Coronial
WAother

Inquest into the Death of Hale, David Maxwell

Deceased

Hale, David Maxwell

Demographics

32y, male

Date of death

2011-07-20

Finding date

2013

Cause of death

complications of metastatic pancreatic cancer

AI-generated summary

A 32-year-old male prisoner died from metastatic pancreatic cancer at a hospice. Pancreatic cancer was diagnosed shortly after incarceration when jaundice was detected. He received appropriate oncology treatment and palliative care throughout his custody, with regular hospital transfers and monitoring. The coroner found the medical care was of high quality. However, there was a significant delay in processing his Royal Prerogative of Mercy application—he was classified as death imminent in June 2011, but ministerial briefings weren't prepared until mid-July, after his death on 20 July. The coroner emphasised that while delays were explained, they defeated the purpose of mercy provisions and highlighted the need for faster administrative processes in terminal cases.

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

Contributing factors

  • advanced inoperable pancreatic cancer
  • delayed progression to palliative care

Coroner's recommendations

  1. The Department of Corrective Services should review its practices relating to terminally ill prisoners to ensure that in cases where a prisoner's condition deteriorates so death is imminent there are no unnecessary delays in assessing the possibility of early release under Royal Prerogative of Mercy Provisions.
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