Managing Deconditioned Patients Pathway

An Integrated national activity-based programme

A National infrastructure and prudent approach to support patients to be more active, facilitating learning for everyone to improve clinical outcomes across Wales. The MDPP is an integrated national activity-based programme from referral to intervention, with a dataset to compare the different activities for the management of deconditioned patients with chronic disease. Developed by ICST in conjunction with NHS Wales.



Value-based care

The MDPP seeks to rationalise, expand and underpin all activity based interventions available to patients across Wales.

Through co-production, patients will be empowered to generate their own data through PROMs and PREMs, with a range of objective outcomes and assessment of healthcare utilisation.

I was born in October 1932, a fit and healthy baby. At the age of 3 years I caught whooping cough and from then on I had a constant cough and breathing difficulties. I was diagnosed with Bronchiectasis from a very young age. I am convinced that fresh air and lots of outdoor exercise is the best tonic for anyone with breathing problems. I hope to play golf for many years to come.

Mary Rowell

A patient story

The vast majority of patients will use technology, and find the use of technology very convenient, and educational. I use an app on my phone to record my blood pressure for instance. Plus have managed to do a short ecg using an app on my smart phone that was correct in showing my persistent AF.

Derek Cummings

A patient story


Patient-centred care

This programme will design the most cost and clinically effective national strategy for exercise and education interventions to support patient-centred healthcare for current and future generations of patients across Wales.

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