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Immediate Response Emergency Care (Level 4) (IREC®4)

The FutureQuals Level 4 Certificate in Intermediate Response Emergency Care (IREC®4) is a regulated and nationally recognised qualification designed for individuals who operate in demanding emergency response roles where enhanced assessment, decision-making, and patient care skills are required prior to, or alongside, ambulance service attendance. 

The course develops advanced competencies in patient assessment and triage, the management of complex medical and traumatic emergencies, and effective response to major or multi-casualty incidents. Delivered through a blend of classroom learning, practical skills sessions, and realistic scenario-based training, IREC®4 strengthens situational awareness, dynamic risk assessment, and professional judgement in high-pressure environments. 

It is particularly suited to experienced responders such as emergency response drivers, event and security medics, and operational personnel, and aligns with recognised pre-hospital care frameworks to support safe, effective, and confident emergency care delivery.

£ 0.00 £ 0.00

Awarded by:

  •  Regulated Qualification
  •  37 Guided Learning Hours (GLH)
  •  xx
  •  Remains valid with ongoing CPD


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About the Course

The FutureQuals Level 4 Certificate in Intermediate Response Emergency Care (IREC®4) is a regulated and nationally recognised qualification designed for individuals operating in demanding emergency response roles where enhanced assessment, clinical decision-making, and patient care skills are required prior to, or alongside, ambulance service attendance. The course develops advanced competencies in patient assessment and triage, management of complex medical and traumatic emergencies, and effective response to major or multi-casualty incidents.

Delivered through a blend of classroom-based teaching, hands-on practical skills sessions, and realistic scenario-led training, IREC®4 builds situational awareness, dynamic risk assessment, and professional judgement in high-pressure environments. The qualification is comparable in level, scope, and complexity to the Qualsafe Level 4 Certificate in First Response Emergency Care (FREC®4), making it a suitable alternative pathway for learners seeking a FutureQuals regulated route into intermediate level pre-hospital care. 

It is ideally suited to experienced responders, including emergency response drivers, event and security medics, and other operational personnel who require a comprehensive Level 4 emergency care qualification aligned with recognised pre-hospital care frameworks.

Course Entry Requirements:

Learners are required to:

  • Be 18 years of age (or older)
  • Provide acceptable photographic ID to verify your identity
  • Hold a current (in date) IREC®3 (or accepted recognised equivalent)

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

  • Attend our online induction with one of our center facilitators
  • Have a good grasp of the English language (reading / speaking)
  • Have minimum core skills in literacy and ICT
  • 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 

  • FutureQuals Associate Ambulance Practitioner (AAP)