This nationally recognised qualification is the second step in the regulated FREC pathway. The Level 4 Certificate in First Response Emergency Care (RQF) builds upon the skills learned in FREC 3 and prepares you for more advanced roles in ambulance support, event medical cover, urgent care, and high-risk environments in the UK and overseas.
Delivered by HCPC-registered paramedics, our FREC 4 training is fully aligned with the Pre-Hospital Emergency Medicine (PHEM) Skills Framework – Descriptor Level E, endorsed by the Royal College of Surgeons of Edinburgh (Faculty of Pre-Hospital Care).
FREC 4 is ideal for:
To enrol on FREC 4, you must:
FREC 4 builds on core FREC 3 knowledge and develops higher-level skills in:
This qualification prepares you for more independent and confident care under paramedic or clinician supervision.
With this qualification, you may work in:
You can also progress to:
Other Level 4, Level 5 or Level 6 qualifications (e.g. First Response Emergency Care, Safe Administration of Lifesaving Medications (SALM) course)
University-based paramedic science programmes
Spaces are limited. Due to the course’s in-depth nature, we run small, focused groups for maximum hands-on learning.
Book Early – Secure your place on the next FREC 4 course in South Wales.
Paramedic-led — Our instructors work actively in prehospital care, bringing real-world knowledge into every session.
Realistic Simulation — We focus on realistic, scenario-based training to build true competence.
Small Class Sizes — More one-on-one time with trainers, ensuring a supportive learning environment.
Flexible Delivery — Train at our South Wales centre or arrange on-site training at your location.
Career-Focused Courses — Build skills recognised across healthcare, security, outdoor industries, and emergency services.
Pathway to Paramedic Practice — Start your journey with our FREC 3 and FREC 4 qualifications.
