Level 4 First Response Emergency Care

Key facts


£450 per person

(Group rates available)

Course duration

Five days


Three years

Minimum age

18 years


Download course factsheet

QA Level 4 Certificate in First Response Emergency Care (RQF)

This is a regulated and nationally recognised prehospital 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.


As the next step for those who have completed the QA Level 3 Certificate in First Response Emergency Care (RQF), this qualification provides learners with a wider scope of practice in prehospital care emergencies, allowing for greater employment opportunities. It also forms part of a progressive suite of prehospital care qualifications that lead to the QA Level 6 Diploma in Paramedic Practice (RQF).


This course is provided in three stages, following the recommendations of the awarding organisation. Please check the dates carefully because this course is not run as an intensive five day course.


A typical course programme looks like this:

  1. Pre-course reading – 20hrs

  2. Face-to-face delivery of days 1 and 2 – 16hrs

  3. 1-2 weeks off-course study including completion of Workbook 1 – 40hrs

  4. Face-to-face delivery of days 3 and 4 – 16hrs

  5. 3-4 weeks off-course study including completion of Workbooks 2 and 3 and revision time in preparation for invigilated exams – 81hrs

  6. Face-to-face delivery of day 5 – 8hrs 


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

If you are comparing Norwal to other providers, please bear in mind:

  • The trainer for these courses is an NHS Senior Paramedic with experience of clinical and operational mentoring as well as teaching on the BSc Paramedic Science course and providing professional updates to colleagues.

  • As part of your course fee for FREC Level 4, we provide you with a current copy of Ambulance Care Essentials. You don't have to purchase this as a hidden add-on.

We are an MoD Enhanced Learning Credits Approved Learning Provider. This course is ELCAS approved for the use of enhanced learning credits.


Unfortunately, to offer you these great prices, we have to stipulate a minimum of five candidates (and a maximum of six set by the awarding organisation) to make it cost effective.