Level 4 First Person on Scene                                 Certificate (RQF)


The BTEC Level 4 Certificate for the First Person on Scene is for those who are normally employed as, or looking to apply for jobs as, a first responder in a primary care role or acting as a first responder as part of a secondary role in an industry which requires first responders to have a greater breadth of knowledge and skill than that provided by lower level first aid qualifications.


The learning outcomes for the new Level 4 Certificate and Extended Certificate are taken directly from the Faculty of Pre-hospital Care PHEM Skills Framework and continue to be endorsed by the FPHC, Royal College of Surgeons Edinburgh.

To achieve this qualification will require a greater investment of your time and resources, typically 88 hours as opposed to the current 30 hours for the AoFAQ L3 First Person on Scene Intermediate award that followed the now defunct BTEC Level 2 First Person on Scene Intermediate award which dominated the Private Security Industry for so many years.    

Achieving this qualification demonstrates that you have:

Developed significant knowledge related to the pre-hospital care industry, including how your role fits into the wider sector as well as the responsibilities of the first responder, established practices relating to the safeguarding of children and vulnerable adults, as well as the prevention and control of infection.

Developed significant technical knowledge that underpins the role, duties and responsibilities of the first responder. This covers areas such as the management of scene safety, the clinical care and management of the casualty, the provision of effective clinical handovers to the next echelon of care, as well as the post incident procedures for which the first responder is responsible

Developed significant practical skills of safe incident management and managing the care of causalities while awaiting the arrival of definitive pre-hospital care

Developed significant knowledge and skills to be able to make critical decisions and medically manage the safe extrication of casualties.

Developed significantly your own personal growth and engagement in learning how to help those ill or injured.


Course Content


This qualification is designed for those of us working on the front line where such knowledge and skills are crucial especially in the Private Security Industry in light of the ever-increasing acts of terrorism and criminal behaviour we are expected to deal with.  The course provides you "the first responder" with a greater level of clinical knowledge and capability to provide immediate emergency care to anyone who needs it especially at the most critical time while waiting for the next echelon of medical care to take over.



No less than 5 days for assessment following a minimum total of 88 hours of pre-assessment guided learning covering the course outline detailed below. (Anything less is just not enough and you could be required to do more!)


Course outline
  • Unit 1: Understanding the Roles and Responsibilities of the First Responder

  • Unit 2: Core Emergency Care of Casualties for the First Responder

  • Unit 3: Core Understanding of Recognising and Managing Trauma for the First Responder

  • Unit 4: Recognising and Managing Medical Conditions for the First Responder

  • Unit 5: Developing the Core Competencies of Incident Management for the First Responder

"the golden hour"


In emergency medicine, the golden hour (also known as golden time) refers to a time period lasting for one hour following traumatic injury being sustained by a casualty or medical emergency, during which there is the highest likelihood that prompt medical treatment will prevent death.


It is well established that a patient's chances of survival are greatest if they receive effective care within a short period of time after a critical  event.

COURSE FEES are variable and depend on numbers per cohort



As we are registered as a "Not for Profit" organisation and with Education & Training being the core of our business, all course fees are exempt of VAT (value added tax)

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