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First Response Emergency Care (FREC) Level 4

5 Day Course


Course Only £720

Food and Accommodation available on request



Emergency Planning College, York

Upcoming Dates


Monday 24th - Friday 28th April (fully booked)

Wednesday 22nd - Sunday 26th November


By far the most comprehensive and well delivered medical training I have ever received. It was hands on and full on from the very start and what, at first, seemed like an impossibly large syllabus was broken down and taught with adroit accuracy and professionalism. It is very evident that the Frontier Risks courses are borne from the practical application of the skills covered in the training and actual in-the-field experience. We had top of the range training aids, and course facilities and the instructors were extremely knowledgeable and dynamic. It was obvious that they knew above and beyond what they were teaching so asking questions and seeking a deeper understanding of the ‘why’s’ as well as the ‘how’s’ was made easy. I really enjoyed the week and would happily repeat the course just for the experience and confidence gained. I feel much more comfortable in confronting medical emergencies in remote areas now. Thank you, Frontier Risks!


Waldo Etherington Chief Instructor for CAL Remote Area climbing and rigging specialist.


Course Overview

The FREC 4 qualification forms part of the QA Pre-Hospital Care Suite of qualifications, with learning outcomes based on the recommendations of:

  • Resuscitation Council (UK)

  • Skills for Health Assessment Principles

  • The Royal College of Surgeons of Edinburgh - Faculty of Pre-Hospital Care

You can view the entire course outline in the official QA Level 4 Certificate in
First Response Emergency Care (RQF) Qualification Specification


As the next step for those who have completed the QA Level 3 Certificate in First Response Emergency Care (RQF), this qualification provides Learners with a wider scope of practice in Prehospital care emergencies, allowing for greater employment opportunities. 


The QA Level 4 Certificate in First Response Emergency Care (RQF) is a regulated and nationally recognised Prehospital care qualification specifically designed for those looking to progress their career within the NHS or private ambulance services as an emergency care assistant, intermediate ambulance practitioner, event medical provider, associate practitioner or healthcare assistant. It is also ideal for those who are looking to work within specialist roles in the military, police and fire services.

Fulfilling the competencies set out in the PHEM skills framework at descriptor level E, this fantastic qualification provides Learners with 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. 

Course Structure

This qualification contains 1 mandatory unit (split into 3 components) with a Total Qualification Time (TQT) of 180 hours

Learners must complete all assessments successfully within the registration period to achieve the qualification. The maximum period to achieve this qualification, including any referrals is 12 months. TQT is the total number of hours required for a Learner to achieve this qualification.


It has 2 elements:

• Guided Learning Hours (GLH) is the time a Learner is being taught and assessed under the immediate guidance of a Trainer/Assessor, which for this qualification is 39 GLH (minimum)

• The number of hours a Learner will reasonably be likely to spend in preparation and study, including assessment, as directed by, but not under the immediate guidance or supervision of a Trainer, e.g. pre-course reading, research, assignment completion, mentored practice/work experience, etc. which for this qualification is 141 hours


Each learner will be expected to complete and pass a Multiple-Choice Question paper in each unit and will be assessed practically in accordance with current prehospital care practice.

There are 3 x Practical assessments, 2 x Skills tests, 3 x Learner workbooks and 2 x Invigilated exams.


Once achieved this qualification is valid while the Learner maintains a CPD portfolio and has attended annual refresher training. Training should include the assessment and treatment of cardiorespiratory arrest and life-threatening injury/illness. This may include an Immediate Life Support qualification.

Note: Requalification requires successful completion of the original qualification.

Book Course

To book this course and any of our other courses available please click Book Now

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