The levels of PHEC
| Level | Practitioner | Mandatory qualifications | Example skill set | Training time required to achieve level |
| Specialist PHEC team | ||||
| 8 | Doctor Fully qualified Prehospital Emergency Medicine (PHEM) consultant | Fellowship in Immediate Medical Care (FIMC) MERT Course BATLS and MIMMS | Senior decision-making Prehospital emergency anaesthesia Full spectrum of blood product transfusion Resuscitative thoracotomy | 12–15 years which includes undergraduate medical training and 1 year of specialist PHEM training |
| 7 | Doctor Registrar in PHEM who is progressing towards level 8 | Entry onto nationally recognised PHEM training (1 year). Distant supervision required. BATLS and MIMMS | As for level 8 but practitioner requires distant supervision | 8–12 years which includes five undergraduate medical training. They have started 1 year of specialist PHEM training. |
| PHEC team | ||||
| 6 | Registered doctor, nurse or paramedic Level 5 plus at least 2-year prehospital care experience | Diploma in Immediate Medical Care (DipIMC). Is an independent prescriber or is following PGDs. BATLS and MIMMS | ALS Use of freeze-dried plasma (potentially under Patient Group Direction) Ketamine-assisted procedures in the field Specifically, not prehospital anaesthesia Supraglottic airway devices in cardiac or respiratory arrest | Minimum of 5 years which includes 3-year degree course and 2 years of postgraduate experience |
| 5 | Registered doctor, nurse or paramedic Interest in prehospital care but minimal experience | Prehospital Emergency Care course (PHEC course) or equivalent BATLS | ALS intravenous/intraosseous access, resuscitation drugs Use of freeze-dried plasma (potentially under Patient Group Direction) Supraglottic airway devices in cardiac or respiratory arrest Intravenous morphine Basic Road Traffic Collision (RTC) management | Minimum of 3 years for paramedics, 4 years for nurses and 6 years for doctors who will have completed medical school and Foundation Year training |
| 4 | Emergency Medical Technician or Defence Medic Combat Medical Technician (CMTs 1 and 2) | BATLS (or working towards BATLS qualification) | Basic life support should be confident to obtain intravenous access and/or intraosseous access and start fluids under direction | Service-specific training or triservice training currently under development |
| Non-vocational practitioners | ||||
| 3 | Personnel with specific extra training | Patrol Medic Advanced Team Medic | Basic life support Simple airway adjuncts: OPA, NPA Intravenous/intraosseous access and fluid administration in specific groups | Up to 12 weeks of training |
| 2 | Team Medic Remote Team Medic | Team Medic Course | Basic life support airway suction Needle thoracocentesis | 1–2 weeks |
| 1 | All UK military personnel | Mandatory annual training | Basic life support. Simple airway manoeuvres. Apply a chest seal. | One day training required annually |
MERT, Medical Emergency Response Team. BATLS, Battlefield Advanced Trauma Life Support. MIMMS, Major Incident Medical Management and Support. NPA, Nasopharyngeal airway. OPA, Oropharyngeal airway. PGD, Pateint Group Direction.