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 21-30 of 82 results

Recommended

Inquest into the death of Terence Gray

Decision of Deputy State Coroner Truscott

Coronial law, cause and manner of death, NSW trains removal of passenger, NSW Police Powers re intoxicated persons
Recommended

Inquest into the death of Bronwynne RICHARDSON

Decision of Deputy State Coroner Forbes

CORONIAL LAW - Mandatory inquest - homicide by known persons since deceased - s.78
Recommended

Inquest into the death of Ivan Goolagong

Decision of Deputy State Coroner Truscott

Coronial law, cause and manner of death, First Nations Patients, palliative care, death in corrections custody, Justice Health, care and treatment
Recommended

Inquest into the death of Liselle HOUBERT

Decision of Deputy State Coroner Forbes

CORONIAL LAW - s.27 (1) (a) Coroners Act 2009 - death as a result of homicide by a known person - mandatory inquest
Recommended

Inquest into the death of A

Decision of Deputy State Coroner Ryan

CORONIAL LAW - death by hanging of a person in custody - was mental health care of an appropriate standard - should a mandatory notification have been made - access to rope and hanging points - adequacy of health information sharing - adequacy of
Recommended

Findings into the death of P

Decision of Deputy State Coroner Forbes

CORONIAL LAW - death by hanging of a person in lawful custody - frequency of medication reviews - reduction of hanging points at Long Bay Correctional Centre
Recommended

Inquest into the discovery of unidentified skeletal remains located at St Albans

Decision of Deputy State Coroner Forbes

CORONIAL LAW - unidentified human remains, Eastern bank of the MacDonald River, near Wrights Creek Road St Albans NSW
Recommended

Inquest into the death of Donald GREENAWAY

Decision of Deputy State Coroner Forbes

CORONIAL LAW - death in custody, mandatory inquest, cause and manner of death, natural causes
Recommended

Inquest into the death of Bruce HODGES

Decision of

CORONIAL LAW - cause and manner of death, laryngectomy, tracheal stenosis, respiratory rate, respiratory distress, alteration of calling criteria, Clinical Emergency Response System, vital sign observations
Recommended

Inquest into the death of Timothy MOFFATT

Decision of Deputy State Coroner Ryan

CORONIAL LAW - natural causes death of a person in lawful custody - was medical care and treatment appropriate

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Coronial findings and recommendations

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