That the State Coroner:

(a) elaborate on the response to Recommendation 8 and why variation in the circumstances of death renders such a protocol inappropriate

(b) detail any specific procedures and practices that have been developed for the investigation of deaths in custody

(c) detail whether the procedures and practices developed are communicated to the families of deceased persons

(d) provide a report to the Aboriginal Justice Forum on (a)-(c).

That the Victorian Government continue to implement and monitor Recommendation 8 through any monitoring process established as a consequence of this Review.