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Delivering a Healthy WA
Office of Safety and Quality in Healthcare
To promote customer focused, safe, quality health care in Western Australia

Coronial liaison

» Death in Hospital Form (PDF 61KB)
» Guidelines for using the Death in Hospital Form (Information Circular)
» Inquest findings
» From Death We Learn

Notification of a ‘reportable death’ to the Coroner

The notification of a reportable death to the Coroner is a statutory obligation, and should be undertaken as soon as possible after a death occurs (maximum of 24 hours). The process is outlined on the Death in Hospital form and in the Guidelines for using the Death in Hospital form. Further information about ‘reportable deaths’ can be found on Legal and Legislative Services webpage (access to Department of Health intranet is required).

The coronial system

The Coronial System incorporates the Coroners Court, which operates under the Coroners Act 1996. The System has the power to investigate deaths reported under the Coroners Act 1996, and investigates reportable deaths confidentially or via public Inquest.

What is the coronial liaison service?

The coronial liaison service is an initiative of the Department of Health. The service was established in 2005, and aims to improve communication between the Department of Health and the coronial system. The coronial liaison service:

  • Coordinates the receipt of all ‘health related’ inquest findings
  • Disseminates findings and provides vignettes to appropriate stakeholders for information and to seek expert advice
  • Provides advice back to the Chief Medical Officer on the implementation of coronial recommendations
  • Coordinates on an annual basis a health system response to the State Coroner

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