Queensland Government response to coronial recommendations
The role of the coroner
Coroners, usually magistrates in your community, investigate deaths that are ‘unnatural’ such as accidents, suicides or homicides; deaths that have occurred in prison or in care, or have unknown causes.
A coroner will investigate the circumstances surrounding the death to find out the identity of the deceased person, when and where they died, how they died and the medical cause of death.
The purpose of an inquest
The coroner may decide to hold an inquest to gather more information about the cause and circumstances of a death. An inquest is a public hearing before the coroner where witnesses are called to give evidence.
An inquest must be held in certain circumstances, for example, if the death is in custody. In other cases, the coroner might decide to hold an inquest if it is in the public interest. For example, where there is significant doubt about the facts or if holding an inquest might help prevent future deaths.
Coroners can make recommendations
If a coroner decides to hold an inquest, the coroner may comment on anything connected with a death that relates to public health or safety, the administration of justice or ways to prevent deaths from happening in similar circumstances in the future. Comments and recommendations can, and often are, directed to the government.
The Queensland Government responds to recommendations made at inquests
From 2008 to 2012, the Queensland Government produced an annual report which detailed responses to coroners’ recommendations made during the relevant reporting year. The annual reports are available in the resource box to the top right of this page.
Responses to recommendations handed down after 2012 are posted on the Queensland Courts website next to the findings of inquest. The government aims to publish a response to recommendations within six months of the coroners' findings of inquest and to provide implementation updates twice a year until the recommendation is implemented (or a decision is made not to support the recommendation).
Guidelines to help government departments respond to coronial recommendations are available by emailing the Legal Services Coordination Unit.