A coroner has strongly condemned prison systems after it took 13 minutes to respond to a prisoner who collapsed and died in her cell at Auckland Regional Women's Prison.
Anna Selina Kingi, 41, died in her cell in 2008 from an undiagnosed heart condition.
At 9.33pm on November 21 Ms Kingi activated her cell alarm which was answered about three to four minutes later. The woman who responded asked Ms Kingi twice through the alarm intercom system what her emergency was, but received no response and cancelled the alarm without taking any further action.
Ms Kingi was then found unconscious in her cell about 10.55pm by a Corrections officer doing a routine check.
Her cell door was unlocked at 11.08pm and resuscitation attempts commenced. They were unsuccessful and she was pronounced dead at the scene.