Which groups would be considered for an international PROMPT licence? In general we have found that teams that are experienced in implementing PROMPT in their own unit are best placed to roll out training on a wider scale. Local dissemination of PROMPT training requires commitment to provide high quality, cost effective training for other units on a large scale. Groups wishing to take on this challenge should be able to demonstrate the necessary experience, financial and logistical backing that is required to support the venture. Most teams that have previously obtained licenses for local PROMPT training have been affiliated with national professional bodies (e.g. RCOG, RANZCOG) or respected academic institutions. This type of local endorsement of PROMPT undoubtedly improves the reach of training.