QA Level 5 Diploma in First Response Emergency & Urgent Care (FREUC)

Course cost £2500 inc (payment plans available)

The regulated and nationally recognised Qualsafe Level 5 Diploma in First Response Emergency and Urgent Care (RQF) has been specifically designed for those within the Prehospital care sector who have a specific responsibility at work, or in voluntary and community activities to provide out-of-hospital emergency and urgent care supporting registered healthcare professionals and others.


The regulated Qualsafe Level 5 Diploma in First Response Emergency and Urgent Care (RQF) (FREUC5) qualification has been reviewed in 2023 and relaunched in 2024 in collaboration with key stakeholders with a broad set of changes put in place to ensure the qualification reflects contemporary out-of-hospital emergency and urgent care practice.

Assessment Methods

Practical assessments/skills tests – observed by the trainer

7 OSCES and 1 Skill Test

Theory assessments

1 Learner workbook

2 Invigilated exams

1 Professional practice portfolio

1 Academic portfolio

1 Practice Assessment Document (PAD)

Course Duration
FREUC 5 requires 4 weeks (20 days) face to face attendance at the training centre.  ALR deliver FREUC 5 in 4 x 1 week blocks, 1 week per month to allow students to study around other commitment and employment.  Minimum expected time in which to complete all elements of the course and achieve the required competencies and placement hours is 12 months.  The maximum time allowed to complete the course is 2 years.

Placement Providers

We have private ambulance providers who will provide support and mentorship as you accrue the placement hours you require to complete FREUC 5.  Virtually all regions of the UK are covered by our placement providers. With our placement providers you can earn as you learn, since you will employed and earning as an Emergency Care Assistant or Trainee Emergency Medical Technician.

To achieve and be certificated at FREUC 5 you must successfully complete a minimum of 750 placement hours, the majority of these hours will need to be completed whilst working on a front-line ambulance attending emergency call. Whilst 750 hours is a minimum the placements are about achieving competency in the areas you have been trained, the hours stated should be treated as a guide only. Some hours may be claimed in alternative settings but since FREUC 5 is a pre-hospital care course we expect the bulk of the hours to be completed on an ambulance.  

A blue light driving qualification (Level 3 CERAD) will be required by our placement providers. These can be arranged directly with the placement providers.  Whilst ALR Training Ltd will liaise with and arrange placements for our students, the student will be required to pass the individual providers, clearance, compliance and assessment processes and uphold the standards of professionalism and conduct that the placement provider expects.


Entry requirements for the course include certification at FREC 4 level with evidence of up-to-date ILS qualification and ongoing CPD. Equivalent qualifications will be considered on a case-by-case basis. It is also strongly recommended that students have a minimum of GSCE Maths and English or Level 2 Functional Skills or an equivalent qualification,

Whilst an interview process is not required to enter onto our FREUC 5 programme we strongly suggest that prospective students get in touch to discuss with one of our Paramedic trainers whether the course is right for them and the opportunities in their area.  

We look forward to hearing from you ......


The Qualsafe Level 5 Diploma in First Response Emergency and Urgent Care (RQF) is becoming increasing accepted at a number of UK Universities for direct entry to the second year of BSc Paramedics programmes.