Clinical Programmes

A personalised 12-week exercise programme for adults living with cardiovascular disease or recovering from cardiac treatment. The programme includes an initial clinical assessment, individual exercise prescription, ongoing supervision and liaison with your cardiologist, cardiac rehabilitation service or wider cardiac care team where appropriate.

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The programme can support people with:

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• Hypertension

• Coronary heart disease

• Heart valve repair or replacement

• Coronary artery bypass graft surgery

• Coronary stent insertion or angioplasty

• Cardiac ablation procedures

• Reduced fitness following a cardiac event or hospital admission

• Changes to cardiac medication that may affect blood pressure, heart rate, fatigue or exercise tolerance

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Exercise is carefully progressed according to your diagnosis, symptoms, medication, current fitness and clinical guidance, helping you rebuild confidence, improve cardiovascular health and return safely to everyday activity.

A personalised 12-week health optimisation programme for adults who want to understand their current health, reduce future disease risk and perform at their best as they age. The programme includes physiological testing, exercise prescription and ongoing supervision.

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• Cardiovascular and metabolic health assessment

• Heart-rate variability and recovery monitoring

• Blood glucose monitoring

• Sleep quality, duration and analysis

• Body composition, strength and functional fitness testing

• Blood pressure and cardiovascular risk management

• Improved energy, resilience and physical performance

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Exercise and lifestyle recommendations are carefully progressed according to your assessment results, health history, current fitness, recovery and personal goals, helping you improve cardiovascular fitness, metabolic health, strength, sleep and resilience while maintaining independence and quality of life as you age.

A personalised 12-week exercise programme for adults living with frailty, reduced resilience or declining physical function. The programme includes an initial clinical assessment, individual exercise prescription, ongoing supervision and liaison with your GP, geriatrician, physiotherapist or wider healthcare team where appropriate.

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The programme can support people with:

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• Reduced strength or mobility

• Difficulty completing everyday activities

• Poor balance or increased risk of falling

• Slower walking speed

• Fatigue or reduced exercise tolerance

• Loss of confidence following illness or hospitalisation

• Unintentional weight or muscle loss

• Multiple health conditions affecting physical independence

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Exercise is carefully progressed according to your health, mobility, symptoms, current ability and clinical guidance, helping you improve strength, balance, walking capacity and confidence while maintaining independence and making everyday activities safer and easier.

A personalised 12-week exercise programme for adults living with osteoporosis, osteopenia or reduced bone strength. The programme includes an initial clinical assessment, individual exercise prescription, ongoing supervision and liaison with your GP, rheumatologist, osteoporosis service or wider healthcare team where appropriate.

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The programme can support people with:

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• Osteoporosis or osteopenia

• Previous low-trauma or fragility fractures

• Reduced bone mineral density

• Vertebral fractures or changes in posture

• Loss of strength, balance or mobility

• Increased risk of falling

• Concerns about exercising safely with osteoporosis

• Changes to bone medication that may affect symptoms or activity

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Exercise is carefully progressed according to your bone health, fracture history, symptoms, current fitness and clinical guidance, helping you improve strength, balance, posture and confidence while reducing your future risk of falls and fractures.

A personalised 12-week exercise programme for adults undergoing cancer treatment, recovering following treatment or managing its longer-term effects. The programme includes an initial clinical assessment, individual exercise prescription, ongoing supervision and liaison with your oncologist, cancer rehabilitation service or wider healthcare team where appropriate.

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The programme can support people with:

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• Preparation for cancer treatment or surgery

• Recovery following surgery

• Chemotherapy or radiotherapy

• Hormone or immunotherapy treatment

• Cancer-related fatigue

• Loss of strength, fitness or muscle mass

• Treatment-related changes to bone or heart health

• Returning safely to activity following treatment

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Exercise is carefully progressed according to your diagnosis, treatment, symptoms, current fitness and clinical guidance, helping you maintain strength, manage fatigue, rebuild physical confidence and improve quality of life throughout treatment and recovery.

A personalised 12-week exercise programme for adults living with chronic kidney disease or receiving treatment for reduced kidney function. The programme includes an initial clinical assessment, individual exercise prescription, ongoing supervision and liaison with your GP, nephrologist, renal unit or wider healthcare team where appropriate.

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The programme can support people with:

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• Chronic kidney disease

• Reduced kidney function

• Haemodialysis or peritoneal dialysis

• Recovery following kidney transplantation

• Fatigue or reduced exercise tolerance

• Muscle weakness or physical deconditioning

• High blood pressure associated with kidney disease

• Changes to renal medication that may affect exercise

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Exercise is carefully progressed according to your kidney function, treatment, symptoms, medication, current fitness and clinical guidance, helping you improve strength, cardiovascular fitness, physical confidence and your ability to manage everyday activities.

A personalised 12-week exercise programme for adults living with chronic respiratory disease or reduced breathing capacity. The programme includes an initial clinical assessment, individual exercise prescription, ongoing supervision and liaison with your GP, respiratory consultant, pulmonary rehabilitation service or wider healthcare team where appropriate.

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The programme can support people with:

• Chronic obstructive pulmonary disease

• Asthma

• Bronchiectasis

• Interstitial lung disease

• Breathlessness during everyday activity

• Reduced fitness following a respiratory infection

• Fatigue or loss of physical confidence

• Changes to respiratory medication that may affect exercise tolerance

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Exercise is carefully progressed according to your diagnosis, symptoms, oxygenation, medication, current fitness and clinical guidance, helping you improve exercise tolerance, breathing control, muscular strength and confidence in managing daily physical activity.

A personalised 12-week exercise programme for adults living with metabolic disease or associated health risks. The programme includes an initial clinical assessment, individual exercise prescription, ongoing supervision and liaison with your GP, diabetes team, dietitian or wider healthcare team where appropriate.

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The programme can support people with:

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• Type 2 diabetes

• Prediabetes or impaired glucose regulation

• Metabolic syndrome

• Insulin resistance

• Metabolic dysfunction-associated steatotic liver disease

• Raised cholesterol or triglycerides

• Excess body weight or central obesity

• Changes to medication that may affect blood glucose or exercise tolerance

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Exercise is carefully progressed according to your diagnosis, blood glucose control, medication, current fitness and clinical guidance, helping you improve insulin sensitivity, body composition, cardiovascular health and confidence in managing your long-term metabolic health.

A personalised 12-week exercise programme for adults living with a neurodegenerative condition or associated changes in movement and physical function. The programme includes an initial clinical assessment, individual exercise prescription, ongoing supervision and liaison with your neurologist, GP, physiotherapist or wider healthcare team where appropriate.

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The programme can support people with:

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• Parkinson’s disease

• Multiple sclerosis

• Early-stage dementia or cognitive decline

• Reduced balance or coordination

• Changes in walking pattern or mobility

• Muscle weakness, stiffness or fatigue

• Increased risk of falling

• Reduced confidence with exercise and everyday activity

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Exercise is carefully progressed according to your diagnosis, symptoms, mobility, cognition, current fitness and clinical guidance, helping you maintain strength, balance, walking ability and independence while improving confidence and quality of life.

A personalised 12-week exercise programme for adults living with chronic musculoskeletal problems, recurring discomfort or postural limitations. The programme includes an initial clinical assessment, individual exercise prescription, ongoing supervision and liaison with your GP, physiotherapist, consultant or wider healthcare team where appropriate.

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The programme can support people with:

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• Persistent back or neck pain

• Osteoarthritis and joint stiffness

• Shoulder, hip or knee discomfort

• Reduced mobility or flexibility

• Poor posture or movement habits

• Muscular weakness or imbalance

• Recovery following injury or orthopaedic treatment

• Reduced confidence with exercise because of pain

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Exercise is carefully progressed according to your diagnosis, symptoms, movement ability, current fitness and clinical guidance, helping you improve strength, posture, mobility and physical confidence while reducing the impact of chronic discomfort on everyday life.

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