Coronial Findings Index
Coroners' findings about the deaths of people with disability, sorted into categories so patterns can be seen. Each entry is an anonymised summary with a link to the court's own record. We do not publish names or retell anyone's story.
Currently covering Victoria. Other states are being added. How this index works
Showing 8 of 11 findings
A person aged 45–54 with intellectual disability, psychosocial disability and a neurological condition died while in NDIS provider care and in hospital (metropolitan Victoria). The coroner made a finding without holding an inquest.
NDIS provider careHospitalCause not determinedCategories and court record for COR 2025 006606A person aged 0–17 with physical disability, sensory disability and intellectual disability died (metropolitan Victoria). The coroner made a finding without holding an inquest and identified no prevention opportunities.
Child protectionCommunityHealth careCategories and court record for COR 2024 003398A person aged 35–44 with psychosocial disability died in the community (regional Victoria). The coroner made a finding without holding an inquest and identified no prevention opportunities.
CommunityCause not determinedCategories and court record for COR 2024 006757A person aged 65+ with intellectual disability and physical disability died while in NDIS provider care (metropolitan Victoria). The coroner made a finding without holding an inquest.
NDIS provider careCommunityHealth careCategories and court record for COR 2025 003441A person aged 55–64 with physical disability died while in NDIS provider care and in hospital (metropolitan Victoria). The coroner made a finding without holding an inquest.
NDIS provider careHospitalHealth careCategories and court record for COR 2025 002259A person aged 25–34 with intellectual disability, a neurological condition, physical disability and autism died in the community (metropolitan Victoria). The coroner made a finding without holding an inquest and identified no prevention opportunities.
CommunityHealth careCategories and court record for COR 2024 002423A person aged 45–54 with physical disability, a neurological condition and intellectual disability died in hospital (regional Victoria). The coroner made a finding without holding an inquest.
HospitalCause not determinedCategories and court record for COR 2020 005383A person aged 55–64 with intellectual disability and a neurological condition died in the community (metropolitan Victoria). The coroner made a finding without holding an inquest. NDIS: had an NDIS plan.
CommunityHealth careCategories and court record for COR 2025 003176
How this index works
Coroners publish their findings on court websites. We read each published finding, decide whether it concerns a person with disability, and sort it into categories: the setting, the circumstances, any issues the finding raises, and what the coroner did.
The categories are assigned by AI and may contain errors. They are our reading, not the coroner's words. The court record is the authority. Follow the link on each entry to read the finding itself.
Summaries are built from the categories only. We do not include names, exact ages, suburbs or any retelling of the person's life. If a court later restricts or changes a finding, the link goes to the court's current listing.
Not every death is referred to a coroner, and not every finding is published online, so these numbers are a floor, not a count of everyone.
To report a mistake or ask for an entry to be removed, contact us.