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 92 results

  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW – death in custody – natural causes – medical care and treatment
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW - death of inmate at Long Bay Correctional Centre - natural causes death.
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW – death as result of fall from height – deceased person suffering from borderline personality disorder - was it appropriate for person to be discharged from Royal North Shore Hospital – was care provided by psychologist appropriate
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW – self-inflicted death; death after emergency removal of child by NSW Police pursuant to to Children and Young Persons (Care and Protection) Act; adequacy of Police response to person in emotional distress; adequacy of Department of
  • Recommended
    Decision of Deputy State Coroner O'Neil
    CORONIAL LAW— supervision in the community — mental health issues — drug addiction issues — police operation
  • 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
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Last updated:

05 Apr 2023

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