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Healthcare regulator · Ireland

PHECC Ireland: Registration, Exams and Fees

The Pre-Hospital Emergency Care Council registers emergency medical technicians, paramedics and advanced paramedics in Ireland. If you trained abroad, it must recognise your qualification and award an NQEMT first.

Pre-Hospital Emergency Care CouncilWorking in Ireland

Overview

The Pre-Hospital Emergency Care Council (PHECC) is the statutory body for pre-hospital emergency care in Ireland. It sets education and training standards, runs the National Qualification in Emergency Medical Technology (NQEMT) examinations, publishes clinical practice guidelines (CPGs), licenses CPG providers and keeps the register of practitioners.

PHECC says all EMTs, paramedics and advanced paramedics must be registered with it to practise legally.

To join the register you must hold an NQEMT at the right level. There are two routes to it: passing the NQEMT examinations after a course at a PHECC Recognised Institution, or recognition of a professional qualification obtained outside Ireland. PHECC is the competent authority for these professions under the EU recognition rules.

Recognition is a document assessment. Because 'EMT' and 'paramedic' mean very different things internationally, PHECC assesses every application individually against the most appropriate Irish standard. Its qualification assessors panel recommends an outcome and the Director decides. PHECC says the process usually takes about 3 months.

Outcomes differ for EU Directive applicants and other international applicants. Directive applicants who fall short may choose an adaptation period or an aptitude test. Other applicants are successful or unsuccessful; the Director may set out steps to take before reapplying. PHECC applies the same process and cost to UK applicants after Brexit.

After registration, a practitioner can only practise under PHECC's 'triple lock': a current licence, working for a PHECC licensed CPG provider, and being privileged by that provider at their level. Registration is renewed every year.

Official website: phecc.ie

Who it registers

  • Emergency medical technician (EMT) division
  • Paramedic division
  • Advanced paramedic division
  • Intern registration for student paramedics and advanced paramedics on PHECC-recognised courses
  • Temporary registration for practitioners established in the EU or EEA providing services on a temporary and occasional basis

Eligibility

  • You hold a professional pre-hospital emergency care qualification obtained outside Ireland.
  • Your training institution can verify Form A (training and education testimony), stamping every page.
  • Each employer can provide Form B (professional reference) from someone who supervised your practice.
  • You can provide notarised copies of your passport and qualification certificate, and notarised English translations where needed.
  • You give details of your regulator, if any. PHECC says NREMT (USA) and AREMT (Australia) are registries, not regulatory authorities.
  • Applicants under Directive 2005/36/EC must attach evidence from their home competent authority certifying completion of professional training.
  • To register after recognition, you must hold the NQEMT and sign PHECC's Declaration and Commitment.

Check your route with the route finder

How to apply

  1. 1. Choose your division and read the standards

    Decide whether you are applying for EMT, paramedic or advanced paramedic, and read PHECC's education and training standards and CPGs for that level.
  2. 2. Read the current policy, form and guidelines

    Download PHECC's Council policy, application form, guidelines and information bulletin from the recognition page. PHECC returns applications that are incomplete or on the wrong form.
  3. 3. Form A from your training institution

    Complete Form A with course content, assessment methods and every clinical placement block, then send it to your institution to verify and stamp each page. Attach a full English syllabus.
  4. 4. Form B from employers

    Ask a supervisor at each employer to complete Form B describing your work settings, caseload and authority to practise, with an official stamp. Explain any gaps in your employment history.
  5. 5. Certified copies and the fee

    Obtain certified copies of the evidence listed in the form and guidelines. Pay the €350 fee through PHECC's online store, or by euro cheque, bank draft or postal order drawn on an Irish bank. Do not send cash or originals.
  6. 6. Submit by email

    Check the checklist, then send your complete application electronically as one attachment to [email protected].
  7. 7. Assessment and NQEMT award

    The qualification assessors panel compares your qualification, training and experience with the Irish standard and recommends an outcome to the Director. If successful, PHECC awards the NQEMT at the appropriate level.
  8. 8. Join the register

    Complete the joining form with a wet signature, pay the €10 annual fee and email the form and an ID photo to [email protected]. You receive a licence card and registration certificate.
  9. 9. Re-register every year

    Licences expire on 30 September (advanced paramedic), 31 May (paramedic) or 31 March (EMT). Re-register online before the closing date to avoid late fees, and keep a CPC portfolio.

Exams and assessments

  • NQEMT examinations

    PHECC conducts the NQEMT examinations for candidates who complete a recognised course at a PHECC Recognised Institution. Internationally trained applicants who are recognised are awarded the NQEMT without sitting these exams.

  • Adaptation period or aptitude test (Directive applicants)

    Applicants under the Professional Qualifications Directive whose application does not fully meet the NQEMT requirements may choose between an adaptation period and an aptitude test to address the deficit identified.

    Read the guide
  • Appeals

    Unsuccessful applicants can appeal within 28 days of the decision being communicated. Directive applicants have a further right of appeal to the High Court within 42 days. PHECC's fee schedule lists €200 for a recognition appeal.

English language

  • PHECC's recognition and registration pages do not publish an English language test or minimum score.
  • All documents must be completed in English or translated into English and notarised by a Notary Public, with the notary's seal and registration number.
  • Form A and Form B translations must be certified by a Notary Public, and the syllabus must be supplied in English.
  • Employers may set their own English requirements, so check job specifications before applying.

Fees

ItemFee
Recognition of professional qualifications obtained outside IrelandPHECC schedule of fees, item 2.6. Pay via PHECC's electronic payment system, or by euro cheque, bank draft or postal order drawn on an Irish bank or post office. No cash. PHECC's form describes the application fee as non-refundable.€350PHECC schedule of fees, item 2.6. Pay via PHECC's electronic payment system, or by euro cheque, bank draft or postal order drawn on an Irish bank or post office. No cash. PHECC's form describes the application fee as non-refundable.
Annual registration fee (joining the register)PHECC says the €10 fee applies regardless of when in the registration year you join, and covers one year or part of one.€10PHECC says the €10 fee applies regardless of when in the registration year you join, and covers one year or part of one.
Late re-registration (in the last four weeks before expiry)Includes the €10 registration fee.€20Includes the €10 registration fee.
Restoration (up to one month after licence expiry)Includes the €10 registration fee.€50Includes the €10 registration fee.
Post-restoration (more than one month after expiry)Also needs a letter to the Registrar and a CV.€100Also needs a letter to the Registrar and a CV.
Appeal of a recognition decisionPHECC schedule of fees, item 5.2.€200PHECC schedule of fees, item 5.2.
Replacement licence€10

Estimate your total cost

Timeline

  • PHECC's guidelines say you will be told within one month if your application is incomplete.
  • PHECC says recognition usually takes 3 months and may be extended due to the volume of applications; its form says the period may be extended by one month.
  • PHECC says complete emailed applications to join the register are processed within two working days; its FAQ says licences issue within 28 days of a complete application.
  • Re-registration opens about 12 weeks before licence expiry, with an administrative deadline 4 weeks before expiry.
  • Appeals must be lodged within 28 days of the decision.

Questions

PHECC. CORU does not regulate paramedics, EMTs or advanced paramedics.

The National Qualification in Emergency Medical Technology, awarded by PHECC at EMT, paramedic or advanced paramedic level. You need it to join the register.

€350 for recognition of qualifications obtained outside Ireland, then €10 a year for registration.

PHECC says usually 3 months, possibly longer when application volumes are high.

Not necessarily. PHECC compares your training with the most appropriate Irish standard, whatever your title abroad.

No. PHECC says NREMT and AREMT are not regulatory authorities. It looks at your qualification, training and experience.

PHECC does not publish one. Documents must be in English or notarised translations, and employers may set their own requirements.

PHECC says the process, cost and pathway are the same for UK, EU and other applicants.

To practise you need a current PHECC licence, to work for a PHECC licensed CPG provider, and to be privileged by that provider at your level.

Yes, within 28 days of the decision. PHECC's fee schedule lists €200 for a recognition appeal.

Sources