Pre-Hospital Care Qualifications

Qualsafe First Response Emergency Care Level 4 (FREC 4)


The QA Level 4 Certificate in First Response Emergency Care (FREC 4) (RQF) is an accredited, regulated and quality assured training course that is recognised throughout the UK. It is the second step within the FREC pathway and is accepted by the private ambulance and event medical sector as an entry to mid-level qualification that can qualify you to work as an Emergency Care Assistant (ECA) whilst progressing towards FREC 5.
It is also one of few qualifications that is recognised by the Security Industry Authority (SIA) for licensing higher-level Close Protection Officers (CPOs) and others within executive protection, maritime and security roles.


5 day course

Remains valid with CPD

Minimum age 18

Qualsafe accredited

Ambulance service recognised

Who is it for?

FREC 3 qualified individuals working within the private ambulance, healthcare and/or event medical sector who wish to progress along the FREC pathway into higher paying, more autonomous and advanced roles.

Close Protection Officers (CPOs) and others working within executive protection, maritime or security roles who are currently FREC 3 qualified but wish to upskill and improve their career prospects.

Individuals working within high risk, remote or first responder type roles who are currently FREC 3 qualified but need a medical care qualification that is more advanced. Some examples include: Community First Responders (CFRs), overseas journalists, offshore workers, TV, film and cabin crews, Police and Fire Service, Au Pairs, aid workers and expedition leaders.

What will I be taught?

Roles and responsibilities

Medical emergencies

Airway management

AED usage

Emergency oxygen

Catastrophic bleeding

Poisoning and intoxication

Helmet removal

Environmental exposure

Minor injuries

Anatomy and physiology

Patient assessment

Adult, child and infant CPR

ROSC procedures

Traumatic injuries


Internal and external bleeding


Burns and scalds

Incident reporting

How will I be assessed?

Practical assessments
Multiple choice theory exams
Skills tests and continuous assessment
Upon successful completion of this course, you will receive a QA Level 4 Certificate in First Response Emergency Care (RQF). This qualification is valid as long as the awardee maintains a Continuing Professional Development (CPD) portfolio and attends annual refresher training. It is part of a progressive suite of pre-hospital care qualifications that lead to the QA Level 5 Diploma in First Response Emergency and Urgent Care (RQF).
Some possible routes of progression are:
QA Level 5 Diploma in First Response Emergency and Urgent Care (RQF).

Got questions?
Well, we’ve got answers

No. Sadly not. Due to the way this course is accredited, we are unable to offer this online or distance learning.

Yes. This course is recognised by the SIA for licensing purposes.

All training materials such as stationary, notebooks, textbooks, hand-outs and aides are all provided upon your arrival. In terms of attire, please wear comfortable clothing, practical footwear and limit the wearing of excessive jewellery.

Water, tea, coffee and biscuits are provided for each student; however, we are unable to provide lunch and so you will need to make your own lunch arrangements. We do have a kitchenette on site that contains a fridge, kettle, microwave and sink that can be used as well as local amenities that are within a five minute walk.

If you are unsuccessful in passing one of your assessments you will, in the first instance, be provided with detailed feedback from your assessor as to why the relevant assessment criteria were not met on this occasion. You will then receive a support plan with actionable steps to be taken that will enable you to prepare for a reassessment at a later date. Your reassessment date will depend on the specific qualification you are undertaking and so will be discussed on a case-by-case basis.

If you wish to cancel your place on our FREC course within 3 weeks of the start date, then please note that you will be unable to receive a refund due to our unlikely ability to be able to replace you prior to course commencement. If, however, you wish to swap with someone else then we will we be able to change the name on the booking for you.