Concerns raised 6 Delays of over a month in obtaining best evidence through video interview or otherwise View source Lack of formalised, guaranteed funding for long-term therapy and recovery provision View source Failure to extend long-term therapy and recovery provision to domestic abuse and child sexual abuse View source Lack of available DC capacity to progress rape and serious sexual assault complaints View source Failure of the railway bridge parapet to meet statutory obligations View source Delays in long-term therapy and recovery support after sexual violence View source See 3 more concerns
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AI-generated summary
Tamsin Ann Dolamore · Prevention of Future Deaths report
This summary was generated using AI from the published report. Please read the original report for the complete account.
Report summary
Tamsin Ann Dolamore died aged 24 after falling from a railway bridge onto railway lines on 8 January 2018; the inquest recorded an Open Conclusion and the medical cause of death as effects of multiple injuries. The substantive concerns included delays in appointing a Sexual Offence Liaison Officer, delays and gaps in mental-health and support services, and insufficient police resources causing delays in progressing rape and serious sexual assault complaints.
Read the report on judiciary.uk
× Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Police and Crime Commissioner for Devon and Cornwall; that does not assign responsibility.
PFD Monitor interpretation Delays of over a month in obtaining best evidence through video interview or otherwise
Wider context from the report “I was informed by ████████ that as of January this year, there were 600 open cases of rape or serious sexual assault. I was told additionally that there are over 20 vacancies for DCs to progress these complaints. One consequence was that it was taking over a month to achieve best evidence through video interview or otherwise .
████████ agreed that the lack of available DCs meant that both the quality and amount of work that could be done were affected.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Police and Crime Commissioner for Devon and Cornwall; that does not assign responsibility.
PFD Monitor interpretation Lack of formalised, guaranteed funding for long-term therapy and recovery provision
Wider context from the report “There are some steps being taken towards the provision of a more joined-up approach through a pენinsula sexual violence pathfinder [funded by NHSE] which brings together commissioners and services across Devon, Cornwall, Plymouth and Torbay to pilot new approaches to longer- term recovery support for those impacted by sexual violence. Locally, a joined- up service called Safer Futures [a partnership between First Light and Barnardos] has been commissioned by Safer Cornwall which includes Cornwall Council, the Integrated Care Board, NHSE and others.
I am concerned that the provision of long-term therapy and recovery for the survivors of rape and sexual violence, which should be extended to include domestic abuse and child sexual abuse, needs to be formalised and provided with a guaranteed level of funding . You may wish to consider if this should be on a statutory basis. No one should have to wait half a year for help after being assaulted.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Police and Crime Commissioner for Devon and Cornwall; that does not assign responsibility.
PFD Monitor interpretation Failure to extend long-term therapy and recovery provision to domestic abuse and child sexual abuse
Wider context from the report “There are some steps being taken towards the provision of a more joined-up approach through a pენinsula sexual violence pathfinder [funded by NHSE] which brings together commissioners and services across Devon, Cornwall, Plymouth and Torbay to pilot new approaches to longer- term recovery support for those impacted by sexual violence. Locally, a joined- up service called Safer Futures [a partnership between First Light and Barnardos] has been commissioned by Safer Cornwall which includes Cornwall Council, the Integrated Care Board, NHSE and others.
I am concerned that the provision of long-term therapy and recovery for the survivors of rape and sexual violence, which should be extended to include domestic abuse and child sexual abuse , needs to be formalised and provided with a guaranteed level of funding. You may wish to consider if this should be on a statutory basis. No one should have to wait half a year for help after being assaulted.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Police and Crime Commissioner for Devon and Cornwall; that does not assign responsibility.
PFD Monitor interpretation Lack of available DC capacity to progress rape and serious sexual assault complaints
Wider context from the report “I was informed by ████████ that as of January this year, there were 600 open cases of rape or serious sexual assault. I was told additionally that there are over 20 vacancies for DCs to progress these complaints . One consequence was that it was taking over a month to achieve best evidence through video interview or otherwise.
████████ agreed that the lack of available DCs meant that both the quality and amount of work that could be done were affected .
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Police and Crime Commissioner for Devon and Cornwall; that does not assign responsibility.
PFD Monitor interpretation Failure of the railway bridge parapet to meet statutory obligations
Wider context from the report “Tamsin fell approximately 21.5’ from Menacuddle Hill/North Street railway bridge in St Austell. During the course of the investigation, enquiries were made relating to the parapet at the bridge. Please find attached:
- Report of ████████ at Strange, Strange & Gardner, Consultant Engineers, dated 30/8/18. You will note his view that the parapet does not meet the obligations of the Railway Clause Consolidation Act 1845 ;
- Email from ████████ dated 14/12/18;
- Email from ████████ dated 24/5/19;
- Email from ████████, Cormac, dated 15/7/19.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Police and Crime Commissioner for Devon and Cornwall; that does not assign responsibility.
PFD Monitor interpretation Delays in long-term therapy and recovery support after sexual violence
Wider context from the report “There are some steps being taken towards the provision of a more joined-up approach through a pენinsula sexual violence pathfinder [funded by NHSE] which brings together commissioners and services across Devon, Cornwall, Plymouth and Torbay to pilot new approaches to longer- term recovery support for those impacted by sexual violence. Locally, a joined- up service called Safer Futures [a partnership between First Light and Barnardos] has been commissioned by Safer Cornwall which includes Cornwall Council, the Integrated Care Board, NHSE and others.
I am concerned that the provision of long-term therapy and recovery for the survivors of rape and sexual violence , which should be extended to include domestic abuse and child sexual abuse, needs to be formalised and provided with a guaranteed level of funding. You may wish to consider if this should be on a statutory basis. No one should have to wait half a year for help after being assaulted .
” Open source report
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations