Coronial
VIChospital

Finding into death of Rodney Charles Collins

Deceased

Rodney Charles Collins

Demographics

72y, male

Coroner

Coroner Phillip Byrne

Date of death

2018-05-10

Finding date

2019-01-07

Cause of death

Non small cell carcinoma of the lung

AI-generated summary

Rodney Charles Collins, a 72-year-old man serving a life sentence at Barwon Prison, died from non-small cell carcinoma of the lung at St Augustine's secure ward, St Vincent's Hospital. The death was expected due to natural causes. The coroner reviewed both custodial management through JARO and healthcare provision through Justice Health. Both reviews confirmed that custodial management met required standards and healthcare during his terminal illness was in accordance with the Justice Health Quality Framework 2014. No clinical errors or preventable factors were identified. This case highlights that deaths in custody require mandatory reporting and investigation regardless of whether they result from natural causes.

AI-generated summary — refer to original finding for legal purposes. Report an inaccuracy.

Full text

IN THE CORONERS COURT

OF VICTORIA AT MELBOURNE Court Reference: COR 2018 2196

FINDING INTO DEATH WITHOUT INQUEST Form 38 Rule 60(2) Section 67 of the Coroners Act 2008 Findings of: MR PHILLIP BYRNE, CORONER Deceased: RODNEY CHARLES COLLINS Date of birth: 30 AUGUST 1945 Date of death: 10 MAY 2018 Cause of death: I (a) NON SMALL CELL CARCINOMA OF

THE LUNG Place of death: ST AUGUSTINE’S SECURE WARD IN ST

VINCENT’S HOSPITAL

IN THE CORONERS COURT OF VICTORIA AT MELBOURNE

Court Reference: COR 2018 2196

FINDING INTO DEATH WITHOUT INQUEST

Form 38 Rule 60(2) Section 67 of the Coroners Act 2008

I, PHILLIP BYRNE, Coroner having investigated the death of RODNEY CHARLES COLLINS without holding an inquest:

find that the identity of the deceased was RODNEY CHARLES COLLINS

bor on 30 August 1945

and the death occurred on 10 May 2018

at St Augustine’s secure ward at St Vincent’s Hospital

from:

I(a) NON SMALL CELL CARCINOMA OF THE LUNG

Pursuant to section 67(1) of the Coroners Act 2008 I make findings with respect to the following

circumstances:

Rodney Charles Collins, 72 years of age at the time of his death, died at St Augustine’s secure ward at St Vincent’s Hospital having been transferred from Barwon Prison where he

was serving a life sentence.

Although it was clear Mr Collins’s death was expected and due to natural causes, it was

“reportable” under the Coroners Act 2008 as he was in custody at the time of his death.

Consequently, Mr Collins’s death was reported to the coroner. Having considered the circumstances and having conferred with a forensic pathologist, I directed an external only

post mortem examination.

The directed post mortem examination was undertaken by Forensic Pathologist Dr Joanna Glengarry of the Victorian Institute of Forensic Medicine (VIFM). Dr Glengarry advised that Mr Collins’s death was due to:

J (a) non small cell carcinoma of the lung.

Jam entirely satisfied Mr Collins’s death was due to natural causes.

  1. Following established protocols, I left my investigation in abeyance to enable the Justice

Assurance and Review Office (JARO) to undertake its review of the death in custody.

  1. Ihave received the JARO report accompanied by a review report by Justice Health. By way of explanation, the JARO review relates to the correctional management of Mr Collins whereas the Justice Health review examines the health care provided to Mr Collins while he

was in custody.

  1. Having examined each report, I am satisfied that:

a) the custodial management of Mr Collins met the required standards prescribed by

Corrections Victoria; and

b) the health care provided to Mr Collins, particularly during his terminal illness, was in accordance with the Justice Health Quality Framework 2014.

  1. I have concluded no further investigation is warranted, and, as Mr Collins’s death was due

to natural causes, I finalise my investigation by way of this Finding Without Inquest.

FINDING

  1. I formally find Rodney Charles Collins died at St Augustine’s secure ward in St Vincent’s

Hospital on 10 May 2018 due to non small cell carcinoma of the lung.

  1. Pursuant to section 73 (1) (B) of the Coroners Act 2008 (Vic), I direct that this finding be

published on the Coroners Court of Victoria website.

  1. I direct that a copy of this finding be provided to the following: e Senior Next of Kin; e Ms Michelle Gavin, Director, Justice Assurance and Review Office; e Ms Donna Filippich, Legal Counsel, St Vincent’s Hospital; and

‘irst Constable Thomas Mills, Reporting Officer.

PHILL(P BYRNE/, CQRONER

Date: 7 January 2019

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