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 35 results

  • Recommended
    Decision of Deputy State Coroner Kennedy
    CORONIAL LAW – Cause and manner of death, death in custody, intentional self-inflicted injury, care and treatment, mental health considerations, concerns of threats in custody, transfer of prisoners who have received threats.
  • Recommended
    Decision of Deputy State Coroner Kennedy
    CORONIAL LAW – Missing persons, witnessed fall into the ocean, police search, less than 6 months since reported missing,
  • Recommended
    Decision of
    CORONIAL LAW - disappearance of a person - is the person deceased - if so can cause and manner of death be established - was the person suffering a psychiatric condition or disorder - was the NSW Police Force investigation adequate - did officers of
  • Recommended
    Decision of Deputy State Coroner Kennedy
    CORONIAL LAW – Cause and manner of death, death in custody, mental health, Justice Health waitlists
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW – cause and manner of death, cardiomyopathy, myocarditis, recognition of clinically deteriorating paediatric patient, vital signs observations, Between the Flags, escalation of care, x-ray interpretation, pulmonary consolidation,
  • Recommended
    Decision of Deputy State Coroner O'Neil
    CORONIAL LAW – death in custody, natural causes
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW – missing woman – suspicious circumstances – charges laid by Police
  • Recommended
    Decision of Deputy State Coroner Forbes
    Coronial law, intimate partner suicide/homicide
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW – cause and manner of death, hypertensive heart disease, coronary artery disease, euthanasia, potential homicide, forensic investigation, Crime Scene Services Branch, toxicology, external examination, taking of blood sample
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW – death of a man from acute alcohol intoxication – whether police should have detained him as an intoxicated person – whether police acted appropriately when returning him to his home address.
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Last updated:

05 Apr 2023

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