The Faculty of Pre-Hospital Care

FPHC PHEM Skills Framework


The PHEM Skills Framework was the output of three Faculty hosted meetings, which brought together a wide spectrum of pre-hospital provider groups from First Aid Societies to Level 8 Pre-Hospital Emergency Medicine (PHEM) practitioners as well as colleagues from non-medical professional organisations such as the Police, Fire & Military services and multi-representation from the UKSAR group. 

The Faculty developed the PHEM Skills Framework with the purpose of developing a series of levels to allow a greater understanding of the clinical skills/competencies of various pre-hospital care providers arriving at an incident.

These levels have been designed specifically for the purpose of facilitating good inter-agency working on scene and are not related to educational attainment or Skills for Health Levels. It is also hoped that non medical organisations may use the framework as a benchmarking exercise for any of their staff who have casualty care as part of their role. 


To be recognised at any level the practitioner must have all the skills at that level. Practitioners may have additional skills from higher levels but this does not mean that they are operating at that level. The examples given relate to public service roles and can be used to benchmark other medical threat and training requirements.

First Aider (management of an unconscious, bleeding or arrested patient). Certificated by a non national organisation.
B First Level responder, nationally certified and qualified to meet statutory requirements within the work place eg EFAW, FAW.
  Levels C to H will be operating within a framework of governance and CPD
Nationally certificated pre-hospital responder (use of airway adjuncts & oxygen) eg Community First Responder
D Nationally certificated non health care professional pre-hospital provider caring for patients as a secondary role eg Police Officers in Specialist Roles, Fire Service IEC, equivalent UKSAR trained personnel, Enhanced Community First Responder 
E  Nationally certificated non health care professional pre-hospital provider caring for patients as a primary role eg UKSAR, some military personnel and specialist certificated police officers and firefighters.
F Non-registered health care professional eg Ambulance Technician, CMT1. 
G Registed pre hospital care practitioner
H Advanced registered pre hospital care practitioner  


Upcoming System Maintenance & Network Disruption

Due to essential systems maintenance and upgrades there will be intermittent interruptions to some on-line services on Saturday 27th of February. There will be further interruption to some core services on Wednesday 2nd and Thursday 3rd of March.

We apologise for any inconvenience caused.