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A NSW coroner says an Aboriginal woman who died in custody in 2016 would have survived if police had called an ambulance and not breached their own policies.

Mother-of-four Rebecca Lyn Maher, 36, was found dead in her holding cell in Maitland in July 2016.

CCTV footage showed she slumped forward repeatedly with her arms hanging down, appearing unable to hold herself up, before she lay down on her side and didn't move again. She was found about five hours later.

Acting state coroner Teresa O'Sullivan said on Friday she accepted counsel assisting's submission that "the criteria for calling an ambulance was satisfied when it was clear that Rebecca was stumbling and incoherent".

"If that had occurred, expert evidence suggests that Rebecca would have survived," she said.

She said it was dangerous and inappropriate for police to think an intoxicated person could just "sleep it off".

Her state was such that she should have been taken immediately to hospital, Ms O'Sullivan said.

An autopsy revealed the Wiradjuri woman died from mixed drug toxicity after taking a combination of alprazolam and other benzodiazepines, methadone and an antidepressant, which led to respiratory failure.

Ms Maher hadn't been drinking. Two chemist pill bottles were found in one leg of her pants after she died.

She was never searched and only asked to turn out her pockets.

In delivering her findings in Lidcombe, Sydney, with Ms Maher's family watching via video link from Newcastle, the coroner recommended police make all reasonable efforts to find a "responsible person" to take care of an intoxicated person.

Information was also incorrectly passed on that Ms Maher was HIV positive when she was in fact HIV negative. She also had antibodies to hepatitis C.

The inquest heard she wasn't searched or physically examined because officers feared contracting the viruses.

Ms O'Sullivan recommended to the NSW police commissioner that the force consider improving its training to provide clear information regarding infectious diseases and risks, and circumstances that call for searching intoxicated people.

She also pushed for more education for custody managers.

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