The need for a paramedic is also questionable; the amount of ground training dedicated to maintaining these skills versus the benefit to the punters in the back of an a/c is debatable. An enhanced medical qualification for sure, but paramedic?
Agree 100% Norfolk before HCPC registration we had a high level of Paramedical Training for RAF & RN Winchmen but it was focused on the role and not on how to be an Ambulance Paramedic. With the advent of HCPC registration no body in the Military stood up against being driven down a pointless and burdensome route; neither did the Rig Medic fraternity.
It seems that it is only the UK that is insisting on this level because the requirements authors copied what the military were doing without looking at broader aspects of the job and how it is done worldwide.