FREC4 First Response Emergency Care Level 4 Training
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Qualsafe Level 4 First Response Emergency Care Certificate (RQF) FREC4
Duration: 5 days
Certificate: Qualsafe RQF Lvl 4
Location: Ellesmere Port
Phone: 0151 343 0588
From £540 + VAT pp
Course Overview
Take your pre-hospital skills further with the Qualsafe QA Level 4 Certificate in First Response Emergency Care (RQF). This advanced program builds on FREC3 competencies and empowers learners to manage more complex medical and trauma emergencies in high-risk, remote or specialised environments.
Over 5 days plus guided contextual learning, you’ll deepen your clinical reasoning, learn ECG interpretation, advanced airway support, major trauma, paediatrics, mental health and more. On successful completion, you’ll earn a full QA Level 4 FREC4 certificate, and maintain it through CPD and annual ILS refreshers.
Who is this course for?
This is ideal for those ready to move beyond basic first response care:
Holders of FREC3 / equivalent qualification seeking advancement
Ambulance staff, event medics, EMS assistant roles
Fire, security, military, police or medical support personnel working in high-stakes settings
Individuals aiming to climb clinical or paramedic pathways
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More Information
Learners completing FREC4 will be able to:
Conduct comprehensive patient assessments and interpret vital signs & ECG data
Manage advanced airway support (supraglottic devices) and medical gas therapy
Recognise & treat major trauma, sepsis, respiratory failure, childbirth and paediatric emergencies
Lead in multi-casualty or mass-incident settings and coordinate care handovers
Sustain a CPD portfolio, maintain ILS standards and integrate into advanced care teams
Over a 5 day period, learners will develop the skills and knowledge needed to deal with a range of prehospital emergency care situations.
You will learn the following:
Legal, clinical governance & responsibilities
Human anatomy, physiology & pathophysiology
Advanced patient assessment & monitoring (ECG, vital signs, observations)
Airway management & ventilation, including supraglottic airways
Medical gases & pharmacology support
Trauma & major incidents: thoracic, spinal, limb injuries, burns, shock
Medical emergencies: sepsis, cardiac arrest, respiratory disease, obstetrics, paediatrics
Mental health crisis & psychosocial aspects
Scenario simulations, practice stations & coached feedback
Formal assessments including written exams, practical skills & post-course workbooks
Full instructor-led training aligned with Qualsafe Level 4 standards
Learner registration and FREC4 e-certificate on successful completion
Learning materials: handbook, quick-reference guides, ECG reference sheets, templates
Training equipment: manikins, ECG machines, gas delivery systems, trauma kits, CPR & airway devices
Immersive scenario stations & real-world simulations
Formal evaluations: written exams, practical assessments, skill testing & workbook submissions
CPD evidence (guided hours) + post-course ILS/CPD refresh reminders
Refreshments & parking
To enrol on FREC4, learners must support all of:
Age: 18+ on the first day
Existing qualification: Valid FREC3 or Qualsafe-approved equivalent
CPD / Practice evidence: Typically ~118 hours of contextualised practice / continuous learning in emergency care before entry
English & numeracy: Able to complete assessments in English
Physical capability: Comfortable with hands-on tasks, casualty handling, extensive scenario practice
Attendance: Full 5 days required plus completion of post-course workbooks
Photo ID: Valid identification needed for registration
We want everyone to feel confident and supported—tell us what you need and we’ll do our best to help.
Reasonable adjustments: We can provide adjustments (e.g., extra time, rest breaks, adapted assessment methods) in line with awarding-body rules—without compromising safety or competence.
How to request: Tell us about any learning, access, health or language needs before the course so we can plan support.
Examples of support: Larger-print materials, quieter seating, alternative demonstration positions, scheduled breaks, adapted practical roles.
Health considerations: Please let us know about injuries, mobility limits, pregnancy or conditions that may affect practicals; we’ll tailor activities where safe to do so.
Venue access: Our centre has step-free access, accessible toilets and parking; on-site training can be adapted to your space—ask us for specific arrangements.
Location & Contact Details
TL Training Centre, The Technology Centre, Ellesmere Port — just off Junction 8 (M53).
Telephone: 0151 343 0588
Email: [email protected]
Prefer on-site training? We’ve got you covered.
On-site training (UK-wide)
We deliver both standard and courses anywhere in the UK. Tell us what you need and we’ll tailor the content, schedule and equipment to suit your site.
Complete the enquiry form at the bottom of this page and we’ll get back to you with a quote.
Meet the instructors
Robin
Robin has 12+ years’ frontline pre-hospital experience as a Community First Responder with North West Ambulance Service, bringing calm, real-world insight to his first aid training.
Martin
Martin has 15+ years’ experience in learning & development and first aid training, delivering accredited, up-to-date courses with a calm, quality-first approach across the UK.
Lesley
Lesley is a friendly, quality-focused first aid trainer with 4+ years’ delivery experience, drawing on extensive real-world incident management from her years in aviation—so sessions stay practical, calm and people-centred.
Richard
Richard is an ex-military first aid & SIA trainer with years of calm, professional experience managing high-pressure incidents—from serious trauma and stabbings to everyday emergencies—so learners get reassuring, practical guidance.
Ask us a question..
Need more info or have a question?
Drop us a message below and we’ll reply within one working day (usually the same day during business hours, Mon–Fri, 09:00–17:00).
Customer Reviews
Book Today
Duration: 5 days
Certificate: Qualsafe RQF Lvl 4
Location: Ellesmere Port
From £540 + VAT pp
