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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.
cause and manner of death; death in custody; mental health; Justice Health waitlists; PAS; complying with patient waitlist timeframes; access to medical practi
First Nations death in custody; adequacy of treatment and care; RIT discharge summary documentation; cell placement after a RIT; follow up after RIT; RIT model
acute psychotic episode; schizophrenia; was mental health care appropriate; recommendation to expand REACH program in public mental health settings
death of Aboriginal child; intentionally self-inflicted; protective care and treatment; recommendations made
suspicious death of a child; cause and nature of paediatric head injuries; whether head injuries were non-accidental; care provided at Tamworth Base Hospital;
death in police operation; stop and search; section 21 LEPRA, exercise of power to arrest; section 77 Bail Act 2013; breach of bail; decision to engage in foot
death in custody; mandatory inquest; adequacy of treatment and care; opportunity for family to raise concerns about the welfare of inmates and patients while t
mental health; involuntary patient; escorted leave; conditions of leave
cause and manner of death; aviation fatality; de Havilland Canada DHC-2; Jerusalem Bay; Sydney Seaplanes; Airag Aviation Services; floatplane; engine exhaust s
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 diso
If you have any enquiries, please contact the Department of Communities and Justice, Legal
18 Feb 2025