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Public Notice

Hello all exercise referral clients, this is an update regarding our delivery of the exercise referral scheme from Public Health Wales.

We hope that you are well and are looking forward to the re-establishment of NERS in the future.

Public Health Wales are undertaking a review of virtual delivery and will be developing with WLGA a phased plan for return to more normal delivery.

The anticipated timescales will be dependent on the course of the pandemic.

PHW remain concerned that NERS clients are a vulnerable group and cannot be exposed to unnecessary risks and that any return to face delivery needs to be carefully considered and implemented with strict safeguards in place.

It also needs to be done in a consistent way across the whole country.

We very much appreciate your patience with this process and will continue to support you as we have through COVD-19.

The National Exercise Referral Scheme (NERS) is designed to aid individuals, who have been identified by their Medical Practitioner, to take up the benefits of participating in high quality supervised enjoyable exercise programme to improve health and wellbeing.

Aimed at those over 16 years of age, who are not used to being regularly physically active and have a medical condition, the Scheme is designed to provide opportunities to exercise that are fun, rewarding and that can be incorporated into everyday life.

As that individual, you will receive a 16-week activity programme designed specifically to your needs and will be under the guidance of Ceredigion Actif’s highly qualified Health Intervention Team.

Paul Jones
Exercise Referral Coordinator
National Exercise Referral Scheme

Physical benefits

  • The heart and lungs become stronger and more efficient
  • Muscular strength increases
  • Joints become stronger
  • The onset of osteoporosis can be delayed
  • Body fat and excess weight may be reduced
  • Relaxation and sleep might be improved
  • Being better able to carry out the activities of daily living
  • Feeling more alert and energetic
  • Maintaining good posture
  • Helping to normalise blood pressure
  • Reduce risk of developing diabetes
  • A reduced risk of blood clotting
  • Helping to maintain independence, rather than becoming dependant

Psychological benefits

Some comments people have made include:

  • "I feel less anxious and stressed"
  • "My confidence and self-esteem are better"
  • "Being more active helped me to give up smoking"
  • "The activity sessions gave me time for myself"
  • "My wife says I look a lot happier"
  • "I took more responsibility for my own health"

Social benefits

Comments have included:

  • "It was a good opportunity to meet other people who had the same worries as I did"
  • "The sessions made me get out of the house and gave me a new interest"
  • "I made new friends and enjoyed the conversations we had"
  • "I feel much fitter and can play with my grandchildren for longer now
  1. Visit your Doctor's Surgery. If you are eligible, you’re Medical Practitioner or Practice Nurse will complete a 'Medical Referral for Exercise and Consent Form'.
  2. A member of the Ceredigion County Council Health Intervention Team will then contact you to make an appointment for your initial consultation. Your initial consultation will consist of a full explanation of the scheme and a health assessment. 
  3. A programme will then be devised to suit your personal needs. 
  4. Over the 16 weeks, your personal programme may include group or individual activities such as using the Health and Fitness Suite, swimming, aerobics, walking and many more (activities are not on a one-to-one basis).

Within Ceredigion there are a numbers of venues for clients to access, these include:

Plascrug Leisure Centre

Supervised Gym Training | Circuits | Falls Prevention | Aerobics | Tai Chi Moves for Wellbeing (meditation style Mindfulness) | Gentle Pilates for back care | Spin Bikes | Phase 4 Gym and Circuits

Tregaron Leisure Centre

Generic Circuits | Maintenance Circuits | Maintenance Gym | Cardiac phase 4 Circuits | Spin Bikes


Generic Gym | Generic Circuit | Maintenance Gym | Maintenance Circuit | Cardiac phase 4 Gym | Cardiac phase 4 Circuits | Aqua Aerobic

Lampeter Leisure Centre

Falls Prevention | Generic Gym | Generic Circuit | Maintenance Gym | Maintenance Circuit | Cardiac phase 4 Gym | Cardiac phase 4 Circuits | Aqua Aerobics | Spin

Llandysul Leisure Centre

Exercise Referral Gym | Exercise Referral Low Impact Circuit | Tai Chi Movements for Wellbeing

Cardigan Leisure Centre

Cardiac Rehabilitation and Prevention Low Impact Circuit | Cardiac Rehabilitation and Prevention Low Impact Gym | Exercise Referral Gym | Exercise Referral Low Impact Circuit | Tai Chi Movements for Wellbeing | Balance and Stability Level 1 | Balance and Stability Level 2