Tom Paddock

Paramedic w a passion for evidence based #paramedicine. Ambulance Duty Tactical Commander. Occasional tutor/lecturer. (All views mine)

[FalklandsinUK @FalklandsinUK]

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

[Sir Humphrey @pinstripedline]

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')

[Navy Lookout @NavyLookout]

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.

https://t.co/eV8QkWnu3c

[Lass in the hills 🏴󠁧󠁢󠁥󠁮󠁧󠁿 @vicksterwrites]

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 @ThomasJPaddock]

@TheLoneHeckler @TherealDaveGee @Jenny_1884 @cholatera People healthy enough to live in a hotel with someone to "help with the dressing, cleaning, laundry etc" usually don't live in residential care homes.

Residential Homes these days deliver the care that Nursing Homes delivered 10-15 years ago; complex and staff intensive.

[EEAST Ambulance Service @EastEnglandAmb]

🚑 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

[Simon Harris @SimonHarrisMBD]

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 @ThomasJPaddock]

@pooroldbird @JournalistJill @NHSuk @NHS A proper medical grade sterile services department; with the trained staff, equipment, audit, calibration, radiation safety, testing etc is really expensive.

For cheap items (eg: £7 laryngoscopes), unless volumes are very large, it's significantly cheaper to just bin & replace.

[Navy Lookout @NavyLookout]

Latest article - a historical perspective:

Forty years of Royal Navy mine warfare in the Gulf

https://t.co/mvvkI0sb6s

[Tom Paddock @ThomasJPaddock]

@Paulblake8A @gjb70 Half way between a B1 and an FF/DD; DNA2 CMS doesn't have right software for missile targeting, iirc.

Would need a 2 way data link, but probs smaller job than a mast redesign.

Would be interesting to see if how much spare topweight the B2 has, to be fair.

[Tom Paddock @ThomasJPaddock]

@Paulblake8A @gjb70 Lashing the weapons to them isn't really the constraint; the ships don't have the survivability, DC organisation, firefighting capability or enough people to operate in a high risk combat zone.

The radar & CMS are entirely incapable of providing targeting data to Sea Ceptor too.

[Gunbuster @Gunbust09696378]

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.

[Sir Humphrey @pinstripedline]

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.

[The BMJ @bmj_latest]

In 2024 NHS staff reported working unpaid overtime equivalent to at least 49 000 full time employees.

A BMJ data analysis finds this discretionary effort, which has long underpinned NHS delivery, is declining. What does this mean for workforce planning?
https://t.co/ueJNOd2WoT

[Luke Mordecai @Shr_Nottingham]

I’ve been an anaesthetist for 17 years

These are the 10 most important things I’ve learnt!

1️⃣ Just because you can, it doesn’t mean you should

2️⃣ There is such a thing as a silly question, but it’s always better to just ask anyway

3️⃣ Safety fast, don’t faff

[Tom Paddock @ThomasJPaddock]

@MentalHealthCop @gmpolice RCRP implementation fascinatingly heterogenous:

Some great models w comprehensive directory of services, agreed referral pathways & mature audit/joint oversight.

But sadly also some just booting anything vaguely health/MH/welfare/social/vulnerability to amb as a "health issue"

[Navy Lookout @NavyLookout]

Latest news article:

Wave-class tankers to resume naval support role under contractor operation

https://t.co/fcnqkupewt

[The Times and Sunday Times @thetimes]

Wales is fixing its ambulance service — by sending out fewer ambulances https://t.co/oDasF94bIX

[Historic Vids @historyinmemes]

Gibraltar had forgotten it was officially a city for 180 years. In 2022, it applied for city status and was initially denied—but researchers then discovered that Queen Victoria had already granted it city status nearly two centuries earlier.

[Alasdair MacLullich @A_MacLullich]

2 millenia & counting. Hippocrates knew #delirium was a medical emergency.

Why is it still so often missed, misdiagnosed, or undertreated?

What are the barriers?

What are the solutions?