First Response Emergency Care Level 4 RQF Prehospital Training (FREC4)

As the next step for those who have completed the QA Level 3 Certificate in First Response Emergency Care (RQF), this qualification provides delegates with a wider scope of practice in prehospital care emergencies, allowing for greater employment opportunities. It also forms part of a progressive suite of prehospital care qualifications that lead to the QA Level 6 Diploma in Paramedic Practice (RQF).

Suitable for: Individuals 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.

View Dates


The purpose of this qualification is to provide delegates with the ability to meet a ‘licence to practise’ requirement that allows them to act within their scope of practice to administer safe, prompt, effective prehospital care in situations which can arise when providing emergency and urgent treatment and/or management.


The objective of the qualification is to benefit delegates by enabling them to attain the knowledge and practical competencies needed to deal with a range of prehospital emergency and urgent situations. The qualification is designed to act as proof the delegate has undergone a programme of learning and assessment to demonstrate competency within the area of prehospital care to gain employment and a ‘licence to practise’ from an employer.

This QA qualification is:

  • For people who work as emergency care providers in various healthcare settings who would be expected to assess patients using a variety of methods including physiological measures and be able to act on their findings
  • Based on skill set E of the prehospital provider competencies Faculty of Prehospital Care RCS Ed framework
  • This qualification should give delegates an intermediate level of prehospital care knowledge and clinical practice to deal with a range of prehospital care situations

Fulfilling the competencies set out in the PHEM skills framework at descriptor level E, this fantastic qualification provides delegates with the knowledge and skills needed to be able to respond to a wide range of prehospital care emergencies, such as: major incidents, fracture immobilisation, sick and injured children, mental health crisis and more.

This qualification specification provides information for Centres about the delivery of the QA Level 4 Certificate in First Response Emergency Care (RQF) and includes the unit information, assessment methods and quality assurance arrangements.

**Please note: This course requires delegates to complete 3 Workbooks and revision time in preparation for invigilated exams.

Hard Copy Manuals provided only- PDF version not available.


You may also  like:

QA Level 3 Certificate in First Response Emergency Care (RQF)

Learning Outcomes

  • Be able to assess and manage injury and illness
  • Understand the structure and function of the heart including the cardiac conduction system
  • Understand pathological changes associated with heart disease
  • Know how to use electrocardiogram (ECG) monitoring on a patient
  • Be able to manage a patient’s airway
  • Know how to manage a patient using medical gases
  • Be able to administer medical gases in line with current practice

Delegates must be at least 18 years old on the first day of the training.

Delegates must have successfully completed the QA Level 3 Certificate in First Response Emergency Care (RQF) qualification or a QA recognised equivalent and provide continuing professional development (CPD) profile containing evidence of 100hrs study and/or contextualised practice** before they can begin the QA Level 4 Certificate in First Response Emergency Care (RQF) qualification. There are no other formal entry requirements but to benefit from the learning we advise that delegates have a minimum of Level 2 in literacy and numeracy or equivalent.


The QA Level 4 Certificate in First Response Emergency Care (RQF) qualification may be used towards other qualifications at the same and higher levels, plus aid career progression in a relevant profession.

Requalification Requirements

Once achieved this qualification is valid while the delegates 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.


**A record of study may include a variety of activities including reading journals, social media posts or news articles, preparing presentations, attending CPD sessions, work related training, researching and writing assignments and watching videos. The area of study should focus on the Learners area of practice, benefit patients and prepare Learners for studying the QA Level 4 Certificate in First Response Emergency Care (RQF) (L4 FREC).

The QA Level 4 Certificate in First Response Emergency Care (RQF) (L4 FREC) knowledge-based assessments include short answer questions and anatomy diagram completion. We recommend Learners undertake some study to familiarise themselves with how to structure a short answer, reference and revise human anatomy and physiology including medical terminology.

No events to show

Register your interest via


£660.00 (Including VAT)


9.00am- 5pm

Accredited by

4 Level Award