PROMPT Changes 2025

24/02/2026
PROMPT Wales and Air Ambulance team: 17 members of both PROMPT Wales and Air Ambulance on their training day

24/02/2026
EMRTS Training photo: Air ambulance team on a training day

24/02/2026
EMRTS Helicopter training photo: The team are pictured outside of a helicopter from an EMRTS Training day

24/02/2026
PPROMPT Wales team.jpg: Team photo for PROMPT Wales Meet the Team

23/02/2026
PROMPT Wales St Davids CPW Poster: PROMPT Wales St Davids CPW Poster; By Poster for St Davids CPW for the Collaboration with EMRTS

23/02/2026
PROMPT Wales Scenario: Scenario photo of mother laying in bed with baby with midwives

23/02/2026
PROMPT TTT News section: Example image of colleagues with a dummy for a scenario

23/02/2026
PROMPT TTT image for News: Image from PROMPT Wales Train the Trainer day

23/02/2026
PROMPT Scenario for Train the Trainer day: Example of a scenario for PROMPT Wales Train the Trainer day

23/02/2026
Community PROMPT Wales team TTT: Team photo for Community PROMPT Wales for Train the Trainer day

20/02/2026
Image for PROMPT Wales News page.png: Image of the team from a TTT day for the 'News' section

13/02/2026
PPROMPT Wales team: Team photo for PROMPT Wales

28/01/2026
Sustainability and Quality Assurance image : Updated image for Sustainability and Quality Assurance

28/01/2026
PROMPT Cast 2025: Logo for PROMPTCast for section 'what is PROMPT'

21/01/2026
Rebecca Dowden photo for 'meet the team': Rebecca Dowden photo for 'meet the team'

21/01/2026
Toni Balman photo for 'meet the team': Toni Balman photo for 'meet the team'

20/01/2026
Community Prompt Wales Logo: Community Prompt Wales Logo for the section of Community Prompt Wales

20/01/2026
2023 RCM Awards winner photo : 2023 RCM Awards winner photo of Sarah Morris, Sarah Hookes and Jane Storey

19/01/2026
Community PROMPT Booklet2: Image for Community PROMPT Booklet 2

19/01/2026
Community PROMPT Booklet: Image of Community PROMPT Booklet

FAQs

What does a PROMPT Wales training day consist of?

PROMPT Wales is a full day training course, attended and facilitated by a multiprofessional maternity team. The emphasis is on team working, communication and the impact of human factors, as well as clinical management. Delegates are allocated to multiprofessional teams to take part in simulated obstetric emergencies in their own clinical setting. Some examples would be attending an undiagnosed breech birth in a midwife-led unit or managing a cardiac arrest. Community midwifery teams attend Community PROMPT Wales training where they train alongside paramedics and practise managing childbirth emergencies in a community setting.

What is the overall objective of the PROMPT Wales programme?

PROMPT Wales is ‘more than just training,’ it is about what happens every day in clinical practice. Training brings the team together, helping to build respectful working relationships where every member of the team feels valued and safe to voice an opinion. PROMPT Wales training has encouraged the embedding of algorithms and proformas in to every day practice in NHS Wales, making ‘the right way the easy way.’ And of course, the overall objective of PROMPT Wales training is about enhancing the clinical management of an obstetric emergency though improvements in teamworking, communication and the use of tools and algorithms, leading to safer maternity care and outcomes.

How will we know that PROMPT Wales training is effective?

As demonstrated in Southmead Hospital in Bristol and other maternity units in the UK and abroad, we expect to see improvements in outcomes here in Wales.

We have demonstrated improvements in staff perception of team working and safety, measured using a validated Safety Attitude Questionnaire. Results from pre and post implementation of PROMPT Wales shows improvement in all six domains: teamwork, safety climate, perception of management, job satisfaction, working conditions and stress recognition.

PROMPT Wales has also been effective at bringing teams together to train and reducing variation in the provision and quality of training. In 2017, there was little in the way of multiprofessional training in NHS Wales maternity services, with the different professions receiving varied training, and this differed between the obstetric units in Wales. Our process measures demonstrate that PROMPT Wales training is standardised across Wales; facilitated by midwives, obstetricians, and anaesthetists; and attended by the whole multiprofessional team. Overall attendance for 2022-23 was 90% of all maternity staff in NHS Wales.

PROMPT is associated with a reduction in low 5-minute Apgar scores and HIE (Draycott et al, 2005). NHS Wales has seen a reduction in term and preterm APGAR score of less than 7 at 5 minutes since the implementation of PROMPT Wales.

Useful Links & Resources

Get in Touch

If you have a query for PROMPT Wales. Please contact us below: