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 11 - 20 of 562 results

Inquest into the Death of Robert Driver (148.7 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – cause and manner of death, homicide, resident of aged care facility, challenging behaviour of resident, clinical management, indication for tran

Inquest into the death of Kelvin MOULDS (457.4 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW - cause and manner of death - care and treatment - removal of CVC - delirium-hospital system changes

Inquest into the death of WM (156.4 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – death in custody, cause and manner of death

Inquest into the death of Paul MORTIMER (333.0 KB,PDF File)

Decision of Deputy State Coroner Magistrate Elizabeth Ryan

CORONIAL LAW – death of patient following colorectal surgery – was discharge planning and post discharge care appropriate - did retained surgical sponge cause

Inquest into the death of Douglas ANDERSON (155.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

Coronial law, mandatory inquest, death of a person in custody, what was cause of death, was care and treatment provided by Justice Health and Corrective Servic

Inquest into the death of Melissa Stokes (356.9 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, unascertained cause of death, pre-surgical anaesthetic assessment, analgesia, post surgical nursing observations

Inquest into the death of Donald GREENAWAY (407.2 KB,PDF File)

Decision of Deputy State Coroner Forbes

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

Inquests into the death MB and KB (84.2 KB,PDF File)

Decision of Deputy State Coroner Freund

Coronial law, cause and manner of death, sudden infant death syndrome category II

Inquest into the death of Gaida Coote (second inquest) (334.5 KB,PDF File)

Decision of Deputy State Coroner Magistrate Harriet Grahame

CORONIAL LAW – search for missing person, subsequent discovery of remains

Inquest into the death of Francis Sawle (353.0 KB,PDF File)

Decision of Deputy State Coroner Magistrate Harriet Grahame

CORONIAL LAW – Death in custody, natural causes

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