Overview Programme Eligibility Pricing

Level 4 Certificate in First Response Emergency Care (RQF)

This qualification is an advanced step for those who have completed the Qualsafe Level 3 Award in First Response Emergency Care (RQF). It expands the learner’s expertise in Prehospital care emergencies, thereby broadening their job prospects.

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Course Overview

The Qualsafe Level 4 Certificate is designed for individuals aiming to advance their careers within the NHS or private ambulance services as emergency care assistants, intermediate ambulance practitioners, event medical providers, associate practitioners, or healthcare assistants. It’s also suited for those seeking specialised roles in the military, police, and fire services.

Aligning with the PHEM skills framework at descriptor level E, this certification deepens knowledge and skills in handling a variety of Prehospital care emergencies including major incidents, fracture immobilisation, care for sick and injured children, addressing mental health issues, and more.

Course Programme

Component 1

Patient Assessment and Management

  • Be able to assess and manage injury and illness.
  • Understand the structure and function of the heart, including the cardiac conduction system
  • Understand pathological changes associated with heart disease.
  • Know how to use electrocardiogram (ECG) monitoring on a patient.
  • Be able to manage a patient’s airway.
  • Know how to manage a patient using medical gases.
  • Be able to administer medical gases in line with current practice.

Component 2

Emergency Trauma Care

  • Understand the function of components of the respiratory system.
  • Be able to assess and treat thoracic trauma.
  • Understand the function of the musculoskeletal system.
  • Understand the key characteristics of the nervous system.
  • Understand mechanisms of injury and kinetics.
  • Be able to provide emergency care to traumatically injured patients
  • Know how to manage cases of actual or suspected sexual assault.
  • Know how to provide first response emergency care at a major incident.

Component 3

Focused Emergency and Urgent Care

  • Understand the physical and psychosocial development in children.
  • Know how to provide emergency care to sick and injured children.
  • Understand how to deal with a patient displaying signs of mental health problems.
  • Understand how to deal with common respiratory conditions.
  • Understand the structure and function of the digestive system.
  • Know how to assess and initially manage sepsis.
  • Know how to manage child birth.
  • Be able to assist a clinician in performing clinical interventions.

Entry Requirements

Learners must be at least 18 years old on the first day of training.

Prerequisite Qualification: Learners are required to hold either:

  • A current and valid Qualsafe Level 3 Award in First Response Emergency Care (RQF) or
  • A valid Qualsafe First Response Emergency Care (Level 3 RQF) qualification, or
  • A Qualsafe Awards (QA) recognized equivalent qualification.

Continuing Professional Development (CPD): Learners must present a CPD profile showing evidence of at least 118 hours of study and/or contextualized practice. Detailed requirements for this are provided in Appendix 5 of the course documentation.

Recommended Literacy Level: While there are no formal educational prerequisites beyond the above, it is advised for learners to have a minimum of Level 2 literacy or its equivalent to enhance their learning experience.




  • 3 Practical assessments
  • 2 Skills tests
  • 3 Learner workbooks
  • 2 Supervised exams


Successful candidates will be awarded a digital Qualsafe Level 4 Certificate in First Response Emergency Care (RQF) upon result submission, depending on the training centre’s Direct Claims Status and fulfilment of other requirements. 

Course cost:


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