What is the difference? FREC3 and FREC4

FREC 3 and FREC 4 – Pre-Hospital Care Training

FREC stands for First Response Emergency Care. These qualifications form part of a nationally recognised training pathway in the UK for individuals involved in pre-hospital and emergency care. They are ideal for those working or aspiring to work in ambulance services, event medical teams, or private healthcare organisations.

FREC 3 – First Response Emergency Care (Level 3)

FREC 3 is the entry point into regulated pre-hospital care. It includes core emergency skills such as:

• Primary patient assessment
• Airway management
• CPR and AED use
• Trauma and medical emergency management
• Oxygen administration and medical gases

This qualification allows you to work as an emergency responder or event medic.

FREC 4 – First Response Emergency Care (Level 4)

FREC 4 builds on the Level 3 course, covering more advanced clinical skills and decision-making. It includes:

• Advanced trauma care
• Medical emergencies in detail
• Pharmacology and safe medication use
• Advanced airway management

This course is suitable for those taking on more responsibility, such as Emergency Care Assistants (ECAs) or Associate Practitioners.

What Comes After FREC 4?

FREC 5! – We will be offering this course very soon, but options for progression include:

• FREC 4+: the addition of adding Safe Administration of Lifesaving Medication (SALM)
• Paramedic Science Degree or Foundation Degree
• Advanced Life Support (ALS) and Trauma Courses (ATLS)

Confidence Through Experience

While qualifications are vital, practical confidence is gained through mentorship, solid crew partnerships, and learning from real-world experience. A supportive environment helps you grow your decision-making skills and clinical judgement.

What Is a Community First Responder (CFR)?

A Community First Responder (CFR) is a trained volunteer who responds to emergency calls in their local area, often arriving before ambulance crews. They are trained in essential lifesaving skills including CPR and defibrillator use. CFRs play a critical role in patient outcomes, especially in cardiac or respiratory emergencies.

To find out more about becoming a CFR in your area, visit the South East Coast Ambulance Service or speak to your local provider.