The PROMPT Manuals and ‘Course in a Box’ include all of the training materials required for in house training, however, these materials are produced specifically with UK practice in mind. When international teams attend a T3 day prior to implementing training in their own unit they are required to understand spoken and written English, and the standard UK course materials are used with the expectation that ‘in house’ localisation is undertaken for training in their own unit. However, when PROMPT training is distributed on a regional/national scale the comprehensive training material package will require localisation to reflect national guidelines, drug names and doses etc appropriate for that area. This may also include translation of the manuals into other languages. This process requires considerable time and resource and is usually undertaken by the local collaborators, although a legal agreement must be drawn up between all parties including PMF and our publishers, Cambridge University Press.