IMT Medical Training Centre

Shaping the next generation of healthcare providers.

QA Level 4 Certificate in

First Response Emergency Care (FREC4) (RQF)

Intended Audience:

The Qualsafe Level 4 Certificate in First Response Emergency Care (RQF) is a regulated and nationally recognised pre-hospital care qualification specifically designed for those looking to progress their career within the NHS or private ambulance services as an emergency care assistant, intermediate ambulance practitioner, event medical provider, associate practitioner or healthcare assistant.

It is also ideal for those who are looking to work within specialist roles in the military, police and fire services.


Fulfilling the competencies set out in the PHEM skills framework at descriptor level E, this qualification provides learners with the knowledge, skills and competencies needed to be able to deal with a range of pre-hospital care emergencies, such as: major incidents, fracture immobilisation, sick and injured children, mental health issues and more.

Entry Requirements:

Learners must be at least 18 years old on the first day of the training and be able to perform practical tasks at floor level.

Learners must hold a valid (in date) Qualsafe Level 3 Award in First Response Emergency Care (RQF) or a valid (in date) Qualsafe First Response Emergency Care (Level 3 RQF) qualification or a QA recognised equivalent and provide continuing professional development (CPD) profile containing evidence of 118hrs study and/or contextualised practice before they can begin the Qualsafe Level 4 Certificate in First Response Emergency Care (RQF) qualification.

There are no other formal entry requirements but to benefit from the learning we advise that leaners have a minimum of Level 2 in literacy or equivalent.

Course Duration

5 Days face to face delivery divided across 6 weeks.

Time between the face to face delivery is for learners to complete their workbooks and allow for study time.



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