Regulating pre-hospital
urgent and emergency clinical responders
in non-statutory roles

Our register includes clinicians who meet our standards for training, skills, conduct and health.

The public register lists practitioners who hold current, unrestricted registration, together with those registered on probationary terms. Registration statuses are explained here.

Who is registered?

First Aider

FA

First Aiders require a certificate in First Aid or Advanced First Aid.

Ambulance Care Assistant

ACA

Ambulance Care Assistants require either an NHS Ambulance Trust PTS Certificate, a Level 3 Certificate in First Response Emergency Care (FREC 3), a FutureQuals Level 3 Certificate in Ambulance Patient Care or evidence of having completed equivalent quality training in all associated modules.

NHS Community First Responder

CFR

NHS Community First Responders require a Community First Responder certificate from their NHS ambulance trust, or proof of appointment to this role by an NHS ambulance trust.

Emergency First Responder

EFR

First Responders require either an NHS Ambulance Trust CFR Certificate, a FutureQuals Level 3 Certificate for Ambulance Service First Responders, a Level 3 Certificate in First Response Emergency Care (FREC 3) or a QA Level 2 Award for Community First Responders (RQF).

Emergency Care Assistant

ECA

ECAs require either an accredited NHS Ambulance Trust Emergency Care Assistant or Emergency Care Support Worker Certificate, a FutureQuals Level 3 Diploma in Ambulance Emergency and Urgent Care Support (FAQ Level 3), a Level 4 Certificate in First Response Emergency Care (FREC 4) or evidence of having completed equivalent quality training in all associated modules.

Ambulance Technician

EMT

Ambulance Technicians require either an IHCD Technician Certificate or an NHS Ambulance Trust EMT Certificate equal to an IHCD Technician, a QA Level 5 Diploma in First Response Emergency and Urgent Care (RQF) or evidence of having completed equivalent quality training in all associated modules.

Associate Ambulance Practitioner

AAP

Associate Ambulance Practitioners require a FutureQuals Level 4 Diploma for Associate Ambulance Practitioners or a Qualsafe Level 4 Diploma for Associate Ambulance Practitioners.

HCPC Registered Paramedic

PA

Paramedics must be registered with the HCPC in order to apply to HPAC. Paramedics who register with HPAC do so as a voluntary secondary registration only; this does not replace the requirement for HCPC registration.

Paramedics must maintain their registration with the HCPC at all times in order to remain on the HPAC register. If a Paramedic is struck off, suspended or made subject to restrictions on their practice by the HCPC, their HPAC registration ends immediately, without appeal.

Anyone who has been struck off, suspended or placed under a restricted practice order by a statutory regulator or any other professional register cannot apply to HPAC.

Additional education, training and skills

HPAC notes additional competencies evidenced beyond those traditionally associated with clinician grade, but does not authorise extended practice. Actual scope of practice is the responsibility of the individual and their employer, with reference to the relevant law, guidelines, training and competences in the jurisdiction where they practise.

Code of Conduct

Our registrants work in a range of settings, including direct practice, management, education and research, with patients, clients, carers and other professionals. They are required to abide by HPAC's Code of Conduct.