A coroner hears that a woman drowned after becoming stuck headfirst in sea defence rocks in view of her daughter, with help arriving later than expected. The inquest includes evidence about how emergency calls are handled, including a system used to prioritise incidents. The coroner describes that system as “rather clunky” and says it may have contributed to a “muddled response,” according to the reports. The hearing focuses on whether the risks posed by the tide were properly understood and relayed during the emergency call. Multiple accounts state that a 999 call handler did not recognise that the tide was rising, which affected how the situation was treated and how quickly responders were able to act. The inquest examines the sequence of events, including the timing of the call, the information available to the call handler, and the coordination of assistance once the emergency was reported. The reports indicate the central issue under scrutiny is whether call-handling and prioritisation procedures allowed an accurate assessment of immediate danger in time to prevent the death.