FREC: First Response Emergency Care

Quality & practicality is at the heart of the FREC pathway. Qualsafe‘s First Response Emergency Care series allows learners to work towards becoming a Paramedic, whilst gaining hands-on skills and experience at the same time.

HCPC Application
QA Level 6 Diploma in Paramedic Practice (RQF)
QA Level 5 Diploma in First Response Emergency and Urgent Care (RQF)
QA Level 4 Certificate in First Response Emergency Care (RQF)
QA Level 3 Award in First Response Emergency Care (RQF)

Three courses make up the FREC programme:

Following this, learners are eligible to complete the QA Level 6 Diploma in Paramedic Practice (RQF). Due to changes in paramedic registration requirements, the previous Level 6 Diploma closed for new registrations at the end of August 2021, with all learners expected to have completed all elements of the course by the end of August 2023.

This flexible structure allows Learners to progress in stages, so they can use their skills within pre-hospital care roles whilst they continue to progress through the programme. If you’d like to earn from your qualifications, ProMed will give you a guaranteed interview to join our bank staff team if you have studied with us.

Each level is comprised of face-to-face training, directed learning tasks, self-directed study and the completion of workbooks. Both diplomas each have a requirement of 750 hours mentored clinical practice.

Laerdal Medical resuscitation dummy with bag-valve-mask, BOC CD oxygen cylinder, EtCO2 monitor, airway catheter mount, stethoscope & other medical equipment on a training mat used during FREC courses
Airway management & life support training equipment

Add-on courses

Within the FREC suite, Qualsafe includes two further ‘add-on’ courses to enhance your practical skills:

These courses supplement the learning from the core programme, giving learners more understanding of pre-hospital care.

Annual refreshers


It’s recommended that you complete annual basic life support (BLS) or immediate life support (ILS) training to maintain your basic skills and keep up-to-date with any changes to prehospital care practice.


You are responsible for maintaining your QA L4 Certificate in FREC. The two requirements are that:

ProMed can arrange for one of our trainers to come to your location and deliver an ILS course that meets the awarding body requirements but adapted to be specific for your type of practice.

We can also audit your CPD log and provide targets for your self-directed study. Please call 03333 445442 or email for further details.

Core texts for the FREC programme

ProMed recommends that you obtain Ambulance Care Essentials (ISBN 9781859598528) for studying at level 3. As you go on to level 4, you’ll want Ambulance Care Practice (ISBN 9781859598542) to support your progress.

Our training partner, STC Training Solutions, are also running some webinar sessions which cover the mandatory pre-reading for FREC 4.

Other training

Our FREC courses are one branch of our full training offer. We also provide First Aid at Work (FAW) and Emergency First Aid at Work (EFAW) courses.