Skip to main content

PROMPT Wales News

PROMPT Wales & Community PROMPT Wales 

Team photo for PROMPT Wales Meet the Team

National Update 2025 - 2026 Programme Year 

PROMPT Wales and Community PROMPT Wales continue to strengthen multiprofessional maternity emergency training across NHS Wales throughout the 2025–2026 programme year. Strong national engagement, quality assurance activity and multiprofessional collaboration remain central to delivering consistent, evidence-based and compassionate care for women, birthing people, babies and families across Wales.

 

Image of the team from a Train the Trainer day for the

 

PROMPT Wales Quality Assurance 

Our annual PROMPT Wales and Community PROMPT Wales Quality Assurance (QA) visits continue across NHS Wales. Across all sites, faculty teams are demonstrating outstanding commitment to high-fidelity, multiprofessional simulation training. It is particularly encouraging to see new JRCALC guidance for Welsh Ambulance Services Trust (WAST) paramedics on magnesium sulphate administration embedded within the PROMPT Wales eclampsia scenarios, strengthening fidelity to practice and reinforcing the value of community midwives and paramedics training together.

The faculty team demonstrate outstanding commitment to delivering high-fidelity training, showcasing creative equipment preparation and strong multiprofessional engagement. It is excellent to see how our Welsh Risk Pool Maternity and Neonatal Safety and Learning Programmes continue to align in supporting safer maternity and neonatal care across Wales. The preterm birth scenario clearly demonstrates the strength of collaboration between maternity and neonatal teams and actively promotes multiprofessional working across both services, strengthening a truly integrated approach to perinatal safety.

 

National Delivery & Programme Developments 

Engagement remains strong across the 2025–2026 programme year, reflecting the sustained commitment of Health Boards and local faculty teams to high-quality multiprofessional training.

A key milestone this year has been the launch of the Community PROMPT Wales Trainer's Booklet - Edition 3 (2025). The updated resource strengthens alignment with national guidance, integrates MEWS and the All-Wales maternity transfer document, embeds RCM Re:Birth language, and enhances human factors and community-specific algorithms to ensure consistent, high-quality delivery across Wales.

Alongside this, a new Facilitation Guide - WRP-Maternity-and-Neonatal-Safety-and-learning-programmes-Facilitation-Guide--2-.pdf has been developed to align the Welsh Risk Pool Maternity and Neonatal Safety & Learning Programmes. This shared resource supports faculty in delivering psychologically safe, evidence-based facilitation and promotes ongoing development across PROMPT Wales

 

Faculty Development & National Training Events 

National PROMPT Wales Faculty Development events delivered during the 2025–2026 programme year have strengthened both the capability and capacity of our national faculty. These events have enhanced facilitation skills, human factors integration, communication, escalation and structured debriefing across NHS Wales, while also expanding and sustaining a confident, multiprofessional faculty network to support consistent delivery across all Health Boards.

Team photo of 11 members for Community PROMPT Wales for Train the Trainer day

The national events held in both in Cardiff and Llandrindod Wells brought together midwives, obstetricians, anaesthetists, paramedics, ambulance technicians, healthcare support workers and theatre colleagues in a vibrant multiprofessional learning environment. These events continue to build a sustainable, confident national faculty network, ensuring consistent delivery across all Health Boards.

Example image of colleagues with a dummy for a scenario 

3 colleagues holding a baby doll for a scenario for Prompt Train the Trainer day

 

Strengthening the Pre-Hospital Interface 

PROMPT Wales continues its close collaboration with WAST and the Emergency Medical Retrieval & Transfer Service (EMRTS) Cymru, embedding PROMPT Wales principles within pre-hospital maternity emergency care.

Specialist pre-hospital maternity emergency algorithms have been co-developed to support the management of major obstetric emergencies, strengthening consistency between community, ambulance and hospital services and promoting a unified approach to the management of perinatal emergencies across Wales.

This collaborative work was showcased at the Prehospital Maternity and Neonatal 2025 Conference at ICC Wales, where Community PROMPT Wales represented the programme alongside WAST and EMRTS colleagues. The collaboration was highlighted at the 2026 RCM St David’s Day Conference at Swansea City Stadium, where a poster presentation under the theme “Stronger Together” highlighted the impact of multiprofessional  partnership working in strengthening maternity emergency care across Wales. 

The team are pictured outside of a helicopter from an EMRTS Training day 

 

Strengthening Maternity Emergency Care Across Wales

PROMPT Wales continues to advance multiprofessional maternity emergency care through its strategic collaboration with the Emergency Medical Retrieval and Transfer Service (EMRTS). Maternity emergencies can occur in any setting, from community birth environments to remote locations, requiring rapid and coordinated responses across midwifery, ambulance and critical care teams. Recognising that safe maternity care is a shared system responsibility, PROMPT Wales and EMRTS are working in partnership to embed PROMPT principles within pre-hospital practice, strengthening governance, standardisation and clinical preparedness across Wales.

The Welsh Risk Pool established a specialist clinical network to support the PROMPT Wales collaboration with EMRTS, with the aim of strengthening pre-hospital maternity emergency management across Wales. This network supported the development of evidence-based pre-hospital maternity emergency algorithms to guide the management of time-critical obstetric emergencies, including antepartum haemorrhage, postpartum haemorrhage, eclampsia, cord prolapse, shoulder dystocia and uterine inversion.

17 members of both PROMPT Wales and Air Ambulance on their  EMRTS training day

PROMPT Wales principles are now reflected within EMRTS Standard Operating Procedures (SOP), strengthening consistency in the management of maternity emergencies and supporting confident, coordinated decision-making in high-pressure environments. Implementation is supported by bespoke EMRTS and PROMPT Wales training, combining clinical skills development with high-fidelity, scenario-based simulation. Co-designed teaching materials align with PROMPT Wales standards and midwifery best practice, ensuring fidelity to clinical environments, equipment and decision-making pathways. Training integrates human factors, structured communication, escalation principles and team-based working, enabling clinicians to practise both technical and non-technical skills within realistic pre-hospital contexts.

Sara Jelfs, Senior Safety and Learning Midwifery Advisor and PROMPT Wales National Lead, said:

“It is a privilege to lead this workstream alongside EMRTS and our specialist clinical network. By developing shared algorithms and delivering high-fidelity, multiprofessional training, we are strengthening the interface between services and supporting prudent, standardised and safer perinatal care across Wales.”

Image for EMRTS Scenario

This collaboration has strengthened mutual understanding and professional respect between community midwives, paramedics and the ERMTS critical care team. By training together, teams enhance communication, shared situational awareness and role clarity, reinforcing the importance of integrated multiprofessional teamwork in perinatal emergency care. Through midwifery-led leadership and system-wide partnership working, PROMPT Wales and EMRTS continue to embed safer, more consistent maternity emergency care for women, birthing people, babies and families across Wales.