‘I’m dying’: Indigenous man Joshua Kerr lay unconscious while Victorian prison guards waited for police, inquest finds

Coroner says death at Port Phillip prison was preventable and the result of a series of missed opportunities

For 16 minutes, an Indigenous man was left unconscious in his prison cell before dying in what his mother describes as a system lacking care and compassion for human life.

A series of missed opportunities culminated in the preventable death of 32-year-old Yorta Yorta and Gunaikurani man Joshua Kerr in August 2022, Victorian coroner David Ryan has found.