First Response Emergency Care (Level 4) (FREC®4)

This qualification builds on FREC®3 and focuses on advanced assessment, decision-making, and patient management in challenging and time-critical situations.

You’ll develop the confidence and competence to manage complex medical and traumatic emergencies, work effectively as part of a clinical team, and deliver high-quality care until patients can be handed over to ambulance or hospital services.

Candidates MUST have a valid and in-date Qualsafe FREC®3 or recognised and verifiable accepted equivalent and a log of consolidated CPD learning since completing their FREC®3

Prices from £600 (+VAT) (Per Learner)

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Terms and Conditions

Course Summary

Regulated Qualification
39 Guided Learning Hours (GLH) in class
5 days (usually delivered over weekends)
3 Year Qualification Expiry

About the Course

The Qualsafe Level 4 Certificate in First Response Emergency Care (RQF) is a regulated and nationally recognised pre-hospital care qualification that builds on the Level 3 FREC foundation, expanding both the theoretical knowledge and practical skills required to manage a wide range of emergency and urgent care situations in out-of-hospital environments. It is designed for individuals seeking to progress their careers within the NHS, private ambulance services, event medical provision, and specialist emergency response roles such as emergency care assistants, intermediate ambulance practitioners, associate practitioners, healthcare assistants, or those working in military, police or fire service contexts.

Delivered over a minimum of five taught days combined with guided self-directed study, the course equips learners with advanced competencies in patient assessment and physiological observations, airway management, ECG application and monitoring, trauma care, medical gas administration, management of paediatric and adult emergencies, and handling major incidents and mental health crises. It fulfils the Pre-Hospital Emergency Medicine (PHEM) skills framework at descriptor level E and includes a mix of practical assessments, written exams, and workbook assignments to ensure competence.

Successful completion provides a qualification that supports greater employment opportunities in pre-hospital care and can form part of a progressive learning pathway toward higher-level awards such as the Level 5 Diploma in First Response Emergency and Urgent Care or paramedic practice

Course Entry Requirements:

Learners are required to:

Be 18 years of age (or older)
Provide photographic identification
Hold a valid (in date) FREC®3 (or accepted alternative)
Provide evidence of 118 hours of contextualised learning / study / practice (i.e. CPD)

Whilst there are no other formal entry requirements, it is recommended that learners:

Attend our online induction with one of our center facilitators
Level 2 literacy (or equivalent)
Have access to a laptop / device for accessing additional SCTNI training material

Learners need to inform the Centre of any additional requirements the may have that could affect their learning, or participation on the course in any way. This can be confidentially before the course, or during any communication with the Center so you can be advised of and information of your options accordingly.

Qualification Progression

Learners are able to progress on to other pre-hospital care qualifications (depending on your requirement)

You have the options of progressing on to

Qualsafe Level 5 First Response Emergency & Urgent Care (FREuC®5)
FutureQuals Diploma in Emergency and Urgent Ambulance Care Support (ECA)
FutureQuals Associate Ambulance Practitioner (AAP)