Coroners Court New South Wales

Coronial findings and recommendations

To access a finding not listed here, please make application (DOC, 62.0 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.

Showing 41-50 of 96 results

  • Recommended
    Decision of Deputy State Coroner Huntsman
    CORONIAL LAW, young First Nations man, death in residential drug rehabilitation facility, forensic patient order, cultural safety in provision of health services
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW, cause and manner of death, methadone prescription and dispensing, takeaway dose, opioid treatment program, safety assessment and safety planning for problematic alcohol and drug use
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW, natural causes death in custody, care and treatment of quadriplegic inmate in custody
  • Recommended
    Decision of Deputy State Coroner Baptie
    CORONIAL LAW, cause and manner of death, care and treatment at Wagga Wagga Base hospital, pre-operative screening processes in the context of co-morbidities
  • Recommended
    Decision of Deputy State Coroner Kennedy
    CORONIAL LAW – death in custody - cause and manner of death
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW, fatal stabbing, attacker not guilty by reason of mental illness, adequacy of mental health care in community
  • Recommended
    Decision of Deputy State Coroner Huntsman
    CORONIAL LAW, human remains, Mollymook beach, missing person, cause and manner of death
  • Recommended
    Decision of Deputy State Coroner Baptie
    CORONIAL LAW, death in custody, death of an ATSI man, prevalence of ear disease in ATSI community and prison population, particularly for ear disease, inclusion of ear disease on Chronic Health Screen, partnerships with Aboriginal Community
  • Recommended
    Decision of Deputy State Coroner Huntsman
    Coronial Law, death in custody, availability of CPAP machine, natural causes death
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW - death as a result of a police operation, mandatory inquest, self-inflicted death, critical incident, suspect provoked shooting, use of lethal force by police, Active Armed Offender, radio communications, Tactical Operations Model,
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Last updated:

05 Apr 2023

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