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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 1-10 of 83 results
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RecommendedDecision of Deputy State Coroner ForbesCORONIAL LAW - cause and manner of death - medical care and treatment of long-term mental health patients - prescribing of anti-psychotic and sedative medication - choking on food
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RecommendedDecision of Deputy State Coroner LeeCORONIAL LAW - Cause and manner of death, identity of deceased persons, NSW Public Guardian, Dubbo Base Hospital, Lourdes Hospital and Community Health Care Service, NSW Civil and Administrative Tribunal, guardianship application, Aged Care
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RecommendedDecision of Deputy State Coroner LeeCORONIAL LAW - cause and manner of death, early childhood education and care, family day care, regulatory authority, Kidstart Pty Ltd, Department of Education, safe sleeping practices for infants and babies, persistent pulmonary hypertension of the
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RecommendedDecision of State Coroner O'SullivanCORONIAL LAW - traffic incident, five deaths, manner of driving, methadone dispensing, impact of various medications, adequacy of treatment in regional areas, expert evidence
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RecommendedDecision of Deputy State Coroner GrahameCORONIAL LAW - Sudden Unexpected Death in Infancy (SUDI), frusemide
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RecommendedDecision of Deputy State Coroner TruscottCORONIAL LAW - Fire General Inquiry - Cause and Origin - Electrical Infrastructure-Vegetation Management - Fuel Load Management - Emergency Response Management Communication and Co-ordination - Provision of Resources - Rural Fire Service - Fire
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RecommendedDecision of Deputy State Coroner TruscottCoronial law, cause and manner of death, First Nations death whilst in lawful custody of Corrective Services NSW, Hospital escort, Escape , Intent to self-harm, Risk Intervention Team treatment
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RecommendedDecision of Deputy State Coroner LeeCORONIAL LAW - death in custody, self-inflicted death, Metropolitan Special Programs Centre, psychiatric review, Patient Administration System, Darcy Daily Clinic Tracker Sheet, cell architecture, ligature points, cell placement
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RecommendedDecision of Deputy State Coroner RyanCORONIAL LAW - death of man in hospital following Łshoulder surgery - cause of death - was clinical care 1adequate - policies and procedures for bariatric patients
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RecommendedDecision of Deputy State Coroner LeeCORONIAL LAW - death in custody, cause and manner of death
Last updated:
05 Apr 2023
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