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What is FREC 3 & 4?


MediPro have delivered dozens of FREC 3 & 4 courses over the years, with the business being the largest independent provider of pre-hospital education in the UK.

But what is a FREC course? How does FREC 3 and FREC 4 work? Is there the possibility of progress? Here, we have a guide to help you with all things FREC 3 & 4.


What is FREC 3?

The Qualsafe Level 3 Certificate in First Response Emergency Care (FREC 3) is a course designed to provide a foundational level of competency for learners to deal with a range of clinical and trauma situations associated with pre-hospital care.

It is a nationally recognised qualification that acts as a stepping stone for those seeking a career in the emergency services sector.

FREC3 is also ideal for those seeking a career in the event and security medical sector or for those who work in high-risk environments, such are the military, agriculture, manufacturing, and power stations.

This informative and hands-on course lasts five days, covering skills such as administering emergency oxygen, management of trauma patients, major illnesses and much more.


Is there the possibility of progress after FREC 3?

The great part about FREC courses is the ability to progress, with each course building on from the last.

FREC 3 can be followed by more advanced qualifications (FREC 4 & FREUC 5). This progressive suite of pre-hospital care qualifications allows learners who achieve a FREC 5 qualification to work at a level equivalent to a Level 4 Associate Ambulance Practitioner.  

The FREC suite has been developed by the Awarding Body Qualsafe, and clinically endorsed by the Royal College of Surgeons Edinburgh’s Faculty of Pre-Hospital Care.


How does the FREC 3 course work?

The FREC 3 qualification is comprised of one mandatory unit, split into 3 components.

The total time to complete the qualification is 53 hours, with 35 hours of direct guided learning by a trainer over 5 days. The remaining hours are given over to the time a learner will likely spend in preparation and study, including assessment, as directed by, but not under the immediate guidance of a trainer. For instance, pre-course reading, research, mentored practice/work experience, workplace inductions, and so on.

In terms of the assessment process, there are six practical assessments/skills tests, three theory assessments (multiple choice question papers) and one invigilated course. All of this will be completed throughout the five-day course.

After three years, the qualification can be revalidated by attending a three-day refresher course.

In terms of requirements needed before commencing a FREC 3 course, learners must be at least 17 years old on the first day of classroom training. While there are no other formal entry requirements, it is advisable for learners to have a minimum of Level 2 in Literacy & Numeracy (or equivalent) and a basic understanding of first aid.


    What is FREC 4?

    The Level 4 Certificate in First Response Emergency Care (FREC 4) is a nationally recognised pre-hospital care qualification, providing learners with a wider scope of practice in pre-hospital care emergencies, allowing for greater employment opportunities.

    It is designed for those looking to progress in their career within the NHS or private ambulance services. Roles can include emergency care assistant (ECA), intermediate ambulance practitioner, event medical provider, associate practitioner or healthcare assistant.

    FREC 4 is also ideal for those looking to within specific roles in the police and fire services, as well as the military.

    This qualification allows learners to develop the knowledge, skills and behaviours needed to deal with a wide range of prehospital care emergencies. These include major incidents, fracture immobilisation, sick and injured children, mental health issues, and so on.

    A FREC 4 course has 5 days of guided learning hours with a trainer. In terms of assessment, there are 3 practical assessments, 2 skills tests and 2 invigilated exams, with 3 workbooks to be completed off-course throughout the programme.

    There are 2 practical assessments and 3 skills tests for this qualification:

    • Immediate Life Support (Adult) practical assessment
    • Assessment and treatment of trauma practical assessment
    • Physiological observations skills test
    • Assisting with clinical interventions skills test
    • Immobilisation and extrication equipment skills test

    The 3 workbooks cover one component of the FREC 4 course are to be completed off the course throughout the programme.

    The invigilated exams are completed over the length of the course and are as follows:

    • ECG recognition has a 50% pass mark and a time limit of 15 minutes to complete.
    • Anatomy, physiology, pathophysiology and applied practice has a 70% pass mark for every question and a time limit of 45 minutes to complete.

    In terms of prerequisites before taking part in a FREC 4 course, learners must be 18 years old and should have completed a FREC 3 course or an equivalent recognised qualification beforehand. Learners must also provide a CPD record that includes 118 contextualised learning hours.


    Does MediPro offer FREC courses?

    Yes, we do!

    We regularly deliver FREC 3 and FREC 4 courses from our state-of-the-art training centres in Stockton-on-Tees & Newmarket.

    To find out more about our FREC courses and potential dates, please visit our website.

    To book, you can call us on 01325 609030 or email us at


    Both Rob and Tony the CERAD tutors were absolutely amazing, helpful and patient with us. Couldn’t have asked for better trainers or a better bunch of people to take this journey with!

    Tia Sayer – Apprentice Emergency Medical Technician – East of England Ambulance Service

    We’ve had the support we’ve needed, and the training has been good. So, for anyone looking to progress, or considering joining the ambulance service, I would recommend it. Absolutely!

    Jack Bird, Apprentice Emergency Medical Technician, East of England Ambulance Service

    I think the learning is very clear. Direct. All the tutors have been very professional. It’s been all positive experiences.

    Keith Stead, Apprentice Emergency Medical Technician, East of England Ambulance Service

    I like the practicals. I learn more this way because the job itself is so practical, you gain confidence this way.

    Abby Hobbs, Apprentice Emergency Medical Technician, East of England Ambulance Service

    I think the course so far has been really good. I’ve liked the practical sessions. It’s clear what we need to learn and there’s a lot of support as well.

    Amy Palfreyman, Apprentice Emergency Medical Technician, East of England Ambulance Service

    I would definitely recommend you guys to others. I feel like there’s a lot of support when needed. It’s been really enjoyable.

    Imogen Fitzgerald, Apprentice Emergency Medical Technician, East of England Ambulance Service

    Since I had graduated, I was a little uncertain with the route I would take as my lack of driving experience was holding me back from joining a trust and wanted to find another way, to consolidate my learning. With some background experience in mentoring, I soon enough came across MediPro and applied for the NQP clinical tutor role.

    Since then, I have been very fortunate to work with a lovely team that have a similar insight to myself with making student contact count to give back and help students bridge that gap between the classroom and the road. Overall, l’ve felt more confident with deepening my clinical knowledge and helping seal the vast breadth of topics we may not always come across on the road often.

    I strongly believe MediPro will play a huge part in this journey with the different opportunities available and I have high hopes for the future.

    Pooja Kaur, Clinical Tutor, MediPro

    Upon graduating last year, I was surprised to find a job advertised with MediPro in which I could come straight out of university and into training. This opportunity usually only presents itself after years of experience, so I was eager to give it a go. I was welcomed on board and made to feel comfortable by all staff throughout the past 6 months and have already been granted many opportunities as part of the company, including two new qualifications.

    I still get time on the road to practice as a HCPC registered Paramedic, although the majority of my role is spent teaching and supporting others. This has gained me more confidence, knowledge, and professional development than I ever thought it would, and I’ve made some great friendships along the way.

    Leah Marshall, Clinical Tutor, MediPro

    Qualifying as a Paramedic, I feel like I’ve accomplished something I never thought I would be able to. I think it is an amazing job!

    At the beginning, I joined MediPro with my FREC 3, which started me off with patient transport. Since then, I’ve progressed into technician and then straight onto paramedic, which I found was a great way of doing things.

    The teaching at MediPro was brilliant. I found that it was very hands-on and very adaptable to how I like to learn.

    My mentors have been brilliant. I literally wouldn’t have been able to do that without their help and guidance. They haven’t done it for me, but they have definitely helped and supported me to do it and complete this course. I couldn’t thank them more!

    Abbi Turnbull, Paramedic, MediPro

    My first experience of training with MediPro was just over 5 years ago when I undertook my Ambulance Technician training whilst looking for a change of career. Following the completion of the course, I was offered employment as an ambulance technician, supporting local NHS trusts in providing emergency and urgent care.

    Since starting with MediPro I have continued to be supported throughout my career and they have enabled me to continue to develop both personally and professionally, working towards my ambition to qualify as a HCPC registered Paramedic.

    Additionally, I have been offered and supported through a level 3 teaching qualification, as well as a mentor qualification. This has allowed me to broaden my practice and develop as a clinician, working in a dual role as an ambulance technician, mentoring students in practice, as well as in a teaching capacity.

    Last year I was lucky enough to be given the opportunity to apply for the MediPro Level 6 Diploma in Paramedic Practice, as an alternative to university this suited my situation perfectly. Despite being a non-university programme I was still fully supported through every step of my journey & I now work as an HCPC registered Paramedic for MediPro with the ambition to consolidate my practice and develop my teaching skills.

    Overall, MediPro has provided me with amazing opportunities and support since starting my career 5 years ago. The knowledge, skills and experiences have enabled me to develop as a professional and as a person, which has been invaluable. I’ve also gained some brilliant working relationships and friendships along the way.

    Alex Hutchinson, Clinical Tutor, MediPro

    I completed my level 3 CERAD in March of this year, this was the third course I have done with Medipro in the last 14 months. In all of the courses I have done with Medipro I have found nothing but genuine, friendly, top class people. 

    The level 3 CERAD was intense and challenging but Colin was excellent in his delivery, explanation and constructive criticism. 

    Can not recommend MediPro enough, I have booked onto my Freuc 5 at the end of this year.  

    Phil Brazier, Level 3 CERAD

    Since graduating from my Sports Science and Injury Rehabilitation degree, I have been desperate to work in the healthcare industry, particularly emergency care. When I came across the MediPro ECA apprenticeship, I knew I had to apply. The opportunity to learn new skills, whilst gaining practical experience in the field, seemed too good to be true – but it has proven to be the opposite! 

    The opportunity has not only allowed me to learn more about this complex profession, but grow in confidence as a person. The experience is designed in such a way that I was allowed to gain confidence in my ability, before increasing my responsibility. This was primarily done by working with other welcoming and experienced colleagues, who were all extremely helpful in guiding me through the process. The leadership and mentor team have been with me every step of the way, ensuring that I am well equipped to operate to the high standards that are required, whilst also showing great trust in me to put my skills into practice. 

    MediPro has allowed me to access my dream career and have given me an experience so far that has ensured it will be a lifelong journey. 

    Emily Bonham, ECA Apprenticeship, MediPro

    Medipro is a very responsive apprenticeship training provider. They help us build and retain a very skilled, competent and patient care focused team of Emergency Care Assistants.

    They also provide Paramedic training for Ambulance Technicians helping us to develop critical skills for our business.

    The programme has helped us train and develop our workforce and has been extremely well organised and facilitated, and I am pleased to say that skills development goes from strength to strength.

    We have found our working relationship with MediPro to be a very proactive one and we look forward/ to continuing to work together.

    James Tavener
    Training Manager, Bristol Ambulance EMS

    MediPro have become a key support to our operations, helping us offer a safe, compliant and superior medical response service to our clientele. They have assisted us in the development of new competency programmes for our staff, new documentation flows for our patients and advised on new equipment and practices that improve our immediate treatment delivery. In addition, they have been a consistent and reliable source of guidance and advice throughout our work together. I would highly recommend their services which are operationally outstanding and financially very reasonable.

    Peter Burke, Operations Manager, Teesside

    I am a commercial Diver from Trinidad and Tobago.

    I chose MediPro as it was recommended to me by a friend.

    The teacher was very knowledgeable and made the lessons fun so it was easy to absorb. I am new to the Medical Diving field so it was very exciting learning more and going deeper into medical conditions and illnesses specific to diving. Being a diver, it will be a great asset for me to recognise and be able to administer aid should it be needed.

    Kevin, Diver Medic Technician

    I have been attending training at MediPro for 10 years. The offshore medic and distance learning refresher is great. Lovely people, great attitude, great educators.

    Julian Searle
    Offshore Medic Refresher
    Distance Learning

    The clinical placement in the unique Urgent Care Centre, North Tees Hospital, is exactly suited for the Offshore Medic course, allowing me to demonstrate all previous Learnt Theoretical, for urgent Primary care assessments in the field.

    The mixture of GPs & Urgent Care Practitioner Nurses provided a 24/7 facility for a diverse range of presentations. I also spent time in the busy accident & emergency department.

    Martin Hagues, Offshore Medic