The people trying to save Saffron Cole-Nottage were told to stop by the emergency services they had called for help. That is not a characterisation. That is what the inquest heard.

Saffron, 32, a mother of six from Lowestoft in Suffolk, was walking her dog with her daughter along the seafront when she fell and became trapped headfirst between sea defence rocks. The tide was moving in. Members of the public immediately began trying to pull her free by her legs. By their own account, they were at it for around ten minutes.

The Call That Changed Everything

When a 999 call was made at 7.52pm, the handler, Mr Joy, instructed the caller to tell those at the scene not to attempt a rescue and not to move her. His exact words, as heard at the inquest, were: "Stay on the line, I'll tell you what to do. Wait for the ambulance crew to arrive."

The people who had been pulling at Saffron's legs stopped. They followed the instruction. The handler's belief, based on the information he had processed through his required script, was that her life was not in immediate danger.

The fire service was not mobilised until 8.10pm, eighteen minutes after that first call. The delay was attributed to the controller's computer programme, which required a specific sequence of questions to be answered before the handler could get a full overview of what was happening. The incident was only re-categorised as a potential drowning after the caller reported that Saffron's head was going under the water.

What the Coroner Called It

This is the detail the inquest produced that reframes everything else. The presiding coroner did not describe the 999 response as simply slow or inadequate. The coroner used the word "straightjacketed" to describe what the script had done to the call handler, and called the resulting rescue advice "muddled." That single word, from the person tasked with establishing the facts of Saffron's death, is the clearest official summary of what went wrong. A system so rigid that the person operating it could not deviate to match what was actually happening on those rocks.

The call handler's own team leader later said the advice not to move Saffron was "not something I would have done had it been my call" and that it should always come with the caveat "unless it is safe to do so."

What Was Left Behind

The fire service arrived at 8.22pm. Saffron Cole-Nottage was pronounced dead at the scene. A paramedic who responded described the operation as "disjointed" between agencies, and said responders had effectively "winged it" on arrival.

Saffron had been walking with her daughter when she fell. Her partner, Michael Wheeler, has since raised concerns about the safety of the promenade and has stated that he does not want any other family to go through what his children have experienced.

The inquest into Saffron Cole-Nottage's death is due to conclude on 15 May 2025.