriate and comprehensive terms of reference and periodic independent reviews of its performance. Purpose: To promote customer confidence in the scheme and ensure that the scheme fulfils its role. Evaluating outcomes is difficult without clearly defined objectives. The NFSF argues that it is impossible to evaluate effectiveness when there is no ‘expectation’ established. It suggests independent review as important part of the Effectiveness Benchmark.137 CCAAC has considered ways in which the objectives and expectations of schemes could be clearly articulated in order to assist evaluation, including the evaluation of effectiveness. The effectiveness of dispute resolution services is likely to be more readily evaluated through enhancement to other CDR Benchmarks practices such as specified communication, transparent decision-making, improved reporting, and timeliness. The FOS note that the effectiveness of EDR and the CDR Benchmarks more generally is affected by factors such as the regulatory and legal framework for financial services, and the broad social and community infrastructure that supports EDR arrangements. The FOS notes the example of financial counsellors, community legal centres and other community organisations, particularly those working with people experiencing disadvantage, may be vulnerable, or are otherwise unable to access schemes.138 Similarly, one consultant with experience in reviewing EDR schemes noted that strong member liaison arrangements that engender understanding of complainant issues provides optimal outcomes, and the effectiveness of this relationship should also be included in the CDR Benchmarks.139 Schemes could assume a role in the prevention of issues that may lead to disputes. In addition, the CDR Benchmarks could better reflect ancillary dispute resolutions that are not part of the formalised EDR processes. The CCLC is of the view that schemes should be able to demonstrate quality and effectiveness without compromising quick and informal resolution.140 The TIO, for example, has increased its scope in order to assist customers trying to resolve matters privately.141 The section on Accessibility – Referral to schemes discusses CCAAC’s proposal to address such issues, such as the ‘triage’ system of handling complaints. Compliance - binding decisions and ensuring redress A number of stakeholders noted that a key factor of effectiveness is whether determinations are binding on the scheme member. The Airline Consumer Advocate notes that while the CDR Benchmarks underpin its work, because it does not fit within a regulatory framework, the scheme is unable to make binding decisions.142 One major circumstance in which redress is not achieved is when a scheme member is insolvent. Stakeholders noted that effectiveness of EDR as a dispute resolution mechanism could be compromised by insolvency, where redress is granted by the scheme but frustrated 137 138 139 140 141 NFSF, p.3. FOS, p.3. Cameronralph Navigator, p.9. CCLC, p.13. TIO, p.4. The CDR Benchmarks could therefore refer to representation in all dispute resolution processes and not just determinations and decisions. QCA, p.2. Refer to discussion on Accessibility - Representation. 142 ACA, p.2. Page 30 Review of the CDR Benchmarks by the insolvency.143 The FOS noted that possible solutions to under-compensation are currently under development, and expressed a willingness to work collaboratively to address the issue.144 The ABA was concerned that there are currently no published measures aimed at resolving some of the unfortunate outcomes of dispute resolution, despite consultation with ASIC.145 In addition, there may be other reasons for non-compliance.146 ANZOA proposes that the CDR Benchmarks should set a standard for EDR schemes and members, by requiring scheme members to be bound by a final determination that is not a recommendation, providing the complainant accepts the decision. ANZOA also proposes broadening ‘final determinations’ to include recommendations, and change ‘determinations’ to ‘decisions’.147 CCAAC considers that there would be merit in including key practices encouraging transparency, such as the publication of resolutions and determinations. Such methods would assist EDR schemes to improve participating organisations’ compliance with decisions, and ensure redress for customers when a scheme member is non-compliant with a scheme’s decision or recommendation. Systemic problems Systemic issues can be particularly problematic for EDR schemes. In targeted consultations, ANZOA described how schemes frequently deal with similar issues. These can often indicate that there may be a regulatory issue requiring particular attention. The QCA suggested that the CDR Benchmarks include more ways schemes might work to achieve reductions in systemic problems.148 CALC considered that the CDR Benchmarks should provide instructions on handling systemic problems.149 ANZOA considered that the CDR Benchmarks needed to recognise that systemic issues might arise from just one complaint.150 For illustrative purposes, an example may be that while investigating a complaint an EDR scheme might discover other customers who have experienced the same issue, but have not taken their dispute to a dispute resolution scheme. The CCLC notes that even if an EDR scheme attempts to resolve a systemic issue, a lack of transparency or oversight on particular issues means it is not clear whether an outcome or action was fair.151 ANZOA suggests that the CDR Benchmarks provide for investigation of systemic issues, as well as referral elsewhere. More specifically, ANZOA suggests amending the CDR Benchmarks to refer systemic problems to an appropriate regulator for action if required.152 In New Zealand, financial service dispute resolution schemes are required to communicate to the relevant licensing authority (the Financial Markets Authority) when there are a series of material complaints about a provider or a class of providers. Where there is a series of 143 144 145 146 147 148 149 CHOICE, pp.10-12; FOS, p.2. FOS, p.3. ABA, p.3. For example, see the sections on Fairness – Enforceability and Accountability – Addressing non-compliance. ANZOA, pp.8, 11. QCA, p.2. CALC, p.6. One way of handling systemic problems is through the ‘triage’ suggestion mentioned under Accessibility – Referral to Schemes. 150 ANZOA, p.10. 151 CCLC, p.11. 152 ANZOA, p.10. Page 31 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes material complaints about creditors or classes of creditors, the schemes must communicate this to the Commerce Commission. CCAAC considers that there is a role for EDR schemes to alert regulators and policy makers to systemic issues based on the cases brought to dispute resolution. CCAAC recommends additional key practices to assist schemes to determine when to bring issues to the attention of relevant bodies, such as industry associations, regulators or policymakers, be developed. Periodic independent review Periodic independent review would provide a valuable opportunity to assess EDR performance. The CCLC suggests that independent reviews of EDR schemes should occur at a minimum of every five years after the first review.153 As schemes mature, governance should focus on oversight of policy development and ensure that stakeholders in the EDR process are consulted and accommodated. CCAAC recognises the benefits of periodic review undertaken by an independent reviewer, as it is likely to deliver insights into the scheme not appreciated by someone familiar with the day-to-day operations of the scheme. CCAAC considers that revised and enhanced key practices should encourage periodic independent reviews of schemes. Enhanced reporting requirements would assist reviewers. Existing guidance The QCA reported that the existing implementation guidance documents issued by some schemes appear beneficial for all stakeholders. The QCA is of the view that schemes should consider issuing their own guidance or utilising existing relevant guidance. On issues that are common to all or most schemes, such as systemic issues, generic templates would be useful.154 There may already be sufficient guidance from other relevant standards and guidelines, when applied in conjunction with the CDR Benchmarks. However, most in the financial sector considered that implementation guidance was not necessary for the sector, as ASIC RG 139 fulfils this role for financial services EDR schemes, providers and consumers. Additional prescriptive guidance would duplicate the ASIC guidance, and possibly lead to confusion.155 Moreover, additional prescriptive guidance could affect the authority, independence and management flexibility of the Ombudsman. That said, the New Zealand Banking Ombudsman Service supports developing additional implementation guidance, but also argued that it should not be prescriptive.156 FPA noted that ASIC RG 139, which provides for approval and oversight of EDR schemes, including detailed guidelines for the application of the CDR Benchmarks. In addition, the General Insurance Code of Practices also sets out a self-regulatory framework for Code signatories. The FOS monitors code compliance and so the FPA does not see a need for additional guidance.157 The ICA also argued that if the CDR Benchmarks Principles do not alter considerably, then additional assistance and guidance is not required, as EDR schemes have terms of reference and review processes that should assist the particular scheme.158 153 154 155 156 157 158 CCLC, p.12. QCA, p.2. FPA, p.3. Banking Ombudsman Service, p.2. FOS, pp.2-3; FPA, p.3. ICA, p.4. Page 32 Review of the CDR Benchmarks CCAAC considers that additional high-level key practices could boost the effectiveness of the existing key practices in all of the CDR Benchmarks. Findings – Effectiveness • The key practice related to Systemic Problems should include a new element encouraging schemes to alert regulators and policy makers to systemic issues based on the cases brought to dispute resolution. • The key practice of Periodic independent review should include a new element encouraging independent reviews at set periods. • For finance-related dispute resolution schemes, guidance on the implementation of the CDR Benchmarks is not necessary as ASIC regulatory guidance is already in use. • Revisions and additions to key practices for other benchmarks would assist stakeholders to address issues of effectiveness - for example, considering special needs, reviewing decisions, enhancing communication and reporting, and improving timeliness. Page 33 CONCLUSION The review process revealed that the CDR Benchmarks are fundamentally viewed very positively by stakeholders. The overarching principles – Accessibility, Independence, Fairness, Accountability, Efficiency and Effectiveness – were described by stakeholders as ‘immutable.’159 They are described as a ‘rigorous framework’ for dispute resolution, ‘appropriate and well accepted’, ‘adaptable and durable’, ‘strong foundations’ for EDR, and ‘critical’ to the delivery of dispute resolution for one scheme.160 That said, the review also highlighted a number of areas in which the CDR Benchmarks could be revised and updated. A number of stakeholders raised the prospect of specifying certain criteria that industry dispute resolution schemes should be required to meet as part of the CDR Benchmarks. However, CCAAC considers the CDR Benchmarks should retain their more narrow purpose of setting out principles for industry-based dispute resolution schemes and allow industries flexibility to develop schemes tailored to meet their needs. While it is preferred that dispute resolution services are not-for-profit and each sector should be represented by one scheme, CCAAC is of the view that the CDR Benchmarks should not be prescriptive on such matters at this time. The CDR Benchmarks have had a successful history and will continue to provide effective direction to new and existing dispute resolution schemes. Implementing the recommended changes and relaunching the revised documents will assist in ensuring the future effectiveness of the benchmarks. 159 CHOICE suggested an additional benchmark of ‘awareness’. In consultations with stakeholders, this was deemed unnecessary. CCAAC agrees that ‘awareness’ continues to fit under the Accessibility Benchmark. Following targeted consultation with stakeholders, CCAAC considers that it should remain as a key practice element of one of the existing benchmarks. 160 Quotes from ANZOA, p.2; Cameronralph Navigator, p.6; CHOICE, p.4; CALC, p.1; and TIO, p.2, respectively. See also Public Transport Ombudsman, p.3. Page 35 REFERENCES PUBLICATIONS Australian Securities and Investment Commission, ASIC Regulatory Guide 139 (RG 139), Approval and oversight of external dispute resolution schemes, available at http://www.asic.gov.au/asic/pdflib.nsf/LookupByFileName/ rg139-published-13-June-2013.pdf/$file/rg139-published-13-June-2013.pdf Australian Securities and Investment Commission, ASIC Regulatory Guide 165 (RG165), Licensing: Internal and external dispute resolution Hally-Burton, Stephen; Shirodkar, Siddharth; Winckler, Simon; and Writer, Simon, ‘Harnessing the demand side: Australian consumer policy’, Treasury Economic Roundup, Issue 4, 2008 National Alternative Dispute Resolution Advisory Council, A Framework for ADR Standards: Report to the Commonwealth Attorney-General (Canberra: Commonwealth of Australia, 2001 National Consumer Credit Regulations Productivity Commission, Access to Justice Arrangements, Draft Report, Canberra, 2014 Standards Australia, Australian Standard on Complaints Handling, AS 4269 – 1995 (Canberra: Standards Australia), 1995 Telecommunications Legislation Amendment (Consumer Protection) Act 2014 Page 37 APPENDIX 1 — OVERVIEW OF THE CONSULTATION PROCESS This study was informed by the views of dispute resolution schemes, industry stakeholders and consumers. On 24 April 2013, CCAAC released an Issues Paper, published on its website, which invited interested stakeholders to respond with submissions on the questions contained in the Paper, and other issues related to the study’s Terms of Reference. On its website, CCAAC extended this invitation to other interested stakeholders. Written non-confidential submissions are available on the CCAAC website located at http://www.ccaac.gov.au. Non-confidential submissions were received by: Airline Customer Advocate Association for data-driven marketing and advertising Australian Bankers’ Association Australian Communications Consumer Action Network Australian and New Zealand Ombudsman Association Baljurda Comprehensive Consulting Banking Ombudsman Scheme Building Compliance Reform Association Cameronralph Navigator CHOICE Consumer Action Law Centre Consumer Credit Legal Centre (NSW) Credit Ombudsman Service Limited Electricity and Gas Complaints Commissioner (New Zealand) Energy and Water Ombudsman NSW Energy and Water Ombudsman Queensland Energy and Water Ombudsman Victoria Financial Ombudsman Service Financial Planning Association of Australia Insurance Council of Australia National Financial Services Federation Public Transport Ombudsman Ltd Queensland Consumers Association Margaret Singleton Society for Consumer Professionals in Australia Telecommunications Industry Ombudsman Page 38 References In addition, a series of targeted consultations with key stakeholders were conducted by Mr Gordon Renouf, with the CCAAC Secretariat. These discussions were held in person and through teleconferences taking place on 12 and 21 February 2014. Participant Representative/s Date Consumer Action Law Centre Gerard Brody 12 February 2014 Electricity and Water Ombudsman NSW Clare Petre* 12 February 2014 Western Australian Ombudsman Chris Field* 12 February 2014 CHOICE Matt Levey 12 February 2014 Queensland Consumers’ Association Ian Jarratt 12 February 2014 Baljurda Comprehensive Consulting John Wood 21 February 2014 Australian Bankers’ Association Ian Gilbert 21 February 2014 Telecommunications Industry Ombudsman Simon Cohen* 21 February 2014 Association of Independently Owned Financial Professionals Peter Johnston 21 February 2014 * Also a member of ANZOA. Following the targeted consultations, a supplementary submission was received by ANZOA on 21 February 2014. The CCAAC Secretariat liaised with government stakeholders including ASIC and the Australian Competition and Consumer Commission. Page 39 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes APPENDIX 2 — SUMMARY OF FINDINGS Accessibility • The key practice of Awareness/Promotion should include an element encouraging a scheme’s promotion efforts to focus on areas where a customer is likely to seek information in the event of a dispute, such as the websites of consumer agencies and advocacy services. • Additional key practices on Awareness/Promotion should be developed to assist schemes to promote their schemes to customers with special needs, such as customers with a disability or with a culturally and linguistically diverse background. • The key practice of Access should include an element to minimise any ‘virtual barriers’ to contacting a dispute resolution service; for example, that schemes can be contacted online, and not limited to office openings or telephone contact hours. • Additional key practices on Legal Representation would assist schemes to determine when paid representatives who act for customers in dispute resolution may be appropriate. • A new key practice of Acceptance should recognise no-fee dispute resolution as an essential component of accessibility for consumers, so that customers are not prevented from accessing dispute resolution because of their financial situation. – This key practice should include information for schemes on ways of dealing with potentially vexatious and frivolous complaints. This would support the appropriate use of a scheme’s resources and minimise the risk of unreasonable costs. In turn, this would support the sustainability of no-cost dispute resolution. – Dispute resolution services should outline how they will manage delays and include possible ways to ‘triage’ complaints for action. Complaints could be referred: to an alternative avenue for justice, or to a regulator; for liaison where there may be an overlap in jurisdiction; or for acceptance as a case. Independence • New and improved key practices across the CDR Benchmarks should be developed to address concerns in relation to for-profit schemes. CCAAC notes some of the risks and perverse incentives that may arise from for-profit schemes. • Additional key practices for the Overseeing entity would be useful to assist schemes to ensure an appropriate balance of stakeholders is involved in scheme governance. • Additional key practices on the Decision-maker, Staff and Overseeing Entity would assist schemes to ensure that any actual or perceived conflicts of interest and bias are managed in a transparent way. Fairness • The key practice of procedural fairness should incorporate additional elements of procedural fairness, including provision of information to both customers and scheme members, and ongoing communication by schemes. Page 40 References • A new key practice should be included on Review of decision-making processes, to encourage schemes to consider ways to ensure decisions are enforced. Consistency of decision-making is also likely to be improved by this addition. • Key practices should be developed in relation to other aspects of procedural fairness, including the timeliness of the provision of information to complainants and scheme members, and ongoing communication on the progress of the investigation and decision. • Enhanced key practices relating to other benchmarks would assist in addressing enforceability. Accountability • The key practice on Determinations should include an additional element to encourage schemes to provide reasons for decision. Additionally, schemes should be encouraged to publish guidance for industry and consumers relating to the application of the law and how determinations will be made for different types of complaints. This would enhance scheme transparency and accountability. • Schemes could consider the inclusion of information to assist in developing appropriate enforcement mechanisms to ensure decisions are enforced, and to provide redress where scheme members are deliberately non-compliant. • A new key practice on Responding to feedback could be included for schemes to accept and respond appropriately to feedback received, and to elicit feedback from customers and scheme members. – • Feedback on a dispute resolution scheme from complainants and scheme members could be used for continuous improvement and as a basis for public reporting. Additional key practices on Reporting should be developed, including resources and examples to assist schemes to deliver best practice reporting. Efficiency • The key practice of Compliance should include a new element detailing methods to mandate or improve compliance with decisions, and ensure redress for customers when a scheme member is non-compliant with a scheme’s decision or recommendation. • A new key practice of Timeliness would assist schemes to consider and act upon the variety of aspects to the timeliness of processes. This applies to the timeliness of acknowledging and responding to an initial complaint, time taken to investigate a complaint, and time taken to make a decision. • A new key practice on Staff would assist schemes to ensure the professionalism of scheme staff members, including appropriate qualifications and experience. • Resources can be wasted through schemes duplicating the efforts of bodies who have already handled a complaint. Appropriate Process or Forum should include key practices to assist schemes to consider how they can best handle an overlap of jurisdiction with another scheme or tribunal. Page 41 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes Effectiveness • The key practice related to Systemic Problems should include a new element encouraging schemes to alert regulators and policy makers to systemic issues based on the cases brought to dispute resolution. • The key practice of Periodic independent review should include a new element encouraging independent reviews at set periods. • For finance-related dispute resolution schemes, guidance on the implementation of the CDR Benchmarks is not necessary as ASIC regulatory guidance is already in use. • Revisions and additions to key practices for other benchmarks would assist stakeholders to address issues of effectiveness - for example, considering special needs, reviewing decisions, enhancing communication and reporting, and improving timeliness. Page 42 References APPENDIX 3 — PRINCIPLES AND PURPOSES Accessibility Underlying principle: The office makes itself readily available to customers by promoting knowledge of its services, being easy to use and having no cost barriers. Purpose: To promote access to the scheme on an equitable basis. Independence Underlying principle: The decision-making process and administration of the office are independent from participating organisations. Purpose: To ensure that the processes and decisions of the scheme are objective and unbiased, and are seen to be objective and unbiased. Fairness Underlying principle: The procedures and decision-making of the office are fair, transparent and seen to be fair and transparent. Purpose: To ensure that the office performs its functions in a manner that is fair and seen to be fair. Accountability Underlying principle: The office publicly accounts for its operations by publishing its final determinations and information about complaints and reporting any systemic problems to its participating organisations, policy agencies and regulators. Purpose: To ensure public confidence in the scheme and allow assessment and improvement of its performance and that of participating organisations. Efficiency Underlying principle: The office operates efficiently by keeping track of complaints, ensuring complaints are dealt with by the appropriate process or forum and regularly reviewing its performance. Purpose: To give the community and participating organisations confidence in the office and to ensure the office provides value for its funding. Effectiveness Underlying principle: The office is effective by having appropriate and comprehensive jurisdiction and periodic independent reviews of its performance. Purpose: To promote community confidence in the office and ensure that the office fulfils its role. Page 43 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes APPENDIX 4 — KEY PRACTICES Benchmark 1: Accessibility Awareness/Promotion 1.1 The office161 seeks to ensure that those in the community who may require its services are aware of its existence. 1.2 The office promotes its services in the media or by other means. 1.3 The office produces readily available material in simple terms explaining: (a) How to access the office; (b) How the office works; (c) The major areas with which the office deals; and (d) Any limits on the office’s powers. 1.4 The office requires participating organisations162 to inform customers163 about the office.164 This may include providing information at the point of service (for example, in displays or brochure stands), in contracts, codes of practice and customer service charters, on websites and in newsletters and correspondence forwarded to customers. 1.5 The office ensures that information about its services, procedures and scope is made available to customers by participating organisations when the participating organisation responds to a complaint.165 1.6 The office also ensures that this information is made available by participating organisations: (a) when customers are not satisfied in whole or in part with the outcome of the internal complaints mechanism166 of a participating organisation; (b) when the participating organisation refuses to deal with a complaint; or (c) when a reasonable time167 has passed for the participating organisation to resolve a complaint, and the complaint remains unresolved, whichever first occurs. 161 The ‘office’ refers to a person or organisation providing external dispute resolution services. The type of office established will differ according to the size and nature of the industry in which it operates. 162 ‘Participating members’ refers to any organisations which participate in a customer dispute resolution service or are within the jurisdiction of the office. 163 The term ‘customer’ is used to refer to any consumers who purchase or have purchased goods or services from participating organisations, and may also refer to someone affected by the participating organisation. 164 This key practice relates to general promotion of the services of the office by participating organisations. The circumstances in which individual customers are required to be informed about dispute resolution services is dealt with in key practice 1.5. 165 A ‘complaint’ is an expression of dissatisfaction about an organisation, related to its products and services, or the complaints-handling process itself, where a response or resolution is explicitly or implicitly expected; see the Standards Australia Standard on Customer Satisfaction: Guidelines for complaints handling in organisations, AS ISO 10002 – 2006. 166 An ‘internal complaints mechanism’ refers to the system set up within a participating organisations to handle complaints by customers or complainants 167 ‘Reasonable time’ will depend on a number of factors, including the requirements of any internal dispute resolution procedure, the nature of the complaint and the inquiries required. Page 44 References 1.7 The office promotes its services in such a way as to be sensitive to and inclusive of customers with particular requirements, including those experiencing disadvantage. This includes making information available in appropriate languages, and in alternative formats such as large text and audio. 1.8 The office focuses its promotion efforts on areas where a customer is likely to seek information in the event of a dispute; for example, the websites of consumer agencies and advocacy services. Access 1.9 The office seeks to ensure access to any person who may require its services.168 1.10 The office provides appropriate facilities and assistance to enable participation by complainants across the community, including those with particular requirements and those experiencing disadvantage. This includes allowing contact in a range of modes (in person, by telephone, telephone typewriter, fax, email or online), providing interpreter services, providing text in simplified English and/or available in large print format. 1.11 Complaints can make initial contact with the office orally or in writing.169 1.12 There are arrangements for participating organisations to refer a complaint to the office in appropriate circumstances.170 1.13 The jurisdiction of the office are expressed clearly.171 1.14 The office seeks to minimise any ‘virtual barriers’ to complainants, for example, by providing 24-hour contact options such as an online complaint form. Cost 1.15 There is no application or other fee or charge required from a complainant before a complaint is dealt with by the office, or at any stage in the process.172 Staff Assistance 1.16 The office’s staff have the ability to handle complaints and are provided with adequate training in complaints handling. 1.17 The office’s staff explain to complainants in simple terms: (a) how the office works; (b) the major areas it deals with; (c) any limits on its powers; and (d) the timelines applicable to each of the processes in the office. 168 Maximising access to the office could include measures such as providing toll free telephone access for consumers/complainants. 169 In most cases the staff of a scheme will help a complainant reduce a complaint to writing where the complainant requires assistance to do so. 170 Any arrangements for referrals by a participating organisation must consider relevant privacy laws and any other legal requirements. 171 The jurisdiction of an office, setting out the functions of the office including the complaints the office can and cannot deal with, may be included in documents such as legislation creating the office, the terms of reference for the office, or the charter or constitution of the office. 172 In special cases, where an office agrees to provide services that are outside its jurisdiction at the request of a complainant, there may be a limited exception to this rule. Page 45 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes 1.18 The office’s staff assist complainants to make a complaint, where complainants need assistance to do so. Use 1.19 The office’s processes are simple to understand and easy to use. 1.20 The office provides for a complainant’s case to be presented verbally or in writing, at the discretion of the decision-maker. 1.21 The office provides for complainants to be supported by another person at any stage in the office’s processes where necessary. Acceptance by Office 1.22 The office assesses complaints received for timely and appropriate action: for referral to an alternative avenue for justice, or a regulator; for liaison where there may be an overlap in jurisdiction with another dispute resolution office; or for acceptance as a case by the office. 1.23 The office follows a defined and transparent process for excluding potentially vexatious or frivolous complaints to ensure appropriate use of the office’s resources and minimise the risk of unreasonable cost increases. Non-adversarial Approach 1.24 The office uses appropriate techniques including conciliation, meditation and negotiation in attempting to settle complaints.173 1.25 The office provides for informal proceedings which discourage a logistic, adversarial approach at all stages in the office’s processes. Legal or other Representation 1.26 Parties should not be prohibited from having a support person in attendance. 1.27 Legal representation will generally only be allowed with the permission of the office. Unless legal representation is required, having regard to the nature of the dispute and issues involved, it will generally be discouraged by the office.174 1.28 Where an office agrees to one party being legally represented: (a) the office will provide the opportunity for the other party to be legally represented; and (b) the office will require the participating organisation to pay the legal costs of complainants where the participating organisation is the first party to be legally represented. 173 While the focus of the scheme is mainly on alternative dispute resolution, it also has the function of making final determinations about disputes – including arbitrating disputes – which cannot be resolved by alternative dispute resolution techniques listed here are used before final determinations are considered. Initially, complainants are encouraged to discuss their complaint with the participating organisation and use any internal complaints mechanism that is available. Offices are then encouraged to attempt to settle complaints before they are referred for a final determination. The office does not have to use all of the listed alternative dispute resolution techniques nor in this particular order – but the ones cited in this key practice are recognised techniques. 174 At times, it may be appropriate for paid representatives to act for consumers in the dispute resolution process, for example, when a consumer experiences communication difficulties. Page 46 References Legal Proceedings 1.29 A participating organisation will not commence legal proceedings before a court, tribunal or other forum in respect of a complaint before an office, except in special circumstances. Special circumstances may include: (a) where the legal limitations period for brining legal proceedings is about to expire; and (b) where the complaint is to be used as a test case in legal proceedings. Benchmark 2: Independence The Decision-maker 2.1 The scheme has a decision-maker175 who is responsible for the final determination of complaints. 2.2 The decision-maker is appointed to the office for a fixed term. 2.3 The decision-maker is not selected directly by participating organisations, and is not answerable to participating organisations for final determinations.176 2.4 The decision-maker has no relationship with the participating organisations that funds or administer the office which could give rise to a perceived or actual conflict of interest. Staff 2.5 The office selects its own staff. The office’s staff are not answerable to participating organisations for the operation of the office. Overseeing Entity 2.6 There is a separate entity set up formally to oversee the independence of the office’s operation.177 2.7 Where the office is established as a company, the overseeing entity must have a balance of consumer, industry and, where relevant, other key stakeholder interests involved in governance. 175 The ‘decision-maker’ refers to the individual, panel of individuals or other entity which is responsible for the final determination of complaints. For most offices, the decision-maker will be the Chief Executive Officer of the office. The decision-maker most commonly has the title of Ombudsman or Commissioner. For some offices, a decision-maker may include a panel of persons charged with making a decision. 176 Where the decision-maker consists, for example, of a panel of individuals, only the chair or the individual, who controls the decision-making process, is required to be independent of an industry or consumer interests and be appointed by the entity which oversees the independence of an office’s operation. Where the decision-maker consists of more than one individual, the chair ensures the independence of the decisionmaking. This allows for the relevant industry to be represented on the decision-making entity, as long as a balance between consumers and industry is maintained. 177 There are a variety of arrangements which may be put in place to meet this requirement. For example, an overseeing entity may include a council or other body usually consisting of an independent chair, consumer member or members, member or members from participating organisations and, where relevant, other stakeholder member or members. Offices established under statute may have specified the arrangements to make sure the office is independent, and these offices may be subject to arrangements including accountability to Parliament, Parliamentary Committee or Minister, in addition to or instead of an overseeing entity. Smaller industry sectors or those with few complaints may not have the ability or need to devote large resources to setting up such an entity. Other types of overseeing entities are not precluded as long as they allow for suitable independence or a balance of competing interests. Page 47 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes 2.8 Representatives of consumer interests on the overseeing entity178 must be: (a) capable of reflecting the viewpoints and concerns of consumers; and (b) persons in whom consumers and consumer organisations have confidence. 2.9 As a minimum the functions of the overseeing entity should include: (a) appointing or dismissing the decision-maker; (b) making recommendations for or approving the office’s budget; (c) receiving complaints about the operation of the office;179 (d) recommending and being consulted about any changes to the office’s jurisdiction; (e) receiving regular reports about the operation of the office; and (f) receiving information about systemic problems. Transparency 2.10 The office manages any actual or perceived conflicts of interest and bias in a transparent manner. Funding 2.11 The office has sufficient funding to enable its caseload and other relevant functions to be handled in accordance with the Benchmarks for Industry-based Customer Dispute Resolution. Terms of Reference 2.12 Changes jurisdiction of the office are made in consultation with relevant stakeholders, including participating organisations, industry and consumer organisations and government. 2.13 Participating organisations do not have a power or right to veto a proposed change to the jurisdiction of the office or to significant rules and procedures. Benchmark 3: Fairness Final Determinations 3.1 The decision-maker bases final determinations180 on what is fair and reasonable, having regard to good industry practice, relevant industry codes of practice and the law. 178 Suitable consumer representatives can be ascertained by a number of methods, including the relevant consumer organisation providing a nominee, advertising for representatives, or the relevant consumer affairs agency or Minister responsible for consumer affairs nominating a representative. Suitable industry and other stakeholder representatives can be sought from the relevant industry association or stakeholders respectively. 179 The receipt of complaints about the scheme’s operation (by the entity which oversees the independence of a scheme’s operation) does not extend to receiving appeals against the determinations of the decision-maker. 180 The term ‘final determinations’ is used to refer to the final decision made by the decision-maker when determining a complaint. For some offices, a final determination may be in the form of a recommendation to a participating organisation. Page 48 References Procedural Fairness 3.2 The office’s staff advise complaints of their right to access other redress mechanisms at any stage if they are dissatisfied with any of the office’s decisions181 or with the decision-maker’s final determination. 3.3 The office provides information to both parties at the same time, including timely ongoing communication on the progress of the investigation and decision. 3.4 Both parties can put their case to the decision-maker. 3.5 Both parties are told the arguments, and sufficient information to know the case, of the other party. 3.6 Both parties have the opportunity to rebut the arguments of, and information provided by, the other party. 3.7 Both parties are told of the reasons for any decision in writing. 3.8 Both parties are told of the reasons why a complaint is outside jurisdiction or is otherwise excluded. Provision of Information to the Decision-Maker 3.9 The decision-maker encourages but cannot compel182 complainants to provide information relevant to a complaint. 3.10 The decision-maker can demand that participating organisations provide all information which, in the decision-maker’s view, is relevant to a complaint, unless that information identifies a third party to whom a duty of confidentiality or privacy is owed,183 or unless it contains information which the participating organisation is prohibited by law from disclosing. Confidentiality 3.11 Where a participating organisation provides information which identifies a third party, the information may be provided to the other party with deletions, where appropriate, at the discretion of the decision-maker. 3.12 The office ensures that information provided to it for the purposes of resolving complaints is kept confidential, unless disclosure is required by law or for any other purpose specified in the Benchmarks for Industry-Based Customer Dispute Resolution. Review of Decisions and Determinations 3.13 The office establishes a process to review decisions and determinations for consistency and compliance, such as selective sampling and auditing of cases. 181 The term ‘decisions’ is used to refer to any decision made by the office’s staff other than final determinations. 182 An exception to this requirement may occur where an office has been established under statute, and the statute provides for the office to compel the production of information. 183 Where a duty of confidentiality or privacy is owed to a third party in relation to information sought by the decision-maker, the participating organisation can seek the permission to the third party to release that information to the decision-maker in full or with deletions as appropriate. Page 49 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes Benchmark 4: Accountability Procedures 4.1 The office makes available to participating organisations, complainants and other interested bodies its guidelines and policies for dealing with complaints. Final Determinations 4.2 The office makes available written reports of final determinations and the reasons for the decision184 to participating organisations and any interested bodies for purposes including: (a) educating participating organisations and the community; and (b) demonstrating consistency and fairness in decision-making. 4.3 Public reports of final determinations do not name parties involved. Responding to Complainants and Participating Organisations 4.4 The office uses comments received from complainants and participating organisations to inform the continuous improvement of their internal processes and procedures, and to inform their public reporting. Annual Report 4.5 The office publishes a detailed and informative annual report containing specific statistical and other data about the performance of the office, including: General information (a) a description of the jurisdiction of the office (for example, a list of participating organisations and outline of complaints that can be received); (b) information about how the office works; (c) information about how the office ensures equitable access; (d) information about new developments or key areas in which policy or education initiatives have been undertaken or are required; (e) a list of participating organisations supporting the office, together with any changes to the list during the year; (f) where the office’s jurisdiction permits, the names of those participating organisations which do not meet their obligations as members of the office.185 Information about complaints (a) the number and types of complaints it receives and their outcome, including information outlining the complaints received and outcomes for each of the participating organisations; 184 Written reports of final determinations can consist of a concise summary of a decision-maker’s determination and reasons for so determining. It is not necessary for public written reports of all determinations made by the decision-maker. The final determinations which are reported should be left to the office’s discretion. It is not envisaged that written reports would necessarily be provided of other decisions (apart from final determinations) made by the office. 185 The office’s jurisdiction should state whether it will disclose the names of participating organisations which do not meet their obligations to the office. Examples of where a participating organisation does not meet its obligations to the office will include where it does not provide information as and when requested, or where it does not comply with a final determination. Page 50 References (b) the time taken to resolve complaints; (c) any systemic problems arising from complaints; (d) examples of representative case studies and reports on investigations; (e) in appropriate cases, information about any participating organisations which do not meet their obligations.186 4.6 The annual report is to be made public, including through distribution to participating organisations, relevant stakeholders and otherwise made available upon request. Benchmark 5: Efficiency Appropriate Process or Forum 5.1 The office will only deal with complaints which are within its jurisdiction. The office will generally not deal with complaints that have been dealt with, or are being dealt with, by another dispute resolution forum.187 The office will generally only deal with complaints: (a) which have been considered, and not resolved to a person’s satisfaction, by a participating organisation’s internal dispute resolution mechanism; or (b) where a participating organisation has refused, or failed within a reasonable time,188 to deal with a complaint under its internal dispute resolution mechanism. 5.2 Any provision in the internal dispute resolution mechanism of a participating organisation requiring a complaint to reach a deadlock before it can be dealt with by the office must be reasonable, and must allow the office to deal with a complaint where it is clear that it has not been resolved to the satisfaction of the person making the complaint in reasonable time. 5.3 The office has mechanisms and procedures for referring complaints that are not within its jurisdiction to other, more appropriate, forums. 5.4 The office liaises with other forums where there is a complaint entailing a potential overlap in jurisdiction. 5.5 The office has mechanisms and procedures for dealing with systemic problems that become apparent from complaints, including by investigating these issues or referring them to relevant participating organisations, or to regulators or policy makers. 5.6 The office excludes vexatious and frivolous complaints, at the discretion of the decision-maker. Timeliness 5.7 The office considers timeliness in all of its processes and procedures, including the timeliness of acknowledging and responding to an initial complaint, time taken to investigate a complaint, and the time taken to make a decision. 186 Examples of where a participating organisation does not meet its obligations will include where it does not provide information as and when requested, or when it does not comply with a final determination. 187 Complaints which have been made to one scheme but are found to be more appropriately dealt with by another scheme can be dealt with by the latter scheme. It is where a complaint has been subsequently considered by one scheme that a complainant is discouraged from forum-shopping. 188 ‘Reasonable time’ will depend on a number of factors, including the requirements of any internal dispute resolution procedure, the nature of the complaint and the inquiries required. Page 51 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes Tracking of Complaints 5.8 The office has reasonable time limits set for each of its processes which facilitate speedy resolution without compromising quality decision-making. 5.9 The office has mechanisms to ensure compliance with time limits, as far as possible. 5.10 The office has a system for tracking the progress of complaints. 5.11 The office’s staff keeps the parties informed about the progress of their complaint. Monitoring 5.12 The office sets objective targets against which it can assess its performance. 5.13 The office keeps systemic records of all complaints and enquiries, their progress and their outcome. 5.14 The office conducts regular reviews of its performance. 5.15 The office’s staff seeks periodic feedback from complainants and participating organisations about their perceptions of the performance of the office. 5.16 The office reports to the overseeing entity on the results of its monitoring and review. Professionalism 5.17 The office recruits staff with the requisite skills, qualifications and experience to perform the work efficiently. Benchmark 6: Effectiveness Coverage 6.1 The scope of the office and the powers of the decision-maker are clear. 6.2 The scope of the office (including the decision- maker’s powers) is sufficient to deal with: (a) the vast majority of complaints in the relevant industry or service area and the whole of each such complaint; and (b) complaints involving monetary amounts up to a specified maximum that is consistent with the nature, extent and value of customer transactions in the relevant industry.189 6.3 The decision-maker has the power to make monetary awards of sufficient size and other awards (but not punitive damages) as appropriate.190 Systemic Problems 6.4 The office has mechanisms for referring systemic industry problems, based on cases brought to dispute resolution, to an appropriate regulator for action if required. 189 This requirement applies only where a monetary limit is specified. Because the loss arising from the determination of a complaint may vary according to the industry or service area concerned, the Benchmarks Key Practices do not specify a monetary limit above which complaints are excluded from the office. 190 A monetary award includes a final determination. Page 52 References 6.5 The office has mechanisms to determine when to bring systemic problems to the attention of policy agencies or other relevant bodies, such as industry associations. Office Performance 6.6 The office has appropriately qualified staff to undertake its functions, and provides ongoing professional development and appropriate resources and processes to allow staff to effectively undertake their functions. 6.7 The office has procedures in place for: (a) receiving complaints about the office; and (b) where appropriate, referring complaints about the office to the overseeing entity for action. 6.8 The office responds to complaints and any recommendations of the overseeing entity in a timely and appropriate manner. Internal Dispute Resolution Mechanisms 6.9 The office requires participating organisations to set up internal dispute resolution mechanisms, and to inform those affected by the organisation’s services about the mechanisms.191 6.10 The office has the capacity to advise participating organisations about their internal dispute resolution mechanisms. Compliance 6.11 The office has mechanisms to encourage participating organisations to cooperate with the office, and to abide by the rules of the office.192 6.12 Final determinations of the decision-maker that are not recommendations are binding on the participating organisation if complainants accept the determination. 6.13 The office has methods to mandate or improve compliance with decisions, and ensure redress for customers when a participating member is non-compliant with an office’s final determination, decision or recommendation. Periodic Independent Review 6.14 The operation of the office is reviewed regularly by an independent party at set periods. 6.15 The review, undertaken in consultation with relevant stakeholders, includes: (a) the office’s progress towards meeting the Benchmarks for Industry-based Customer Dispute Resolution; (b) whether the scope of the office is appropriate; (c) participating organisation and complainant satisfaction with the office; (d) assessing whether the dispute resolution process used by the office are just and reasonable; 191 The Standards Australia Standard on Complaints Handling AS 4269-1995 can assist participating organisations to set up appropriate internal dispute resolution mechanisms. 192 Mechanisms for encouraging participating organisations to abide by the rules of the office could include statutory requirements, contractual obligations of the participating organisation, or naming in annual reports or otherwise those participating organisations which do not abide by the rules of the office. Page 53 Review of the Benchmarks for Industry-based Customer Dispute Resolution Schemes (e) the degree of equitable access to the office; and (f) the effectiveness of the statute, charter, terms of reference or other document establishing the office, its jurisdiction, functions, rules and procedures. 6.16 The results of the review are made available to relevant stakeholders. Page 54