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QA First Response Emergency Care Level 4 (RQF)

Duration: 5 days
Group size: 6
Per person: £520 inc. VAT

We offer the 5 day FREC 4 training course at our centre in Hailsham, East Sussex. We also run ‘on site’ courses at your premises or at a local venue of your choice.


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As the next step for those who have completed the Qualsafe First Response Emergency Care (Level 3 RQF), The QA 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. 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). 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 wide range of Prehospital care emergencies, such as: major incidents, fracture immobilisation, sick and injured children, mental health issues and more.

Course content

What’s included in this course:

Assessment method

Qualsafe Awards has devised assessment tools to make sure Learners gain the required knowledge, skills and understanding. The following are the assessment methods within this course:

Practical assessments/skills tests – Learners will be observed by the Trainer throughout the course. There are 2 practical assessments and 3 skills tests for this qualification:

  • Adult Immediate Life Support (practical assessment)
  • Assessment and treatment of trauma (practical assessment)
  • Physiological observations (skills test)
  • Assisting with clinical interventions (skills test)
  • Immobilisation and extrication equipment (skills test)

Invigilated exam – 2 to be completed throughout the course:

  • ECG recognition
  • Anatomy, physiology, pathophysiology and applied practiceAssignments – 3 workbooks (1 per component) to be completed throughout the programme

Qualification Overview

This qualification forms part of the QA Prehospital Care suite of qualifications. The qualification and learning outcomes are based on the recommendations of:

  • The Resuscitation Council (UK)
  • Skills for Health Assessment Principles for Qualifications that Assess Occupational Competence
  • Faculty of Pre-Hospital Care (RCS Ed)

This QA qualification is:

  • For people who work as emergency care providers in various healthcare settings who would be expected to assess patients using a variety of methods including physiological measures and be able to act on their findings
  • Based on skill set E of the prehospital provider competencies Faculty of Prehospital Care RCS Ed framework

This qualification should give Learners an intermediate level of prehospital care knowledge and clinical practice to deal with a range of prehospital care situations.

Aim of Qualification

The objective of the qualification is to benefit Learners by enabling them to attain the knowledge and practical competencies needed to deal with a range of prehospital emergency care situations.

Intended Audience

This qualification is for people who have a specific responsibility at work, or in voluntary and community activities, to provide prehospital care to patients requiring emergency care/treatment. It is ideal for those looking to progress their careers within the emergency services, ambulance services, healthcare settings and supports specialist medical roles within law enforcement and security, energy and utilities, construction and military.

Entry Requirements

Learners must be at least 18 years old on the first day of the training. Learners must have successfully completed the QA Level 3 Certificate in First Response Emergency Care (RQF) or the 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 QA 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 Learners have a minimum of Level 2 in literacy and numeracy or equivalent.

Requalification Requirements

Once achieved this qualification is valid for one year OR while the Learner maintains a CPD portfolio and has attended annual refresher training. Training should include the assessment and treatment of cardiorespiratory arrest and life-threatening injury/illness. This may include an Immediate Life Support qualification.


The QA Level 4 Certificate in First Response Emergency Care (RQF) qualification may be used towards other qualifications at the same and higher levels, plus aid career progression in a relevant profession.

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The training venue should be quiet and undisturbed. Staff should not be expected to be on duty. Staff attending should remain for the entire length of the session. Private course price £3100 inc VAT.

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