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.
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.
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
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
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.

Frequently asked questions
Can't see your question? Call 01823 214134 or email info@apex-mr.co.uk.
Do I need FREC 3 first?
Does FREC 4 expire?
Is there pre-course work?
Can you run a course for our organisation?
How do I book?
Ready to book?
Book a place online, or talk to us about private group training at your venue or our Taunton centre.
