Coroners Court New South Wales

Coronial findings and recommendations

To access a finding not listed here, please make an application (PDF, 112.1 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.

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Showing results 31 - 40 of 47 results

Inquest into the deaths of A D and Aleksander STEFANOVIC (163.5 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - cause and manner of death, homicide, mandatory inquest

Inquest into the death of Terry Riordan (394.7 KB,PDF File)

Decision of Deputy State Coroner Barry

Coronial law, police investigation, concern for welfare, medical record keeping

Inquest into the death of Naomi Williams (739.6 KB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial law, septicaemia, secondary to Neisseria meningitides infection, nurse directed discharge, implicit racial bias in health care systems, Aboriginal Hea

Inquest into the death of Alex BRAES (359.8 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW: death of a young man - cause of death sepsis - was clinical care at Broken Hill Base Hospital adequate - were arrangements or airlift to a tertia

Inquest into the death of Ida ROMEO (338.0 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, cause and manner of death, Liverpool hospital, cardiology, constrictive pericarditis, pressure wire, mechanical aortic valve, consent

Inquest into the death of Elsie COGHILL (278.7 KB,PDF File)

Decision of Deputy State Coroner Dillon

cause and manner of death, death of infant, whether antenatal arrangements were appropriate

Inquest into the death of Sean Montgomery (587.6 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – elective surgery, post operative care, Private Hospital, no take back policy, transfer to Public Hospital, delay in return to surgery

Inquest into death of Andrea LESTER (518.3 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Wollongong Hospital, tracheostomy, subarachnoid haemorrhage, thunderclap headache, PICA, speaking valve, tracheostomy cap, Swedish nose, tracheo

Inquest into the death of Troy Almond (364.5 KB,PDF File)

Decision of Deputy State Coroner O'Sullivan

CORONIAL?LAW, Cause and manner of death, Septicaemia due to Streptococcal (Beta Haemolytic Group A) infection, Paediatric Sepsis?Pathway, Standard Paediatric O

Inquest into the disappearance and suspected death of Raymond Speechley (600.1 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, missing person, aged care secure unit admissions and assessments, police search, survivability

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