First Response Emergency Care
2 Days

  • First Response Emergency Care is a qualification developed by the Awarding Body Qualsafe and clinically endorsed by the Royal College of Surgeons Edinburgh – Faculty of Pre-Hospital Care (FPHC).

The FREC system is modular, enabling participants to progress through each level from FREC 3 to FREUC 5 if desired.

We have access to two classrooms that are permanently fully equipped with all the equipment needed to complete the training.  In addition, an immersive classroom is available. Outside, we have access to various grass and woodland with shelters to keep participants dry in wet weather.

The course fee reflects the range of dates available, certificate fee, reading material, access to our learning portal.  We will also work with lower numbers for that fee as opposed to cancelling if we do not have the full quota of six.  We regularly pick up work for FREC 3 due to cancellations from other providers.

Current courses/qualifications for entry

This two-day FREC 3 RPL qualification is for those who want to use their previous qualifications to move across to the FREC 3 pathway.  It gives people the opportunity to upskill and gives an exemption on three out of the five days of a regular FREC 3.

The following have been approved by Qualsafe for direct entry to this qualification.  Qualsafe states that no other qualification/course will be accepted.

Recognised Pre Hospital Care (PHC) regulated qualifications for Level 3 RPL route
• Highfield Level 3 Award in Emergency Care for First Responders (RQF) (603/6892/5)
• Highfield Level 3 Award in First Aid Response (RQF) (603/2747/9)
• SFJ Awards Level 3 Award in First Person on Scene Support (RQF) (603/3964/0)
• SFJ Awards Level 3 Award in Casualty Care for Fire and Rescue Services (603/1435/7)
• ITC Level 3 Award in First Aid for Firefighters (603/2884/8)
• TQUK Level 3 Award for Initial Person on the Scene of an Incident (RQF) (603/5085/4)
• DAO Level 3 Award in Immediate Emergency Care Provider (603/3571/3)
• QNUK Level 3 Award for First Responders (RQF) (603/3961/5)
• QNUK Level 3 Award in First Person on Scene (International) (RQF) (603/6688/6)
• QNUK Level 3 Award in Rescue Trauma and Casualty Care (RTACC) (RQF) (603/6687/4)
• Pearson BTEC Level 3 Certificate for First Person on Scene (FPOS) (603/6353/8)
• Safecert Level 3 Award for First Person on Scene for an Emergency First Responder (610/0810/2)
• FAQ Level 3 Award for First Responders on Scene: Amb. Ser. Community Responder (603/6252/2)
• FAQ Level 3 Award in First Responders on Scene: Emergency First Responders (603/6795/7)
• FAQ Level 3 Award in Immediate Emergency Care: Fire and Rescue Services (603/7366/0)

‘999’ internal casualty care/first responder courses
• RNLI Casualty Care
• HMCG Casualty Care (CERCC)
• Mountain Rescue Casualty Care
• Lowland Rescue Casualty Care
• Cave Rescue Casualty Care*
• Mines Rescue Casualty Care*
• NHS Ambulance Service Community First Responder (CFR)


Verification of credentials

Participants must have completed one of the qualifications/courses on the Qualsafe pre-approved list above, which must have been taken within 24 months of the start date of the course you wish to attend.

These details will need to be checked before you book the training.  Copies of certificates can be sent to

Only those qualifications/courses on the drop-down box above are approved by Qualsafe.


Participants will be expected to pass all of the FREC 3 assessments

  • 6 x practical assessments/skills tests
  • 3 x theory assessments (multiple choice question papers)
  • 1 x invigilated exam
The Immersive Classroom

The immersive classroom enables us to put you into any environment such as:

  • The back of an ambulance
  • A broad selection of work places
  • Hostile environments
  • Rural settings in the UK
  • Remote overseas locations
  • Domestic settings

This enables the participant to react to a challenging and dynamic environment including noise and smell.  Levels can be adjusted so as not to overwhelm the participant.

Direct Claims Status - certificates on course completion

Direct claims status means that your certificate is immediately available on loading the paperwork onto the Qualsafe Portal.  Direct claims are given to centres that receive consistently high feedback on evaluation forms, internal and external quality and compliance visits.

Location for on-site training

Our Peak District training facility is easily located by public transport; train, bus and plane.

  • The train station is Hope which the Manchester-Sheffield Line serves
  • The bus stop is in Hope
  • The nearest airport is Manchester, with links to train and bus
  • There is plenty of accommodation in the area that can be found by searching Google maps and using our postcode S33 6RW

Tutors on courses have to meet the requirements set by Qualsafe.  This involves:

  • Internal and External quality inspections
  • A portfolio of CPD relevant to FREC 3, including front-line ambulance.


Course Programme
Day 1

Role and responsibilities
• Role and responsibilities
• Professional standards
• Gaining and maintaining consent
• Recording and reporting
• Patient-specific documentation

Incident assessment and management and patient assessment
• Dynamic scene risk assessment
• Safe approach
• 10-second triage sieve and when to call for help
• Primary and secondary survey

Catastrophic bleeding recognition and control
• Define and recognise catastrophic bleeding
• External bleeding control methods
• Haemostatic agents
• Pelvic splint as a haemorrhage control device

Essential airway assessment and management
• Airway anatomy and physiology
• Recognition of a difficult airway
• Airway assessment and management
• Recognising the need for clinical support

Emergency oxygen and pulse oximetry
• Health and safety principles
• Indications for oxygen therapy
• Oxygen therapy consumables
• Ventilatory support using B-V-M
• Monitoring effects of emergency oxygen
• Administering emergency oxygen

Basic life support and AED/defibrillation
• Adult basic life support
• Child basic life support
• Infant basic life support
• Adult/paediatric post-return of spontaneous circulation (ROSC) care
• Special circumstances/BLS modifications
• PRACTICAL ASSESSMENT: Basic life support and AED

Respiratory system and breathing difficulties
• Respiratory system
• Respiratory distress
• Asthma attack

Day 2

Medical emergencies
Recognition and management of:
• Stroke symptoms
• Sepsis ‘red flag’ symptoms
• Acute coronary syndrome
• Meningococcal disease
• Diabetic hypoglycaemia
• Seizures, including someone who is actively convulsing, someone with an altered level of
consciousness, someone who has had a transient loss of consciousness
• Recognition and management of anaphylaxis
• Recognition and management of environmental exposure

Burns and scalds, sudden poisoning, eye and minor injuries, compromised circulation
• Recognition and management of burns and scalds
• Recognition and management of sudden poisoning
• Recognition and management of minor injuries and eye injuries
• Circulatory system/circulatory compromise/circulation preservation

Assessment and Treatment of Trauma

• Head, spinal and musculoskeletal injuries
• Recognition and emergency care for suspected spinal and head injuries
• Manual in-line stabilisation
• Helmet removal
• Recognition and emergency care for musculoskeletal injuries





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