First Response Emergency Care (FREC L4)

Please take your time to review each of the documents in the links below: 

Duration: 5 Days

£900 without Accommodation.

(The course price shown above excludes VAT. VAT is applied when the course is added to the basket) 




Onsite accommodation including breakfast can be reserved at a cost of £45 per night.  VAT is not applicable on the cost of accommodation.

For a full cost breakdown, please download our UK Course Price List. 

Payment for the cost of accommodation must be paid upon arrival and not prior to your course commencing.

If selected your room will be made available for you to access from 15:00 hrs the day before the course commences until 10:00 hrs on the final day of the course.


The Level 4 Certificate in First Response Emergency Care is for personnel who wish to work or hope to work as Emergency Care Assistant/Provider in the healthcare setting. It will provide an enhanced level of prehospital care knowledge and clinical practice, to deal with a wide range of medical situations.

This qualification is for people who have a specific responsibility at work, or in voluntary and community activities, to provide medical support and care to patients requiring emergency care/treatment. Personnel must hold the Level 3 Certificate in First Response Emergency Care or equivalent to enrol onto the course.  Learners must be at least 18 years old on the first day of the training.

The aim of the qualification is to enable Learners to attain the knowledge and practical competencies needed to deal with a range of prehospital emergency situations. The qualification comprises of 3 mandatory units with a total value of 15 credits. Each credit is equivalent to 10 hours of dedicated learning time.

Learning time consists of guided learning hours (GLH) and self-directed study. GLH are a measure of the contact time a typical Learner will require in direct guidance – from a Trainer – to complete their programme of learning successfully, which for this qualification should be a minimum of 35 hours over 5 days (excluding breaks). Sessions should be a minimum of 2 hours. Learners should be encouraged to do a minimum of 125 hours of self-directed study, which should include additional reading and applied practice. Learners must complete all assessments in the unit successfully to achieve the qualification. The maximum period to achieve this qualification is 20 weeks.


The content for this course is comprehensive and covers the following:

  • Patient assessment and physiological measures
  • Structure and function of the heart
  • Cardia conduction system
  • Pathological changes with heart disease
  • ECG monitoring
  • Airway management
  • Medical gases
  • Function and components of thoracic cavity
  • Assess and manage thoracic trauma
  • Musculoskeletal system
  • Nervous system
  • Mechanism of injury and kinetics
  • Trauma incident management
  • Sexual assault
  • Major incident response
  • Child development
  • Sick and injured children
  • Mental health problems
  • Advance airway management
  • Vascular access
  • Performing infusion


Students are required to successfully pass the following assessments:

  • 5 practical assessments
  • 5 skills tests
  • 3 learner workbooks and continuous formative assessments conducted throughout the course


All Learners must be at least 18 years old and must have successfully passed the Level 3 certificate in First Response Emergency Care (QCF) qualification or recognised equivalent.


Students who successfully complete this course will be issued a QA Level 4 Certificate in First Response Emergency Care (QCF) certificate from Qualsafe Awards, which is valid for 3 years.


This qualification may be used towards achieving other pre-hospital care qualifications, including the Level 5 Certificate in First Response Emergency Care (QCF).