Coroner's Court of Western Australia

Inquest into the Death of Adrian Bernard Williams

Delivered on 22 July 2014 at Perth.

Finding of Coroner King.


The deceased was at the time of his death a sentenced prisoner who died in Royal Perth Hospital from pneumonia in the context of advanced metastatic cancer and chronic airways disease.

The deceased had a history of severe chronic obstructive airways disease, ischaemic heart disease, lunch and liver cancer and non-Hodgkin’s lymphoma. Prior to his death the deceased was receiving palliative chemotherapy on a three weekly basis and oxygen three to four times a day for emphysema.

The deceased was transported from Casuarina Prison Infirmary to Royal Perth Hospital where his condition deteriorated and the deceased died on 14 April 2013. The Coroner found that the deceased died of natural causes.

The Coroner was satisfied that the quality of the supervision, treatment and care of the deceased while in custody was appropriate.

Catch Words

Death in Custody : Natural Causes.

Last updated: 15 July 2022

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