Implementation

In May and June 2018, multi-professional teams of anaesthetists, midwives, obstetricians, support workers and university lecturers from across Wales came together to train as PROMPT facilitators at a bespoke faculty training course delivered by the PROMPT Maternity Foundation.

With the support of a PROMPT Wales Implementation Team, these experienced clinicians took responsibility for developing the content and rolling out PROMPT Wales courses within their own services and by January 2019, PROMPT Wales was running in all 7 Health Boards. The Implementation Team consisting of a multi-professional team of clinicians from NHS Wales and the PROMPT Maternity Foundation, supported local faculty teams to organise, implement and deliver PROMPT Wales training.

PROMPT training materials were adapted to align with NHS Wales initiatives and the brand PROMPT Wales was born! The Welsh Risk Pool funded essential training resources including manikins and PROMPT Manuals to facilitate the roll out of PROMPT Wales.

Additional national and in-house Faculty Development training days were hosted by the implementation team throughout 2019, to ensure a sufficient number of multi-professional clinicians were trained as faculty.

A National Launch of PROMPT Wales took place on 23rd October 2018 in Cardiff with keynote addresses from the Managing Director of the NHS Wales Shared Services Partnership, the Chief Nursing Officer and Chief Medical Officer for Wales.

In 2019, participation in PROMPT Wales training was mandated by Welsh Government for midwives, obstetric doctors and anaesthetists who regularly provide maternity care (link to Welsh Health Circular)

In the first year, 107 PROMPT Wales courses were held in NHS Wales!

More information about the implementation of PROMPT Wales can be found in this article published in the BMJ https://bmjopenquality.bmj.com/content/10/4/e001280

FAQs

What does a PROMPT Wales training day consist of?

PROMPT Wales is a full day training course, attended and facilitated by a multi-professional maternity team. The emphasis is on team working and communication, so delegates are allocated to multi-professional teams to take part in simulated obstetric emergencies in the clinical areas. Some examples would be managing an undiagnosed breech birth in a midwife-led unit or attending to a cardiac arrest in a pregnant woman. Community midwifery teams also attend A Community PROMPT Wales training where they train alongside paramedics and practice managing emergencies in a community setting.

What is the overall objective of the PROMPT Wales programme?

PROMPT Wales training focuses on effective management of emergency situations which may arise in pregnancy and childbirth. It emphasises the importance of teamwork and effective communication and gives teams the opportunity to practice rare emergencies in a simulated environment. As demonstrated in Southmead Hospital in Bristol and other maternity units in the UK and abroad, we expect to see improvements in safer outcomes for mothers and babies in Wales.

How will we know that PROMPT Wales training is effective?

Having collected retrospective data from maternity units around Wales, PROMPT Wales will make comparisons after agreed periods of time to establish whether improvements in clinical outcomes are evident. We are also interested in staff perception around team working and safety and have measured this using a Safety Attitude Questionnaire. Results from pre and post implementation demonstrated improvement in all six domains: Teamwork Safety Climate Perception of management Job satisfaction Working conditions and stress recognition. We are also keen to understand women’s perceptions of the care received during emergencies with regards to safety and communication and intend to gather information which will help to inform our training.

Get in Touch

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