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 71-80 of 96 results

  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW - death in custody; cause and manner of death
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW - mother/child homicide/suicide; Borderline Personality Disorder/complex post-traumatic stress disorder; Alprazolam; child protection; adequacy of handover process between caseworkers
  • Recommended
    Decision of Deputy State Coroner Forbes
    Coronial law, missing person since 1958
  • Recommended
    Decision of Deputy State Coroner Lee
    Coronial law, care and treatment, Fairfield Hospital, left total knee replacement surgery, superior mesenteric artery tent, coeliac artery stent, vascular consult, pre-admission clinic, pre-operative care, medical clearance prior to surgery
  • Recommended
    Decision of Deputy State Coroner Huntsman
    Coronial law, death in custody, cause of death is consistent with history of hanging, first time in custody and on remand, role of Justice Health and Forensic Mental Health Network
  • Recommended
    Decision of Deputy State Coroner Huntsman
    Coronial law, death in custody, natural cause, pleuropulmonary malignancy on the background of end-stage obstructive pulmonary disease
  • Recommended
    Decision of Deputy State Coroner Lee
    Coronial law, death in custody, cause and manner of death
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW - death in custody; natural causes
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW - Accidental fall from height; wandering in a patient with behavioural and psychological symptoms of dementia; and#39;social admissionand#39; to hospital; Provision of disability services through NDIS; Discharge planning
  • Recommended
    Decision of Deputy State Coroner Shields
    Coronial law, cause and manner of death
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Last updated:

05 Apr 2023

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