Level 4 First Response Emergency Care

QUALSAFE · LEVEL 4 · 5 DAYS

Level 4 First Response Emergency Care

The next step after FREC 3. A regulated Level 4 certificate giving a wider scope of practice for ambulance, event medical, military, police and fire roles.

PHEM framework descriptor level E
For NHS and private ambulance roles
Ofqual regulated, Qualsafe Awards
Max 6 learners per course
LevelLevel 4 Certificate (RQF)
Duration5 days
Class sizeMax 6 learners
Awarding bodyQualsafe Awards
LocationApex training centre, Taunton
Certificate validityFor life, with CPD and yearly ILS

The course

What is FREC 4?

A nationally recognised pre-hospital qualification for people progressing in NHS or private ambulance services – emergency care assistants, intermediate ambulance practitioners, event medics, associate practitioners and healthcare assistants – and specialist military, police and fire roles.

It meets the PHEM skills framework competencies at descriptor level E.

What is FREC 4?

Eligibility

Entry requirements

You must be 18 or over on day one and hold FREC 3, or meet a prior learning category:

  • Level 4 (Extended) Certificate for First Person on Scene
  • Level 3 Diploma in Ambulance Emergency & Urgent Care Support
  • NHS ECA or ECSW with 12 months' experience
  • Army CMT 1, RAF Medic or Royal Navy/Marine Medical Assistant
Entry requirements

Training a team? We can run this course privately at your venue or ours.

Syllabus

What's covered

A wider scope of practice for pre-hospital emergencies, including:

  • Patient assessment, observations and ECG monitoring
  • Airway management including supraglottic airways
  • Thoracic trauma, kinetics, triage and immobilisation
  • Sepsis, respiratory, maternity and the sick or injured child
  • Major incidents and mental health crisis
What's covered

Stay current

Revalidation and progression

FREC 4 stays valid with CPD and a yearly Immediate Life Support update. From here you can add the SALM award.

Revalidation and progression

Frequently asked questions

Can't see your question? Call 01823 214134 or email info@apex-mr.co.uk.

Do I need FREC 3 first?
Usually. Alternatively you can meet one of the listed prior learning categories, such as NHS ECA/ECSW with 12 months' experience or an Army CMT 1, RAF or Royal Navy/Marine medic.
Does FREC 4 expire?
It remains valid as long as you keep CPD records and complete a yearly ILS update.
Is there pre-course work?
Yes – please work through the FREC 4 pre-learning before the course starts.
Can you run a course for our organisation?
Yes. We can quote for a closed group course at our Taunton training centre or at your site – use the group booking enquiry or contact us.
How do I book?
Pick a date in the Dates & booking section below and book online. For anything else, call 01823 214134 or email info@apex-mr.co.uk.

Ready to book?

Book a place online, or talk to us about private group training at your venue or our Taunton centre.