Coronial
VICaged care

Finding into death of Ms K

Deceased

Ms K

Demographics

65y, female

Date of death

2021

Finding date

2021

Cause of death

Unascertained (Natural Causes)

AI-generated summary

Ms K, a 65-year-old woman with intellectual disabilities and schizophrenia, was found deceased in her bed at an NDIS-funded residential care facility. Post-mortem examination revealed unascertained natural causes with minimal autopsy findings (small pelvic fluid, small bowel fluid levels, probable diverticular disease). The coroner found no prevention opportunities and concluded the death resulted from natural causes. This case highlights an important legislative gap: NDIS-funded disability residents were previously not captured under coronial reporting requirements for natural-cause deaths, meaning the quality of care in this vulnerable population was not subject to scrutiny. This gap was rectified in October 2022 with amendments to include SDA residents in the definition of 'persons in custody or care'.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Coroner's recommendations

  1. The coroner did not make specific recommendations but highlighted the legislative gap in the Coroners Act 2008 regarding NDIS-funded disability residents, which was subsequently remedied by amendments to the Coroners Regulations 2019 effective 11 October 2022 to include SDA residents in the definition of 'persons in custody or care'
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