The First Response Emergency Care or FREC suite of qualifications has been developed by the Awarding Body Qualsafe and clinically endorsed by the Royal College of Surgeons Edinburgh – Faculty of Pre-Hospital Care (FPHC).  FREC Level 4 is a progression from FREC 3.  To gain access to this qualification,  the First Response Emergency Care Level 3 is mandatory unless recognition of prior learning can be claimed.

This Level 4 FREC qualification meets the FPHC criteria for descriptor ‘E’ provider on the PHEM skills framework.  More details are here Level 4 Certificate in First Response Emergency Care (RQF) Qualification Specification

To achieve the qualification, there are three mandatory units  (total value of 15 credits). All assessments must be completed to claim this qualification.  There is a maximum period to achieve this qualification of 20 weeks.

What is FREC Level 4?

It is going to add more practical skills and underpinning knowledge to your level 3 and will be neccessary if you want to work within the NHS as a frontline ambulance Emergency Care Assistant (ECA). It is ideal where security personnel and others with a medical interest or specific responsibility can better prepare themselves for more high risk/remote environments.

 The course is made up of:

  • Pre-course reading (20 hours)
  • 5-day course (40hrs minimum)
  • Completion of 3 assessed workbooks (to be completed after the 5-day course and further study – 120 hours)

We will offer support after the qualification to enable the learner to complete the workbooks and this is included in the course fee.

Pre-course reading should be from the recommended texts, with focus on the following areas:

  • Patient assessment strategy
  • ‘Normal’ physiological parameters for children and adults
  • Patient assessment strategy
  • Oxygen/entonox administration guidelines
  • Anatomy physiology (respiratory, cardiovascular, nervous and digestive systems)
  • Spotting the sick child
  • Sepsis




The Royal College of Surgeons of Edinburgh – Faculty of Pre-Hospital Care


The qualification will remain valid as long as you maintain a CPD portfolio and hold a valid Immediate Life Support qualification.

Course Availability

Please Note:

This course is available to be delivered at the venue of your choice or on dates to suit you and your workforce.

Contact us to discuss your requirements.