First Response Emergency Care (FREC)

-Level 4-

The FREC qualification is a regulated and nationally recognised prehospital care ‘Intermediate’ qualification fulfils the competencies set out in the Pre-hospital Emergency Medicine (PHEM) skills framework at descriptor level E.

The QA Level 4 Certificate in First Response Emergency Care (QCF) qualification is specifically designed for those who have a ground level of knowledge and are seeking to further their career in the emergency services, ambulance services, the event medical sector or for those who work in high risk workplaces.

Successful Learners will gain the knowledge, skills and competencies needed to be able to deal with a wide range of prehospital care emergencies, such as: major incidents, fracture immobilisation, sick and injured children, mental health problems and more.

Our team of ex-NHS Ambulance tutors and assessors offer extensive practical, clinical and educational experience, ensuring professional delivery, mentor support and guided learning throughout your course.

Awarding Body: QUALSAFE
Award Type: Regulated
Level: 4
Credits: 16
Classroom Phase: 1 week / 5 days
Group size: 6
Cost from: £3000.00 + VAT

Course Breakdown

Contact learning hours: 35 (classroom)
Self-directed study: 125 hours

Minimum time to complete the award: 3 weeks
Maximum time to complete the award: 12 months


5 x Practical assessments
5 x Skills tests and continuous formative assessment conducted throughout the course
3 x Learner workbooks

Course Syllabus

Assisting the Paramedic | Cardiovascular Emergencies | CBRNE Incidents | Emergency Trauma Care | Focused History Taking Immediate Life SupportIntermediate Airway Management | Major Incidents | Management of Childhood Illness | Major Illness Medical Gases | Mental Health | Musculoskeletal System | Nervous System | Paediatric Emergencies
Patient Assessment | Resuscitation | Thoracic Trauma | Triage | Vascular Access | Patient observations

QA Level 4 Certificate in First Response Emergency Care (QCF)


Learners must be at least 18 years old on the first day of the training and have successfully completed the QA Level 3 Certificate in First Response Emergency Care qualification or a Qualsafe Awards recognised equivalent before you can begin this course.

Payments can be made via bank transfer or on receipt of an electronic invoice. For those making payments by instalment, this will be provided by our payment partner – GoCardless. There is a 1.5% transaction fee for credit card payments.

Deposit: 25% of the course fee (payable at the time of booking)
Balance:75% of the course fee (payable prior to attending the course)

Yes we offer ELCAS funding our ELCAS number is: 4187

Please wear appropriate clothing.

You may be required to participate in casualty simulation scenarios involving simulation blood.

Yes you can, if you are a qualified CMT1 you may claim APL with direct access to Level 4

Yes you will be provided with a copy of: Generic Core Material – Prehospital Emergency Care Course by Faculty of Prehospital Care, Royal College of Surgeons of Edinburgh for use throughout the course. Should you wish to purchase your own copy, these can be purchased for £33.00 each.

It is advised that you review additional resources including the following text:

  • Anatomy and Physiology in Health and Illness, 11th edition by Ross and Wilson
  • Ambulance Care Essentials, 1st edition by Richard Pilbury and Kris Lethbridge

Completion of the level 4 course allows progressions onto the Level 5 First Response Emergency & Urgent Care course. Please ask your tutor for details.

The qualfication will remain valid as long as you maintain a CPD portfolio and hold a valid Immediate Life Support qualification.

Yes if you are a qualified ECSW with the NHS and still working for them you can APL direct to Level 4

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