Automatic language translation
Our website uses an automatic service to translate our content into different languages. These translations should be used as a guide only. See our Accessibility page for further information.
The Coroners Act 2009 allows a coroner to make recommendations as part of their findings following an investigation into a death, suspected death, fire or explosion. Coronial findings are available on the Coroners Court Website.
In some inquests and inquiries, recommendations are made. Where recommendations are made to NSW Ministers and Government Agencies, they are required to report to the Attorney General within six months of receiving a coronial recommendation in accordance with Premier's Memorandum 2009-12, outlining any action to be taken to implement the recommendation.
The Department of Communities and Justice maintains and publishes coronial recommendations and the subsequent responses.
You can view recommendations and any responses received via the search field.
Responses received between 2009 and 2022 are presently maintained on our Archive page.
CORONIAL LAW - Death in custody - alcohol withdrawal - inadequate information - level of care provided.
CORONIAL LAW – infant death – non accidental injuries – insufficient evidence to make a finding on manner of death – suspicious death
CORONIAL LAW – death in custody – Parklea Correctional Centre – stab wound to the chest – use of gaol-made weapon – 18 inmates in holding cell – failure to sea
Collision with truck whilst walking along highway; mental health in custody; release from police custody after detention for secondary drug test; schizophrenia
CORONIAL LAW – complications of cholecystectomy surgery – grossly inadequate care and treatment provided at Forster Private Hospital – inadequate monitoring an
CORONIAL LAW – Discretionary inquest – death of First Nations man following emergency presentation to Cowra District Hospital – deceased did not wait during tr
Coronial inquest, death in hospital (not anticipated); interaction between provision of physical and mental health treatment, impact of Covid-19 on hospital ca
CORONIAL LAW - Child abuse, unexplained death of an infant, methylamphetamine, failure to protect child from harm, presentation to hospital with unexplained in
CORONIAL LAW – mental health-homicide-community mental health treatment – mental health policy and practice
CORONIAL LAW – Aboriginal death in custody, cause of death, timeliness of emergency response, adequacy of emergency response, health care whilst in custody, co
If you have any enquiries, please contact the Department of Communities and Justice, Coronial Recommendations.
Last updated: