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Evaluation Aims This thesis outlines the Realist Evaluation of Swansea University’s Health and Wellbeing Academy, answering the evaluation question of, ‘Does the Health and Wellbeing Academy work, for whom does it work, in what ways and why?’ Methods The evaluation was split into three components including a Stakeholder Perspective Exploration, and Realist Evaluations of two programmes. Mixed methods were used to collect data from a range of stakeholders including programme users and facilitators, outlining the conditions in which the academy works, for whom and why. Findings and Recommendations Findings indicate the academy ‘works’ and is progressing towards its value of focusing on population needs by complementing the NHS, its mission of enhancing student placement opportunities, and its aim of providing holistic, person-centred care. Findings reveal that utilising the unique skill set of stakeholders affiliated with its university context (e.g., academic health care staff) are beneficial in achieving aims, values, and missions. Findings indicate the Academy facilitates internal, ‘home-grown’ programmes more so than external programmes, and that external programmes would benefit from a dedicated champion/manager to ensure the programmes longevity. Findings indicated that offering evidence-based programmes are successful at improving service user outcomes within this setting and again, suggest that unique contextual factors of the Academy (e.g., skillset of academics) facilitate the development of valuable programmes for Academy provision. Further, findings indicate the Academy offers a service in-line with visions outlined in core Welsh healthcare policy and is well-placed to contribute to the transformation of the Welsh NHS. Recommendations for the Academy to progress towards other aims include utilising the skillset of internal stakeholders to develop a research and evaluation framework, clarifying its aims, and outlining practical steps towards achieving these, by developing a logic model of the Academy, to ensure join-up between service areas, ensuring that programmes are operating in consistent and measurable way.

Use of a Realist Evaluation to Understand what works when Delivering Healthcare in an Alternative Setting