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 68 results

  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW – Death in custody; Death of ATSI man; ischaemic heart disease; Buvidal; Aboriginal Health Workers at Junee Correctional Centre
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW – manner of death – involuntary patient – consideration of medical care, mental health care, and treatment provided by Hospital – assessments undertaken as to whether the deceased was a mentally ill person or mentally disordered
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW – cause and manner of death, unidentified human remains, New South Wales Police Force Fingerprint Operations, fingerprint impressions and examination, National Automated Fingerprint Identification System, Modified Henry Classification
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW – missing person, LANDSAR search, risks for aged care residents with dementia
  • Recommended
    Decision of Deputy State Coroner Kennedy
    CORONIAL LAW – Cause and manner of death, death in custody, mental health, Justice Health waitlists, PAS, complying with patient waitlist timeframes, access to medical practitioners in custody
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW-First Nations death in custody-adequacy of treatment and care-RIT discharge summary documentation-cell placement after a RIT-follow up after RIT-RIT model-notifying nominated cares of a serious self harm of an inmate-culturally safe and
  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW - acute psychotic episode, schizophrenia, was mental health care appropriate, recommendations to expand REACH program in public mental health settings
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW - suspicious death of a child, cause and nature of paediatric head injuries, whether head injuries were non-accidental, care provided at Tamworth Base Hospital, management of paediatric head injuries, management of paediatric patients
  • Recommended
    Decision of Deputy State Coroner O'Neil
    CORONIAL LAW – Missing person, search
  • Recommended
    Decision of Deputy State Coroner Kennedy
    CORONIAL LAW – Death in police operation, stop and search, Section 21 LEPRA, exercise of power to arrest, Section 77 Bail Act 2013, breach of bail, decision to engage in foot pursuit, availability of flotation devices to assist police officers
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Last updated:

05 Apr 2023

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