The link between poor health and low income is well known. Unfortunately, these inequalities are true in parts of Gravesham and so this programme focuses on prescribing movement and nutritional advice for those individuals and families most in need.

• Target Audience: Individuals 11 years and older from low-income families who have underlying health conditions.

• Eligibility: Individuals who are eligible for benefits such as Universal Credit, Job Seekers, Income Support, Housing Benefit, ESA, Social Fund, Pension Credit, Council Tax benefit or are struggling to make ends meet.

• Underlying Health Conditions include but are not limited to: Long Covid, high blood pressure, pre-diabetic status, anxiety or depression (including post-natal), osteoarthritis.

• The 4-Month Activity Block Includes:

◦ An initial consultation reviewing diet and exercise and taking key measurements.

◦ A personalized written programme with exercise and diet advice.

◦ Access to regular low impact activity classes with familiar groups and instructors to ensure motivation and accountability.

◦ Further access to exercise and cycling facilities to use outside of scheduled classes.

◦ Further access to consultations during the four months as required to provide support for participants.

• Referral and Discharge: Individuals can self-refer or be referred by GP practices in Gravesend. After four months, each person is ‘discharged’ with an ongoing plan, and a follow-up consultation is scheduled to monitor progress.

• Evaluation: Success is measured through data collection, including the number of participants, as well as key metrics like blood pressure, weight, body measurements, and ‘mood’/wellbeing over the programme period.

This is an initial pilot programme, run in collaboration with Kent Public Health.

It addresses the fact that nationally, adults with disabilities are almost twice as likely to be living with obesity as those without.

• Target Audience: Up to 45 adults with learning disabilities, physical disabilities, and learning difficulties.

• Key Requirement: Carers are required to be present during sessions to support participant involvement.

• Duration: This is a three-month pilot running from January to end of March 2026.

• Activities: Participants can access up to five scheduled sessions/classes each week, available Monday to Friday. These sessions include:

◦ Chair Fit 4 All: Seated group exercise using equipment like resistance bands and foam blocks, plus body weight exercises.

◦ Dance 4 All: Exploring movement with music and props.

◦ Spin 4 All: Group exercise classes in the dedicated spin room using 25 static bikes.

◦ Cyclo4All: Our inclusive cycling programme, offering participants discounted use of adaptive bikes during public access sessions after sign-off.

◦ Gardening 4 All: Focused on developing fine and gross motor skills, core strength, and coordination as well as benefiting from being outside.

• Location: Classes are held at Cyclopark in Gravesend, Kent, within dedicated spaces to provide a hub for social connection and engagement and providing accessible toilet facilities.

• Evaluation and Sustained Access: The evaluation is conducted in collaboration with Dr. Kristy Howells of Canterbury Christ Church University. Following the pilot, participants will have access to discounted sessions to help achieve sustained access and habit formation.