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What is a Medic?

In the event industry the term “medic” is widely used, but what exactly is a medic?

Medic is a general term used to describe someone working in an emergency healthcare environment, the title “medic” is not protected, this means that anyone can call themselves a medic without having any specific qualifications.

So, how do we know what level of training a medic has?
Well, that’s where clinical grades come in.

Depending on the qualifications held, medics will work at a set clinical grade and follow a scope of practice. Scope of practice” refers to the skills that the medic is trained and competent to carry out. It describes the areas in which the medic has the knowledge, skills and experience to practice safely and effectively in the best interests of patients. It may also refer to the limit of their practice.

Unfortunately, this system isn’t foolproof. Although most NHS Trusts and reputable medical providers have a similar scope of practice, some medical providers attempt to deceive the system by using unregistered titles for their “medics” to outwardly enhance the perceived level of medical cover. Because “Emergency Medical Technician” isn’t a registered title, medical providers can grade their staff as “Emergency Medical Technicians” with a qualification that could be as limited as First Aid at Work.

Our recommendations for ensuring suitably qualified staff:

  • When booking a medic, be specific about your requirements, what level of medical skill do you want your “medic” to be able to carry out? If you’re not sure what clinical grade (what level of skill) you require, ask your medical provider to advise what their clinical grades include.
  • Ensure your medical provider has a robust safer recruitment process to prevent unqualified and unchecked people from working for them.
  • Ask to see your medical providers scope of practice policy so you know exactly what skills to expect from each clinical grade.
  • Remember that ensuring high quality and robust cover isn’t cheap, if it’s too cheap, it’s probably poor quality.

It is the event organisers responsibility to exercise due diligence and appoint a reputable medical provider, could you justify your reasoning at an inquest?

If you have any questions regarding event medical provision, even if you’re using another provider, please feel free to contact us and we’ll be happy to discuss these with you.

Clinical Grades

First Responder

First Responders have advanced first aid skills such as taking basic observations to monitor a patient and administering emergency oxygen. They can treat minor injuries and perform basic life saving techniques until backup arrives.

They have completed Level D of PHEM framework approved training such as:
Level 3 Award in First Response Emergency Care
Level 3 Award for First Responders on Scene

Emergency Care Assistant

Emergency Care Assistants have a greater depth of knowledge than First Responders and may have urgent care ambulance experience. They can take a full set of clinical observations and can use additional medications including medical gases for pain relief.

They have completed Level E of PHEM framework approved training such as:
Level 4 Certificate in First Response Emergency Care
Level 3 Diploma in Ambulance Emergency and Urgent Care Support

Emergency Medical Technician

Emergency Medical Technicians have frontline ambulance experience and are often the lead clinician on an ambulance. They have a greater level of autonomy and skills such as c-spine assessment and ECG’s. They can administer a greater range of medications including adrenaline and GTN for serious and life-threatening illnesses.

They have completed Level F of PHEM framework approved training such as:
Level 5 Diploma in First Response Emergency and Urgent Care
Level 4 Diploma for Associate Ambulance Practitioners


Paramedic is a protected title, only those registered with the HCPC can use it.

Paramedics have complete pre-hospital autonomy and will usually be the lead clinician in the absence of a doctor. They have a wide range of advanced skills such as gaining vascular access, and can administer a complete range of pre-hospital medications including diazepam, morphine and TXA for life-threatening trauma and illnesses.

They have completed Level G of the PHEM framework and registered as a paramedic with the Health & Care Professions Council.


Nurses may have to complete additional training before working in pre-hospital care, but usually work as part of a multidisciplinary team. Nurses areas of speciality can be very specific such as Paediatric or Mental Health, so work well at larger events with dedicated medical centres.

They are registered as a nurse with the Nursing and Midwifery Council.


Doctors are usually specialist in different fields such as cardiology, general practice and emergency medicine. Emergency medicine doctors work closely with paramedics and carry additional medications such as anaesthetics and strong analgesics.

They are registered as a doctor with the General Medical Council with a license to practice.