Components of the intervention
| Web-based PRISM tool | Installed on computers in each practice and activated when the practice began the intervention. |
| Practice-based training | Two-hour session delivered in the practice by a GP champion to the nominated lead GP for PRISM, the practice manager and any other interested staff. |
| GP champions | Two local GPs employed for two sessions per month to support practices in clinical use of PRISM. |
| Technical help desk | Telephone and email support provided in office hours by NHS Wales Informatics Service (NWIS) to answer enquiries about technical aspects of using PRISM. |
| PRISM handbook | User friendly 25-page handbook explaining how to set up and access PRISM, demonstrating the range of functions available in PRISM and recommending how to use it within the practice. |
| Targeted care | Practices were free to plan tailored care for patients at high risk. QOF payments required identification and active management of patients at high risk. |
GP, general practitioner; PRISM, predictive risk stratification model; QOF, Quality and Outcomes Framework.