The Department extends its condolences to the family, friends, and loved ones of those whose deaths are the subject to coroner’s recommendations appearing in this register.
Coronial inquests serve a vital public purpose: learning from a tragedy to protect the living. Through careful investigation, coroners identify systemic risks and recommend specific changes to government bodies. These recommendations help to inform changes to laws and public safety procedures, helping to ensure that tragic losses lead to lasting, life-saving change.
Under Section 341 of the Aged Care Act 2024, the System Governor is required to maintain a publicly available register of reports sent by state and territory coroners to the Department of Health, Disability and Ageing about the death of an individual accessing funded aged care services where those reports include a recommendation to the department.
Subject to privacy considerations, the register contains:
- the circumstances of the death of the individual
- the recommendations made to the department, and
- a summary of any actions taken by the department in response to those recommendations.
The register will be published on this page and progressively updated as soon as possible after we receive any relevant coroners’ recommendations.
A report to the Inspector-General of Aged Care will be provided each year, covering:
- the recommendations made to the department
- a summary of actions taken by the department in response to these recommendations, and
- an evaluation of the effectiveness of those actions.