This programme focuses on prescribing movement and nutrition advice for individuals and families in the Gravesham area.

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

• Eligibility (Low-Income): Individuals whose families are eligible for benefits such as Universal Credit, Job Seekers, Income Support, Housing Benefit, ESA, Social Fund, Pension Credit, or Council Tax benefit.

• Underlying Health Conditions Include: Long Covid, high blood pressure, pre-diabetic status, anxiety or depression (including post-natal), or 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.

◦ A monthly review consultation of diet and exercise.

• 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 after 10 weeks 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 December 2025 to 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.

◦ 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.

• Location: Classes are held at Cyclopark in Gravesend, Kent, within a dedicated space that acts as a hub for social connection and engagement, offering 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.