Level 4 Diploma in First Response Emergency Care (FREC)

1. Anatomy and Physiology for Emergency Care Understanding body systems, vital functions, and their relevance to emergency interventions.

2. Assessment and Treatment of Trauma Emergencies Managing fractures, head injuries, spinal trauma, bleeding, burns, and shock.

3. Medical Emergencies in Prehospital Care Recognition and treatment of seizures, strokes, diabetic emergencies, and anaphylaxis.

4. Airway Management and Ventilation Advanced airway techniques, suctioning, oxygen therapy, and assisted ventilation.

5. Pharmacology in Emergency Care Safe administration of emergency medications, dosage calculations, and legal considerations.

6. Management of Paediatric Emergencies Specialized care for infants and children, including CPR, choking, and febrile convulsions.

7. Cardiac Care and Management Recognition and treatment of cardiac arrest, arrhythmias, and acute coronary syndromes.

8. Respiratory Care and Management Managing asthma, COPD, respiratory distress, and advanced oxygen delivery methods.

9. Patient Assessment and Monitoring Primary and secondary surveys, vital signs monitoring, and use of diagnostic equipment.

10. Advanced Life Support Techniques ALS protocols, defibrillation, advanced resuscitation, and team‑based emergency response.

• Builds competence in advanced prehospital emergency care

• Enhances compliance with UK FREC framework and international EMS standards

• Strengthens skills in trauma, cardiac, respiratory, and pediatric emergency management

• Provides tools for advanced patient assessment and pharmacological interventions

• Offers recognized certification to support progression toward paramedic training

• Emergency medical technicians (EMTs) and first responders

• Industrial and corporate emergency response teams

• Firefighters and rescue personnel

• Safety officers in high‑risk industries

• Individuals preparing for paramedic or advanced prehospital care qualifications

• Assessment Type: Written exam + practical skills assessment + scenario‑based evaluation

• Format: MCQs, case studies, and advanced emergency care simulations

• Total Questions: 60 theory + 3 practical assessments

• Passing Score: 70%

• Duration: 5 days (40–45 hours total)

• Certification: Level 4 Diploma in First Response Emergency Care (FREC)

To deliver this Qualification, HiQual UK Approved ATPs must demonstrate the capability to deliver, assess, and internally quality assure qualifications in line with recognised regulatory principles and the expectations of the Regulated Qualifications Framework (RQF).

Approved centres must operate effective systems to ensure the validity, reliability, fairness, consistency, and security of assessment.

1. Centre Recognition and Legal Compliance

Centres must be formally recognised by HiQual UK prior to the delivery or assessment of any qualification. To maintain recognition, centres must: Be a legally constituted organisation operating in compliance with applicable legislation and regulatory requirements. Demonstrate effective governance, management oversight, and clear lines of accountability. Comply with all HiQual UK policies, procedures, and conditions of centre recognition. Notify HiQual UK promptly of any material changes that may affect delivery, assessment, or internal quality assurance arrangements.

2. Resources, Facilities, and Learning Environment

Centres must ensure that sufficient and appropriate resources are in place to support learning and assessment. This includes: Learning environments appropriate to the mode of delivery, including classrooms and, where applicable, specialist or practical facilities. Access to learning and assessment resources that enable learners to meet qualification outcomes. Secure systems for managing learner data, assessment records, and certification claims. Arrangements that support equality of access and reasonable adjustments for learners where required.

3. Staff Competence and Occupational Expertise

Centres must ensure that all staff involved in delivery, assessment, and internal quality assurance are competent and suitably qualified. Centres must: Appoint tutors with appropriate subject knowledge, teaching competence, and relevant occupational or professional experience. Ensure assessors are trained and competent in applying HiQual UK assessment requirements and standards. Appoint a qualified Internal Quality Assurer (IQA) responsible for monitoring assessment practice and decisions. Maintain records of staff qualifications, experience, training, and continuing professional development (CPD).

4. Assessment Practice and Internal Quality Assurance (IQA)

Centres must operate robust internal quality assurance systems to ensure assessment integrity. Centres must: Ensure assessment is valid, fit for purpose, and conducted in line with HiQual UK requirements. Implement effective IQA procedures to monitor assessor performance and confirm the consistency of assessment decisions. Maintain accurate, complete, and auditable records of learner registration, assessment evidence, and outcomes. Carry out regular internal reviews and standardisation activities to support continuous improvement.

5. Integrity, Risk Management, and Malpractice

Centres must take appropriate measures to protect the integrity of assessment. Centres must: Maintain policies and procedures for the prevention, identification, and management of malpractice and maladministration. Ensure secure handling, storage, and retention of assessment materials and learner evidence. Report any suspected or confirmed malpractice to HiQual UK in accordance with published procedures.

6. Health, Safety, Safeguarding, and Learner Protection

Centres must provide a safe, inclusive, and supportive learning environment. Centres must: Comply with applicable health and safety and safeguarding legislation. Conduct risk assessments for learning activities, particularly where practical or technical work is involved. Maintain procedures to safeguard learner welfare and wellbeing.

7. Learner Information, Support, and Fair Treatment

Centres must ensure learners are informed, supported, and treated fairly. Centres must: Provide clear and accurate information on programme requirements, assessment methods, and certification. Ensure learners receive timely and constructive feedback on assessment outcomes. Operate transparent complaints and appeals procedures aligned with HiQual UK requirements. Manage learner information securely in compliance with data protection legislation.