Developing·Case the developing record
#DC-0091

LGH deaths review

Coronial scrutiny of death-certificate practices at Launceston General Hospital.

Investigation
last updated 26 July 2026 · 7 sources
Confirmed facts
16
Open questions
5
Deaths referred
29
Records reviewed
86
Charges
None
This case is still developing. Get an email when the file updates.
Timeline of what's confirmed16 entries
6 February 2024
Launceston General Hospital nurse and midwife Amanda Duncan told a House of Assembly inquiry that the hospital’s former executive director of medical services, Dr Peter Renshaw, allegedly falsified medical certificates of death; the allegation remains unproven.
ABC News
6 February 2024
Amanda Duncan told the inquiry she had received 11 reports from doctors and nurses alleging misconduct relating to a patient’s death, including allegedly falsified medical certificates of death.
ABC News
15 May 2024
Tasmania’s Department of Health said an independent panel had identified six Launceston General Hospital deaths it recommended be referred to the Tasmanian coroner.
ABC News
15 May 2024
Acting Health Department secretary Dale Webster said the six cases were originally assessed by a single staff member who was no longer employed by the department.
ABC News
21 May 2024
The independent panel said an additional 63 Launceston General Hospital deaths would be examined after it identified irregular practices involving medical certificates of cause of death.
ABC News
21 May 2024
The panel, led by Adjunct Professor Debora Picone, said it had observed a former Launceston General Hospital staff member completing or editing medical certificates of cause of death on multiple occasions.
ABC News
28 June 2024
The independent review found 29 Launceston General Hospital deaths, mostly between 2020 and 2022, would be referred to the coroner after the review of unreported deaths.
ABC News
28 June 2024
The review examined 86 medical records regarding deaths and found 28 had inaccurate documentation.
ABC News
28 June 2024
The review found an unnamed staff member engaged in a repeated pattern of acting outside the scope of Tasmanian law and did not have authority as an administrator to sign off death certificates.
ABC News
28 June 2024
The review stated that referral to the coroner was for transparency and independent scrutiny, and that no automatic inference should be drawn that anything suspicious or untoward occurred in the deaths or causes of death.
ABC News
25 September 2024
Tasmania’s Health Department said it would appoint a senior doctor to conduct spot audits of death certificates from before 2019 across the Tasmanian Health Service.
ABC News
11 January 2025
Tasmania Police said, after a review and advice from the Director of Public Prosecutions, there was insufficient evidence to proceed with criminal charges over the death-certificate allegations.
ABC News
11 January 2025
Dr Peter Renshaw said he had always maintained that all death certificates issued by him or on his advice at Launceston General Hospital were clinically appropriate and compliant with relevant requirements.
ABC News
22 July 2026
At a case management conference concerning the death of Margaret Joyce Binns, one of the 29 referred deaths, Tasmania’s Department of Health argued the coroner did not have jurisdiction to investigate certificates or reopen cases.
ABC News
22 July 2026
Coroner Leigh Mackey questioned why the coroner’s court would not be able to comment on the issuing of a certificate in a relevant case, and the hearing was adjourned without another date set while a written jurisdiction decision is expected.
ABC News
22 July 2026
ABC News reported that Margaret Joyce Binns, 82, died after a fall in her kitchen in 2020 and was identified by the Reportable Deaths Review led by Debora Picone.
ABC News
Open questionsunconfirmed · not conclusions
Will the coroner find jurisdiction to consider the medical-certificate issue in the Margaret Joyce Binns matter?unconfirmed; written decision expected · unconfirmed
Will any of the 29 referred deaths proceed to inquest or in-chambers findings?unconfirmed; ABC reported an inquest was considered unlikely in the Binns matter · unconfirmed
What findings, if any, will the coroner make about Dr Peter Renshaw’s capacity to issue Medical Certificates for Cause of Death?unconfirmed; charges have not been filed and allegations are denied · unconfirmed
Have audits of pre-2019 death records found additional cases requiring referral since the latest ABC update?unconfirmed in trusted reporting reviewed · unconfirmed
What actions, if any, will the Integrity Commission or AHPRA take in relation to the review?unconfirmed in trusted reporting reviewed · unconfirmed
🔒
Members get the full evidence view

Source-by-source breakdown, contradictions log, and every update as it lands.

See membership