Inquest into the death of John O'Donnell

Case Number: 2019/280398

Findings Date: 27 September 2023

Magistrate: Erin Kennedy

CORONIAL LAW | death in custody; mandatory inquest; cell placement; whether medical condition adequately managed

Responses

Recommendations

Justice Health and Forensic Mental Health Network

That the Justice Health and Forensic Mental Health Network give consideration to amending the template the Health Problem Notification Form to include a field expressly prompting assessment and advice relating to cell placement including as to any recommendations for group cell placement, lower or upper bunk placement and top or lower landing placement.

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