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

Inquest into the disappearance and suspected death of Heather Scott

Decision of State Coroner O'Sullivan

CORONIAL LAW – Cause and manner of death Natural disaster; floods; extreme weather; climate; Landslide; landslip Missing person
Recommended

Inquest into the death of SG

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – death of Aboriginal child; intentionally self-inflicted; protective care and treatment; recommendations made
Recommended

Inquest into the death of Maureen Smith

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

Inquest into the death of AN

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

Inquest into the death of George Campbell

Decision of State Coroner O'Sullivan

CORONIAL LAW – volatile substance use – First Nations death – death of a child in care
Recommended

Inquest into the death of SH

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

Inquest into the death of AW

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

Inquest into the death of LA

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – child death, methadone toxicity, referral to unsolved homicide, lethal levels of methadone
Recommended

Inquest into the death of Matthew Grieve

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – death in custody, hanging, health problem notification forms, custodial mental health pathways
Recommended

Inquest into the death of Andrew Stubbs

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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Coronial findings and recommendations

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