Real-world evaluation of the Hywel Dda University Health Board Diabetes prevention programme

This report presents the findings from the real-world evaluation of the Hywel Dda University Health Board Diabetes Prevention Programme (HDUHB DPP). The HDUHB DPP, initiated in January 2023 and is designed to mitigate the risk of progression to Type 2 Diabetes Mellitus (T2DM) among individuals identified as being at elevated risk. The programme adopts a multifaceted approach, incorporating education, behavioural support, and lifestyle modification. It represents an enhanced regional adaptation of the national Diabetes Prevention Programme, supplemented by additional components specific to Hywel Dda, including the National Exercise Referral Scheme and the Foodwise for Life Programme, delivered as part of an integrated intervention. The programme is accessible to service users across all seven clusters within the Health Board, with the TriTech Institute commissioned to undertake a comprehensive evaluation across all participating sites. The evaluation sought to assess changes in the prevalence of individuals at risk of developing T2DM from baseline to follow-up. Furthermore, it aimed to examine the broader value of the programme by exploring the impact on service users and staff, as well as the potential economic benefits of the programme for the Health Board.