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 21-30 of 85 results

  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW – Cause and manner of death Natural disaster; floods; extreme weather; climate; Landslide; landslip Missing person
  • Recommended
    Decision of Deputy State Coroner Kennedy
    CORONIAL LAW – death of Aboriginal child; intentionally self-inflicted; protective care and treatment; recommendations made
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW – Glen Innes District Hospital, Armidale Rural Referral Hospital, referral of medical practitioner to the Medical Council of NSW, signs of clinical deterioration due to sepsis, septicaemia, septic arthritis, Between the Flags,
  • Recommended
    Decision of Deputy State Coroner Kennedy
    CORONIAL LAW – Unascertained cause of death in newborn, toxicology findings of methylamphetamine, likely effects of drug consumption by drinking methylamphetamine, likely effects on unborn baby as a result of methylamphetamine exposure, lethal
  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW – volatile substance use – First Nations death – death of a child in care
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW-death in custody-adequacy of care-knock up records-ability for family or NOK to contact Correctional Centres with welfare concerns of an inmate
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW – fatal shooting of a woman in 2004 – perpetrator unable to be identified – referral to Unsolved Homicide Squad.
  • Recommended
    Decision of Deputy State Coroner Kennedy
    CORONIAL LAW – child death, methadone toxicity, referral to unsolved homicide, lethal levels of methadone
  • Recommended
    Decision of Deputy State Coroner O'Neil
    CORONIAL LAW – death in custody, hanging, health problem notification forms, custodial mental health pathways
  • Recommended
    Decision of Deputy State Coroner O'Neil
    CORONIAL LAW – monitoring of blood lithium levels by General Practitioner – lithium toxicity – decision to commence Intermittent Haemodialysis – complications of dialysis treatment – factors contributing to dialysis disequilibrium syndrome
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Last updated:

05 Apr 2023

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