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Community PROMPT Wales

 

‘Community PROMPT Wales’ is a Welsh Risk Pool Maternity Safety and Learning programme developed by PROMPT Wales National Team Wales to address the needs of community midwifery teams. Building on the successful roll out of PROMPT Wales, training is presented in a way that represents practice in midwife-led settings.  

The programme was developed over the summer of 2019 and piloted throughout 2020 in all Health Boards. Following a successful evaluation, Community PROMPT Wales was full implemented in September 2021. All Community Midwives in Wales now attend training annually. 

Scenarios take place in the birth centres or a simulated home birth setting and focus on managing emergencies in a small team without early access to obstetric support. Midwives, Health Care Support Workers, Maternity Support Workers and Paramedics train together, using their own equipment, providing fidelity to their usual working practice. Training in the context of community practice facilitates the testing of systems and processes and identifies areas for organisational improvement. 

Group photo of Community Midwives of PROMPT Wales and Paramedics on training day

PROMPT training resources and algorithms have been adapted for community services and these are now embedded in all Wales guidelines and clinical practice, supporting midwives to recognise and respond efficiently to emergency situations to optimise safety.  

Community PROMPT Wales training is facilitated by Midwives and Paramedics who have received an approved PROMPT Wales faculty development training programme. Local faculty teams are responsible for the organisation and delivery of their courses. The National Team provide regular support and undertake annual quality assurance to ensure high standards of training and authenticity to the programme are maintained.  

The PROMPT Wales Trainer’s Booklet has been updated in 2025 and contains a suite of training resources for local facilitation teams.

Image of a mum and baby with Community Midwife on an ambulance bed heading into the ambulance 
Image of paramedic taking a patients blood pressure  Image of Community Midwives at the patients home doing routine check-up

Photo of 3 Community Midwives in training doing scenario checks on eachother 

The programme was developed over the summer of 2019 and piloted throughout 2020 in all Health Boards. Following a successful evaluation, Community PROMPT Wales was full implemented in September 2021. All Community Midwives in Wales now attend training annually. 

Scenarios take place in the birth centres or a simulated home birth setting and focus on managing emergencies in a small team without early access to obstetric support. Midwives, Health Care Support Workers, Maternity Support Workers and Paramedics train together, using their own equipment, providing fidelity to their usual working practice. Training in the context of community practice facilitates the testing of systems and processes and identifies areas for organisational improvement. 

PROMPT training resources and algorithms have been adapted for community services and these are now embedded in all Wales guidelines and clinical practice, supporting midwives to recognise and respond efficiently to emergency situations to optimise safety.  

Community PROMPT Wales training is facilitated by Midwives and Paramedics who have received an approved PROMPT Wales faculty development training programme. Local faculty teams are responsible for the organisation and delivery of their courses. The National Team provide regular support and undertake annual quality assurance to ensure high standards of training and authenticity to the programme are maintained.  

The PROMPT Wales Trainer’s Booklet has been updated in 2025 and contains a suite of training resources for local facilitation teams.