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Audit of the management of grants and contributions - Internal Audit report

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Abstract

The audit examined grants and contribution (G&Cs) processes, operational practices, and controls at the departmental, program and project levels and found that in general, governance structures, risk assessment processes, and internal controls are in place to support the design and delivery of G&Cs programs across the Department. However, the audit found some areas for improvement with respect to the G&Cs management control framework, effectiveness of governance structures, consistency of risk management practices, standardization of operational practices, and documentation management. Additional work is required in these areas to ensure compliance with Treasury Board policy instruments.

Introduction

Context

Fisheries and Oceans Canada (DFO) relies extensively on transfer payments as a key instrument  to meet its policy objectives, priorities and delivery of results, including Indigenous Reconciliation Priorities, the Pacific Salmon Strategy Initiative, Implementation of the Modernized Fisheries Act, the Ghost Gear Program, and the Oceans Protection Plan.Footnote 1 The Department provides funding to these programs through G&Cs funding agreements, which include funds for essential community services, First Nations fisheries development, academic research, and the conservation and protection of Canadian fisheries, ecosystems and endangered species.Footnote 2

Transfer payments are a major commitment of the federal government’s resources and are different from other expenditures given that the transfer payment recipient undertakes expenditures and activities that further the Government's mandate, and the Government of Canada does not receive any goods, services, or assets in return. Transfer payments can be administered as either grants or contributions. A grant is subject to pre-established eligibility and other entitlement criteria. A grant is not subject to being accounted for by a recipient nor normally subject to audit by the department, however, the recipient may be required to report on results achieved. A contribution is subject to performance conditions specified in a funding agreement, are to be accounted for, and are subject to audit.

As a federal government department, DFO must adhere to and comply with requirements and expectations set out in government-wide legislation, policies, and directives. The management and administration of the Department’s G&Cs programs is governed by the Financial Administration Act (FAA) and the TB Policy on Transfer Payment and its Directive.

The Chief Financial Officer (CFO) is accountable for the overall financial controls for transfer payment funds at DFO. Within the Budget Planning and Financial Management Directorate (BPFM) of the CFO sector, the Grants and Contributions Centre of Expertise (CoE) provides advice and guidance on the TB Policy on Transfer Payments and the development and implementation of G&C programs, as well as the development of departmental tools, templates and processes for the consistent implementation of such programs. The CoE consists of a mixture of program and policy specialists with a team of 8 FTEs. The G&Cs programs can be delivered nationally or regionally. The responsible ADMs, DGs, Directors, and program managers are accountable for the G&Cs life cycle management processes and the achievement of intended results across the Department. The overall vision, direction and governance of the Department’s G&Cs are set by the G&Cs Steering Committee (SC) aimed at endorsing products going to the DG-level Programs and Operations Committee (POC) and the Financial and Investment Management Committee (FIMC) for information and approval. 

In 2019, as result of the anticipation of DFO’s participation in a TB pilot project related to updating the TB Transfer Payment Policy, and the increases in G&Cs funding, the CFO sector commissioned Deloitte to complete a comprehensive review to assess the Department’s maturity in G&Cs administration related to governance and planning, processes and procedures, technology, recipient engagement and service standards. The review benchmarked the Department’s maturity against leading practices for G&Cs management and assessed its alignment with the TB Policy and Directive on Transfer Payments. The audit takes into consideration the progress towards implementation of the review recommendations, and whether the review findings continue to be relevant.

The audit was identified in the Department’s 2022-2024 Risk-Based Audit Plan given the high materiality of the G&Cs funding envelope and operational challenges due to COVID-19. In July 2022, POC was informed that over 50 G&Cs programs were being delivered, with a total budget of $1.2B for fiscal year 2021-22 (Vote 10 funding). For fiscal year 2022-23, the budget decreased to $967M. Over the last two fiscal years, the annual expenditures accounted for $681M and $403M, thereby resulting in $600M and $564M in surplus funds respectively. Nearly all of the surplus funds were reprofiled to a subsequent year with approximately $7.6M in lapsed funds. Reprofiling provides for unused authorities from one fiscal year to be made available in subsequent fiscal years to reflect changes in the expected timing of program implementation.Footnote 3  The surplus was attributed to process issues and project delays due to COVID-19, recipients claiming less than what was originally anticipated, and other delays (e.g., wildfires, floods, droughts). Even though this audit occurs just prior to an expected decrease in G&Cs spending over the next few fiscal years after a period of growth, overall spending will continue to be significant enough to potentially benefit from the audit findings.

Through a risk assessment, we identified three lines of enquiry with five higher-risk areas that required further examination, namely:

Line of enquiry 1 – Governance and strategic direction 

Line of enquiry 2 – Risk management

Line of enquiry 3 – Program design and delivery

Why this audit is important

Transfer payments represent a large part of the Government of Canada’s spending.Footnote 4 For fiscal year 2021-22, the Government of Canada spent approximately $88 billion on transfer payments that were non-statutory grants and contributions. The total transfer payment expenditures for Fisheries and Oceans and the Canadian Coast Guard accounted for approximately $681 million with over 50 G&Cs programs under its administration.

The G&C programs are managed by the sectors at National HQ and the Canadian Coast Guard, and delivered through the regions. The management and administration of G&C programs is subject to public scrutiny given that the tangible results of transfer payments touch the lives of Canadians every day in all sectors of society. Transfer payments are one of the government’s key instruments in furthering its broad policy objectives and priorities, and assisting eligible recipients in undertaking activities and projects that help achieve the objectives and outcomes of the transfer payment program and contribute to departmental results.Footnote 5

It is important for the Department to ensure that program spending is prudent and G&C programs are designed, delivered, and managed in compliance with TB policy instruments and legislative requirements to ensure integrity, accountability, and transparency in a recipient-focused manner. It is therefore essential that governance and strategic direction, risk management, and control processes for program design and delivery exist to support the administration of grants and contributions.

Audit objective, scope, and approach

The objective of this audit was to assess whether governance, risk management, and program design and delivery processes are in place to support the management of G&Cs.

The scope of the audit was established based on the results of a detailed risk assessment carried out during the engagement planning phase. The audit examined specific aspects of governance, risk management, and program design and delivery activities related to governance structures, annual workplans, roles and responsibilities, program and project risk profiling and monitoring, and lifecycle management of the programs, including processes and tools for administration of G&Cs.  The scope of the audit also included following up on the Current State Diagnostic Assessment that was completed by Deloitte in 2019 to assess and report on the progress made towards the implementation of the assessment recommendations.

The audit was carried out through:

The period in scope covered G&Cs program expenditures for fiscal years 2021-22 and 2022-23. The testing criteria were developed based on requirements of the FAA, Treasury Board policies, directives and guidelines outlined in Appendix A of this report.

Conclusion

Overall, the audit concluded that Fisheries and Oceans Canada has processes and controls in place to support the management of G&Cs. However, there are areas for improvement related to the effectiveness of governance structures and frameworks, the risk management approach, and consistent implementation of processes and controls to support program design and delivery.

Statement of conformance

This audit was conducted in conformance with the International Standards for the Professional Practice of Internal Auditing as supported by the results of the Quality Assurance and Improvement Program of Fisheries and Ocean Canada’s Internal Audit Directorate.

Findings and recommendations

This report presents the findings that cover the three lines of enquiry, namely: governance and strategic direction; risk management; and program design and delivery.

Appendix A outlines the supporting criteria, by line of enquiry, used to conclude on the audit objective.

Governance and strategic direction

The audit examined whether governance structures are established to support the management of G&Cs and that the roles, responsibilities, and accountabilities related to G&Cs are documented, communicated, and understood. Overall, we found that governance structures are established with clear mandates, however, key items and information related to G&Cs management are not being presented to the appropriate committee(s) for effective challenge to take place. In addition, there are elements of the G&Cs management control framework that are in development.  However, we observed a lack of documented guidance on department-wide roles, responsibilities, and accountabilities as it relates to G&Cs management.

Findings and Analysis

Governance structures are established with clear mandates.

National and program-level governance committees and working groups are established with clear mandates.

Key G&Cs items and information are not being consistently presented to the appropriate committee for approval or discussion.

We observed that the committees and working groups have Terms of Reference (ToRs) that define their mandates, membership structures, roles and responsibilities, and meeting frequency. However, key items and information are not being consistently presented to the appropriate committee for approval or discussion. Consequently, effective challenge is not taking place to support G&Cs management. For example:

There are elements of a control framework for G&Cs management in development.

We expected to find a control framework to guide the management of G&Cs. There are elements of a G&Cs management control framework (MCF) that are in development. However, other expected components are missing, such as documented guidance on department-wide roles, responsibilities, and accountabilities as it relates to G&Cs management. More specifically, we found that:

We found that guidance and expectations on roles, responsibilities, and accountabilities are lacking.

Why this matters

It is important to have adequate governance structures, mechanisms and standardized processes in place to oversee G&Cs management and to have key G&Cs information presented to the appropriate committee level as it ensures accountability, effectiveness, sound management, adherence to public service values, and fosters accountability and continuous improvement.

The establishment of a G&Cs framework, including defined and documented roles, responsibilities, and accountabilities, would provide the necessary guidance and direction for program areas to foster compliance with related TB policies and directives.

Recommendation

Recommendation 1:  The ADM and Chief Financial Officer should ensure that information for decision-making and monitoring related to G&Cs is presented when necessary to appropriate senior level committee(s) for endorsement.

Recommendation 2:  The ADM and Chief Financial Officer should implement and communicate a control framework for the management of G&Cs.

Risk management

The audit examined whether the Department has developed a risk-based approach to support the management of G&Cs programs and projects, and whether program and project monitoring is performed in accordance with a risk-based approach, as required by the TB Policy on Transfer Payments.

Overall, we observed that an enterprise level risk management approach is established and takes into consideration priority areas for G&C programs to some extent. However, the risk management approach does not consistently assess and monitor program, project, and recipient-level risks across the Department. Consequently, there is no assessment and evaluation of the program level risks, and no aggregation of risk information to provide insight on high-risk programs, and recipients, and risk trends to support decision-making. At the project level, the risk assessments are not being completed consistently across the Department. In addition, there is no risk-based plan and recipient audits are not being conducted.

Findings and analysis

An enterprise level risk management approach is established and to some extent takes into consideration priority areas for G&C programs.

The Department has established an enterprise-level risk management approach which serves as the foundation for its integrated risk management function. The Departmental Risk Profile (DRP) is a cohesive and integrated approach that allows the CFO sector to incorporate risk intelligence from across the Department and enables ongoing awareness of the risk environment, threats, and opportunities for risk-informed decision-making. The risk information gathered through this annual risk management approach requires collaboration and input from all sectors, regions, and programs across the Department.

Through our review of the DRP, we observed that risk information that was presented included risk statements, risk drivers and existing risk controls. The risk priority areas most relevant to G&C programs were captured under the Indigenous Relationship risk category and related to supporting improvements to grants and contributions processes to improve access to funding, streamline application and reporting processes, provide training for Indigenous proponents, and increase transparency of funding.

The risk management approach does not consistently assess and monitor program, project, and recipient level risks across the Department. 

According to the TB Directive on Transfer Payments (s.6.5), the level of monitoring of recipients should reflect an assessment of the risks specific to the program, the value of the funding, and the risk profile of the recipients. The TB Directive (s.3.4) requires DFO to take a measured response to risks throughout the management of Transfer Payments.  It is up to the Department to determine what is a measured response based on the risk appetite and tolerance.

The TB Directive identifies the key risks related to G&Cs management, including program, project, and recipient risks. The risk level for these varies which impacts how certain programs, projects, and recipients need to be managed. We found that the risk management framework or approach does not consistently assess program, project, and recipient level risks across the Department.

Given the lack of a risk management approach, the following gaps were observed with respect to program, project, and recipient risk management:

Similar findings were also raised by Deloitte in 2019 as it recommended that the Department develop a common risk management approach and framework for G&Cs within two years and establish a risk-based recipient audit approach and plan within one year to ensure compliance with the TB Policy and Directive on Transfer Payments. These recommendations were not implemented and the CoE stated that the risk management framework including the recipient audit approach and risk related tools are planned to be completed by Q1 2024. Review of the draft strategy document that was shared by the CoE indicated that the Department is in the early stages of developing the risk management strategy for G&Cs.

Why this matters

A cohesive and integrated risk management approach can enable a better understanding of G&Cs risks, allows for consistent risk management efforts, and ensures the integrity of G&Cs processes.

Recommendation

Recommendation 3:  The ADM and Chief Financial Officer should ensure that a risk management approach – inclusive of assessment tools – is developed, implemented, and consistently applied to support program, project, and recipient level risk assessments, and to ensure that recipient audits are conducted. 

Program design and delivery

The audit examined whether processes and control are in place to ensure that the administration of G&Cs complies with the FAA and related TB Policy instruments.

We selected a judgmental sample of 25 transfer payments across seven programs within DFO and CCG regions based on materiality and risk considerations to test the effectiveness of lifecycle process and controls for administering the G&C programs.  The focus of the testing was not to estimate the rate of compliance, but rather to test controls in selected program areas of G&Cs management. As such, our sample selection is not to be used to draw inferences about the population.

Overall, we found that processes and controls are in place to ensure that the administration of G&Cs comply with the FAA and TB Policy and Directive on Transfer Payments. Through our review of the selected transfer payments, we observed that the contribution agreements and subsequent amendments were approved by appropriate delegated authorities pursuant to Section 32 and 34 of the Financial Administration Act (FAA), segregation of duties was properly exercised, and there are pre- and post-payment verification controls in place as part of the monitoring process. However, there is lack of consistent implementation of controls in the areas of risk assessments, service standards and documentation management.

Findings and analysis

Processes and controls are in place to help ensure that contribution agreements are signed, and transfer payments are made in compliance with the FAA and related policy instruments.

We found that controls are working as intended with respect to the execution and signoffs related to the funding agreements and subsequent amendments. In general, we found that mandatory elements are considered in the preparation of agreement terms and conditions, delegated authorities and segregation of duties are properly exercised by appropriate authorities pursuant to Section 32 and 34 of the FAA, and there are pre- and post-payment verification controls in place as part of the monitoring process. In addition, interview responses from program managers indicated that programs are sensitive to the needs, requirements, and challenges of the recipients, and governance bodies are in place to support program activities at various levels. More specifically, we found the following good practices:

There is inconsistency and a lack of standardized practices in the management of G&C programs across the department.

The TB Directive on Transfer Payments (s.5.2.b), as part of expected results, emphasizes the harmonization of transfer payment programs to the extent possible, and that the administrative processes and procedures for the delivery of transfer payments are standardized within departments. We found that there is a lack of consistent implementation of controls in the areas of risk assessments, service standards and documentation management. More specifically, through our file review of 25 transfer payments we found that:

The Department is currently in the initial stages of developing an Enterprise Solution for G&Cs, which is expected to address the documentation gaps. The system is targeted to go live as early as FY 2025-26.

Why this matters

DFO has a decentralized approach in administrating the transfer payment processes based on the needs of disparate programs. Given the varied nature of the objectives for contribution agreements, standard guidance on G&Cs processes, tools, and systems would allow for more consistent risk assessments, service standards measurement and documentation management.

Effective management of transfer payments is important to ensure compliance with TB policy instruments, and to demonstrate good stewardship and prudent management of financial resources and public funds.

Recommendation

Recommendation 4: The ADM and Chief Financial Officer should enhance departmental guidance, tools, and systems to achieve consistent implementation of processes and controls related to risk assessments, recipient audits, service standards and documentation management.

Appendix A: Audit criteria and lines of enquiry

Audit criteria

Line of enquiry 1 – Governance and strategic direction

Criterion 1.1: Governance structures are established to support the management of G&Cs. Conclusion: partially met.
Criterion 1.2: The roles, responsibilities, and accountabilities related to G&Cs are documented, communicated, and understood. Conclusion: partially met.

Line of enquiry 2 – Risk management   

Criterion 2.1: G&C program and project monitoring is defined and operating effectively. Conclusion: partially met.

Line of enquiry 3 – Program design and delivery             

Criterion 3.1: Processes and controls are in place to ensure that the administration of G&Cs comply with the Financial Administration Act and related policy instruments. Conclusion: partially met.

The audit criteria were developed from the following sources:

Appendix B: Management action plans

Recommendations Action plan Responsible manager (s) Deliverables Planned completion date

Recommendation 1:  The ADM and Chief Financial Officer should ensure that information for decision-making and monitoring related to G&Cs is presented when necessary to appropriate senior level committee(s) for endorsement.

Management agrees with the recommendation.

  • The CFO Sector is leading work on improving governance and, in collaboration with the G&Cs Steering Committee (SC), will establish a process outlining protocols aimed at engaging the appropriate senior level committees in decision-making and monitoring of G&Cs.

Director, Financial Authorities Management

Written G&Cs governance process (i.e., decision tree and monitoring) for presenting information to/ seeking approval from senior-level committee(s).

June 2024

Recommendation 2:  The ADM and Chief Financial Officer should implement and communicate a control framework for the management of G&Cs.

Management agrees with the recommendation.

  • The CFO Sector will undertake an analysis of the Department's existing control structures for the management of G&Cs (consulting with other internal sectors as needed) with the intention of modernizing its management framework (inclusive of enterprise-wide roles and responsibilities) to align with best practices and emerging guidance from central agencies. An implementation and communication plan will be developed for the resulting framework.

Director, Financial Authorities Management

A framework for the management of G&Cs including its implementation and communication plan.

December 2024

Recommendation 3: The ADM and Chief Financial Officer should ensure that a risk management approach – inclusive of assessment tools –  is developed, implemented, and consistently applied to support program, project, and recipient level risk assessments, and to ensure that recipient audits are conducted.

Management agrees with the recommendation.

  • Under the direction of the SC, the Risk Management Working Group will complete the G&Cs Risk Management Strategy. To ensure consistent execution, the Centre of Expertise for Grants and Contributions (COE) will be responsible for coordinating the assessment of program, project, and recipient-level risks across the Department, as well as develop the requirements for recipient audits.

Director, Financial Authorities Management

G&Cs Risk Management Strategy (inclusive of tools, templates, procedures and other supports to cover program, project and recipient level risks including assessments).

June 2024

Recommendation 4: The ADM and Chief Financial Officer should enhance departmental guidance, tools, and systems to achieve consistent implementation of processes and controls related to risk assessments, recipient audits, service standards and documentation management.

Management agrees with the recommendation.

  • The Enterprise Grant and Contribution System (EGCS) is expected to be implemented in March of 2027. While awaiting completion of the EGCS, the CFO Sector will:
    • update the COE intranet site to enhance departmental guidance and tools; and
    • manually coordinate the callout for risk assessments and recipient audits to ensure consistent execution (following completion of the G&Cs Risk Management Strategy).
  • The CFO Sector will continue to coordinate the measurement of service standards, ensure there is clarity provided to the program areas completing the tasking, and will explore whether a challenge function is necessary prior to releasing the results publicly.

Director, Financial Authorities Management

  • COE intranet
  • COE callouts (risk assessments, recipient audits, service standards)
  • Interim guidance for documentation management until the new system is available.

December 2024

Appendix C: Table of acronyms 

ADM
Assistant Deputy Minister
AVF
Account Verification Framework
BPFM
Budget Planning and Financial Management
CCG
Canadian Coast Guard
CCGA
CCG Auxiliary
CFO
Chief Financial Officer
CoE
Grants and Contributions Centre of Excellence
CPTS
Contribution Program Tracking System
CFFISH
Canadian Fisheries Fund Information Sharing Hub
DFO
Fisheries and Oceans Canada
DLA
Delegated Level of Authority
DMC
Departmental Management Committee
DRP
Departmental Risk Profile
DSFA
Delegation of Spending and Financial Authorities
FAA
Financial Administration Act
FIMC
Financial and Investment Management Committee
FSR
Financial Situation Report
G&Cs
Grants and Contributions
GBA+
Gender Based Analysis Plus
GCATS
Grants and Contributions Agreement Tracking System
GoC
Government of Canada
MCF
Management Control Framework
NHQ
National Headquarters
POC
Policy and Operations Committee
RMF
Risk Management Framework
SC
Grants and Contributions Steering Committee
TB
Treasury Board of Canada
WG
Working Group
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