PHICIS course — pre-hospital immediate care in sport

PHICIS is England Rugby's (RFU) pitch-side immediate care course, which prepares medical staff to assess, treat and safely transfer an injured athlete before the ambulance arrives. The Foundation plans to introduce it in 2027.

At a glance

Who it is for
Healthcare professionals such as doctors, nurses, paramedics, physiotherapists and sports trainers
Course levels
Level 2 (community game) · Level 3 (professional game)
Accreditation valid for
2 years (Level 2)
Foundation introduction
Planned for 2027 — delivery details will be announced once confirmed

Why immediate care on the pitch matters

When a serious injury happens during a match, what is done in the few minutes before the ambulance crew arrives can determine the outcome. The people responsible for this time are the team doctors, team nurses and athletic trainers at the side of the pitch.

PHICIS is a course that prepares them to assess an injured athlete systematically, provide the care needed and hand over safely to definitive care.

What is PHICIS?

PHICIS (Pre-Hospital Immediate Care in Sport) is a pitch-side emergency care course run by England Rugby (RFU). It builds the skills healthcare professionals need to assess and diagnose an injured athlete at the side of the pitch, deliver advanced immediate care, and stabilize and move the athlete to a place of safety to await definitive care.

CPR practice with an automated external defibrillator (illustrative image)

Key course content

  • Recognizing and managing life- and limb-threatening injuries within a primary survey framework
  • Working with emergency medical services (ambulance and hospital)
  • Cervical and spinal protection
  • Head injury and concussion management

Based on the RFU course.

Level 2 and Level 3 compared

PHICIS Level 2 and Level 3 compared (based on the RFU course)
ItemLevel 2Level 3
Level of gameCommunity gameProfessional game (Premiership, Championship, national teams)
Course formatOnline interactive modules (about 15 hours, completed 48 hours before) + face-to-face trainingAs set out by the RFU
Entry requirementsHealthcare professional, aged 18 or overRegistered healthcare professional, aged 18 or over (sports therapists need Level 2 or an equivalent qualification)

Accreditation

Level 2 accreditation is valid for 2 years. PHICIS is recognized by the Faculty of Pre-Hospital Care of the Royal College of Surgeons of Edinburgh.

The Foundation's plan

The Foundation is preparing to introduce PHICIS in 2027 so that team doctors, team nurses and athletic trainers in Korea can complete the course.

Delivery, accreditation and partnership arrangements will be announced once confirmed. Course dates and how to apply will be shared in our notices.

Source · PHICIS is an England Rugby (RFU) course. The information above is summarized from England Rugby's PHICIS pages; please check the original source for the latest requirements.

England Rugby PHICIS courses (external site, opens in a new window)

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