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Exercise referral practitioners are health and fitness professionals who work with clients referred to them by healthcare providers due to specific health conditions which can be improved through structured physical activity.
practitioner
Working with People with Long Term Conditions
The role
Exercise referral practitioners are health and fitness professionals who work with clients referred to them by healthcare providers due to specific health conditions which can be improved through structured physical activity.
Sometimes referred to as GP referral practitioners, they work with other healthcare providers such as the NHS to support people to meet their exercise, physical activity and healthy eating goals.
As well as delivering sessions, exercise referral practitioners also design safe and effective programmes while ensuring a safe environment. They use their knowledge and skills to review and adapt programmes depending on a patient’s needs.
Referral schemes typically cater for these common medical conditions:
What it takes
The skills and behaviours required to be an exercise referral practitioner are similar to that of a personal trainer. The following common or transferable skills are most frequently asked for by employers in personal trainer job adverts across the UK:
| Skills and behaviours | % prevalence in job ads |
|---|---|
| Teaching | 45% |
| First aid | 41% |
| Cleanliness | 24% |
| Management | 17% |
| Communication | 12% |
| Coaching | 10% |
| Organisational skills | 5% |
| Record keeping | 5% |
| Resilience | 5% |
| Active listening | 5% |
To find out more about the minimum knowledge, skills and behaviours an individual must understand and demonstrate to become a practitioner specialising in working with people with long term conditions, you can visit our population specialism professional standards library.
Getting in
To become an exercise referral practitioner, you need to complete a qualification such as:
You can browse all CIMSPA-endorsed exercise referral qualifications and continuous professional development (CPD) courses in our Training Directory by searching under the ‘Working with People with Long Term Conditions’ specialism.
To complete an exercise referral practitioner Level 3 qualification, you must first hold an existing Level 3 personal trainer or Pilates qualification.
This course can be delivered in an online, in-person or hybrid (online and in person) format, and the total course cost, study time and guided learning hours will vary depending on the delivery format, qualification and training provider you choose.
Some colleges and universities have embedded personal trainer qualifications into their learning programmes. You can browse our CIMSPA Endorsed Training Directory to check for colleges and universities that are recognised by CIMSPA for providing quality training to students. Here, you can also check what courses our endorsed colleges and universities offer as well as course entry requirements, a summary of course content/material and more information on how to apply.
Although there are no apprenticeships directly related to exercise referral, there are apprenticeships available to become qualified as a personal trainer. Once you have qualified as a personal trainer, you can then choose to complete an additional qualification in exercise referral.
You can find out more about completing an apprenticeship in personal training via The Institute for Apprenticeships and Technical Education (IfATE) website.
Training
Typical earnings
Not currently available
Your earnings will depend on the hours you work, your location, level of experience and whether you are employed or self-employed. To give you an idea, the data presented reflects the earnings listed in job advertisements across the UK from January to December 2024, as gathered via Lightcast (March 2025). Average annual earnings reflect full-time roles (>32hours/week), however average hourly earnings are a reflection of data collected from full-time, part-time and flexible hours vacancies.
Demand
Not currently available
Typical working patterns
Not currently available
As well as exploring new career pathways, as an exercise referral practitioner, you can also choose to progress your career by completing further training or continued professional development (CPD) in your role. This training can be added to enable exercise referral practitioners to show their expertise in additional populations, in different environments and with technical specialisms.
Examples of specialisms that may be added include are:
You can explore CIMSPA-endorsed personal trainer CPD courses via our Endorsed Training Directory.
The content of the job posts displayed on the CIMSPA jobs board are pulled in through feeds from websites which are not under the control of CIMSPA.
CIMSPA will not be liable for any false, inaccurate, inappropriate or incomplete information presented on the jobs board.