Prism Data Collection Complete (February 2015) The study team have ended data collection for the study. Next steps - analysis and reporting. The final report to the funder, the National Institute for Health Research, is due in August 2015 - although there will be a delay in publication to allow for external peer review and editing. The NIHR webpage for the PRISMATIC trial is available here. If interested why not use their "Notify me when this item is published" option, or email to go onto the study mailing list.

Prism Data Collection Update (January 2015) The study team are collecting the final data for the study. Nearly 800 responses have been received in the third and final round of patient questionnaires. Meanwhile, final interviews and online questionnaires are being collected from Prism users across the 32 study practices. The third element of data is anonymous routine health data which will be accessed through Swansea University's Secure Anonymised Information Linkage (SAIL) databank. 

End of Prism intervention phase (November 2014) It has been 18 months since the first PRISMATIC study practices received Prism in March 2013, and this marks the end of the intervention phase of the study. The next steps will be to finalise data collection, before analysis and reporting can be completed.

Society for Academic Primary Care Conference Presentation  (July 2014) Study researcher Mark Kingston presented preliminary findings from GP interviews and focus groups undertaken prior to the introduction of the Prism risk tool. This qualitative work covered expectations of the tool.

Access the presentation on Slideshare here 

Next round of Prism user feedback to begin (May 2014) Study team members will be commencing the next round of user interviews and surveys shortly. Gathering feedback from Prism users is a vital element of the study, as it will provide rich data regarding clinicians experiences of using the risk prediction tool, and the decisions they subsequently make. Feedback is sought from practice staff that have had access to Prism for 3 months, 9 months and 18 months.

Prize Winners Drawn by Chief Medical Officer (March 2014) Dr Ruth Hussey, Chief Medical Officer for Wales, drew the PRISMATIC questionnaire prize draw winners on a visit to Swansea on March 7th 2014. Each entry was from a member of the public that had received one of the 1,800 PRISMATIC questionnaires distributed by study practices. The top prize winner was Mr Roland Govier from Swansea, who wins £100 in high street shopping vouchers. Mr Govier is a patient of the Marina Surgery - a branch of the Grove Medical Centre in Uplands, Swansea. Runners up were Sheila Jowett from Bridgend (attached to Oak Tree Surgery), and Clifford Croft from Neath (Castle Surgery) who each received £50 in vouchers. 

   PRISMATIC Prize Draw Ruth Hussey 2.JPG   Roland Govier prize presentation.JPG
Dr Ruth Hussey, Chief Medical Officer, draws the winners

Roland Govier (centre) receives his prize from Mark Kingston, PRISMATIC Research Manager and Mike O'Rourke, Practice Manager at the Marina Surgery.

Fantastic Response to latest Questionnaires (March 2014) The study team are delighted to have received over 900 questionnaires from members of the public registered with study practices. Added to those questionnaires from last year, that is over 1,500 returns! Each questionnaire recipient was selected at random from the practice list, and sent a questionnaire about their quality of life, and experiences of healthcare. Almost one in two recipients returned their questionnaire resulting in a response rate of 46%. The study team would like to express thanks to all those who took part - or helped in the process. 

A final round of questionnaires will be distributed in October 2014.

State of Care report shows 'avoidable' emergency admissions are increasing

The Care Quality Commission's 2013 report focuses on an increase of admissions for ‘avoidable’ conditions such as bone fractures, dehydration, pneumonia and respiratory infections which can be treated in community settings. Although focussing on England, the report provides useful context for the use of Prism in ABMU. The report is available here.

2nd Round of Patient Questionnaires - November 2013

The second of three rounds of patient questionnaires have been sent by staff at participating practices, with a target of 800 returns (from around 1800 distributed). A free prize draw is included with patients able to win a top prize of £100 in high street shopping vouchers.

Prism Internet Explorer Compatibility Issue 

Attention of Prism users: If you are having difficulty using any the menus on the Prism web pages then you may need to run Internet Explorer in compatibility mode. Just follow the instructions here.

QPI Guidance on risk profiling from Public Health Wales (PHW) – August 2013

guide on risk profiling has been produced by PHW. The guide aims to encourage consistency across Wales and to make it easier for practices and HBs to agree what is need to meet contractual requirements; and ensure engagement by primary care teams in reviewing and supporting those patients found to be a greater need of complex health and social care.  

QPI guidance from ABMU

ABMU have just released guidance to ABMU practices, with regard to completion of the new QP indicators on risk stratification and management of patients identified at risk.  The letter sets out the Health Board’s requirements for practices and includes further guidance for 1. Those practices that are not participating in the Study, 2.  Those who have access to the Prism tool, and 3.  Those practices that are expecting to have access to the tool later in 2013/2014.

PRISMATIC at national events

PRISMATIC is going to be on the agenda at two prestigious national events this summer. In Nottingham in June, Dr Alison Porter of the PRISMATIC study team has been invited to speak at the 2013 Health Services Research Network Symposium, which features presentations and discussion at the leading edge of UK and international health services research. Alison will be talking about PRISMATIC as part of a session on ways of reducing emergency admissions to hospital. Then on  July 8th, the Nuffield Trust in London are hosting their annual conference on predictive risk, where Alison will be presenting PRISMATIC and taking part in a discussion of the evaluation of predictive risk tools.

New Patient Webpage (June 2013)

We have recently added a patient page to the website which provides clear information for patients who receive a PRISMATIC questionnaire. If you are a GP or health practitioner, you may want to refer patients to the Patient Webpage if they ask for more information about PRISMATIC.

The page was developed in collaboration with the SUCCESS service user group.

New Report (June 2013)

A new report identifies opportunities for a more proactive approach to prevention and population health and encourages individual general practices and locality groups to look beyond just those at highest risk.  The report by the Nuffield Trust in partnership with the National Association of Primary Care is entitled Reclaiming a population health perspective Research report: Future challenges for primary care.

Patient Questionnaires (March 2013)

The first patient questionnaires are currently being sent out by practices. These initial questionnaires are intended to capture patient experiences before Prism is widely used across the health board area. Further questionnaires will be sent to patients after 7 months, and after 18 months, to capture experiences following the introduction of Prism.

PRISMATIC trial begins (March 2013) 

GP practices have begun using the Prism risk prediction tool in ABMU. Three practices in the Afan area of Port Talbot have become the first to have access to the tool as a resource to support their patient care. To help practices understand the tool better, each practice will be offered training from Dr Smallcombe or Dr Burge-Jones, alongside a comprehensive Prism handbook.

Practice clusters confirmed (January 2013)

The study incorporates 11 clusters of practices – groups of 2-4 local practices. These clusters are based on existing ABMU Health Board networks. The 11 clusters are: Bridgend East, Bridgend North, Afan A and B, Neath A and B, Upper Valleys, Bayhealth, Cwmtawe, Llwchwr and Penderi/City. For full details of the practices in each cluster see the documents section.

PRISMATIC Schedule (January 2013)

As part of the randomised study design, full use of Prism will be randomly assigned to a practice cluster each month. Between March 2013 and February 2013, each of the 11 practice clusters will have access enabled in turn. Where possible, practices will receive 4-6 weeks notice of their cluster being assigned Prism, following randomisation. The latest schedule can be accessed from the main page


Recruitment Target Met (June 2012)

We are pleased to confirm that we have now met our minimum recruitment target of 30 practices, so we would like to send a big thankyou to all those that have agreed to particpate.  It has taken longer than planned to reach our target, but to ensure the validity of the research it was necessary to reach this milestone before the study proper begins. Thank you all for your patience and we look forward to working with you through the next stages.

3rd Annual Nuffield Trust Predictive Risk Conference 2012

Members of the study team recently attended the Nuffield Trust Predictive Risk Conference. The tone of the event was very positive about predictive risk models, and confirmed widespread use of these tools internationally. There were lots of examples of using risk models for case finding i.e. identifying patients for care, either within existing care models, or alongside developing health and social care initiatives. It was clear that there remains a knowledge gap regarding the clinical effectiveness of risk prediction tools. Our study findings are awaited with keen interest! Read more about the event at  and

GP Champion Appointment (April 2012)

We have recently recruited two GPs to work with the research team on developing elements of the project.  They will act as intermediaries between the University research team and the GP practice community and provide valuable support and advice for practice staff. By linking with local health and social care service providers they will be exploring potential use of the Prism data in each locality - Swansea, Bridgend and Neath Port Talbot.

Deborah Burge-Jones. - part time partner in Muir and Partners, Briton Ferry for 4½ years.

“I am pleased to be part of the project and I think Prism holds great potential for improving patient care and supporting pro-active patient management. The project timing fits perfectly alongside the current QPI indicators and the drive to reduce A&E attendances. I look forward to exploring the role of Prism with you.”

Sarah Smallcombe, partner at Fairfield Surgery, Port Talbot for 7 years.

“This is an exciting opportunity to be involved in a study that allows us to take patient care to a higher level, by having a systematic way of indentifying those with the highest need. I look forward to seeing Prism in action in my surgery and working with others in developing appropriate uses.“

Want to contact Deborah or Sarah? - Email them at in the first instance.

Recruitment update (April 2012)

We have received 37 expressions of interest from GP practices and 14 participation agreements thus far. If you have expressed interest in the study, please do return your agreements – and if you have any questions please get in touch with the research team. Following requests from a number of practices, we will send out electronic copies of the research pack, which can easily be shared between practice colleagues.

Research Packs Distributed (March 2012)

The PRISMATIC research packs were distributed in March 2012. The packs included the first PRISMATIC newsletter, a research flyer, a project summary and the participation agreements.

Swansea University CHIRAL Seminar - Predicting and preventing unplanned hospital admissions: Geraint Lewis, Senior Fellow, The Nuffield Trust

Geraint is a consultant public health physician who qualified in medicine from Cambridge University, and worked as a junior doctor in London and Sydney before starting higher specialist training in Public Health. Working at Croydon Primary Care Trust between 2004 and 2006 he developed and implemented the Virtual Wards project. With community nursing colleagues, he reasoned that if he could use routinely available data to predict which patients were most likely to need re-admission in the next 12 months, nurses could target interventions to prevent them. The virtual ward was born.

The scheme won an unprecedented four prizes at the Health Service Journal Awards in November 2006 and was the overall winner of The Guardian Public Services Awards, 2007.

This Seminar provides an understanding of predictive models and of case studies in their use. You can see a video of the seminar video using the following link:


For Enquiries About The PRISMATIC Research Project 

Mark Kingston – Research Officer, Swansea University                     01792 606844

Sherry Jenkins – Study Administrator                        01792 606685