Inquest, work related, forklift rollover, farm, not wearing a seat belt, workplace, Work Health and Safety Act, guilty,Burnie, Law enforcement, mental illness & health, death in custody, secure mental health unit, Wilfred Lopes Centre, inquest, natural cause of death, Transport & traffic related, motor vehicle crash, truck, collision, incorrect side of the road, Black River, Transport & traffic related, motor vehicle crash, Iveco prime mover, Freighter trailer, truck, speed, work related, employment, workplace, request by senior next of kin not to hold inquest pursuant to s26A(2) of the Coroners Act 1995, undetermined cause of death, missing person, suspicious circumstances, Flinders Island, North East River, Salmon Rock, fishing, Joshua Kennedy, Stephanie Riggall. Courts Tasmania : Decisions Inquest, transport & traffic related, work related, Ten Mile Creek Farm, tractor rollover, not wearing a seatbelt, blunt trauma of the head, neck & chest, WorkSafe Tasmania, Riverdale Dairies Pty Ltd, recommendation. To search for judgments, use the links below. The page has been produced by Courts Tasmania, Search the Supreme Court of Tasmania database, personal information protection statement. Inquest, person in care, older person, Bishop Davies Nursing Home, Roy Fagan Centre, aspiration pneumonia, advanced dementia. The following information may be found in these records: Before searching this collection, it is helpful to know: Compare each result from your search with what you know to determine if there is a match. The PWS Arthur River Visitor Centre is trialling selling sand flags to the public. Coronial findings To access a finding not listed here, please make application (DOC , 61.5 KB) to the Court. Publishing a finding is decided on an individual basis, but the coroner may take into account a number of factors: In general, authorised findings for publication will include: Specific findings can be located by entering information in the search box below. This may require viewing multiple records or images. (PDF, 84.6 KB), Flow Chart of the Coronial Process (PDF, 316.1 KB), When to report a Death to the Coroner (PDF, 189.9 KB), Australian Domestic and Family Violence Death Review Network Data Report 2018 (pdf, 3 MB). Supreme Court Act 1935; District Court Act 1991; Environment, Resources & Development Court Act 1993; Magistrates Court Act 1991; Youth Court Act 1993 Council Building, Daly River, Angel Blanco-Puerto, Phillip Lindsay, Barry Gaykamangu and Hannu Kononen, Erfinna Patricia Lay and John Weston Quirk, Raymond Curtain, Terrence Westwood, Gerald Thompson, Gregory Westerman, Graham Dearden and Ruth Vincent, Kumanjay Presley, Kunmanara Coulthard and Kunmanara Brumby, Jade Lange-Loades, Rory Lange-Loades and Nathaniel Rose, Glen Anthony Huitson and Rodney William Ansell, Matthew Neck, Amanda Bell and Matthew Batson, Gary Peter Tipungwuti, Patrick Raymond Kerinauia, Noeline Pauantulura, John Gerard Orsto, T. Okano, A. Kabe, T. Linklater and K. Pritchard (Cannonball Run). I Cant Find the Person Im Looking For, What Now? Response from Tasmania Parks and Wildlife Service11 August 2022. Response from Tasmania Health Service Statewide and Mental Health Services received 8 March 2022. Water related, long term missing person, suspected death, undetermined cause of death, disappearance, intoxication, Fisherman's Wharf, Strahan. 1 Section 279(1)(c) Criminal Code (WA). Please consider that it may be upsetting to read details about a death in an inquest finding. Fionica James, Katurah Mamarika, Layla Leering, Robin Riley, Thomas Turpin, Fabian Andrews, Cassandra Martin, Pauline Iris Abbott, Kendrick Oliver and Joy McNamara, Michael Chisholm, Aaliyaha Webb and Julian Chisholm, Kevin Taylor, Lena Yali and Gregory McNamara, Peter Murphy (Suppression order lifted 19.4.17), Peter Murphy (Suppression order in place), Nauiyu Nambiyu Council Chambers, Daly River, Mohammed Ayubi, Muzafar Sefarali, Mohammed Zamen, Awar Nadar and Baquer Husani, Darwin Magistrates Court / Darwin Supreme Court, Robert Plasto-Lehner and David Gurralpa aka Moscow, Darwin Magistrates Court, Bulman (Opening) and Katherine Courts, Darwin Magistrates Court / Alice Springs Magistrates Court, Michael Anthony Hardy and Robert James Roe, Jaron Mamarika, Dwayne Bara, Jaross Amagula and Francene Huddleston, Barbara Malthouse, Nigel Inkamala, Daryl Inkamala, Dion Ngalken, Gordon Murray and Antonia Meneri, Nauiyu Nambiyu Govt. Our Safe Operating Procedure for this specific task along with our Risk Register and our weather related guidance were all updated some time ago. Domestic incident, homicide & assault, weapon, rifle, gunshot wound, murder, Klaus Neubert, estranged husband, Tasmania Police, family law, alcohol and drug related, mixed prescription drug toxicity (codeine, paracetamol, mirtazapine, promethazine, diazepam), accidental overdose, appropriate prescribing regime, stockpiling medication, Drugs & alcohol, intentional self-harm, mental illness & health, transport & traffic related, suicide, carbon monoxide inhalation, asphyxia, Launceston General Hostpial, Royal Hobart Hospital, Emergency Department, Inpatient Withdrawal Unit, Coroner's comments, Inquest, older person, person held in care, Guilford Young Grove, Roy Fagan Centre, emergency guardianship order, mental health, aspiration pneumonia, dementia, Quad bike roll-over, accident, head injury, drugs & alcohol, pillion passenger, dam, coroner's comment. Prior to discharge an appointment with the GP is to be made at a time asap after the patient returns to King Island. This includes a combination of in cab assistance, review/follow-up of telematic data and ongoing focus on travel times for higher risk activities. Whenever possible FamilySearch makes images and indexes available for all users. Please enter a keyword, name or year of the coronial finding you are looking for. De Bruyns Transport continues to utilise the VicRoads Heavy Vehicle Rollover Prevention Program and, specifically, its dynamic load elements as the cornerstone of our induction training for all employees and not just those involved in harvest fish operations. Older persons, physical health, subdural haematoma, mechanical fall with head strike, Launceston General Hospital, George Town Hospital. Our three yearly refresh program already includes specific rollover awareness elements. If a judgment is not listed in the List of Recent Decisions try clicking on . The following articles will help you research your family in Australia. Coroner's inquest findings are available on the date of delivery of the finding or later by request in writing to the Office of the State Coroner. Motorcycle Crash, Annual St Helens to Strahan Off Road Motorcycle ride, Alcohol, Intentional Self-Harm, Mental Illness, Transport and Traffic Related. We will use your rating to help improve the site. submissions in making my findings. We often utilise telematic data for this process as well as timesheet reviews, camera evidence and even road user and customer anecdotal feedback. Gemma Lake has been appointed Chief Executive Officer of the Department of the Attorney-General and Justice. For all conditions of entry, read the COVID 19 (Coronavirus) Measures. The RHH carry out an investigation of the delays to administration of antibiotics on this occasion with a view to implementing steps to avoid their repetition. [2021] WACOR 18 Page 2 Coroners Act 1996 (Section 26(1)) AMENDED RECORD OF INVESTIGATION INTO DEATH I, Philip John Urquhart, Coroner, having investigated the death of a female child referred to as Child AM with an inquest held at Perth Coroners Court, Central Law Courts, Court 85, 501 Hay Street, Perth, on 26 - 27 November vehicle accident, tree, head injury, car crushed by falling tree, transport. We then focus on specific rollover awareness factors during both our mentoring as well as our refresh programs. FILE NO(s): D34/2020 . Coronial, single motor vehicle crash, multiple injuries, Toyota HiLux Utility, paddock, blunt trauma to the head, neck, thorax and arms, skull fractures, brusing of both lungs. The Coroner has prepared comprehensive and considered findings and they will be given careful . This is also called a public court hearing. Transport and traffic related, St Helens, Coroner's finding, joint inquest, child and infant death, youth, transport and traffic related, Child Safety Services, Department of Communities, Tasmania, child protection systems, Sudden Unexpected Death in Infancy, co-sleeping, drowning, motor vehicle crash, exposure to risk, Drowning, River Derwent, Mental Illness and Health, Child and Infant Death, Sepsis, Royal Hobart Hospital, motor vehicle accident, transport and traffic related, epilepsy, suspended licence, medically unfit to drive, driving unlicenced, Risdon Road. Geographic, leisure activity, caverneering, Tasmanian Caverneering Club, Mount Anne, North East Ridge, exploration, disappearance, undetermined cause of death. Home This includes rapid reversal requirements and perioperative management. Long Term Missing Person, D'Entrecasteaux Channel, Probable Drowning, Water Related, Coroner's, Coronial, Motor vehicle Crash, Blunt Traumas Injury to the head, lost control, seat belt, Adverse Medical Effects, Acute Gastrointestinal, Hobart Private Hospital, Royal Hobart Hospital, Child & Infant Death, Falls, Geographic, Leisure Activity, Conservation Area. Citations help you keep track of places you have searched and sources you have found. The original records are located in the Tasmanian Archives and Heritage Office in Hobart, Tasmania. Coroner's findings into the death of Nicholas Whiteley Because of this there may be limitations on where and how images and indexes are available or who can see them. Mental illness & health, water related, drowning, Copper Alley Bay, Lymington, dinghy, police response, psychotic episode, rescue, aerial search. Coronial, held in care, guardianship order, inquest, person in care, Roy Fagan Centre, atherosclerotic, hypertensive cardiovascular disease. Intentional self-harm, mental illness & health, Royal Hobart Hospital, Clarence and Eastern Districts Adult Community Mental Health Service, Statewide Mental Health Services, Department of Psychiatry Open Unit, suicidal ideation, suicidal crisis, K Block, anti-ligature amenities, intentional self harm, suicide, mental health and illness, mixed prescription drug toxicity, amisulpride, diazepam, mirtazapine, Tasmania Ambulance Service, delay in dispatch of ambulance. abc.net.au/news/kirra-lea-mcloughlin-coronial-inquest-findings/100194632 A coroner has found that a 27-year-old woman, whose death has been unsolved for almost seven years, lost her life at the hands of her de facto partner, describing him as a "habitual perpetrator" of domestic abuse. Findings and upcoming inquests - Coroners Court. If a judgment is not listed in the List of Recent Decisions try clicking on the Refresh or Reload Button in your Browser to make sure you are viewing the latest version of the web page. Acute methadone toxicity, prescription drug overdose, Pharmaceutical Services Branch, breach of Poisons Act 1971, Coroner's comment, Inquest, person held in care, Roy Fagan Centre, comments, recommendations, pneumonia, Guardianship Order, Public Guardian, Guardianship and Administration Board, fall, Homicide and assault, weapon, drugs and alcohol, hypovolemic shock, multiple stab wounds, popliteal artery, manslaughter, Robert Michael Allen, coroner's comments, Drugs & alcohol, mental illness & health, methadone, methadone program, take-away doses, Tasmanian Opioid Pharmacotherapy Program, drug toxicity, Child & infant death, baby, co-sleeping, bed sharing, suffocation, avoidable, Transport & traffic related, motorbike, motorcycle, dirt bike, unroadworthy, crash, accident, speed, illicit drugs, erratic, unlicensed, unregistered, Single motorcycle crash, transport & traffic related, head injury, existing injuries, Harley Davidson, drugs, THC, cannabis. CORONIAL LAW - cause and manner of death - medical care and treatment of long-term mental health patients - prescribing of anti-psychotic and sedative . The decision to make these findings available has been made by the Chief Magistrate, or their delegate, or the coroner presiding over the particular investigation, under Coroners Rules 2006. A finding is the document handed down by a coroner . An inquest into her death was told there was intense demand on staff, who missed repeated opportunities to identify the seriousness of her condition. . Response fromDe Bruyn's Transport 23 July 2022, Recommendation 1: Rollover Awareness and Training. Decision of Deputy State Coroner Truscott, Coronial law, cause and manner of death, NSW trains removal of passenger, NSW Police Powers re intoxicated persons, CORONIAL LAW - Mandatory inquest - homicide by known persons since deceased - s.78, Coronial law, cause and manner of death, First Nations Patients, palliative care, death in corrections custody, Justice Health, care and treatment, CORONIAL LAW - s.27 (1) (a) Coroners Act 2009 - death as a result of homicide by a known person - mandatory inquest, CORONIAL LAW - death by hanging of a person in custody - was mental health care of an appropriate standard - should a mandatory notification have been made - access to rope and hanging points - adequacy of health information sharing -, CORONIAL LAW - death by hanging of a person in lawful custody - frequency of medication reviews - reduction of hanging points at Long Bay Correctional Centre, CORONIAL LAW - unidentified human remains, Eastern bank of the MacDonald River, near Wrights Creek Road St Albans NSW, CORONIAL LAW - death in custody, mandatory inquest, cause and manner of death, natural causes, CORONIAL LAW - cause and manner of death, laryngectomy, tracheal stenosis, respiratory rate, respiratory distress, alteration of calling criteria, Clinical Emergency Response System, vital sign observations, CORONIAL LAW - natural causes death of a person in lawful custody - was medical care and treatment appropriate. Findings and upcoming inquests - Coroners Court | Queensland Courts Key points: Derwent Valley Council has identified a number of sections at which sight distance could be improved via vegetation reduction and sight benching / reducing the slope of cut batters. Restrictions for Viewing Images in FamilySearch Historical Record Collections, https://www.familysearch.org/en/wiki/index.php?title=Australia,_Tasmania,_Coroner%27s_Inquest_Files_-_FamilySearch_Historical_Records&oldid=4946186, FamilySearch Historical Records Scheduled Collections, Tasmania (Australia) FamilySearch Historical Records, FamilySearch Historical Records Image Visibility Notice, This article describes a collection of records, Use the information to find the person in other records, Analyze the entry to see if it provides additional clues to find other records of the person or their family, The person may be recorded with an abbreviated or variant form of their name. Identifying your sources helps others find the records you used. Aishwarya Aswath died on Easter Saturday 2021, hours after presenting to the Perth Children's Hospital emergency department with a fever and . Transport & traffic related, motorcycle crash, single vehicle crash, high speed, multiple trauma. These updates then influence our mentoring and internal checking efforts, especially when it comes to conducting safety observations and reviewing travel times and probation. To see the decisions published by the various Divisions of the Magistrates Court use the Magistrates Decisions link. Inquest findings (since 2004) as well as non-inquest public interest matters (since 2012) are available below. Transport & traffic related, single motor vehicle collision, car crash, Glenfern, Derwent Valley Council, recommendations. Findings are also searchable by keyword. 2 Exhibit 1, Tab 9. This collection includes inquest files from the coroner's office in Tasmania. The coroner decides whether to hold a public inquest into a death. Tree felling accident, chainsaw, Tasmanian Forest Industries Training Board, expired Forest Works Licence, non-compliant helmet, Coroner's recommendations, Homicide and assault, mental illness and health, weapon, Tasmanian Prison Service, Wilfred Lopes Centre, Risdon Prison, North Hobart, Daryl Royston Wayne Cook, Section 24 Criminal Justice Mental Impairment Act 1999, remissions of sentence, mental health services, coroner's comments, Transport & traffic related, work related, single vehicle crash, concrete truck, Tea Tree Road, speed, no seatbelt. traumatic brain injury, homicide, Mitchell Clay Dowling, Jay David Blazely, one punch death, assault, death in care, order under the Guardianship and Administration Act 1995, Guardianship and Administration Board, intentional self harm, mental illness and health, Roy Fagan Centre, death in care, Mental Health Act 2013, mental health order, Millbrook Rise Centre, asphyxia, choking on food, supervision of meals, transport and traffic related, motor vehicle accident, two vehicle crash, Lebrina, death in care, Mental Health Act 2013, mixed prescription drug sedation, clozapine, olanzapine, Spencer Clinic, Burnie, North West Regional Hospital, Karingal Nursing Home, mental illness and health, coroner's recommendations. Tasmania Police has welcomed Coroner Robert Pearce's findings into the death of Nicholas Whiteley at Westbury on 22 November 2010. A recent meeting with the Director of Nursin at the King Island Health service and Senior Nursing staff of the North West Regional Hospital clarified the process surrounding the discharge of patients from Spencer Clinic Inpatient Ward to King Island. Australia, Tasmania, Coroner's Inquest Files - FamilySearch Councils Operations Manager, a qualified engineer, was charged with investigating improvements to the road. Watch the latest news and stream for free on 7plus >>. Coronial findings and recommendations - coroners.nsw.gov.au Our intention now is to broaden this process by utilising our recently recruited Driver Trainer to provide programmed in cab refresh sessions and assessments (similar, in many respects, to what pilots undertake now). This collection includes inquest files from the coroners office in Tasmania. Aishwarya Aswath . Coronial findings are listed in descending date order and can be adjusted by use of the filter on this page. Update provided by THS South 14 October 2022. Signage has been installed at the entrance to Sandy Cape Track (Temma) and the Arthur Beach Track (Gardiner Point, Arthur River): Quick release adaptors for sand flags were attached to all operational vehicles in the Field Centre likely to operate on the track. Aged care, falls, older persons, physical health, closed traumatic head injury, Bishop Davies Court, Extended Care Assistant, enrolled nurse, Franklin Unit, nightly checks, delayed care. We respectfully acknowledge the Tasmanian Aboriginal people as the traditional owners of the land upon which we work and pay our respect to Elders past and present. Inquest Findings 2021 Coroner's inquest findings are available on the date of delivery of the finding or later by request in writing to the Office of the State Coroner. Coronial, peritoneal sepsis, multiple organ failure, bowel, perforation of the bowel. Check the List of Recent Decisions. Directions Hearing - Those seeking leave to appear. When the cause of death is unknown or seems unnatural, a judicial officer, known as a coroner, is involved to determine certain information. Works were completed and reported to the grant program on 30 June 2021. During weekdays in business hours, transport can be arranged for the patient to be picked up at the airport and returned home if friends/relatives are unavailable. They usually seek to find out the identity of the deceased, the cause of death and the circumstances in which it may have occurred. Coronial, traumatic closed head injuries, motor vehicle crash, decision not to hold inquest, supervision order, Criminal Justice (Mental Impairment) Act 1995, Royal Hobart Hospital, aspiration pneumonia, coronial, coroner, suicide, stab wounds, neck and incised wounds to wrists, Older Persons, Falls, Aged Care, Medical Certificate Cause of Death, Coroner's Finding, Physical Health, long term missing person, undetermined cause of death, Knocklofty Reserve, child death, asthma, North West Regional Hospital, misdiagnosis, incorrect diagnosis, substandard medical treatment, Tasmanian Health Service, medico legal, Coroner's comments, Asthma Australia, Inquest, re-investigation, work related, transport & traffic related, truck driver, De Bruyns, prime mover, laden fish tanker, fish run, Esperance Coast Road, rollover, crash, training, frame rise, air suspension, recommendations, hypoxic brain injury, epilepsy, seizure, Royal Hobart Hospital, Nexus supported living, Coronial, treatment order, ischaemic heart disease. Gemma was appointed acting Deputy CEO in 2019, Deputy CEO in 2020 and then Acting CEO on Greg Shanahan's retirement in November 2020. news / 26 August 2021. To find out more about inquests, go to the Northern Territory Government website. All contents copyright Government of Western Australia. 5 March 2023, 12:40 am. Inquest Findings 2021 - Coroner's Court of Western Australia Questions concerning its content can be sent by email to tasmania.police@police.tas.gov.au or by mail to GPO Box 308, Hobart, Tasmania, Australia 7001. The relevant Medical Officer in Spencer Clinic will contact the King Island GP as soon as practicable to advise of the patients discharge date from Spencer Clinic. This division is a specialist court that conducts inquests and investigations into certain deaths ('reportable deaths') and incidents (including fires and explosions) regardless of whether a death occurred. If you are unable to locate the findings you are looking for, please contact the Coroners Office. 2023 Department of Police, Fire & Emergency Management, Family Violence Counselling Support Service, Research applications and requests (TILES), Special Response and Counter-Terrorism Command, Department of Police, Fire and Emergency Management, Personal Information Protection statement, Coroners findings into the death of Nicholas Whiteley. Since the Coroners recommendation a Mental Health Short Stay Unit has been implemented to improve flow for mental health patients out of the ED.With the ED redevelopment, planning is underway to include a secure high acuity area for mental health patients as well as a calming, private area for lower acuity patients where they are able to wait for their assessment separate from non-mental health patients. To access a finding not listed here, please makeapplication (DOC , 61.5 KB)to the Court. chronic alcoholism and emphysema, Mixed prescription drug toxicity, accidental overdose, drugs & alcohol, central nervous system depressants, lung disease, physical health, pharmaceutical services branch, Poisons Act 1971, schedule 8 narcotic substances, Drowning, rock fishing, not wearing a personal floatation device, PFD, Boltons Beach, Triabunna, Coroner's comment, Coroner's recommendation, Long term missing person, 1985, cause of death unknown, circumstances unknown, Tasmania Police Missing Persons Unit, Queensland, Inquest, falls, domestic incident, older persons, Ambulance Tasmania, paramedic, transport not required, transport refused, subdural heamatoma, Royal Hobart Hospital, recommendations, Inquest, drugs & alcohol, misadventure, water related, drowning and intoxication with methamphetamine and other substances, Little Howrah Beach, Launceston General Hospital, sepsis, Medical Certificate of Death, Office of the Health Complaints Commissioner, poor medical treatment, entirely avoidable death, Inquest, falls, older persons, elderly persons, Royal Hobart Hospital, application pursuant to section 58 of the Coroners Act 1995, investigation re-opened, Coroner's comment, high falls risk, aspiration pneumonia, National Disability Insurance Scheme, NDIS, palliative care, epilepsy, brain injury. Inquest FindingsInquest Findings 2021. Inquest, child & infant death, person held in care, Care and Protection Order, Children, Young Persons and their Families Act 1997, multi-systemic disabilities, hypoxic brain injury secondary to a cardiorespiratory arrest, Inquest, intentional self-harm, law enforcement, mental illness & health, person held in custody, Risdon Prison, HMP Risdon. Unreported judgments of the Supreme Court of Tasmania are available on AustLII (Australian Legal Information Institute). The Network has published its first report in 2018. adverse medical effects, failure to diagnose, misdiagnosis, Hobart Private Hospital, carcinomatosis, failure to report death to Coroner, medical, hospital. The Coroner's Office arranges for members of the Australian Federal Police to investigate the circumstances surrounding the death of a person and to provide a report to the Coroner. The Northern Territory's coroners office investigates unexpected or suspected deaths on behalf of the community. Coroner's findings due in girl's Perth hospital death It is acknowledged the Coroner has made no criticism of either Tasmania Police or Constable Blake in relation to the death of Mr Whiteley. After an inquest, the coroner publishes their findings, which sets out theirdecisions and recommendations. 3 Section 53(2) Coroners Act 1996 (WA). This is also called a public court hearing. To search for judgments, usethe links below. The coroner sits on the bench at the front of the courtroom, and lawyers sit facing them on another table. Response fromDerwent Valley Council 30 August 2022. Inquest, bee sting, bee venom, anaphylactic reaction, anaphylaxis, Tasiliquid Gold, bee apiary, beehives, Coroner's recommendations, transport and traffic related, motor vehicle accident, two vehicle accident, Melton Mowbray, Highland Lakes Road, Midlands Highway, prescription medication, tramadol, diazepam, Leisure activity, misadventure, sports related, water related, personal water craft, PWC, Jet Ski, drowning, could not swim, no personal floatation device, PFD, alcohol, no licence, inexperienced, misadventure, fall from height, head injury, adolescent, youth, Penguin Primary School, Royal Hobart Hospital, North West Regional Hospital, Coroner's comment, undetermined cause of death, Penguin, natural causes, motorcycle crash, transport and traffic related, motor vehicle accident, Launceston, unlicenced rider, rider at fault, drugs and alcohol, exceeding speed limit, disobey road rules, exceed alcohol limit, riding unlawfully, Coroner's comment, incompetent rider, ride unsafely, multiple severe trauma, Older persons, acute myocardial ischaemia, coronary atherosclerosis, North West Regional Hospital, MET call, ECG results, Coroner's comment, Falls, older persons, Meadow Mews Plaza, acute subdural haematoma, Launceston General Hospital Emergency Department, no CT scan, Canadian CT scan rule, Drugs & alcohol, transport & traffic related, motor vehicle collision, Bass Highway, methamphetamine, MDMA, mobile phone, alcohol and drugs, illicit drugs, injection of methamphetamine, multiple organ failure, hypoxic encephalopathy due to cardiac arrest, misadventure, Death in Care,Guardianship Order, IVB metastatic adenocarcinoma of the rectum, schizophrenia, transport and traffic, motor vehicle crash, Brooker Highway, blunt traumatic injuries, alcohol and drug related, prescription medication, diazepam, oxazepam, tramadol, olanzapine, cannabis, THC, impaired driving, Royal Hobart Hospital, Whittle Ward, hospital, palliation, Guardianship Order, Guardianship and Administration Board, inquest, Death in care, Roy Fagan, Guardianship Order, aspiration pneumonia complicating advanced multifactorial dementia.
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