Inquest into the death of Mervyn Douglas Morgan

Case Number: 2020/00004795

Date of Findings: 24 November 2022

Magistrate: Deputy State Coroner, Magistrate Carmel Forbes

Catchwords: CORONIAL LAW-death in custody- mandatory inquest-adequacy of treatment of liver disease-adequacy of clinical handoveradequacy of scan result follow up-adequacy of Advance Care Planning and Resuscitation Planning

Responses

Recommendations

To the Chief Executive Officer, Justice Health and Forensic Mental Health Network:

1. I recommend that the standard paperwork utilised when transferring patients, incorporate a specific check for indicating whether a patient has an advance care directive or resuscitation plan in place.