
Paramedic w a passion for evidence based #paramedicine. Ambulance Duty Tactical Commander. Occasional tutor/lecturer. (All views mine)
United Kingdom
Joined July 2016
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- Following1.8K
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Tom Paddock retweeted
Defence Minister @LukePollard admits HMS Protector will not deploy to Antarctica for the 2026/27 season "due to unforeseen circumstances".
Protector was in refit since May (until towed to Devonport in mid October) and has previously has engine problems.
questions-statements.parliam…
Photo @Rockhoppas
Tom Paddock retweeted
Trafalgar Day is a moment to remember the @RoyalNavy’s greatest victory, and to pay tribute to the service and sacrifice of Lord Nelson’s sailors and marines.
As we honour their commitment and courage, 221 years on, I want to thank every member of today’s Royal Navy for theirs.
Tom Paddock retweeted
A tour-de-force in healthcare communication from @apsmunro
The contradiction of a healthcare campaign promoting illness recognition only to see it potentially make the problem worse....
alasdairmunro.substack.com/p…
Tom Paddock retweeted
Yesterday I gave a speech on the lessons of WWII and the Battle of the Atlantic
Churchill attached such significance to it because he understood something important: we are a maritime nation.
The sea is not peripheral to the UK - it is existential
gov.uk/government/speeches/b…
Tom Paddock retweeted
My latest paper on Paediatric Early Warning Systems
Paediatric Early Warning Systems: prediction without proof?
My central argument is PEWS have been evaluated as scores but implemented as systems.
#PEWS #earlywarning
authors.elsevier.com/a/1nk90… (open access for 60 days)
Tom Paddock retweeted
The iconic gantry cranes, Sampson and Goliath at @Navantia_UK Harland & Wolff shipyard in Belfast are being reactivated and will return to use for the first time in 2 decades, ready to assemble units of the Fleet Solid Support ships.
Goliath will be back online in September, with Sampson to follow shortly after. This is part of a £160M investment in the yard by Navantia.
Tom Paddock retweeted
After years of neglect as it had been earmarked for disposal, it has been decided the wardroom at HMS Nelson in Portsmouth will be retained and refurbished.
Tom Paddock retweeted
The first #RoyalNavy paramedics to graduate under a new partnership are ready to treat casualties with the @NHSuk across the UK.
Read more: royalnavy.mod.uk/news/2026/j…
Tom Paddock retweeted
🚨Thoughts on the Russian gunnery off the South Coast
➡️They are allowed✅
➡️Safety procedures (surface and air) were not in place❌
➡️Firing there is really hard work due to traffic, but only if you have☝️in place
➡️If not = risk😳
➡️Fired her 100mm cannon (which can ricochet for miles in random directions). See above.
➡️Advised HMS Tyne of the firing and asked her to keep clear👍
➡️V unusual to fire there but clearly part of a wider pattern (Grigorovich, dark fleet etc)
➡️➡️This is the real issue
➡️Nice of them to give Burnham a joining gun salute🫡
➡️But actually useful timing given change of PM, DefSec and Chancellor and the challenges they face re defence expenditure
Tom Paddock retweeted
Today the UK and Netherlands agreed to build a new generation of amphibious transport ships together, building on our historic 50-year partnership
These ships will be built in the UK and enable our @RoyalMarines to rapidly deploy and strike from the sea
gov.uk/government/news/new-u…
Tom Paddock retweeted
Latest news article:
HMS Scott finally goes back to sea on completion of life extension refit
navylookout.com/hms-scott-fi…
Tom Paddock retweeted
Today, the people of the Falkland Islands commemorate Landing Day.
Marking the date when British forces landed at San Carlos Water, East Falkland - we remember all those who served and all those who made the ultimate sacrifice.
From the Sea, Freedom 🇫🇰🇬🇧
#Falklands44
Tom Paddock retweeted
A SECRET Admiralty Board analysis of the state of the Royal Navy in 1989 ('success in maintaining DD/FF levels at about 50... bodes well for the future')
Tom Paddock retweeted
The 🇳🇿New Zealand Defence Minister officially confirmed yesterday that the replacement for the Anzac-class frigates in the mid-2030s is a choice between the 🇯🇵Japanese Mogami-class or the 🇬🇧British Type 31 frigate.
navylookout.com/new-zealands…
Tom Paddock retweeted
Replying to @Jenny_1884 @Robwales01
Worked in the head office of a care home company years ago. So far as I could tell, the private rates were so high because they subsidised the local authority funded places which were only paid at what was break even or a loss but the local authorities set the rates.
Also staffing costs were high because it was hard to recruit permanent staff (carers and nurses) in many parts of the country, and so there was a heavy reliance on agency bank staff which was significantly more expensive.
Tom Paddock retweeted
🚑 We’ve launched a new co‑responding pilot in Norfolk with @stjohnambulance.
Clinically trained volunteers will respond to 999 calls, providing early assessment and life‑saving care before ambulance crews arrive. The pilot begins today.
📸 Photo credit: Jordan Mather
Tom Paddock retweeted
I was on a train with the kids last week and a fellow parent sitting nearby checked with me that none of them were allergic to nuts before opening a snack bag for her own toddler. None of my kids are, but this is the sort of simple awareness and consideration that society needs.
Tom Paddock retweeted
Latest article - a historical perspective:
Forty years of Royal Navy mine warfare in the Gulf
navylookout.com/forty-years-…
Tom Paddock retweeted
1. So during my time I have managed maintenance packages on RN warships, trials packages, done deployments and arranged my Department, WE, to be ready to go at short notice on Ops.
So in no particular order, why deployment preps take a while.
Tom Paddock retweeted
A challenging read on the state of the modern Royal Navy. There are no RN ships in the Med, and only 2 OPV's and an SSN 'east of Suez'.
OSINT indicates only three escort ships have been to sea in the last 3 weeks. 3 of the 5 SSN's have not been to sea for over 1000 days.
The reality of 'NATO first' pivot is that the focus of the RN is on events close to home, and that the global presence previously central to RN operations is no longer the priority.
Latest news commentary:
Middle East in flames – where is the Royal Navy?
navylookout.com/middle-east-…






























