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 1-7 of 7 results

  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW – death due to complications of methylamphetamine use; death of a person on supervised parole; wrap around support for parolees with complex needs
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW- death of a man in police custody did police take appropriate steps to obtain medical .assistance - would earlier medical assistance have improved prospects for survival.
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW – Death in custody; acute cocaine toxicity, first aid by police; adequacy of NSW Police first aid training; CPR: NSW Police access to automatic external defibrillators (AEDs)
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW – death in custody, cause and manner of death, risk assessment, psychiatric assessment, mental health review, self-inflicted death, cell architecture, Metropolitan Remand andamp; Reception Centre, Risk Intervention Team management, Mental
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW – disappearance and death - can manner and cause of death be ascertained
  • Recommended
    Decision of Deputy State Coroner O'Neil
    CORONIAL LAW – elective surgery, post operative care, Private Hospital, no take back policy, transfer to Public Hospital, delay in return to surgery
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW – whether missing person now deceased, date and place of death, cause and manner of death
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Last updated:

05 Apr 2023

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