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 1-10 of 35 results

  • Recommended
    Decision of Coroner, Magistrate Kasey Pearce
    CORONIAL LAW - missing person, referral to NSW Police Unsolved Homicide Team
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW – death from drug overdose of a person in correctional centre – was supervision of inmates adequate – was emergency response appropriate – question of recommendations.
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW - death in New South Wales Police Force custody, cause and manner of death, medical assessment of person in custody, charge room and custody management standard operating procedures
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW - Dog attack on Collingwood Beach, Vincentia, NSW
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW–unascertained manner of death-cause of death strychnine toxicity-open finding on manner of death
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW – death of a person in custody – was medical treatment appropriate – were cell searches adequate.
  • Recommended
    Decision of Deputy State Coroner Baptie
    CORONIAL LAW – Death as a result of fall from a height – manner of death – appropriateness of police response.
  • Recommended
    Decision of Deputy State Coroner O'Neil
    CORONIAL LAW – death in custody, natural causes, HPNFs, record keeping, communication between correctional officers and nursing staff
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW – death in custody – cause and manner of death – ischaemic bowel – death during COVID-19 outbreak at Junee Correctional Centre – adequacy of care – adequacy of response to medical emergency
  • Recommended
    Decision of Deputy State Coroner Kennedy
    CORONIAL LAW – diagnosis of mental health condition – psychotic depression / depression with psychotic features – care and treatment provided during admission at Nolan House including adequacy of risk assessments, observations, and treatment
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Last updated:

06 May 2024

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