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 11-20 of 67 results

  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW – death of person in custody - was custodial health care and treatment appropriate.
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW – manner of death, intentionally self-inflicted death, mental health diagnosis, mental health assessment, subacute mental health care, postpartum psychosis, obsessive compulsive disorder, delusions, coordination of care, collection of
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW – death in custody – manner and cause of death during COVID-19 outbreak at Junee Correctional Centre – adequacy of care
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW – death of a person reported missing in Katoomba area – can cause of death be established? Can manner of death be established?
  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW – death as a result of a police operation – 23(1)(c) and 27(1)(b) of the Coroners Act 2009 – diagnosis of drug-induced psychosis – diagnosis of substance abuse disorder – methylamphetamine – adequacy of mental health care
  • Recommended
    Decision of Deputy State Coroner Baptie
    CORONIAL LAW – death as a result of fall from height –Queen Victoria Building – acute psychotic illness – adequacy of care and treatment provided by Prince of Wales Hospital – appropriateness of police response to missing person’s report
  • Recommended
    Decision of Deputy State Coroner Elizabeth Ryan
    CORONIAL LAW – disappearance and suspected death of KL - is KL deceased? – if so, can manner and cause of KL’s death be ascertained – was hospital care of an acceptable standard - was it appropriate to discharge KL to a private hospital.
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW – death of a person in Parklea Correctional Centre - can cause of death be established – was nursing and medical care appropriate and adequate.
  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW – circumstances of accident and death – survivability – response by NSWPF to report of person missing – search and rescue – search urgency assessment forms – regulatory and advisory regime relating to backcountry skiing in
  • Recommended
    Decision of Deputy State Coroner Pearce
    CORONIAL LAW – death in Corrective Services NSW custody - whether care and treatment concerns
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Last updated:

23 Oct 2024

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