Natalie Twomey
Introduction
Natalie Twomey is a former paramedic who was registered with the Health and Care Professions Council (HCPC) and worked for the London Ambulance Service (LAS). In December 2025 a panel of the HCPC’s Conduct and Competence Committee struck her off the register after finding her fitness to practise impaired by misconduct and by a criminal conviction, closing a case built on a two-year pattern of lies to her employer, her regulator and a court .
Background Information
Twomey worked on the front line as a paramedic, one of the most trusted roles in the NHS, responsible for emergency patient care. Her fitness to practise case eventually covered events from November 2022 to September 2024, spanning her employment with the London Ambulance Service and her dealings with the HCPC that regulated her registration. She had no previous regulatory findings against her — the only mitigating factor her panel identified, and one it said carried very little weight .
The Controversy or Incident That Led to Their Cancellation
Struck off after a hearing she did not attend. A Conduct and Competence Committee panel found her fitness to practise impaired by misconduct and conviction and directed that her name be struck from the register on 17 December 2025.
The allegations began with a sick day. On 28 November 2022 Twomey emailed her employer stating, “I’ve had to phone in sick my sister has deteriorated again and had to drive back to Norfolk to be with her.” The HCPC alleged she knew her sister was not sick. Months later, at a capability hearing on 5 April 2023, she is said to have blamed her late-2022 absences on her sister being in intensive care — again, allegedly knowing this was false .
Matters escalated in mid-2023. On 21 June 2023 she allegedly attended work smelling of alcohol and was removed from front-line duties, and practice restrictions were placed on her by LAS that day. When she renewed her HCPC registration days later, on 26 June 2023, she is alleged to have failed to disclose those restrictions. On 3 July 2023 she emailed LAS’s recruitment department about a possible secondment, describing herself as being on non-patient-facing duties “due to a back and knee injury” — the allegation being that she knew the real reason was the alcohol incident. And on 2 August 2023, asked which shifts she had worked, she emailed a detailed roster that allegedly included days she had not worked at all .
The case acquired a criminal dimension on 19 April 2024, when she was convicted at Ipswich Magistrates’ Court of driving a motor vehicle above the prescribed limit, contrary to section 5(1) of the Road Traffic Act 1988, and was disqualified from holding or obtaining a driving licence. The panel found this particular proved as the statutory ground of conviction. Between July and September 2024 she is also alleged to have refused to provide the HCPC with information about her current employment when asked .
Public Reaction and Consequences
The final hearing ran from 8 to 17 December 2025. Twomey did not attend, having written that she would be “unable to attend the hearing dates due to work”; the panel proceeded in her absence. In its sanction analysis the panel described her behaviour as “serious, persistent and deliberate,” involving dishonesty and a criminal conviction, and concluded that a striking-off order was the only sanction that would provide a sufficient measure of public protection. It noted the order might have a significant negative impact on her but found the alternative sanctions inadequate .
Current Status
Twomey was struck off the HCPC register with effect from 17 December 2025. She is free to appeal the decision, but unless a successful appeal reverses it she cannot work as a paramedic in the UK, and her removal is recorded on the public register . No criminal matters beyond the 2024 conviction were reported in the determination, and there is no indication of any further professional role in healthcare.
Impact on Their Career/Life
A paramedic career built on emergency care ended not with a single catastrophic clinical error but with an accumulation of lies: a fabricated family emergency, a false ICU story at a capability hearing, an undeclared alcohol-related removal from front-line duties, a fake injury excuse, and false shift records. The panel’s finding that the dishonesty was persistent and deliberate, capped by a drink-driving conviction, made the case unremediable in its eyes. For patients, the case underlines why regulators treat honesty as the foundation of registration — a paramedic’s accounts of her own conduct sit at the heart of public trust in ambulance services .